Ankle eversion to inversion strength ratio and static balance control in the dominant and non-dominant limbs of young adults

AbstractPatients with diabetic peripheral neuropathy (DPN) usually have reduced somatosensory information and altered perception in feet and ankles. Somatosensory information acts as feedback for movement control and loss of somatosensation leads to altered plantar pressure patterns during gait and stance. Offloading devices are used to reduce peak plantar pressure and prevent diabetic foot ulcers. However, offloading devices can unfortunately have negative effects on static and dynamic balance. It is important to investigate these unwanted effects, since patient with DPN already are at high risk of falling and offloading devices could potentially increase this risk. The aim of this systematic review is to investigate the effects of plantar offloading devices used for ulcer prevention on their role in static and dynamic balance control in patients with DPN. PubMed and Embase were systematically searched using relevant search terms. After title selection, abstract selection, and full-text selection only five articles could be included for further analysis. Two articles included static balance measurements, two articles included dynamic balance measurements, and one article included both. Results suggested that static balance control is reduced when rocker bottom shoes and different insole configurations are used, however, toe-only rockers showed less evidence for reduced static balance control. There was no evidence for reduced dynamic balance control in combination with offloading devices. However, these results should be interpreted with care, since the number of studies was very small and the quality of the studies was moderate. Future research should evaluate balance in combination with different offloading devices, so that clinicians subscribing them are more aware of their potential unwanted consequences.

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Differential effect of Taekwondo training on knee muscle strength and reactive and static balance control in children with developmental coordination disorder: A randomized controlled trial

Research in Developmental Disabilities ◽

10.1016/j.ridd.2013.01.025 ◽

2013 ◽

Vol 34 (5) ◽

pp. 1446-1455 ◽

Cited By ~ 23

Author(s):

Shirley S.M. Fong ◽

Joanne W.Y. Chung ◽

Lina P.Y. Chow ◽

Ada W.W. Ma ◽

William W.N. Tsang

Keyword(s):

Randomized Controlled Trial ◽

Muscle Strength ◽

Developmental Coordination Disorder ◽

Balance Control ◽

Controlled Trial ◽

Static Balance ◽

Randomized Controlled ◽

Knee Muscle ◽

Coordination Disorder ◽

Knee Muscle Strength

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Validity and Reliability of the Wii Balance Board for Static Balance Assessment in Healthy Young Adults

Malaysian Journal of Medical Sciences ◽

10.21315/mjms2019.26.2.12 ◽

2019 ◽

Vol 26 (2) ◽

pp. 114-121

Author(s):

Kitchana Kaewkaen ◽

◽

Suraphong Uthama ◽

Worasak Ruengsirarak ◽

Rungthip Puntumetakul ◽

...

Keyword(s):

Young Adults ◽

Static Balance ◽

Validity And Reliability ◽

Balance Assessment ◽

Wii Balance Board ◽

Balance Board

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Effects of Cognitive Over Postural Demands on Upright Standing Among Young Adults

Perceptual and Motor Skills ◽

10.1177/0031512520972879 ◽

2020 ◽

pp. 003151252097287

Author(s):

Kell Grandjean da Costa ◽

Erika K. Hussey ◽

Eduardo Bodnariuc Fontes ◽

Alekya Menta ◽

John W. Ramsay ◽

...

Keyword(s):

Young Adults ◽

Balance Control ◽

Healthy Adults ◽

Body Sway ◽

Cognitive Resources ◽

Stance Control ◽

Upright Standing ◽

Measurement Units ◽

Future Work ◽

The Impact

A growing body of research has shown that static stance control (e.g., body sway) is influenced by cognitive demands (CD), an effect that may be related to competition for limited central resources. Measures of stance control have also been impacted by postural demands (PD) (e.g., stable vs. unstable stances). However, less is known of any possible interactions between PD and CD on static stance control in populations with intact balance control and ample cognitive resources, like young healthy adults. In this study, among the same participants, we factorially compared the impact of PD with and without CD on static stance control. Thirty-four healthy young adults wore inertial measurement units (IMU) while completing static stance tasks for 30 seconds in three different PD positions: feet apart, feet together, and tandem feet. After completing these tasks alone, participants performed these tasks with CD by concurrently completing verbal serial seven subtractions from a randomly selected three-digit number. For two dependent measures, path length and jerk, there were main effects of CD and PD but no interaction effect between these factors. For all other stance control parameters, there was only a PD main effect. Thus, adding a cognitive demand to postural demands, while standing upright, may have an independent impact on stance control, but CD does not seem to interact with PD. These results suggest that young healthy adults may be less sensitive to simple PD and CD due to their greater inherent balance control and available cognitive resources. Future work might explore more complex PD and CD combinations to determine the boundaries under which young adults’ resources are taxed.

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Applying the Minimal Detectable Change of a Static and Dynamic Balance Test Using a Portable Stabilometric Platform to Individually Assess Patients with Balance Disorders

Healthcare ◽

10.3390/healthcare8040402 ◽

2020 ◽

Vol 8 (4) ◽

pp. 402 ◽

Cited By ~ 1

Author(s):

Juan De la Torre ◽

Javier Marin ◽

Marco Polo ◽

José J. Marín

Keyword(s):

Center Of Pressure ◽

Balance Control ◽

Dynamic Balance ◽

Static Balance ◽

Minimal Detectable Change ◽

Detectable Change ◽

Balance Test ◽

Balance Disorders ◽

Eyes Closed ◽

Specialist Physician

Balance disorders have a high prevalence among elderly people in developed countries, and falls resulting from balance disorders involve high healthcare costs. Therefore, tools and indicators are necessary to assess the response to treatments. Therefore, the aim of this study is to detect relevant changes through minimal detectable change (MDC) values in patients with balance disorders, specifically with vertigo. A test-retest of a static and dynamic balance test was conducted on 34 healthy young volunteer subjects using a portable stabilometric platform. Afterwards, in order to show the MDC applicability, eight patients diagnosed with balance disorders characterized by vertigo of vestibular origin performed the balance test before and after a treatment, contrasting the results with the assessment by a specialist physician. The balance test consisted of four tasks from the Romberg test for static balance control, assessing dynamic postural balance through the limits of stability (LOS). The results obtained in the test-retest show the reproducibility of the system as being similar to or better than those found in the literature. Regarding the static balance variables with the lowest MDC value, we highlight the average velocity of the center of pressure (COP) in all tasks and the root mean square (RMS), the area, and the mediolateral displacement in soft surface, with eyes closed. In LOS, all COP limits and the average speed of the COP and RMS were highlighted. Of the eight patients assessed, an agreement between the specialist physician and the balance test results exists in six of them, and for two of the patients, the specialist physician reported no progression, whereas the balance test showed worsening. Patients showed changes that exceeded the MDC values, and these changes were correlated with the results reported by the specialist physician. We conclude that (at least for these eight patients) certain variables were sufficiently sensitive to detect changes linked to balance progression. This is intended to improve decision making and individualized patient monitoring.

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Hallux Valgus Surgery May Produce Early Improvements in Balance Control

Journal of the American Podiatric Medical Association ◽

10.7547/1030489 ◽

2013 ◽

Vol 103 (6) ◽

pp. 489-497 ◽

Cited By ~ 9

Author(s):

Saba Sadra ◽

Adam Fleischer ◽

Erin Klein ◽

Gurtej S. Grewal ◽

Jessica Knight ◽

...

Keyword(s):

Hallux Valgus ◽

Study Design ◽

Balance Control ◽

Center Of Mass ◽

Cross Sectional Study ◽

Static Balance ◽

Long Term Effects ◽

Cross Sectional ◽

Eyes Open ◽

Falls In Older Adults

Background: Hallux valgus (HV) is associated with poorer performance during gait and balance tasks and is an independent risk factor for falls in older adults. We sought to assess whether corrective HV surgery improves gait and balance. Methods: Using a cross-sectional study design, gait and static balance data were obtained from 40 adults: 19 patients with HV only (preoperative group), 10 patients who recently underwent successful HV surgery (postoperative group), and 11 control participants. Assessments were made in the clinic using body-worn sensors. Results: Patients in the preoperative group generally demonstrated poorer static balance control compared with the other two groups. Despite similar age and body mass index, postoperative patients exhibited 29% and 63% less center of mass sway than preoperative patients during double-and single-support balance assessments, respectively (analysis of variance P =.17 and P =.14, respectively [both eyes open condition]). Overall, gait performance was similar among the groups, except for speed during gait initiation, where lower speeds were encountered in the postoperative group compared with the preoperative group (Scheffe P = .049). Conclusions: This study provides supportive evidence regarding the benefits of corrective lower-extremity surgery on certain aspects of balance control. Patients seem to demonstrate early improvements in static balance after corrective HV surgery, whereas gait improvements may require a longer recovery time. Further research using a longitudinal study design and a larger sample size capable of assessing the long-term effects of HV surgical correction on balance and gait is probably warranted. (J Am Podiatr Med Assoc 103(6): 489–497, 2013)

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THE THE CORRELATION BETWEEN FORWARD HEAD POSTURE WITH STATIC BALANCE CONTROL OF STUDENT IN SMAN 1 SEMARAPURA

Majalah Ilmiah Fisioterapi Indonesia ◽

10.24843/mifi.2018.v06.i01.p07 ◽

2018 ◽

Vol 6 (1) ◽

pp. 43

Author(s):

Dewa Ayu Puspitasari ◽

Ari Wibawa ◽

I Dewa Ayu Inten Dwi Primayanti

Keyword(s):

Balance Control ◽

Sampling Technique ◽

P Value ◽

Static Balance ◽

Cross Sectional ◽

Forward Head Posture ◽

Head Posture ◽

Spearman's Rho ◽

Spearman’S Rho ◽

Spearman’S Rho Test

ABSTRACT Forward head posture is a posture problem which experienced by most school-age students. Forward headposture results in disproportion of postural muscles function. The aim of the study was to investigate the correlationbetween forward head posture with static balance control in which implemented a cross-sectional analytic design. Thepopulation of this study was students in age of 15-18 years old at SMAN 1 Semarapura. The participants were 84students selected by using purposive sampling technique. Data were taken by Forward Head Test and One Leg StanceTest. The data of the test were analyzed by Spearman’s Rho Test with significance value p<0.05. The result showedthat the best static balance control category mostly owned by normal head posture group (7 students). On the otherhand, below average static balance control category mostly owned by forward head posture group (18 students). It wasalso founded the p value from the Spearman’s Rho Test was 0.004 (p<0.05) and the correlation coefficient value was 0,310. The conclusion there is a correlation between forward head posture with static balance control of students inSMAN 1 Semarapura. Keywords: forward head posture, static balance control

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