The Effect of Textured Insoles on Postural Control in Double and Single Limb Stance

2007 ◽  
Vol 16 (4) ◽  
pp. 363-372 ◽  
Author(s):  
Dawn M. Corbin ◽  
Joseph M. Hart ◽  
Patrick O. McKeon ◽  
Christopher D. Ingersoll ◽  
Jay Hertel
Keyword(s):  
Postural Control ◽  
Outcome Measures ◽  
Healthy Subjects ◽  
Crossover Trial ◽  
Center Of Pressure ◽  
Control Measures ◽  
Eyes Closed ◽  
Type Design ◽  
Afferent Information ◽  
Balance Trials

Context:Increased plantar cutaneous afferent information may improve postural control.Objective:To compare postural control measures between balance conditions with and without textured insoles.Design:crossover trial.Setting:Research Laboratory.Patients or Other Participants:33 healthy subjects (27.4 ± 9.1yrs, 172.6 ± 10.3 cm, 75.4 ± 16.4 kg).Intervention(s):Subjects performed 24, 10-second bipedal and unilateral stance balance trials with eyes opened and eyes closed, with and without a textured insole in subjects’ shoes.Main Outcome Measures:Average velocity and area of center of pressure (COP) excursions.Results:We observed an interaction among balance conditions during bilateral stance, but not during unilateral stance. On average, subjects exhibited greater area and velocity of COP excursions with eyes closed compared to eyes opened. Significant differences in area and velocity of COP excursions were observed during bilateral stance only when subjects were not wearing textured insoles. There were no significant differences while subjects balanced in bilateral stance with textured insoles.Conclusions:Increased afferent information from textured insoles improves postural control in bilateral stance.

scholarly journals Differential Ability of Selected Postural-Control Measures in the Prediction of Chronic Ankle Instability Status

2011 ◽  
Vol 46 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Danielle Knapp ◽  
Sae Yong Lee ◽  
Lisa Chinn ◽  
Susan A. Saliba ◽  
Jay Hertel
Keyword(s):  
Postural Control ◽  
Center Of Pressure ◽  
Ankle Instability ◽  
Force Plate ◽  
Chronic Ankle Instability ◽  
Control Measures ◽  
Likelihood Ratios ◽  
Absolute Minimum ◽  
Persistent Symptoms ◽  
Eyes Closed

Context: Chronic ankle instability (CAI) is a term used to identify a condition associated with recurrent ankle sprains and persistent symptoms. Balance deficits, evaluated using center-of-pressure (COP) force-plate measurements, have been shown to occur in people with CAI. Objective: To determine the differential abilities of selected force-plate postural-control measures to assess CAI. Design: Case-control study. Setting: Laboratory. Patients or Other Participants: A total of 63 individuals with CAI (30 men, 33 women: age = 22.3 ± 3.7 years, height = 169.8 ± 9.6 cm, mass = 70.7 ± 14.3 kg) and 46 healthy controls (22 men, 24 women: age = 21.2 ± 4.1 years, height = 173.3 ± 9.2 cm, mass = 69.2 ± 13.2 kg) volunteered. Intervention(s): Participants performed 3 10-second trials of quiet, single-limb stance on a force plate under 2 conditions: eyes open and eyes closed. Main Outcome Measure(s): Measures of COP area, COP velocity, COP SD, COP range of excursion, percentage of COP range used, time-to-boundary absolute minimum, time-to-boundary mean of the minima, and time-to-boundary SD of the minima were calculated. All measures with the exception of COP area were calculated in both the mediolateral (ML) and anteroposterior directions. For each measure, a receiver operator curve analysis was created, and the corresponding area under the curve was tested. The optimal diagnostic threshold value for each measure was determined, and the corresponding positive and negative likelihood ratios were calculated. Results: Three eyes-closed, single-limb force-plate measures (COP ML SD, ML percentage of COP range used, and time-to-boundary absolute minimum) predicted CAI status. However, all 3 measures had positive likelihood ratios associated with only small shifts in the probability of a patient with a positive test having CAI and negative likelihood ratios associated with very small shifts in the probability of a patient with a negative test not having CAI. Conclusions: No single force-plate measure was very effective in predicting if an individual had CAI or not.

Effect of Rear-Foot Orthotics on Postural Control in Healthy Subjects

2001 ◽  
Vol 10 (1) ◽  
pp. 36-47 ◽  
Author(s):  
Jay Hertel ◽  
Craig R. Denegar ◽  
W.E. Buckley ◽  
Neil A. Sharkey ◽  
Wayne L. Stokes
Keyword(s):  
Young Adults ◽  
Postural Control ◽  
Repeated Measures ◽  
Healthy Subjects ◽  
Sagittal Plane ◽  
Center Of Pressure ◽  
Frontal Plane ◽  
Type Design ◽  
Single Leg Stance ◽  
Healthy Participants

Objective:To identify changes in sagittal- and frontal-plane center of pressure (COP) excursion length and velocity during single-leg stance under 6 orthotic conditions.Design:1 × 6 repeated-measures.Setting:University biomechanics laboratory.Participants:Fifteen healthy young adults without excessive forefoot, arch, or rear-foot malalignments.Measurements:Selected variables of COP length and velocity were calculated in both the frontal and sagittal planes during three 5-second trials of quiet unilateral stance.Methods:Postural control was assessed under 6 conditions: shoe only and 5 orthotics.Results:The medially posted orthotic caused the least frontal COP length and velocity, and the Cramer Sprained Ankle Orthotic® caused the greatest frontal-plane sway. No significant differences were found between the different orthotic conditions in sagittal-plane measures.Conclusions:Differently posted rear-foot orthotics had various effects on frontal-plane postural control in healthy participants. Further research is needed on pathological populations.

Surface height effects on postural control: A hypothesis for a stiffness strategy for stance*

1999 ◽  
Vol 9 (4) ◽  
pp. 277-286 ◽  
Author(s):  
Mark G. Carpenter ◽  
James S. Frank ◽  
Cathy P. Silcher
Keyword(s):  
Postural Control ◽  
Center Of Pressure ◽  
High Surface ◽  
Quiet Standing ◽  
Vestibular Input ◽  
Mean Power ◽  
Mean Power Frequency ◽  
Balance Confidence ◽  
Eyes Closed ◽  
Ankle Stiffness

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.

scholarly journals Maximal stability limits in adolescents with Tourette syndrome

2021 ◽  
Vol 4 (1) ◽  
pp. 013-022
Author(s):  
Blanchet Mariève ◽  
Prince François ◽  
Lemay Martin ◽  
Chouinard Sylvain ◽  
Messier Julie
Keyword(s):  
Postural Control ◽  
Tourette Syndrome ◽  
Center Of Pressure ◽  
Phase 1 ◽  
Sensory Information ◽  
Control Group ◽  
Eyes Closed ◽  
Highly Sensitive ◽  
Eyes Open ◽  
Stability Limits

We explored if adolescents with Gilles de la Tourette syndrome (GTS) had functional postural control impairments and how these deficits are linked to a disturbance in the processing and integration of sensory information. We evaluated the displacements of the center of pressure (COP) during maximal leaning in four directions (forward, backward, rightward, leftward) and under three sensory conditions (eyes open, eyes closed, eyes closed standing on foam). GTS adolescents showed deficits in postural stability and in lateral postural adjustments but they had similar maximal COP excursion than the control group. The postural performance of the GTS group was poorer in the eyes open condition (time to phase 1 onset, max-mean COP). Moreover, they displayed a poorer ability to maintain the maximum leaning position under the eyes open condition during mediolateral leaning tasks. By contrast, during forward leaning, they showed larger min-max ranges than control subjects while standing on the foam with the eyes closed. Together, these findings support the idea that GTS produces subclinical postural control deficits. Importantly, our results suggest that postural control disorders in GTS are highly sensitive to voluntary postural leaning tasks which have high demand for multimodal sensory integration.

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.

A Comparison of Two Thera-Band Training Rehabilitation Protocols on Postural Control

2007 ◽  
Vol 16 (2) ◽  
pp. 75-84 ◽  
Author(s):  
Alecia Puls ◽  
Phillip Gribble
Keyword(s):  
Postural Control ◽  
Healthy Subjects ◽  
Mixed Model ◽  
Outcome Measure ◽  
Center Of Pressure ◽  
Main Outcome Measure ◽  
Rehabilitation Protocols ◽  
Ankle Rehabilitation ◽  
Eyes Open ◽  
Anterior Posterior

Context:Thera-Band™ (TB) exercises are commonly utilized in ankle rehabilitation, but previous studies have shown inconsistent results.Objective:To compare two TB protocols among healthy subjects in improving postural control.Design:Mixed model design.Setting:Research laboratory.Participants:Thirty healthy subjects divided into a control (CON), three times/week (TB3) or five times/week (TB5) group.Intervention:Training groups completed TB quick-kick protocols for six weeks either three (TB3) or five times (TB5) per week.Main Outcome Measure:Center of pressure velocity in the anterior/posterior (COPVX) and medial/lateral (COPVY) directions.Results:There were no differences related to Group or Side. COPVX in the eyes open (EO) condition increased pre-post. COPVY decreased pre-post.Conclusion:The lack of differences between Groups and Side indicates these specific TB training protocols did not impact static postural control differently among healthy subjects.

Alterations in Gait Initiation Are Present in Those With Posttraumatic Ankle Osteoarthritis: A Pilot Study

2013 ◽  
Vol 29 (3) ◽  
pp. 245-252 ◽  
Author(s):  
Erik A. Wikstrom ◽  
Robert B. Anderson
Keyword(s):  
Motor Control ◽  
Pilot Study ◽  
Postural Control ◽  
Center Of Pressure ◽  
Gait Initiation ◽  
Static Balance ◽  
Control Mechanisms ◽  
Ankle Osteoarthritis ◽  
Sf 36 ◽  
Balance Trials

The purpose of this investigation was to determine if stereotypical patterns of gait initiation are altered in those with posttraumatic ankle osteoarthritis. Ten subjects, five with unilateral ankle osteoarthritis and five uninjured controls, participated. Subjects completed the SF-36 and Ankle Osteoarthritis Scale to quantify self-reported disability as well as 10 dual-limb static stance trials and 10 gait initiation trials with each leg. Center of pressure outcomes were calculated for static balance trials while the peak center of pressure excursions were calculated for each phase of gait initiation. The results indicate greater self-reported disability (P< .05) and worse static postural control (P< .05) in the ankle osteoarthritis group. Nonstereotypical patterns were also observed during the first and third phases of gait initiation in those with ankle osteoarthritis. The results of this pilot study suggest that supraspinal motor control mechanisms may have changed in those with posttraumatic ankle osteoarthritis.

Influence of Foot Type and Orthotics on Static and Dynamic Postural Control

2004 ◽  
Vol 13 (1) ◽  
pp. 54-66 ◽  
Author(s):  
Lauren C. Olmsted ◽  
Jay Hertel
Keyword(s):  
Postural Control ◽  
Athletic Training ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Center Of Pressure ◽  
Group Interaction ◽  
Force Plate ◽  
Balance Test ◽  
Repeated Measures Design ◽  
Plate Dynamic

Context:The effects of custom-molded foot orthotics on neuromuscular processes are not clearly understood.Objective:To examine these effects on postural control in subjects with different foot types.Design:Between-groups, repeated-measures design.Setting:Athletic training laboratory.Subjects:30 healthy subjects assigned to groups by foot type: planus (n = 11), rectus (n = 12), or cavus (n = 7).Interventions:Custom-fit semirigid orthotics.Main Outcome Measures:Static postural control was measured on a force plate. Dynamic postural control was measured using the Star Excursion Balance Test. Both measurements were assessed with and without orthotics at baseline and 2 weeks later.Results:For static postural control, a significant condition-by-group interaction was found. Subjects with cavus feet had a decreased center-of-pressure velocity while wearing orthotics. For dynamic postural control, a significant condition-by-direction-by-group interaction was found. Subjects with cavus feet had increased reach distances in 3 of 8 directions while wearing orthotics.Conclusions:Custom orthotics were associated with some improvements in static and dynamic postural control in subjects with cavus feet.

The Effect of Trial Duration on Single-Limb Stance Postural Control Measures

2014 ◽  
Vol 19 (4) ◽  
pp. 32-37 ◽  
Author(s):  
Cameron Powden ◽  
Matthew Hoch
Keyword(s):  
Postural Control ◽  
Outcome Measures ◽  
Force Plate ◽  
Healthy Adults ◽  
Control Measures ◽  
Practice Trial ◽  
Trial Duration ◽  
Cross Sectional ◽  
Eyes Open ◽  
Main Effects

Context:Currently, there are limited guidelines for the trial duration of quiet single-limb postural control tests. However, trial duration may influence the results of postural control assessments.Objective:To examine the effect of trial duration on instrumented measures of postural control in healthy adults.Design:Cross-sectional.Setting:Laboratory.Patients or Other Participants:Ten healthy adults (eight females, two males; age = 22.1 ± 1.5 years; 167.4 ± 9.3 cm; 67.4 ± 12.3 kg).Interventions:Static postural control was assessed using quiet single-limb stance on a force plate. With eyes open and closed, participants stood barefoot on one limb. Instructions were stand with hands on hips and remain as motionless as possible. A practice trial was performed before the collection of three 10 s trials on each limb for each visual condition. The data collected during each trial were analyzed as the initial 2.5 s, the initial 5 s, and 10 s.Main outcome Measures:The independent variables included vision, limb, and trial duration. The dependent variables included postural control examined using time-to-boundary (TTB) variables: mean of TTB minima (TTB-M) and the standard deviation of TTB minima (TTB-SD) in the anterior-posterior (AP) and medial-lateral (ML) directions.Results:No significant 3-way or 2-way interactions or limb main effects were identified. Main effects were identified for vision and trial duration in all TTB variables. Post hoc analysis revealed significant differences between all trial durations in all TTB variables.conclusions:Greater TTB values were exhibited during the 10 s trial durations compared with 5 s and 2.5 s, and 5 s trial durations compared with 2.5 s, indicating postural control improved with longer trial durations. This suggests differing aspects of postural control may be examined with different trial durations.

Effect of a 2-Week Joint-Mobilization Intervention on Single-Limb Balance and Ankle Arthrokinematics in Those With Chronic Ankle Instability

2014 ◽  
Vol 23 (1) ◽  
pp. 18-26 ◽  
Author(s):  
Matthew C. Hoch ◽  
David R. Mullineaux ◽  
Richard D. Andreatta ◽  
Robert A. English ◽  
Jennifer M. Medina-McKeon ◽  
...  
Keyword(s):  
Postural Control ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Center Of Pressure ◽  
Ankle Instability ◽  
Chronic Ankle Instability ◽  
Talocrural Joint ◽  
Joint Mobilization ◽  
Multiple Treatment ◽  
Eyes Open

Context:A single talocrural joint-mobilization treatment has improved spatiotemporal measures of postural control but not ankle arthrokinematics in individuals with chronic ankle instability (CAI). However, the effects of multiple treatment sessions on these aspects of function have not been investigated.Objective:To examine the effect of a 2-wk anterior-to-posterior joint-mobilization intervention on instrumented measures of single-limb-stance static postural control and ankle arthrokinematics in adults with CAI.Design:Repeated measures.Setting:Research laboratory.Participants:12 individuals with CAI (6 male, 6 female; age 27.4 ± 4.3 y, height 175.4 ± 9.78 cm, mass 78.4 ± 11.0 kg).Intervention:Subjects received 6 treatments sessions of talocrural grade II joint traction and grade III anterior-to-posterior joint mobilization over 2 wk.Main Outcome Measures:Instrumented measures of single-limb-stance static postural control (eyes open and closed) and anterior and posterior talar displacement and stiffness were assessed 1 wk before the intervention (baseline), before the first treatment (preintervention), 24–48 h after the final treatment (postintervention), and 1 wk later (1-wk follow-up). Postural control was analyzed as center-of-pressure velocity, center-of-pressure range, the mean of time-to-boundary minima, and standard deviation of time-to-boundary minima in the anteroposterior and mediolateral directions for each visual condition.Results:No significant differences were identified in any measures of postural control (P > .08) or ankle arthrokinematics (P > .21).Conclusions:The 2-wk talocrural joint-mobilization intervention did not alter instrumented measures of single-limb-stance postural control or ankle arthrokinematics. Despite the absence of change in these measures, this study continues to clarify the role of talocrural joint mobilization as a rehabilitation strategy for patients with CAI.

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