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 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.

Reliability of Force-Platform Measures of Postural Sway and Expertise-Related Differences

2011 ◽  
Vol 20 (4) ◽  
pp. 442-456 ◽  
Author(s):  
Zohreh Meshkati ◽  
Mehdi Namazizadeh ◽  
Mahyar Salavati ◽  
Masood Mazaheri
Keyword(s):  
Outcome Measures ◽  
Postural Sway ◽  
Center Of Pressure ◽  
Intraclass Correlation ◽  
Specific Property ◽  
Force Platform ◽  
Quiet Standing ◽  
Eyes Closed ◽  
Before And After ◽  
Eyes Open

Context:Although reliability is a population-specific property, few studies have investigated the measurement error associated with force-platform parameters in athletic populations.Objective:To investigate the skill-related differences between athletes and nonathletes in reliability of center-of-pressure (COP) summary measures under eyes-open (EO) and eyes-closed (EC) conditions.Design:Test–retest reliability study.Setting:COP was recorded during double-leg quiet standing on a Kistler force platform before and after a fatiguing treadmill exercise, with EO and EC.Participants:31 male participants including 15 athletes practiced in karate and 16 nonathletes.Main Outcome Measures:Standard deviation (SD) of amplitude, phase-plane portrait, SD of velocity, mean total velocity, and area were calculated from 30-s COP data. Intraclass correlation coefficient (ICC), standard error of measurement, and coefficient of variation (CV) were used as estimates of reliability and precision.Results:Higher ICCs were found for COP measures in the athlete (compared with the nonathlete) group, postfatigued (compared with prefatigued) condition, and EC (compared with EO) tests. CVs smaller than 15% were obtained for most of the COP measures. SD of velocity in the anteroposterior direction showed the highest reliability in most conditions.Conclusions:Tests with EC and to a lesser extent tests performed in the athlete group and in the postfatigued condition showed better reliability.

Evaluation of Standing Balance Performance in Indian Classical Dancers

2020 ◽  
Vol 24 (1) ◽  
pp. 19-23
Author(s):  
Juhi K. Bharnuke ◽  
Rajani P. Mullerpatan ◽  
Claire Hiller
Keyword(s):  
Dual Task ◽  
Center Of Pressure ◽  
Standing Balance ◽  
Balance Performance ◽  
Classical Dance ◽  
Eyes Closed ◽  
Eyes Open ◽  
Second Dual ◽  
Indian Classical Dance ◽  
Base Of Support

Indian classical dance involves a constant change of the base of support from stance to low jumps and spins along with intricate footwork. Graceful movement of the torso, shifting from side to side and turning around the axis of the spine, challenges balance. Yet, balance performance remains unexplored in Indian classical dancers. Therefore, the present study aimed to compare the standing balance of 36 active female dancers (18 to 25 years of age) who had performed Indian classical dance for a minimum of 10 years with 36 healthy age-matched women not involved in regular physical activity. Balance was evaluated in static and dynamic conditions of single and dual-limb stance on a force plate using center-of-pressure trajectory and the Star Excursion Balance Test (SEBT). Dancers demonstrated better balance on both instrumented and non-instrumented outcome variables: wide base of support with eyes open and with eyes closed; for 30-second single limb stance with eyes open and with eyes closed; for 13-second dual task in single limb stance; and for 22-second dual task in wide base of support. The SEBT revealed significantly better balance performance of dancers in the three directions tested: anterior, posteromedial, and posterolateral. There was also a strength component of the study on which the dancers achieved significantly higher scores than controls for the three muscle groups tested (gastrocsoleus, gluteus medius, and quadriceps), which can be attributed to their training. These findings can be used to recommend classical dance training to achieve the dual purpose of deriving better balance and stronger bodies and maintaining the Indian dance heritage.

scholarly journals Psychometric Properties of Instrumented Postural Sway Measures Recorded in Community Settings in Independent Living Older Adults

2019 ◽  
Author(s):  
Bader Alqahtani ◽  
Patrick J. Sparto ◽  
Susan L. Whitney ◽  
Susan L. Greenspan ◽  
Subashan Perera ◽  
...  
Keyword(s):  
Older Adults ◽  
Independent Living ◽  
Convergent Validity ◽  
Postural Sway ◽  
Rank Correlation ◽  
Standing Balance ◽  
Community Settings ◽  
Balance Performance ◽  
Retest Reliability ◽  
Test Retest Reliability

Abstract Background: In the last few decades, research related to balance in older adults has been conducted in lab-based settings. The lack of portability and high cost that is associated with the current gold standard methods to quantify body balance, limits their application to community settings such as independent living facilities. The purpose of the study was to examine the test-retest reliability and the convergent validity of static standing balance performance using an accelerometer device. Methods: A total of 131 subjects (85% female, mean age 80 ± 8 years) were included for the validity aim, and a sample of 38 subjects were enrolled in the reliability testing (89% female, mean age 76 ± 7 years). Acceleration data in the anterior-posterior and medial-lateral directions was collected for different standing balance conditions. Test-retest reliability was assessed over two testing visits occurring one week apart. Spearman’s rank correlation coefficient was used to test convergent validity at baseline. Results: Balance measurements showed good to excellent reliability in most of measured parameters and were correlated with mobility measurements. Conclusions: Using a portable accelerometer to quantify static standing postural control provides reliable measurements in community settings.

scholarly journals Validity and Reliability of the Satel 40 Hz Stabilometric Force Platform for Measuring Quiet Stance and Dynamic Standing Balance in Healthy Subjects

2020 ◽  
Vol 17 (21) ◽  
pp. 7733
Author(s):  
Pere Ramón Rodríguez-Rubio ◽  
Caritat Bagur-Calafat ◽  
Carlos López-de-Celis ◽  
Elena Bueno-Gracía ◽  
Rosa Cabanas-Valdés ◽  
...  
Keyword(s):  
Reliability And Validity ◽  
Force Platform ◽  
Standing Balance ◽  
Validity And Reliability ◽  
Cross Sectional ◽  
Intra Class Correlation ◽  
Eyes Open ◽  
Intra Class Correlation Coefficient ◽  
40 Hz

Background: A force platform must have validity and reliability for optimal use. The objective of this study was to analyze the validity and the reliability of the Satel 40 Hz stabilometric force platform. Methods: A study of instrumental validity and reliability, involving a cross-sectional correlational and comparative analysis was performed. To determine the validity, four certified weights located on three axes were used and the ability of the stabilometric force platform to detect changes in the position of the different axes was observed. A test–retest was performed to analyze the reliability. Forty-two symptom-free volunteers participated in the study. Assessments were taken in a standing static position and in a dynamic position, with the eyes open and closed. Three measurements were taken and the intra-class correlation coefficient (ICC) was calculated. Results: The validity increased as the weight increased for all the variables measured in the stabilometric parameters (p < 0.05). The reliability was shown to be good to excellent for the two visual conditions. The positional variables obtained a higher ICC. The variable with the best ICC was the Y mean in OE (ICC 0.874 and a p < 0.001). All the values showed an increase in a dynamic situation. Conclusion: The findings support the reliability and validity of the Satel 40 Hz stabilometric force platform. The platform could be recommended to evaluate static and dynamic standing balance in healthy adult individuals. Guidelines for treatment and the level of quality of stabilometry could be obtained from its use.

Stationary auditory white noise improves postural control in healthy adults: A novel study on head-shaking

2021 ◽  
pp. 1-14
Author(s):  
Midya Mohammadi ◽  
Zakaria Enayati ◽  
Moslem Shaabani ◽  
Mohsen Vahedi
Keyword(s):  
Postural Control ◽  
White Noise ◽  
Postural Sway ◽  
Head Rotation ◽  
Healthy Adults ◽  
The Body ◽  
Force Platform ◽  
Eyes Closed ◽  
Eyes Open ◽  
Head Shake

BACKGROUND: Auditory cues might play a role in postural control. OBJECTIVE: The primary aim of this study was to investigate the association between white noise and head-shake (HS) related changes in postural sway. METHODS: Fifty healthy adults underwent Synapsys Posturography System (SPS) evaluation. The posturography (PG) evaluation consisted of two protocols: sensory organization test (SOT) and SOT with head-shake (HS) (HS-SOT). The standard SOT protocol of SPS involves a battery of six postural conditions. In the current study, participants underwent only four SOT conditions. The participants were asked to stand barefoot on the SPS platform (static platform and foam). The SOT standing conditions were as follow: (1) firm surface (force platform only) with eyes open (SOT1); (2) firm surface with eyes closed (SOT2); (3) foam surface (which was positioned on the force platform) with eyes open (SOT4); and (4) foam surface with eyes closed (SOT5). For the HS-SOT protocol, we asked the participants to move their heads left and right (i.e., yaw head rotation) in the mentioned SOT conditions. Each postural condition was 10 seconds long. Both SOT and HS-SOT postural conditions were conducted across the two hearing modes of silence and noise. To achieve our aims, comparison of sway parameters between SOT and HS-SOT, and between hearing modes were considered. RESULTS: White noise was associated with a reduction in postural sway. The reduction observed in sway area, sway amplitude, and sway frequency. Moreover, HS significantly increased postural sway in all HS-SOT conditions compared to their SOT equivalents (i.e., HS-SOT1 compared to SOT1, etc.). The presence of white noise was associated with a decrease in the HS-related increase in postural sway. CONCLUSIONS: Considering the results, this study adds to the body of literature suggesting that white noise contributes to postural control, and the implications of this for rehabilitation need to be further investigated.

Subtle Differences During Posturography Testing Can Influence Postural Sway Results: The Effects of Talking, Time Before Data Acquisition, and Visual Fixation

2015 ◽  
Vol 31 (5) ◽  
pp. 324-329 ◽  
Author(s):  
Melissa R. Taylor ◽  
Erin E. Sutton ◽  
Wiebke S. Diestelkamp ◽  
Kimberly Edginton Bigelow
Keyword(s):  
Older Adults ◽  
Data Collection ◽  
Standardized Testing ◽  
Postural Stability ◽  
Postural Sway ◽  
Visual Fixation ◽  
Force Platform ◽  
Control Measures ◽  
Clinical Testing ◽  
Testing Methods

The goal of this study was to examine the effects of 3 factors and their interactions on posturography: a period of time to become accustomed to the force platform before the initiation of data collection, presence of a visual fixation point, and participant talking during testing. The postural stability of 30 young adults and 30 older adults was evaluated to determine whether any observed effects were confounded with age. Analysis of variance techniques were used to test all possible combinations of the 3 factors. We hypothesized that all 3 factors would significantly affect postural stability. For both participant groups, the results suggest that a period of time to become accustomed to the force platform before the initiation of data collection and a visual fixation point significantly affect postural control measures, while brief participant talking does not. Despite this, no significant interactions existed suggesting that the effects of these factors, which may occur in clinical testing, do not depend on each other. Our results suggest that inconsistencies in posturography testing methods have the potential to significantly affect the results of posturography, underscoring the importance of developing a standardized testing methodology.

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 Effects of the visual-feedback-based force platform training with functional electric stimulation on the balance and prevention of falls in older adults: a randomized controlled trial

PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e4244 ◽  
Author(s):  
Zhen Li ◽  
Xiu-Xia Wang ◽  
Yan-Yi Liang ◽  
Shu-Yan Chen ◽  
Jing Sheng ◽  
...  
Keyword(s):  
Older Adults ◽  
Visual Feedback ◽  
Electric Stimulation ◽  
Controlled Trial ◽  
Intervention Group ◽  
Berg Balance Scale ◽  
Force Platform ◽  
Eyes Open ◽  
Falls In Older Adults

Background Force platform training with functional electric stimulation aimed at improving balance may be effective in fall prevention for older adults. Aim of the study is to evaluate the effects of the visual-feedback-based force platform balance training with functional electric stimulation on balance and fall prevention in older adults. Methods A single-centre, unblinded, randomized controlled trial was conducted. One hundred and twenty older adults were randomly allocated to two groups: the control group (n = 60, one-leg standing balance exercise, 12 min/d) or the intervention group (n = 60, force platform training with functional electric stimulation, 12 min/d). The training was provided 15 days a month for 3 months by physical therapists. Medial–lateral and anterior–posterior maximal range of sway with eyes open and closed, the Berg Balance Scale, the Barthel Index, the Falls Efficacy scale-International were assessed at baseline and after the 3-month intervention. A fall diary was kept by each participant during the 6-month follow-up. Results On comparing the two groups, the intervention group showed significantly decreased (p < 0.01) medial–lateral and anterior–posterior maximal range of sway with eyes open and closed. There was significantly higher improvement in the Berg Balance Scale (p < 0.05), the Barthel Index (p < 0.05) and the Falls Efficacy Scale-International (p < 0.05), along with significantly lesser number of injurious fallers (p < 0.05), number of fallers (p < 0.05), and fall rates (p < 0.05) during the 6-month follow-up in the intervention group. Conclusion This study showed that the visual feedback-based force platform training with functional electric stimulation improved balance and prevented falls in older adults.

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