scholarly journals Effect of Milwaukee brace on static and dynamic balance of female hyperkyphotic adolescents

2012 ◽  
Vol 37 (1) ◽  
pp. 76-84 ◽  
Author(s):  
Arezoo Eshraghi ◽  
Nader Maroufi ◽  
Mohammad Ali Sanjari ◽  
Hassan Saeedi ◽  
Mohammad Reza Keyhani ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Normal Subjects ◽  
Balance Performance ◽  
Functional Reach ◽  
Significant Difference ◽  
The Right ◽  
Milwaukee Brace

Background: Biomechanical factors, such as spinal deformities can result in balance control disorders. Objectives: The purpose of this study was to examine the effect of bracing on static and dynamic balance control of hyperkyphotic female adolescents. Study Design: Clinical trial. Methods: A force platform was employed to record center of pressure (COP) parameters. Ten adolescents undergoing Milwaukee brace for hyperkyphosis and 14 normal subjects participated in the study. The COP data were collected with and without brace immediately on first day and after 120 days of continuous brace wear. Results: No significant difference was found in dynamic and static balance tests with and without brace on the first day ( P > 0.05). After 120 days, the values of COP displacement in functional reach to the right and left for the hyperkyphotic adolescents when performing without brace enhanced significantly compared to the first day. The forward reach distance was not significantly different between the normal and hyperkyphotic subjects ( P = 0.361); however, hyperkyphotic participants had significantly smaller reach distance in the functional reach to the right (21.88 vs. 25.56cm) and left (17.04 vs. 21.25cm). Conclusion: It might be concluded that bracing had a possible effect on improvement of dynamic balance performance, because the subjects could reach the target in dynamic reach tests with higher displacement in sagittal plane without losing their balance control. Clinical relevance Little is known about the biomechanical aspects of brace wear in individuals with hyperkyphosis. This study investigated balance differences between the healthy and hyperkyphotic individuals, and outcomes of Milwaukee brace wear. It might provide some new insight into the conservative treatment of hyperkyphosis for clinicians and researchers.

scholarly journals Galvanic vestibular stimulation with low intensity improves dynamic balance

2021 ◽  
Vol 12 (1) ◽  
pp. 512-521
Author(s):  
Hongmei Chen ◽  
Zhen Hu ◽  
Yujuan Chai ◽  
Enxiang Tao ◽  
Kai Chen ◽  
...  
Keyword(s):  
Healthy Subjects ◽  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Balance Performance ◽  
Improvement Rate ◽  
Average Speed ◽  
Low Intensity

Abstract Background Dynamic balance is associated with fall risk. The aim of this study is to explore the effects of galvanic vestibular stimulation with very low intensity direct current (dcGVS) on dynamic balance. Methodology We used a rocker force platform for assessing the dynamic balance performance. Center-of-pressure (COP) coordinates were acquired and decomposed to rambling (RA) and trembling (TR). We measured sway parameters, including length, average speed, and average range, affected by dcGVS at 0.01 mA with eyes open (EO) and eyes closed (EC). Results We assessed 33 young healthy subjects and found that all sway parameters were shorter in the EO condition, indicating a better dynamic balance performance. dcGVS significantly improved the dynamic balance performance both in EO and EC conditions. All the sway parameters in COP in EO were significantly shorter than those in EC, indicating a better dynamic balance performance in EO. In EO, RA had greater improvement rates than TR. In EC, only average speed had a greater improvement rate in RA, whereas length and average range had greater improvement rates in TR. These results indicate a different modulation model between EO and EC. Conclusion These findings indicate that very low intensity dcGVS improved the sway parameters of dynamic balance in young healthy subjects. Moreover, our results suggest different dynamic balance control models between having EO and EC. The mechanisms of these phenomena caused by very low intensity dcGVS require further investigation.

Ankle Stabilizers Affect Agility but Not Vertical Jump or Dynamic Balance Performance

2011 ◽  
Vol 4 (6) ◽  
pp. 354-360 ◽  
Author(s):  
Jatin P. Ambegaonkar ◽  
Charles J. Redmond ◽  
Christa Winter ◽  
Nelson Cortes ◽  
Shruti J. Ambegaonkar ◽  
...  
Keyword(s):  
Repeated Measures ◽  
Sagittal Plane ◽  
Dynamic Balance ◽  
Vertical Jump ◽  
Plane Motion ◽  
Balance Performance ◽  
Level Of Evidence ◽  
Balance Test ◽  
Jump Test ◽  
Significant Difference

Ankle stabilizers can reduce ankle sprain incidence and severity by limiting range of motion. Still whether using them affects performance remains unclear. The authors compared effects of 3 ankle stabilizers, tape, lace-up (Swede-O Ankle Lok), and semirigid (Air-Cast Air-Stirrup) braces, and a nonsupport control on vertical jump (Sargent Jump Test), agility (Right-Boomerang Run test), and dynamic balance (Modified Bass Test) in 10 volunteers (4 males, 6 females; 25.6 ± 2.8 years, 167.8 ± 13.7 cm, 61.4 ± 10.7 kg) using repeated-measures ANOVAs. Participants had similar vertical jump ( P = .27; control = 41.40 ± 11.89 cm, tape = 37.90 ± 7.92 cm, Swede-O = 41.40 ± 11.89 cm, Air-Cast = 39.29 ± 10.85 cm) and dynamic balance ( P = .08; control = 92.50 ± 2.46, tape = 91.55 ± 3.53, Swede-O = 97.00 ± 5.32, Air-Cast = 89.40 ± 6.08) but differing agility scores ( P = .03; control = 13.55 ± 1.35 seconds, tape = 14.03 ± 1.5 seconds, Swede-O = 14.10 ± 1.36 seconds, Air-Cast = 14.14 ± 1.41 seconds). Post hoc tests revealed a significant difference ( P = .03) between control and Air-Cast but not between Swede-O ( P = .06) or tape ( P = .07). Effect size ( d) analyses indicated that compared with control, all stabilizers trended to increase agility run times (tape, d = 0.33; Swede-O, d = 0.40; Air-Cast, d = 0.43). Since participants primarily required sagittal plane motion when jumping vertically and had relatively slow directional changes in the dynamic balance test, wearing ankle stabilizers did not hamper jump or balance. However, ankle stabilizers hindered participants’ ability to perform quick directional changes required in the agility test, with the most rigid stabilizer (Air-Cast) affecting agility the most. Clinicians should be aware that ankle stabilizers may affect some performance measures (agility) but not others (jumping, balance) and continue examinations in larger cohorts. Level of Evidence: Therapeutic, Level II

scholarly journals Balance in children born prematurely currently aged 6–7

2017 ◽  
Vol 9 (1) ◽  
pp. 181-186
Author(s):  
Ewa Dziuba ◽  
Justyna Drzał-Grabiec ◽  
Aleksandra Truszczyńska-Baszak ◽  
Katarzyna Guzek ◽  
Katarzyna Zajkiewicz
Keyword(s):  
Premature Birth ◽  
Standardized Test ◽  
Balance Control ◽  
Dynamic Balance ◽  
Control Group ◽  
Body Balance ◽  
Education Material ◽  
Significant Difference ◽  
The Right ◽  
The Impact

SummaryStudy aim: Premature birth is one of the major problems of obstetrics, leading to numerous complications that are associated with prematurity, for instance balance disorders. The aim of the study was to assess the impact of premature birth on the ability to maintain balance in children commencing their school education. Material and methods: The study included children aged 6-7 years. The study group consisted of 59 children (31 girls and 28 boys, mean age 6.38 ± SD 0.73) born prematurely between 24 and 35 weeks of gestation. The control group consisted of 61 children (28 girls and 33 boys, mean age 6.42 ± 0.58) born at term. The research utilized standardized test tools - one-leg open-eyed and closed-eyed standing test, one-leg jumping test - and an original questionnaire survey. Results: The children born at term achieved better results in the majority of tests. The comparison of girls and boys born pre­maturely and at term showed no statistically significant difference between them in terms of dynamic balance, static balance or total balance control. The comparison of the tests performed on the right and left lower limb in prematurely born children showed no statistically significant differences. Conclusion: Premature birth affects the ability to maintain body balance. The results of the study indicate the need to develop coordination skills that shape body balance in prematurely born children.

scholarly journals Effects of white Gaussian noise on dynamic balance in healthy young adults

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ziyou Zhou ◽  
Can Wu ◽  
Zhen Hu ◽  
Yujuan Chai ◽  
Kai Chen ◽  
...  
Keyword(s):  
Young Adults ◽  
Gaussian Noise ◽  
Center Of Pressure ◽  
Dynamic Balance ◽  
White Gaussian Noise ◽  
Fluctuation Analysis ◽  
Balance Performance ◽  
Short Term ◽  
Crossover Point ◽  
Short Time

AbstractIt has been known that short-time auditory stimulation can contribute to the improvement of the balancing ability of the human body. The present study aims to explore the effects of white Gaussian noise (WGN) of different intensities and frequencies on dynamic balance performance in healthy young adults. A total of 20 healthy young participants were asked to stand at a dynamic balance force platform, which swung along the x-axis with an amplitude of ± 4° and frequency of 1 Hz. Their center of pressure (COP) trajectories were recorded when they were stimulated by WGN of different intensities (block 1) and different frequencies (block 2). A traditional method and detrended fluctuation analysis (DFA) were used for data preprocessing. The authors found that only with 75–85 dB WGN, the COP parameters improved. WGN frequency did not affect the dynamic balance performance of all the participants. The DFA results indicated stimulation with 75 dB WGN enhanced the short-term index and reduced the crossover point. Stimulation with 500 Hz and 2500 Hz WGN significantly enhanced the short-term index. These results suggest that 75 dB WGN and 500 Hz and 2500 Hz WGN improved the participants’ dynamic balance performance. The results of this study indicate that a certain intensity of WGN is indispensable to achieve a remarkable improvement in dynamic balance. The DFA results suggest that WGN only affected the short-term persistence, indicating the potential of WGN being considered as an adjuvant therapy in low-speed rehabilitation training.

scholarly journals Applying the Minimal Detectable Change of a Static and Dynamic Balance Test Using a Portable Stabilometric Platform to Individually Assess Patients with Balance Disorders

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 402 ◽  
Author(s):  
Juan De la Torre ◽  
Javier Marin ◽  
Marco Polo ◽  
José J. Marín
Keyword(s):  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Static Balance ◽  
Minimal Detectable Change ◽  
Detectable Change ◽  
Balance Test ◽  
Balance Disorders ◽  
Eyes Closed ◽  
Specialist Physician

Balance disorders have a high prevalence among elderly people in developed countries, and falls resulting from balance disorders involve high healthcare costs. Therefore, tools and indicators are necessary to assess the response to treatments. Therefore, the aim of this study is to detect relevant changes through minimal detectable change (MDC) values in patients with balance disorders, specifically with vertigo. A test-retest of a static and dynamic balance test was conducted on 34 healthy young volunteer subjects using a portable stabilometric platform. Afterwards, in order to show the MDC applicability, eight patients diagnosed with balance disorders characterized by vertigo of vestibular origin performed the balance test before and after a treatment, contrasting the results with the assessment by a specialist physician. The balance test consisted of four tasks from the Romberg test for static balance control, assessing dynamic postural balance through the limits of stability (LOS). The results obtained in the test-retest show the reproducibility of the system as being similar to or better than those found in the literature. Regarding the static balance variables with the lowest MDC value, we highlight the average velocity of the center of pressure (COP) in all tasks and the root mean square (RMS), the area, and the mediolateral displacement in soft surface, with eyes closed. In LOS, all COP limits and the average speed of the COP and RMS were highlighted. Of the eight patients assessed, an agreement between the specialist physician and the balance test results exists in six of them, and for two of the patients, the specialist physician reported no progression, whereas the balance test showed worsening. Patients showed changes that exceeded the MDC values, and these changes were correlated with the results reported by the specialist physician. We conclude that (at least for these eight patients) certain variables were sufficiently sensitive to detect changes linked to balance progression. This is intended to improve decision making and individualized patient monitoring.

scholarly journals Age-related neuromuscular function and dynamic balance control during slow and fast balance perturbations

2013 ◽  
Vol 110 (11) ◽  
pp. 2557-2562 ◽  
Author(s):  
Jarmo M. Piirainen ◽  
Vesa Linnamo ◽  
Neil J. Cronin ◽  
Janne Avela
Keyword(s):  
Sensory Feedback ◽  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Neuromuscular Function ◽  
Plantar Flexor ◽  
Fast Recovery ◽  
M Wave ◽  
Age Related ◽  
Wave Latency

This study investigated age-related differences in dynamic balance control and its connection to reflexes and explosive isometric plantar flexor torque in 19 males (9 Young aged 20–33 yr, 10 Elderly aged 61–72 yr). Dynamic balance was measured during Slow (15 cm/s) and Fast (25 cm/s) anterior and posterior perturbations. H/M-ratio was measured at 20% of maximal M-wave (H/M20%) 10, 30, and 90 ms after perturbations. Stretch reflexes were measured from tibialis anterior and soleus during anterior and posterior perturbations, respectively. In Slow, Elderly exhibited larger peak center-of-pressure (COP) displacement (15%; P < 0.05) during anterior perturbations. In Fast, Young showed a trend for faster recovery (37%; P = 0.086) after anterior perturbations. M-wave latency was similar between groups (6.2 ± 0.7 vs. 6.9 ± 1.2 ms), whereas Elderly showed a longer H-reflex latency (33.7 ± 2.3 vs. 36.4 ± 1.7 ms; P < 0.01). H/M20% was higher in Young 30 ms after Fast anterior (50%; P < 0.05) and posterior (51%; P < 0.05) perturbations. Plantar flexor rapid torque was also higher in Young (26%; P < 0.05). After combining both groups' data, H/M20% correlated negatively with Slow peak COP displacement ( r = −0.510, P < 0.05) and positively with Fast recovery time ( r = 0.580, P < 0.05) for anterior perturbations. Age-related differences in balance control seem to be more evident in anterior than posterior perturbations, and rapid sensory feedback is generally important for balance perturbation recovery.

A Dynamic Balance Measure for Persons with Severe and Profound Mental Retardation

1993 ◽  
Vol 76 (2) ◽  
pp. 619-627 ◽  
Author(s):  
James L. DePaepe ◽  
Sue Ciccaglione
Keyword(s):  
Mental Retardation ◽  
Concurrent Validity ◽  
Multivariate Analyses ◽  
Dynamic Balance ◽  
Reliability And Validity ◽  
Balance Performance ◽  
Age And Gender ◽  
Pearson Product Moment Correlation ◽  
Significant Difference ◽  
And Gender

The present study's purpose was to probe into the reliability and validity measurement of dynamic balance for individuals with IQs below 29. The 91 subjects were asked to complete the Papcsy-DePaepe test and the Bruininks test according to each test's protocol. Correlations of odd-even scores produced a reliability of .98 for the Papcsy-DePaepe test. Concurrent validity was indicated by a Pearson product-moment correlation of .64 between the two tests. Subsequent 3 × 2 × 2 multivariate analyses of variance confirmed a significant difference between the two tests and that retardation was associated with balance performance although age and gender were not.

Muscle Contributions to Balance Control During Amputee and Nonamputee Stair Ascent

2020 ◽  
Vol 142 (12) ◽  
Author(s):  
Nicole G. Harper ◽  
Jason M. Wilken ◽  
Richard R. Neptune
Keyword(s):  
Angular Momentum ◽  
Lower Limb ◽  
Sagittal Plane ◽  
Balance Control ◽  
Dynamic Balance ◽  
Frontal Plane ◽  
Rate Of Change ◽  
Prosthetic Devices ◽  
Stair Ascent

Abstract Dynamic balance is controlled by lower-limb muscles and is more difficult to maintain during stair ascent compared to level walking. As a result, individuals with lower-limb amputations often have difficulty ascending stairs and are more susceptible to falls. The purpose of this study was to identify the biomechanical mechanisms used by individuals with and without amputation to control dynamic balance during stair ascent. Three-dimensional muscle-actuated forward dynamics simulations of amputee and nonamputee stair ascent were developed and contributions of individual muscles, the passive prosthesis, and gravity to the time rate of change of angular momentum were determined. The prosthesis replicated the role of nonamputee plantarflexors in the sagittal plane by contributing to forward angular momentum. The prosthesis largely replicated the role of nonamputee plantarflexors in the transverse plane but resulted in a greater change of angular momentum. In the frontal plane, the prosthesis and nonamputee plantarflexors contributed oppositely during the first half of stance while during the second half of stance, the prosthesis contributed to a much smaller extent. This resulted in altered contributions from the intact leg plantarflexors, vastii and hamstrings, and the intact and residual leg hip abductors. Therefore, prosthetic devices with altered contributions to frontal-plane angular momentum could improve balance control during amputee stair ascent and minimize necessary muscle compensations. In addition, targeted training could improve the force production magnitude and timing of muscles that regulate angular momentum to improve balance control.

scholarly journals Static Balance in Patients with Vestibular Impairments: A Preliminary Study

Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Hossein Talebi ◽  
Mohammad Taghi Karimi ◽  
Seyed Hamid Reza Abtahi ◽  
Niloofar Fereshtenejad
Keyword(s):  
Path Length ◽  
Center Of Pressure ◽  
Balance Control ◽  
Force Plate ◽  
Static Balance ◽  
Eyes Closed ◽  
Significant Difference ◽  
Eyes Open ◽  
Age Limits ◽  
The Difference

Aims. Vestibular system is indicated as one of the most important sensors responsible for static and dynamic postural control. In this study, we evaluated static balance in patients with unilateral vestibular impairments.Materials and Methods. We compared static balance control using Kistler force plate platform between 10 patients with unilateral vestibular impairments and 20 normal counterparts in the same sex ratio and age limits (50±7). We evaluated excursion and velocity of center of pressure (COP) and path length in anteroposterior (AP) and mediolateral (ML) planes with eyes open and with eyes closed.Results. There was no significant difference between COP excursions in ML and AP planes between both groups with eyes open and eyes closed (pvalue > 0.05). In contrast, the difference between velocity and path length of COP in the mentioned planes was significant between both groups with eyes open and eyes closed (pvalue < 0.05).Conclusions. The present study showed the static instability and balance of patients with vestibular impairments indicated by the abnormal characteristics of body balance.

scholarly journals Positional differences in anticipation timing, reaction time and dynamic balance of American football players

2020 ◽  
Vol 24 (5) ◽  
pp. 227-239
Author(s):  
Halil İ. Ceylan ◽  
Ahmet R. Günay
Keyword(s):  
Reaction Time ◽  
Dynamic Balance ◽  
Absolute Error ◽  
American Football ◽  
Football Players ◽  
Balance Performance ◽  
Significant Difference ◽  
Visual Reaction ◽  
Test Result ◽  
Anterior Posterior

Purpose: The aim of this study was to compare the coinciding anticipation timing (CAT), reaction time and dynamic balance performances of American football players according to their playing positions. Material: Thirty-five American football players, who train at least 3 days a week, and compete in Universities Protected Football 1st League, participated in this study, voluntarily. The players were divided into two playing positions: offensive (17 players, mean age: 20.76 ± 1.30 years) and defensive (18 players, mean age: 21.94 ± 2.87 years). The CAT at different stimulus speeds (6 mph, 12 mph), reaction time (visual, auditory, mixed), and dynamic balance performance (anterior-posterior, medial-lateral, perimeter lenght) were measured in the laboratory environment. The CAT, reaction time, and dynamic balance performance of players were determined by Bassin Anticipation Timer, Newtest 1000, and Technobody Prokin-200, respectively. Results: The data obtained were analyzed in SPSS (20.0) program. Firstly, the raw data for CAT performance (6mph, 12 mph) were converted to absolute error score. According to Shapiro-Wilk test result, the all data showed normal distribution. Independent Sample t test was used to determine the differences between the two playing positions. In addition, the effect size between the two playing positions was calculated in parameters with showing significant differences, and Cohen’s d (1988) values were taken into account. Compared with the defensive players (20.15±3.81 ms), the absolute error scores at fast stimulus speeds (12 mph) of offensive players (17.45±3.48 ms) was found to be significantly lower (t(33) =-2.181, p=.036). The visual reaction time of offensive players (318.11± 17.47 ms) was significantly shorter than defensive players (340.58± 32.60 ms, t(26322) =-2.560, p=.017). In terms of dynamic balance parameters such as perimeter lenght, anterior-posterior, and medial-lateral, there was no statistically significant difference between the playing positions (p>0.05). Conclusions: Perceptual-cognitive characteristics such as CAT, and reaction time performance differ according to the playing positions, and this difference may be related to the physical, and cognitive demands required by their playing positions.

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