Can postural control performance be an indicator of truck drivers’ sleep deprivation?

2012 ◽  
Vol 43 (6) ◽  
pp. 663-670 ◽  
Author(s):  
André Albuquerque ◽  
Elaine Marqueze ◽  
André Rodacki ◽  
Lucia Lemos ◽  
Geraldo Lorenzi-Filho ◽  
...  
Author(s):  
Zahra Nadimi ◽  
Mansoureh Adel Ghahraman ◽  
Ghassem Mohammadkhani ◽  
Reza Hoseinabadi ◽  
Shohreh Jalaie ◽  
...  

Background and Aim: Vestibular system has several anatomical connections with cognitive regions of the brain. Vestibular disorders have negative effects on cognitive performance. Hearing-impaired patients, particularly cochlear implant users, have concomitant vestibular disor­ders. Previous studies have shown that attention assigned to postural control decreases while per­forming a cognitive task (dual task) in hearing-impaired children. Since the vestibular system and postural control performance develop around 15−16 years of age, the aim of this study was to compare postural control performance during dual task in adolescent boys with normal hearing and cochlear implant (CI) users with congenital hearing-impairment. Methods: Postural control was assessed in twenty 16−19 year old cochlear implant boys and 40 normal hearing peers with force plate. The main outcomes were displacement in posterior- anterior and medial-lateral planes, and mean speed with and without cognitive task and under on/off-device conditions. Caloric test was per­formed for CI users in order to examine the peri­pheral vestibular system. Results: Ninety-five percent of CI users showed caloric weakness. There were no significant diff­erences in postural control parameters between groups. All performances deteriorated in the foam pad condition compared to the hard surface in all groups. Total mean velocity significantly increased during dual task in normal hearing group and in CI users with off-device. Conclusion: Although CI users had apparent vestibular disorders, their postural control in both single and dual-task conditions was identical to the normal peers. These effects can be attributed to the vestibular compensation that takes place during growing. Keywords: Balance; postural control; dual task; congenital hearing loss; cochlear implant


2022 ◽  
pp. 1-10
Author(s):  
Audrey Parent ◽  
Laurent Ballaz ◽  
Bahare Samadi ◽  
Maria Vocos, pht ◽  
Alain Steve Comtois ◽  
...  

Background: Myotonic dystrophy type 1 (DM1) is characterized by progressive and predominantly distal muscle atrophy and myotonia. Gait and balance impairments, resulting in falls, are frequently reported in this population. However, the extent to which individuals with DM1 rely more on a specific sensory system for balance than asymptomatic individuals (AI) is unknown. Objective: Evaluate postural control performance in individuals with DM1 and its dependence on vision compared to AI. Methods: 20 participants with DM1, divided into two groups based on their diagnosis, i.e. adult and congenital phenotype, and 12 AI participants were recruited. Quiet standing postural control was assessed in two visual conditions: eyes-open and eyes-closed. The outcomes measures were center of pressure (CoP) mean velocity, CoP range of displacement in anteroposterior and mediolateral axis, and the 95% confidence ellipse’s surface. Friedman and Kruskal-Wallis analysis of variance were used to compare outcomes between conditions and groups, respectively. Results: Significant group effect and condition effect were observed on postural control performance. No significant difference was observed between the two DM1 groups. The significant differences observed between the AI group and the two DM1 groups in the eyes-open condition were also observed in the eyes-closed condition. Conclusions: The result revealed poorer postural control performance in people with DM1 compared to AI. The DM1 group also showed similar decrease in performance than AI in eyes-closed condition, suggesting no excessive visual dependency.


2018 ◽  
Vol 125 (1) ◽  
pp. 167-174 ◽  
Author(s):  
T. Martin ◽  
A. Gauthier ◽  
Z. Ying ◽  
N. Benguigui ◽  
S. Moussay ◽  
...  

The aim of the study was to test the effect of total sleep deprivation on performance and time-of-day pattern of subjective visual vertical (SVV) and postural control. Nineteen healthy, young participants (4 women and 15 men 21.9 ± 1.2 yr) were engaged in two counterbalanced experimental sessions with or without total sleep deprivation. Oral temperature, Karolinska Sleepiness Scale, and visual analogic scale for fatigue, postural control, and SVV were randomly measured every 4 h, from 0600 to 2200. A linear mixed model was used to capture the effect of time of day and sleep condition as factors. A classical adjusted COSINOR function was then used to modelize this daily variation. After the control night of sleep, SVV as well as oral temperature, sleepiness, and fatigue showed significant time-of-day variation, contrasting with measures of postural control which remained stable across the day. After sleep deprivation, SVV showed no diurnal variation, but its mean deviation value increased by 29%. Postural control capability also decreased after sleep deprivation, with a higher center of pressure surface (+70.4%) and total length (+7.37%) but remained stable throughout the day. These results further confirm the negative effect of sleep loss on postural control capability. Even if a direct relationship cannot be confirmed, the disruption of SVV capacity after sleep deprivation could strongly play a role in postural control capacity changes. Sleep deprivation should be considered as a potent factor involved in balance loss and subsequent fall. NEW & NOTEWORTHY The topic of sleep deprivation and postural control is not understood, with discrepancy among results. This study described that postural control displays a stable level throughout the day and that sleep deprivation, even if it increases postural sway, does not affect this stable diurnal pattern. The modification of the perception of the vertical level after sleep deprivation could strongly play a role in the observed changes in postural control capacity.


Geriatrics ◽  
2022 ◽  
Vol 7 (1) ◽  
pp. 10
Author(s):  
Priscilla Beaupré ◽  
Rubens A. da Silva ◽  
Tommy Chevrette

Background: Ageing in women is associated with chronic degenerative pain leading to a functional decrease and therefore increase fall risk. It is therefore essential to detect early functional decreases in the presence of pain related to osteoarthritis. Objective: This cross-sectional study aimed to assess the impact of pain on functionality, postural control and fall risk in women aged between 45 to 64 years old. Methods: Twenty-one (21) women aged 45 to 64 were evaluated by clinical and functional measures such as a pain questionnaire (Lequesne Index), functional tests (Stair Step Test, 5 times sit-to-stand, 6MWD, Timed-up and Go) and postural performance (under force platform). Women were classified into 2 groups from the Lequesne Pain Index (PI): low pain (score ≤ 9) and strong pain (score ≥ 10) for subsequent comparisons on functionality (physical and postural control performance). Results: A significant impact was observed between the pain index (strong PI) and 3 of the 4 functional tests carried out including Stair Step Test (p = 0.001; g = 1.44), walking distance (p = 0.003; g = 1.31) and Timed-up and Go (p = 0.04; g = −0.93). The group with a strong PI score reported further poor postural control under force platform compared to the weak pain group. Conclusion: Pain and severity based on the PI index negatively modulate physical and postural control performance in women aged 45 to 64 years old.


Author(s):  
Chantelle A. Nielson ◽  
Emily G. Deegan ◽  
Aaron S.L. Hung ◽  
Abraham J Nunes

The purpose of this study was to compare the effects of sleep deprivation and rest on postural control. It was hypothesized that significant increases in COP deviations will occur after sleep deprivation. Methods. Four healthy adults (age= 21.50 years; mass= 68.93 kg) participated in two protocols involving sleep and sleep-deprivation. Within each condition multiple 40s impairments of visual, somatosensory, and/or vestibular sensory feedback were performed. Balance was quantified using root-mean-square (RMS) of the centre of pressure (COP) and COP Variance. Results. Two-way ANOVA demonstrated no significant effect of sleep deprivation on balance between sensory insults. Paired t-tests were performed nonetheless and revealed significant differences within the sleep-deprived condition. COP RMS and Variance were significantly greater medio-laterally with all systems impaired (ALL) (3.43 ± 0.63 mm, p


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