Dynamic balance control in elders: Gait initiation assessment as a screening tool

Firstly, according to the structure characteristics of precision centrifuge, the mathematical model of its dynamic balancing system was set up, and the dynamic balancing scheme of double test surfaces, double emendation surfaces were established. Then the dynamic balance system controller of precision centrifuge was designed. Simulation results show that the controller designed can completely meet the requirements of precision centrifuge dynamic balance control system.

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Effects of offloading devices on static and dynamic balance in patients with diabetic peripheral neuropathy: A systematic review

Reviews in Endocrine and Metabolic Disorders ◽

10.1007/s11154-020-09619-9 ◽

2021 ◽

Author(s):

Koen Andre Horstink ◽

Lucas Henricus Vincentius van der Woude ◽

Juha Markus Hijmans

Keyword(s):

Systematic Review ◽

Peripheral Neuropathy ◽

Plantar Pressure ◽

Diabetic Peripheral Neuropathy ◽

Balance Control ◽

Dynamic Balance ◽

Movement Control ◽

Future Research ◽

Static Balance ◽

Somatosensory Information

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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Perceptual-Motor Contributions to Static and Dynamic Balance Control in Children

Pediatric Physical Therapy ◽

10.1097/01.pep.0000072447.53166.9d ◽

2003 ◽

Vol 15 (2) ◽

pp. 135-137

Author(s):

Tamara Williams

Keyword(s):

Balance Control ◽

Dynamic Balance

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Step length and stance time variability are independently associated with dynamic balance control in people with Parkinson’s disease

Gait & Posture ◽

10.1016/j.gaitpost.2019.07.045 ◽

2019 ◽

Vol 73 ◽

pp. 86

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Balance Control ◽

Dynamic Balance ◽

Step Length ◽

Time Variability ◽

Stance Time

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Effect of Incorporating Short-Foot Exercises in the Balance Rehabilitation of Flat Foot: A Randomized Controlled Trial

Healthcare ◽

10.3390/healthcare9101358 ◽

2021 ◽

Vol 9 (10) ◽

pp. 1358

Author(s):

Dongchul Moon ◽

Juhyeon Jung

Keyword(s):

Randomized Controlled Trial ◽

Postural Stability ◽

Balance Control ◽

Dynamic Balance ◽

Controlled Trial ◽

Combined Effects ◽

Sensorimotor Training ◽

Flat Foot ◽

Randomized Controlled ◽

Balance Rehabilitation

Effective balance rehabilitation is essential to address flat foot (pes planus) which is closely associated with reduced postural stability. Although sensorimotor training (SMT) and short-foot exercise (SFE) have been effective for improving postural stability, the combined effects of SMT with SFE have not been evaluated in previous studies. The aim of this study was to compare the lone versus combined effects of SMT with SFE on postural stability among participants with flat foot. This was a single-blinded, randomized controlled trial. A total of 32 flat-footed participants were included in the study (14 males and 18 females) and assigned to the SMT combined with SFE group and SMT alone group. All participants underwent 18 sessions of the SMT program three times a week for six weeks. Static balance, dynamic balance, and the Hmax/Mmax ratio were compared before and after the interventions. Static and dynamic balance significantly increased in the SMT combined with SFE group compared with the SMT alone group. However, the Hmax/Mmax ratio was not significantly different between the two groups. Therefore, this study confirms that the combination of SMT and SFE is superior to SMT alone to improve postural balance control in flat-footed patients in clinical settings.

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Varied movement errors drive learning of dynamic balance control during walking in people with incomplete spinal cord injury: a pilot study

Experimental Brain Research ◽

10.1007/s00221-020-05776-0 ◽

2020 ◽

Vol 238 (4) ◽

pp. 981-993

Author(s):

Jui-Te Lin ◽

Chao-Jung Hsu ◽

Weena Dee ◽

David Chen ◽

W. Zev Rymer ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Pilot Study ◽

Balance Control ◽

Dynamic Balance ◽

Incomplete Spinal Cord Injury ◽

Cord Injury

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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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