Clinical tests of standing balance: Performance of persons with multiple sclerosis

2000 ◽  
Vol 81 (2) ◽  
pp. 215-221 ◽  
Author(s):  
Dragana Frzovic ◽  
Meg E. Morris ◽  
Lindsay Vowels
Keyword(s):  
Multiple Sclerosis ◽  
Standing Balance ◽  
Clinical Tests ◽  
Balance Performance

scholarly journals Post-Drive Standing Balance of Vehicle Passengers Using Wearable Sensors: The Effect of On-Road Driving and Task Performance

Sensors ◽  
2021 ◽  
Vol 21 (15) ◽  
pp. 4997
Author(s):  
Victor C. Le ◽  
Monica L. H. Jones ◽  
Kathleen H. Sienko
Keyword(s):  
Task Performance ◽  
Postural Sway ◽  
Wearable Sensors ◽  
Standing Balance ◽  
Balance Performance ◽  
Real Time Traffic ◽  
Balance Exercises ◽  
Before And After ◽  
The Relationship ◽  
And Task

Postural sway has been demonstrated to increase following exposure to different types of motion. However, limited prior studies have investigated the relationship between exposure to normative on-road driving conditions and standing balance following the exposure. The purpose of this on-road study was to quantify the effect of vehicle motion and task performance on passengers’ post-drive standing balance performance. In this study, trunk-based kinematic data were captured while participants performed a series of balance exercises before and after an on-road driving session in real-time traffic. Postural sway for all balance exercises increased following the driving session. Performing a series of ecologically relevant visual-based tasks led to increases in most post-drive balance metrics such as sway position and velocity. However, the post-drive changes following the driving session with a task were not significantly different compared to changes observed following the driving session without a task. The post-drive standing balance performance changes observed in this study may increase vulnerable users’ risk of falling. Wearable sensors offer an opportunity to monitor postural sway following in-vehicle exposures.

Perceived and actual arm performance in multiple sclerosis: relationship with clinical tests according to hand dominance

2013 ◽  
Vol 19 (10) ◽  
pp. 1341-1348 ◽  
Author(s):  
Ilse Lamers ◽  
Lore Kerkhofs ◽  
Joke Raats ◽  
Daphne Kos ◽  
Bart Van Wijmeersch ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Handgrip Strength ◽  
Real Life ◽  
Activity Level ◽  
International Classification Of Functioning ◽  
Fine Motor ◽  
Control Group ◽  
Hand Dominance ◽  
Clinical Tests

Background: The real-life relevance of frequently applied clinical arm tests is not well known in multiple sclerosis (MS). Objective: This study aimed to determine the relation between real-life arm performance and clinical tests in MS. Methods: Thirty wheelchair-bound MS patients and 30 healthy controls were included. Actual and perceived real-life arm performance was measured by using accelerometry and a self-reported measure (Motor Activity Log). Clinical tests on ‘body functions & structures’ (JAMAR handgrip strength, Motricity Index (MI), Fugl Meyer (FM)) and ‘activity’ level (Nine Hole Peg Test (NHPT), Action Research Arm test) of the International Classification of Functioning were conducted. Statistical analyses were performed separately for current dominant and non-dominant arm. Results: For all outcome measures, MS patients scored with both arms significantly lower than the control group. Higher correlations between actual arm performance and clinical tests were found for the non-dominant arm (0.63–0.80). The FM (55%) was a good predictor of actual arm performance, while the MI (46%) and NHPT (55%) were good predictors of perceived arm performance. Conclusions: Real-life arm performance is decreased in wheelchair-bound MS patients and can be best predicted by measures on ‘body functions & structures’ level and fine motor control. Hand dominance influenced the magnitude of relationships.

scholarly journals Position Sense Deficits at the Lower Limbs in Early Multiple Sclerosis: Clinical and Neural Correlates

2020 ◽  
Vol 34 (3) ◽  
pp. 260-270 ◽  
Author(s):  
Riccardo Iandolo ◽  
Giulia Bommarito ◽  
Laura Falcitano ◽  
Simona Schiavi ◽  
Niccolò Piaggio ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Diffusion Tensor ◽  
Neural Correlates ◽  
Position Sense ◽  
Standing Balance ◽  
Lower Limbs ◽  
Quiet Standing ◽  
Matching Task ◽  
Functional Changes ◽  
Limb Position

Background/Objective. Position sense, defined as the ability to identify joint and limb position in space, is crucial for balance and gait but has received limited attention in patients with multiple sclerosis (MS). We investigated lower limb position sense deficits, their neural correlates, and their effects on standing balance in patients with early MS. Methods. A total of 24 patients with early relapsing-remitting MS and 24 healthy controls performed ipsilateral and contralateral matching tasks with the right foot during functional magnetic resonance imaging. Corpus callosum (CC) integrity was estimated with diffusion tensor imaging. Patients also underwent an assessment of balance during quiet standing. We investigated differences between the 2 groups and the relations among proprioceptive errors, balance performance, and functional/structural correlates. Results. During the contralateral matching task, patients demonstrated a higher matching error than controls, which correlated with the microstructural damage of the CC and with balance ability. In contrast, during the ipsilateral task, the 2 groups showed a similar matching performance, but patients displayed a functional reorganization involving the parietal areas. Neural activity in the frontoparietal regions correlated with the performance during both proprioceptive matching tasks and quiet standing. Conclusion. Patients with early MS had subtle, clinically undetectable, position sense deficits at the lower limbs that, nevertheless, affected standing balance. Functional changes allowed correct proprioception processing during the ipsilateral matching task but not during the more demanding bilateral task, possibly because of damage to the CC. These findings provide new insights into the mechanisms underlying disability in MS and could influence the design of neurorehabilitation protocols.

scholarly journals Relationships Between Standing Balance and Symmetry Measurements in Patients Following Recent Strokes (≤3 Weeks) or Older Strokes (≥6 Months)

2004 ◽  
Vol 84 (2) ◽  
pp. 128-136 ◽  
Author(s):  
Outi Pyöriä ◽  
Pertti Era ◽  
Ulla Talvitie
Keyword(s):  
Data Collection ◽  
Weight Distribution ◽  
Postural Sway ◽  
Use Of Force ◽  
Force Platform ◽  
Standing Balance ◽  
Balance Performance ◽  
Eyes Open

Abstract Background and Purpose. The Functional Standing Balance (FSB) Scale was designed to obtain measurements of standing balance and to identify the problems typically faced by people with stroke. The purpose of this study was to investigate the validity of measurements obtained with the FSB Scale for use in the acute and chronic phases of stroke by comparing the measurements obtained with the FSB Scale with those obtained for postural sway and lateral symmetry by use of a force platform. Subjects and Methods. Measurements were obtained for 26 people with recent strokes (ie, strokes within 3 weeks of data collection) and for 28 people with long-standing strokes (ie, strokes of 6 months' duration or older). The FSB Scale consists of 3 components: weight distribution, balance without movement, and balance with movement. Measurements of balance performance were compared with measurements of anteroposterior and lateral sway velocity obtained on a force platform. The weight distribution on 2 digital scales was compared with the lateral symmetry measured on the force platform. Results. The highest correlations were found between the FSB Scale balance measurements and the measurements of anteroposterior sway velocity obtained on the force platform with feet apart and eyes open. The correlations (r) were −.68 and −.67 for the group with recent strokes and −.74 and −.91 for the group with long-standing strokes. The correlations (r) between weight distribution measured on the digital scales and lateral symmetry measured on the force platform were .44 for the group with recent strokes and .52 for the group with long-standing strokes. Discussion and Conclusion. The subjects whose results on the FSB Scale were poor had higher sway velocities on the force platform than the subjects whose results on the FSB Scale were good. The results of this study suggest that the FSB Scale provides the same kind of information as that obtained for sway velocity and lateral symmetry as measured with the use of force platforms in both patients with recent strokes and patients with long-standing strokes.

scholarly journals Effects of Fatigue on Balance and Mobility in Subjects with Multiple Sclerosis: A Brief Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Elisa Gervasoni ◽  
Davide Cattaneo ◽  
Angelo Montesano ◽  
Johanna Jonsdottir
Keyword(s):  
Multiple Sclerosis ◽  
Berg Balance Scale ◽  
Balance Performance ◽  
Before And After ◽  
Increase Risk ◽  
Risk Of Falls ◽  
Edss Score ◽  
The Difference ◽  
Dynamic Gait Index ◽  
Dynamic Gait

Purpose. People with Multiple Sclerosis (PwMS) tent to have increased levels of fatigue which can impact on their balance and increase risk of falls. However, the relationship between fatigue and balance is poorly understood. The aim of the present study was to assess if an experimentally induced fatigue had an immediate effect on balance. Methods. 37 inpatients with multiple sclerosis were recruited; the mean age (standard deviation) was 48.7 (9.6) years. The average onset of the pathology was 15.3 (9.8) years before the start of the study. The median (1°–3° quartile) Expanded Disability Status Scale (EDSS) score was 5.5 (4.5–6.0). Before and after a fatiguing treadmill, session, subjects were assessed with the Berg Balance Scale and Dynamic Gait Index. Results. After the treadmill, no statistically significant differences were found in balance before and after a treadmill session (monopodalic stance: before 5.3s (10.3) and after 7.7s (13.9); walk with horizontal head turns: before 11.6 (6.9) seconds and after 11.3 (7.7)). There was no correlation between the EDSS score and the difference in balance skills before and after treadmill. Conclusion. After treadmil PwMS were mentally and physically fatigued; however, their balance performance did not change, indicating no increase in risk of falling with fatigue.

scholarly journals Childhood Cognition and Age-Related Change in Standing Balance Performance From Mid to Later Life: Findings From a British Birth Cohort

2018 ◽  
Vol 75 (1) ◽  
pp. 155-161 ◽  
Author(s):  
Joanna M Blodgett ◽  
Diana Kuh ◽  
Rebecca Hardy ◽  
Daniel H J Davis ◽  
Rachel Cooper
Keyword(s):  
Cognitive Processing ◽  
Verbal Memory ◽  
Repeated Measures ◽  
Later Life ◽  
Standing Balance ◽  
Balance Performance ◽  
Standard Deviation Increase ◽  
Eyes Closed ◽  
Age Related ◽  
The Impact

Abstract Background Cognitive processing plays a crucial role in the integration of sensory input and motor output that facilitates balance. However, whether balance ability in adulthood is influenced by cognitive pathways established in childhood is unclear, especially as no study has examined if these relationships change with age. We aimed to investigate associations between childhood cognition and age-related change in standing balance between mid and later life. Methods Data on 2,380 participants from the MRC National Survey of Health and Development were included in analyses. Repeated measures multilevel models estimated the association between childhood cognition, assessed at age 15, and log-transformed balance time, assessed at ages 53, 60–64, and 69 using the one-legged stand with eyes closed. Adjustments were made for sex, death, attrition, anthropometric measures, health conditions, health behaviors, education, other indicators of socioeconomic position (SEP), and adult verbal memory. Results In a sex-adjusted model, 1 standard deviation increase in childhood cognition was associated with a 13% (95% confidence interval: 10, 16; p < .001) increase in balance time at age 53, and this association got smaller with age (cognition × age interaction: p < .001). Adjustments for education, adult verbal memory, and SEP largely explained these associations. Conclusions Higher childhood cognition was associated with better balance performance in midlife, with diminishing associations with increasing age. The impact of adjustment for education, cognition and other indicators of SEP suggested a common pathway through which cognition is associated with balance across life. Further research is needed to understand underlying mechanisms, which may have important implications for falls risk and maintenance of physical capability.

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