Postural Control In Quiet Standing With A Concurrent Cognitive Task In Psychotic Conditions

2013 ◽  
Vol 45 (4) ◽  
pp. 279-287 ◽  
Author(s):  
Ann-Katrin Stensdotter ◽  
Anne Kristin Wanvik ◽  
Håvard W. Lorås
Author(s):  
Eryk Przysucha ◽  
Brontë A. Vollebregt ◽  
Carlos Zerpa

Postural control is attention demanding, and it may be jeopardized when a secondary cognitive task is involved, particularly for older adults. The magnitude of this interference depends on different individual (perceptuo-motor status), task (single vs. dual tasking), and environmental constraints (support surface). The purpose of this research was to examine if older adults may be affected by various types of secondary cognitive tasks, while maintaining quiet standing on different support surfaces. In line with conceptual models, the results indicated that postural control of older adults was compromised when they were required to dual-task, especially when the support surface was challenging. This was a robust finding across all the measures of COP. In regards to the degree to which different attentional tasks affected postural control, the results remained equivocal. From a practical standpoint, the results indicated that older adults should exhibit caution when simultaneously performing a balance and a cognitive task involved particularly when the surface is unsteady.


2020 ◽  
Vol 127 (4) ◽  
pp. 639-650
Author(s):  
Kohtaroh Hagio ◽  
Hiroki Obata ◽  
Kimitaka Nakazawa

The execution of cognitive tasks is known to alter postural sway during standing, but the underlying mechanisms are still debated. This study investigated how performing a mental task modified balance control during standing. We required 15 healthy adult males to maintain an upright stance under conditions of simply relaxing and maintaining normal quiet standing (control condition) or while performing a secondary cognitive task (mental arithmetic). Under each condition, we measured the participants’ center of pressure and used kinematic measurements for a quantitative evaluation of postural control modulation. We calculated the standard deviation of the joint angles (ankle, knee, and hip) and the estimated joint stiffness to measure joint mobility changes in postural control. To estimate the kinematic pattern of covariation among these joints, we used uncontrolled manifold analysis, an assessment of the strength of multijoint coordination. Compared to normal standing, executing the cognitive task while standing led to reduced movements of the ankle and hip joints. There were no significant differences in ankle stiffness or uncontrolled manifold ratios between the conditions. Our results suggest that when performing a secondary cognitive task during standing, neither changes in the modification of stiffness nor the strength of multijoint coordination (both of which preserve the center of mass position) explains changes in postural sway.


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Omid Rasouli ◽  
Egil A. Fors ◽  
Ottar Vasseljen ◽  
Ann-Katrin Stensdotter

Background and Objectives. Cognitive complaints are common in fibromyalgia (FM) and chronic fatigue syndrome (CFS). Fatigue as well as pain may require greater effort to perform cognitive tasks, thereby increasing the load on processing in the central nervous system and interfering with motor control.Methods. The effect of a concurrent arithmetic cognitive task on postural control during quiet standing was investigated in 75 women (aged 19–49 years) and compared between FM, CFS, and matched controls (n=25/group). Quiet standing on a force plate was performed for 60 s/condition, with and without a concurrent cognitive task. The center of pressure data was decomposed into a slow component and a fast component representing postural sway and adjusting ankle torque.Results. Compared to controls, CFS and FM displayed lower frequency in the slow component (p<0.001), and CFS displayed greater amplitude in the slow (p=0.038andp=0.018) and fast (p=0.045) components. There were no interactions indicating different responses to the added cognitive task between any of the three groups.Conclusion. Patients displayed insufficient postural control across both conditions, while the concurrent cognitive task did not perturb quiet standing. Fatigue but not pain correlated with postural control variables.


J ◽  
2021 ◽  
Vol 4 (3) ◽  
pp. 257-265
Author(s):  
Marina Saraiva ◽  
Joel Marouvo ◽  
Orlando Fernandes ◽  
Maria António Castro ◽  
João Paulo Vilas-Boas

Although sleep quality disorders can have a negative effect on postural control, studies about this subject are scarce. The aim of this study is to assess the differences in standing posture performance during dual tasking between healthy young adults with a good and poor sleep quality. Thirty-five healthy participants (23.09 ± 3.97 years) performed a postural task (standing posture single task ((ST)) and a dual task (DT): quiet standing while performing a concurrent cognitive task, while the total excursion of the center of pressure (TOTEX CoP), the displacement anterior–posterior (CoP-AP) and medial–lateral (CoP-ML), the mean total velocity displacement of CoP (MVELO CoP) and ellipse sway area (CEA) were measured with a force plate. After assessing the sleep quality with the Pittsburgh Sleep Quality Index, they were divided into two groups (good ((n = 21)) and poor ((n = 14)) sleep quality) to establish comparisons. This study revealed no significant differences in TOTEX CoP, CoP-ML, CoP-AP, MVELO CoP, and CEA among both sleep quality groups. In conclusion, differences in the sleep quality (good or poor sleep quality) among young adults appear not to be a relevant factor in the CoP variation, but the DT versus ST can compromise postural control performance independently of the sleep quality.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Le Ge ◽  
Qiuhua Yu ◽  
Chuhuai Wang ◽  
Huanjie Huang ◽  
Xin Li ◽  
...  

Abstract Background The capacity of postural control is a key factor related to falling in older people, particularly in older women with low back pain (LBP). Cognitive involvement in postural control increases with age. However, most scholars have not considered different difficulty levels of cognitive loads when exploring the effects of cognition on postural control in older patients with LBP. The present study is to investigate how different levels of cognitive loads modulate postural control in older women with LBP. Methods This was a cross-sectional study. Twenty older women with LBP were recruited into the LBP group, and 20 healthy older women without the history of LBP were recruited into the healthy control group. Balance parameters were computed to quantify postural control. All participants underwent the balance test, which required the participant to maintain stability during standing on a force platform with or without a concurrent cognitive task. The balance test included three levels of difficulties of posture tasks (eyes-open vs. eyes-closed vs. one-leg stance) and three cognitive tasks (without cognitive task vs. auditory arithmetic task vs. serial-7 s arithmetic task). Results A repeated-measure analysis of variance (3 postural tasks × 3 congnitive tasks× 2 groups) testing the effects of the different congnitive task levels on the performance in different postural conditions. Older women with LBP had worse postural control (as reflected by larger center of pressure (COP) parameters) than control group regardless of postural or cognitive difficulties. Compared with the single task, the COP parameters of participants with LBP were larger during dual tasks, even though the difficulty level of the cognitive task was low. Larger COP parameters were shown only if the difficulty level of the cognitive task was high in control group. Correlations between sway area/sway length and the number of falls were significant in dual tasks. Conclusion Our findings shed light on how cognitive loads modulate postural control for older women with LBP. Compared with control group, cognitive loads showed more disturbing effects on postural control in older women with LBP, which was associated with falling.


1999 ◽  
Vol 9 (4) ◽  
pp. 277-286 ◽  
Author(s):  
Mark G. Carpenter ◽  
James S. Frank ◽  
Cathy P. Silcher

One possible factor influencing the control of upright stance is the perceived threat to one's personal safety, i.e. balance confidence. We explored this factor by examining the control of stationary stance when standing on an elevated platform under various conditions of reduced visual and vestibular inputs. Twenty-eight adults (14 male and 14 female, mean age = 23.5 years) participated in the experiment. Postural control was examined by recording the amplitude variability (RMS) and mean power frequency (MPF) of center of pressure excursions (COP) over a 2-minute interval while participants stood in a normal stance on a low (0.19 m) and a high (0.81 m) platform with toes positioned either at or away from the edge of the platform. Vision was manipulated through eyes open and eyes closed trials. Vestibular input was reduced by tilting the head into extension [1]. Anterior-posterior RMS and MPF of COP were significantly influenced by an interaction between surface height and vision. When vision was available, a significant decrease in RMS was observed during quiet standing on a high surface compared to a low surface independent of step restriction. When vision was available MPF increased when subjects were raised from a low to a high surface. The mean position of the COP was significantly influenced by an interaction between height and step restriction. Differences in RMS and MPF responses to height manipulation were observed between genders in eyes closed conditions. Vestibular input influenced postural control at both low and high levels with significant increases in RMS when vestibular input was reduced. The reciprocal changes observed in RMS and MPF suggest modifications to postural control through changes in ankle stiffness. Vision appears to play a role in increasing ankle stiffness when balance confidence is compromised.


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