scholarly journals Severe Dizziness Related to Postural Instability, Changes in Gait and Cognitive Skills in Patients with Chronic Peripheral Vestibulopathy

2019 ◽  
Vol 24 (01) ◽  
pp. e99-e106 ◽  
Author(s):  
Almir Resende Coelho ◽  
Júlia Licursi Lambertti Perobelli ◽  
Lilian Shizuka Sonobe ◽  
Renato Moraes ◽  
Camila Giacomo de Carneiro Barros ◽  
...  
Keyword(s):  
Cognitive Skills ◽  
Elderly Women ◽  
Center Of Pressure ◽  
Dynamic Balance ◽  
Step Length ◽  
Control Group ◽  
Vestibular Disorders ◽  
Cognitive Assessments ◽  
Cognitive Balance ◽  
Peripheral Vestibulopathy

Abstract Introduction Peripheral vestibular disorders can lead to cognitive deficits and are more common in elderly patients. Objective To evaluate and correlate cognitive, balance and gait aspects in elderly women with chronic peripheral vestibular dizziness, and to compare them with elderly women without vestibular disorders. Methods Twenty-two women presenting peripheral vestibular dizziness episodes for at least six months participated in the study. The individuals were categorized by dizziness severity level: moderate (n = 11) or severe (n = 11). The control group (n = 11) included women showing no vestibulopathy, light-headedness or dizziness. Cognitive assessments and semi-static and dynamic balance assessments were performed with the Balance Master (Neurocom International, Inc., Clackamas, OR), while the Dizziness Handicap Inventory provided a score for the severity of the symptoms. The groups were submitted to statistics of inference and correlation between cognitive, balance and stability variables. Results The group with severe dizziness showed higher sway speed of the center of pressure in the anteroposterior direction, smaller step length, and slower gait than the control group. Regarding the cognitive variables, the group with severe dizziness symptoms presented significant correlations with stability and gait variables. Conclusion The relationship between cognitive aspects, balance and gait was stronger in women with severe dizziness than in those with no vestibulopathy.

Original study. The clinical value of foam posturography in assessing patients with peripheral vestibular dysfunction – our experience

2017 ◽  
Vol 7 (26) ◽  
pp. 93-101
Author(s):  
Raluca Enache ◽  
Dorin Sarafoleanu ◽  
Codrut Sarafoleanu
Keyword(s):  
Center Of Pressure ◽  
Balance Control ◽  
Vestibular Dysfunction ◽  
Control Group ◽  
Vestibular Disorders ◽  
Clinical Value ◽  
Dynamic Posturography ◽  
Eyes Closed ◽  
Peripheral Vestibulopathy ◽  
Romberg Test

Abstract BACKGROUND. Computerized dynamic posturography is the most important battery test designed to assess the ability to use visual, vestibular and proprioceptive cues in the maintenance of posture. Foam posturography reduces the availability of proprioceptive inputs, which makes more difficult the balance control. OBJECTIVE. The objective of the study was to assess the clinical use of foam posturography in evaluating peripheral vestibular dysfunction. MATERIAL AND METHODS. We evaluated 41 patients with vestibular disorders and 41 normal patients by using the sensory organization test in eyes opened, eyes closed and mislead vision conditions with and without the foam. We measured several parameters: the position of the center of pressure, the displacement in the center of pressure in anteroposterior and mediolateral planes and Romberg’s ratio on static and foam rubber. RESULTS. The values of all parameters were significantly higher in patients with peripheral vestibular disorders than in the control group (p<0.05). Also. comparing the Romberg test results, the foam surface used by the patient was larger than the static one. CONCLUSION. Foam posturography can be a reliable test in assessing patients with peripheral vestibulopathy, being also able to identify the visual and proprioceptive dependence levels.

Effects of a core stabilization training program on balance ability in persons with Parkinson’s disease: a randomized controlled trial

2020 ◽  
Vol 34 (6) ◽  
pp. 764-772
Author(s):  
Irene Cabrera-Martos ◽  
Ana Teresa Jiménez-Martín ◽  
Laura López-López ◽  
Janet Rodríguez-Torres ◽  
Araceli Ortiz-Rubio ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Center Of Pressure ◽  
Dynamic Balance ◽  
Controlled Trial ◽  
Core Stability ◽  
Control Group ◽  
Balance Confidence ◽  
Balance Ability ◽  
Experimental Group

Objective: To explore the effects of an eight-week core stability program on balance ability in persons with Parkinson’s disease. Design: Randomized controlled trial. Setting: A local Parkinson’s association. Subjects: A total of 44 participants with a clinical diagnosis of Parkinson’s disease were randomly assigned to an experimental ( n = 22) or control group ( n = 22). Intervention: The experimental group received 24 sessions of core training, while the control group received an intervention including active joint mobilization, muscle stretching, and motor coordination exercises. Main measures: The primary outcome measure was dynamic balance evaluated using the Mini-Balance Evaluation Systems Test. Secondary outcomes included the balance confidence assessed with the Activities-specific Balance Confidence Scale and standing balance assessed by the maximal excursion of center of pressure during the Modified Clinical Test of Sensory Interaction on Balance and the Limits of Stability test. Results: After treatment, a significant between-group improvement in dynamic balance was observed in the experimental group compared to the control group (change, 2.75 ± 1.80 vs 0.38 ± 2.15, P = 0.002). The experimental group also showed a significant improvement in confidence (change, 16.48 ± 16.21 vs 3.05 ± 13.53, P = 0.047) and maximal excursion of center of pressure in forward (change, 0.86 ± 1.89 cm vs 0.17 ± 0.26 cm, P = 0.048), left (change, 0.88 ± 2.63 cm vs 0.07 ± 0.48 cm, P = 0.010), and right (change, 1.63 ± 2.82 cm vs 0.05 ± 0.17 cm, P = 0.046) directions of limits of stability compared to the control group. Conclusion: A program based on core stability in comparison with non-specific exercise benefits dynamic balance and confidence and increases center of mass excursion in patients with Parkinson’s disease.

scholarly journals Single-Legged Hop and Single-Legged Squat Balance Performance in Recreational Athletes With a History of Concussion

2020 ◽  
Vol 55 (5) ◽  
pp. 488-493 ◽  
Author(s):  
Robert C. Lynall ◽  
Kody R. Campbell ◽  
Timothy C. Mauntel ◽  
J. Troy Blackburn ◽  
Jason P. Mihalik
Keyword(s):  
Injury Risk ◽  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Reaction Force ◽  
Force Plate ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Time To Stabilization ◽  
History Of

Context Researchers have suggested that balance deficiencies may linger during functional activities after concussion recovery. Objective To determine whether participants with a history of concussion demonstrated dynamic balance deficits as compared with control participants during single-legged hops and single-legged squats. Design Cross-sectional study. Setting Laboratory. Patients or Other Participants A total of 15 previously concussed participants (6 men, 9 women; age = 19.7 ± 0.9 years, height = 169.2 ± 9.4 cm, mass = 66.0 ± 12.8 kg, median time since concussion = 126 days [range = 28–432 days]) were matched with 15 control participants (6 men, 9 women; age = 19.7 ± 1.6 years, height = 172.3 ± 10.8 cm, mass = 71.0 ± 10.4 kg). Intervention(s) During single-legged hops, participants jumped off a 30-cm box placed at 50% of their height behind a force plate, landed on a single limb, and attempted to achieve a stable position as quickly as possible. Participants performed single-legged squats while standing on a force plate. Main Outcome Measure(s) Time to stabilization (TTS; time for the normalized ground reaction force to stabilize after landing) was calculated during the single-legged hop, and center-of-pressure path and speed were calculated during single-legged squats. Groups were compared using analysis of covariance, controlling for average days since concussion. Results The concussion group demonstrated a longer TTS than the control group during the single-legged hop on the nondominant leg (mean difference = 0.35 seconds [95% confidence interval = 0.04, 0.64]; F2,27 = 5.69, P = .02). No TTS differences were observed for the dominant leg (F2,27 = 0.64, P = .43). No group differences were present for the single-legged squat on either leg (P ≥ .11). Conclusions Dynamic balance-control deficits after concussion may contribute to an increased musculoskeletal injury risk. Given our findings, we suggest that neuromuscular deficits currently not assessed after concussion may linger. Time to stabilization is a clinically applicable measure that has been used to distinguish patients with various pathologic conditions, such as chronic ankle instability and anterior cruciate ligament reconstruction, from healthy control participants. Whereas the single-legged squat may not sufficiently challenge balance control, future study of the more dynamic single-legged hop is needed to determine its potential diagnostic and prognostic value after concussion.

Cognitive, Perceptual, and Motor Abilities in Skilled Basketball Performance

1998 ◽  
Vol 86 (3) ◽  
pp. 771-786 ◽  
Author(s):  
Efthimis Kioumourtzoglou ◽  
Vasiliki Derri ◽  
George Tzetzls ◽  
Yannis Theodorakis
Keyword(s):  
Selective Attention ◽  
Cognitive Skills ◽  
Response Selection ◽  
Dynamic Balance ◽  
Whole Body ◽  
Control Group ◽  
Memory Retention ◽  
Basketball Players ◽  
National Team ◽  
Perceptual Skills

The differences among athletes of differing skill should assist successful identification and selection of the best athletes in a specific sport. For the purpose of this study, a laboratory study was conducted with a group of 13 men on the elite male national team of basketball players, 22 to 23 years of age, and a control group of 15 men of equal age (physical education class) to assess differences in their scores on cognitive skills (memory-retention, memory-grouping analytic ability), perceptual skills (speed of perception, prediction, selective attention, response selection), and motor skills (dynamic balance, whole body coordination, wrist-finger dexterity, rhythmic ability). Analysis showed that elite male basketball players scored higher on hand coordination and lower on dynamic balance given their anthropometric measurements. Elite players were better on memory-retention, selective attention, and on prediction measures than the control group. The above skills are important in basketball performance. Researchers may examine whether other factors contribute more in the development of perceptual and cognitive skills.

scholarly journals The Effect of Water Therapy and Jogging Exercises on the Health-Related Factors Physical Fitness of Elderly Women

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Morteza Taheri ◽  
Shakiba Farzian ◽  
Atefeh Esmaeili ◽  
Ebrahim Shabani
Keyword(s):  
Physical Fitness ◽  
Lower Limb ◽  
Elderly Women ◽  
Dynamic Balance ◽  
The Elderly ◽  
Control Group ◽  
Related Factors ◽  
Significant Difference ◽  
Before And After ◽  
Water Therapy

Objectives: The aim of this research was to study the effects of a course of water therapy and jogging on factors related to the physical fitness of elderly women. Methods: Semi experimental study was performed by pretest-posttest design in which elderly women over 60 (64.3 ± 2.5 years old) were randomly divided into 3 groups of water therapy exercises, jogging group (JG) and control group (CG). Factors related to physical fitness (lower limb muscle strength test, static balance, dynamic balance and physical flexibility) before and after interventional exercises. One-way ANOVA and Tukey's post hoc test were applied to analyze the data. Results: It was shown that both water therapy exercises and jogging had a significant effect on static (P = 0.03), dynamic (P = 0.04), lower limb strength [P = 0.03 and (P = 0.01) for WTE and JG, respectively] and physical flexibility scores (P = 0.03), but there was no significant difference between the two experimental groups in all research variables (P ≥ 0.05). Conclusions: The use of water therapy and jogging exercises leads to improved static and dynamic balance, muscular strength of the lower extremities. Since improving the motor performance variables has a significant effect on preventing the falling of the elderly, it is recommended to use these exercises for the elderly.

scholarly journals Short-Term Effect of Kinesio Taping of Lower-Leg Proprioceptive Neuromuscular Facilitation Pattern on Gait Parameter and Dynamic Balance in Chronic Stroke with Foot Drop

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 271
Author(s):  
Dongyun Lee ◽  
Youngsook Bae
Keyword(s):  
Dynamic Balance ◽  
Step Length ◽  
Chronic Stroke ◽  
Foot Drop ◽  
Gait Velocity ◽  
Control Group ◽  
Stroke Patients ◽  
Short Term ◽  
Proprioceptive Neuromuscular Facilitation ◽  
Experimental Group

The aim of this study is to identify the effectiveness of proprioceptive neuromuscular facilitation (PNF) leg Kinesio taping on gait parameters and dynamic balance in chronic stroke patients with foot drop. A total 22 chronic stroke patients were randomly assigned to experimental (n = 11) and control groups (n = 11). All subjects underwent conventional therapy and gait training for 50 min. The experimental group additionally received KT of tibialis anterior muscle (TA) and hamstring muscles according to the PNF pattern. The control group received KT of only TA. The primary outcome measures that the gait parameter are gait velocity, cadence, step length, and stride length. Dynamic balance was measured by the timed up-and-go test (TUG) time and activity-specific balance confidence scale (ABC) as the secondary outcomes. All of the measurements were performed baseline and 24 h after intervention. Our results showed that the experimental group showed significant improvements in gait velocity, cadence, step length, stride length and TUG, and ABC score compared with the control group. We conclude that the short term effect of application of lower-leg KT according to the PNF pattern increased the gait ability and dynamic balance of chronic stroke patients with foot drop.

Effect of a 10-Week Traditional Dance Program on Static and Dynamic Balance Control in Elderly Adults

2009 ◽  
Vol 17 (2) ◽  
pp. 167-180 ◽  
Author(s):  
Giorgos Sofianidis ◽  
Vassilia Hatzitaki ◽  
Stella Douka ◽  
Giorgos Grouios
Keyword(s):  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Effective Means ◽  
Intervention Group ◽  
Community Dwelling ◽  
Control Group ◽  
Elderly Adults ◽  
Healthy Elderly ◽  
Traditional Dance

This preliminary study examined the effect of a 10-wk traditional Greek dance program on static and dynamic balance indices in healthy elderly adults. Twenty-six community-dwelling older adults were randomly assigned to either an intervention group who took supervised Greek traditional dance classes for 10 wk (1 hr, 2 sessions/week,n= 14), or a control group (n= 12). Balance was assessed pre- and postintervention by recording the center-of-pressure (COP) variations and trunk kinematics during performance of the Sharpened-Romberg test, 1-leg (OL) stance, and dynamic weight shifting (WS). After practice, the dance group significantly decreased COP displacement and trunk sway in OL stance. A significant increase in the range of trunk rotation was noted during performance of dynamic WS in the sagittal and frontal planes. These findings support the use of traditional dance as an effective means of physical activity for improving static and dynamic balance control in the elderly.

AGE-RELATED DIFFERENCE IN DYNAMIC POSTURAL BALANCE AGAINST TILTING PERTURBATION IN MEN AND WOMEN

2017 ◽  
Vol 17 (07) ◽  
pp. 1740038 ◽  
Author(s):  
JI-WON KIM ◽  
YU-RI KWON ◽  
GWANG-MOON EOM
Keyword(s):  
Outcome Measures ◽  
Postural Balance ◽  
Elderly Women ◽  
Sagittal Plane ◽  
Center Of Pressure ◽  
Dynamic Balance ◽  
Age And Gender ◽  
Related Difference ◽  
Age Related ◽  
And Gender

The aim of this study was to investigate how age and gender affect the dynamic postural balance during tilting perturbation. Fifty healthy subjects (15 young men, 13 young women, 11 elderly men and 11 elderly women) performed balance test on a movable force plate that tilted toe-up and toe-down. As outcome measures, maximum excursion and fluctuation were calculated from center of pressure (COP) data in the sagittal plane (anteroposterior). Two-way analysis of variance (ANOVA) and post-hoc comparisons were performed for the outcome measures with the independent factors of age and gender. The elderly had a greater COP maximum excursion as compared to the young during both perturbations ([Formula: see text]). COP fluctuation showed significant interaction of age and gender only in toe-up perturbation ([Formula: see text]). Especially, age-related difference existed only in women ([Formula: see text]). These results suggest that elderly women have dynamic balance strategy with great and fluctuated sway in response to toe-up perturbation. The age-related changes in dynamic balance among women may be related to the greater fall rate of elderly women.

scholarly journals Immediate effect of orthopedic shoe and functional foot orthosis on center of pressure displacement and gait parameters in juvenile flexible flat foot

2013 ◽  
Vol 38 (3) ◽  
pp. 218-223 ◽  
Author(s):  
Atefeh Aboutorabi ◽  
Hassan Saeedi ◽  
Mohammad Kamali ◽  
Behshid Farahmand ◽  
Arezoo Eshraghi ◽  
...  
Keyword(s):  
Walking Speed ◽  
Center Of Pressure ◽  
Step Length ◽  
Control Group ◽  
Healthy Children ◽  
Flat Foot ◽  
Gait Symmetry ◽  
Gait Parameters ◽  
Walking Velocity ◽  
Foot Orthosis

Background:Flat foot in children is a common deformity in which the medial longitudinal arch is reduced or eliminated.Objectives:The objective of this article was to compare flat foot and healthy children on the displacement of the center of pressure and walking parameters in children with two common orthoses (functional foot orthosis and medical shoe).Study design:Comparative study.Methods:This study included 30 children with flat foot and 20 healthy children as a control group. The step length and width, walking velocity, symmetry, and center of pressure (CoP) displacements were recorded and compared for three conditions: functional foot orthosis and regular shoe, a medical shoe and barefoot.Results:The results from the CoP displacements showed that the regular shoe with functional foot orthosis caused a significant decrease in the level of displacement of the CoP in flat foot children. The findings indicated a significant improvement in symmetry of steps and walking speed with the functional foot orthosis in comparison to the medical shoe in flat foot children.Conclusion:The CoP displacement was decreased and the percentage of gait symmetry and walking speed were increased by the use of regular shoes with a functional foot orthosis in comparison to the medical shoes.Clinical relevanceAn orthopaedic shoe can be expensive, and in particular heavy with most children reluctant to wear it. This study focussed on the CoP displacement and selected gait parameters with an orthopaedic shoe and functional foot orthosis, and showed that a combined prescription of a functional foot orthosis and with regular shoes may be a useful alternative for children with moderate flat foot.

scholarly journals Effects of explosive and impact exercises on gait parameters in elderly women

2019 ◽  
Vol 67 (4) ◽  
pp. 493-501
Author(s):  
Jhon Fredy Ramírez-Villada ◽  
Laura Lorena Cadena-Duarte ◽  
Adriana Rocío Gutiérrez-Galvis ◽  
Rodrigo Argothy-Bucheli ◽  
Yesica Moreno-Ramírez
Keyword(s):  
Training Program ◽  
Functional Capacity ◽  
Muscle Power ◽  
Elderly Women ◽  
Center Of Pressure ◽  
Control Group ◽  
Explosive Strength ◽  
Gait Parameters ◽  
Meta Analyses ◽  
Aquatic Training

Introduction: Several systematic reviews and meta-analyses have suggested that physical activity programs combining low impact exercises and resistance exercises help maintaining functional capacity in older adults.Objective: To analyze the effects of an aquatic training program involving both impact and explosive exercises on gait parameters of women aged 60 and above.Materials and methods: 60 physically active women (64.08±3.98 years) were divided into 2 groups: those training in a pool by performing series of jumps, i.e., the experimental group (EG= 35), and the control group (CG=35). EG participants trained 3 times per week during 32 weeks in an hour per session basis. Body composition measurements, explosive strength, and gait parameters (in a 6 meters long track) were assessed using the center of pressure (COP) indicator before and after participating in the training program.Results: When comparing both groups, differences in explosive strength and power (EG vs. CG; p values=from 0.05 to 001) were observed, as well as changes in gait parameters related to the COP (EG vs. CG: p = 0.05-001), in particular EG participants had significant and positive changes.Conclusion: The aquatic training program described here produced an increase in muscle strength and muscle power, thus gait parameters were improved. Bearing this in mind, an improved availability of similar programs for older adults should be considered, since their participation in these programs could help them improve their functional capacity, and, thus, their quality of life.

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