scholarly journals Standard reference values of the postural control in healthy female adults aged between 31 and 40 years in Germany: an observational study

2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Daniela Ohlendorf ◽  
Julia Pflaum ◽  
Christina Wischnewski ◽  
Sebastian Schamberger ◽  
Christina Erbe ◽  
...  

Abstract Background To detect deviations from a normal postural control, standard values can be helpful for comparison purposes. Since the postural control is influenced by gender and age, the aim of the present study was the collection of standard values for women between 31 and 40 years of age. Methods For the study, 106 female, subjectively healthy, German subjects aged between 31 and 40 years (35 ± 2.98 years) were measured using a pressure measuring platform. Results Their average BMI was 21.60 ± 4.65 kg/m2. The load distribution between left and right foot was almost evenly balanced with a median 51.46% load on the left [tolerance interval (TR) 37.02%/65.90%; confidence interval (CI) 50.06/52.85%] and 48.54% [TR 43.10/62.97%; CI 47.14/49.93%] on the right foot. The median forefoot load was 33.84% [TR 20.68/54.73%; CI 31.67/37.33%] and the rearfoot load was measured at 66.16% [TR 45.27/79.33%; CI 62.67/68.33%]. The median/mean body sway in the sagittal plane was measured 12 mm [TR 5.45/23.44 mm; CI 11.00/14.00 mm] and 8.17 mm in the frontal plane [TR 3.33/19.08 mm; CI 7.67/9.33 mm]. The median of the ellipse area is 0.72 cm2 [TR 0.15/3.69 cm2; CI 0.54/0.89°]. The ellipse width has a median of 0.66 cm [TR 0.30/1.77 cm; CI 0.61/0.78 cm] and the height of 0.33 cm [TR 0.13/0.71 cm; CI 0.30/0.37 cm]. The ellipse angle (sway, left forefoot to right rearfoot) has a mean of − 19.34° [TR − 59.21/− 0.44°; CI − 22.52/− 16.16°] and the ellipse angle sway from right forefoot to left rearfoot has a mean of 12.75° [TR 0.09/59.09°; CI 9.00/16.33°]. Conclusion The right-to-left ratio is balanced. The forefoot-to-rearfoot ratio is approximately 1:2. Also, the body sway can be classified with 12 and 8 mm as normal. The direction of fluctuation is either approx. 19° from the left forefoot to the right rearfoot or approx. 13° the opposite. Body weight, height, and BMI were comparable to the German average of women in a similar age group, so that the measured standard values are representative and might serve as baseline for the normal function of the balance system in order to support the diagnosis of possible dysfunctions in postural control.

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e026833 ◽  
Author(s):  
Daniela Ohlendorf ◽  
Charlotte Doerry ◽  
Vanessa Fisch ◽  
Sebastian Schamberger ◽  
Christina Erbe ◽  
...  

ObjectiveMany people of all ages suffer from vertigo due to different reasons. The comparison of patient data with standard values can highlight deteriorations or changes in postural control and thus indicate, for example, an increased risk of falling. Our aim is to measure standard values for the postural control of young healthy women.DesignObservational study.SettingInstitute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University Frankfurt/Main.Participants106 healthy German female subjects aged between 21 and 30 years (25±2.7 years) were measured. Their average body mass index (BMI) was 21.1±2.61 kg/m².Outcome measuresA pressure measuring platform was used to measure the weight distribution and postural sway in habitual standing. Median, tolerance range and CI were calculated.ResultsHeight, weight and BMI are comparable to the average young German female population. The load distribution between right and left foot was 49.91%:50.09%. The forefoot was less loaded than the rear foot (33.3%:66.67%). The right rear foot carried most of the body weight (34.34%). The average body sway was 9.50 mm in the frontal and 13.00 mm in the sagittal plane.ConclusionsStandard values for the postural control of the women aged 21–30 years correlate with the already collected data of healthy subjects and can therefore be described as representative. The standard values enable diagnosing and treating impaired balance.


2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Michela Persiani ◽  
Alessandro Piras ◽  
Salvatore Squatrito ◽  
Milena Raffi

During self-motion, the spatial and temporal properties of the optic flow input directly influence the body sway. Men and women have anatomical and biomechanical differences that influence the postural control during visual stimulation. Given that recent findings suggest a peculiar role of each leg in the postural control of the two genders, we investigated whether the body sway during optic flow perturbances is lateralized and whether anteroposterior and mediolateral components of specific center of pressure (COP) parameters of the right and left legs differ, reexamining a previous experiment (Raffi et al. (2014)) performed with two, side-by-side, force plates. Experiments were performed on 24 right-handed and right-footed young subjects. We analyzed five measures related to the COP of each foot and global data: anteroposterior and mediolateral range of oscillation, anteroposterior and mediolateral COP velocity, and sway area. Results showed that men consistently had larger COP parameters than women. The values of the COP parameters were correlated between the two feet only in the mediolateral axis of women. These findings suggest that optic flow stimulation causes asymmetry in postural balance and different lateralization of postural controls in men and women.


2019 ◽  
pp. 3-13
Author(s):  
Alexandru Cîtea ◽  
George-Sebastian Iacob

Posture is commonly perceived as the relationship between the segments of the human body upright. Certain parts of the body such as the cephalic extremity, neck, torso, upper and lower limbs are involved in the final posture of the body. Musculoskeletal instabilities and reduced postural control lead to the installation of nonstructural posture deviations in all 3 anatomical planes. When we talk about the sagittal plane, it was concluded that there are 4 main types of posture deviation: hyperlordotic posture, kyphotic posture, rectitude and "sway-back" posture.Pilates method has become in the last decade a much more popular formof exercise used in rehabilitation. The Pilates method is frequently prescribed to people with low back pain due to their orientation on the stabilizing muscles of the pelvis. Pilates exercise is thus theorized to help reactivate the muscles and, by doingso, increases lumbar support, reduces pain, and improves body alignment.


2012 ◽  
Vol 7 (1) ◽  
pp. 58-65 ◽  
Author(s):  
Rafał Stemplewski ◽  
Janusz Maciaszek ◽  
Maciej Tomczak ◽  
Robert Szeklicki ◽  
Dorota Sadowska ◽  
...  

The aim of the study was to compare the effect of exercise on postural control (PC) among the elderly with lower or higher level of habitual physical activity (HPA). The study involved 17 elderly men (mean age 72.9 ± 4.79 years). Mean velocity of the center of pressure (COP) displacements was measured using a force plate both before and after cycle ergometer exercise. A significantly higher increase in mean velocity of COP displacements and its component in the sagittal plane were observed in the group with lower level of HPA in comparison with the group with higher HPA level. Simultaneously, a relatively similar reaction to the exercise in the frontal plane was observed in both groups, possibly connected to the specific type of used exercise, which mainly activated the sagittal muscles.


2020 ◽  
Vol 35 (1) ◽  
pp. 58-67
Author(s):  
Gabriel Felipe Moretto ◽  
Felipe Balistieri Santinelli ◽  
Tiago Penedo ◽  
Luis Mochizuki ◽  
Natalia Madalena Rinaldi ◽  
...  

Background Studies on short-term upright quiet standing tasks have presented contradictory findings about postural control in people with Parkinson’s disease (pwPD). Prolonged trial durations might better depict body sway and discriminate pwPD and controls. Objective The aim of this study was to investigate postural control in pwPD during a prolonged standing task. Methods A total of 26 pwPD and 25 neurologically healthy individuals performed 3 quiet standing trials (60 s) before completing a constrained prolonged standing task for 15 minutes. Motion capture was used to record body sway (Vicon, 100 Hz). To investigate the body sway behavior during the 15 minutes of standing, the analysis was divided into three 5-minute-long phases: early, middle, and late. The following body sway parameters were calculated for the anterior-posterior (AP) and medial-lateral (ML) directions: velocity, root-mean-square, and detrended fluctuations analysis (DFA). The body sway area was also calculated. Two-way ANOVAs (group and phases) and 1-way ANOVA (group) were used to compare these parameters for the prolonged standing and quiet standing, respectively. Results pwPD presented smaller sway area ( P < .001), less complexity (DFA; AP: P < .009; ML: P < .01), and faster velocity (AP: P < .002; ML: P < .001) of body sway compared with the control group during the prolonged standing task. Although the groups swayed similarly (no difference for sway area) during quiet standing, they presented differences in sway area during the prolonged standing task ( P < .001). Conclusions Prolonged standing task reduced adaptability of the postural control system in pwPD. In addition, the prolonged standing task may better analyze the adaptability of the postural control system in pwPD.


Author(s):  
Ying Yue Zhang ◽  
Gusztáv Fekete ◽  
Justin Fernandez ◽  
Yao Dong Gu

To determine the influence of the unstable sole structure on foot kinematics and provide theoretical basis for further application.12 healthy female subjects walked through a 10-meter experimental channel with normal speed wearing experimental shoes and control shoes respectively at the gait laboratory. Differences between the groups in triplanar motion of the forefoot, rearfoot and hallux during walking were evaluated using a three-dimensional motion analysis system incorporating with Oxford Foot Model (OFM). Compare to contrast group, participants wearing experimental shoes demonstrated greater peak forefoot dorsiflexion, forefoot supination and longer halluces plantar flexion time in support phase. Additionally, participants with unstable sole structure also demonstrated smaller peak forefoot plantarflexion, rearfoot dorsiflexion and range of joint motion in sagittal plane and frontal plane.. The difference mainly appeared in sagittal and frontal plane. With a stimulation of unstable, it may lead to the reinforcement of different flexion between middle and two ends of the foot model. The greater forefoot supination is infered that the unstable element structure may affect the forefoot motion on the frontal plane and has a control effect to strephexopodia people. The stimulation also will reflexes reduce the range of rearfoot motion in sagittal and frontal planes to control the gravity center of the body and keep a steady state in the process of walking.


2019 ◽  
Vol 16 (2) ◽  
pp. 749
Author(s):  
Bojan Jorgić ◽  
Petra Mančić ◽  
Saša Milenković ◽  
Nikola Jevtić ◽  
Mladen Živković

Scoliosis is a multifactorial three-dimensional (3D) spinal deformation which always includes elementary deformations on three planes: a lateral curvature on the frontal plane, loss of natural physiological curvature on the sagittal plane and, in most cases, increase of lordosis in the lumbosacral joint (hyperlordosis), and a (very typical) vertebral axial rotation on the horizontal plane. One of the best methods in scoliosis correction is the Schroth method. In view of the above, the objective of this study is to identify the effects of the Schroth method on correcting functional-motor status in children with adolescent idiopathic scoliosis (IS). The participant sample comprised 20 children, of an average age of 14.5, who took part in the 10-day Schroth Camp. The following measure instruments were used for the assessment of the effect of the Schroth method: the Sorensen test, the Sit-and-reach test, and height assessment. Statistically significant improvements were identified across the results of all three tests, for the Sorensen test: 45.6±19.29 s, the Sit-and-reach test: 4.05±2.25 cm, and height 1.4±0.66 cm. It can be concluded that the conducted Schroth method exercise program exerted a positive effect on improving motor functionality, as well as enhancing flexibility and isometric endurance of the lumbar extensors of the spine. Additionally, there was an increase in height, which indicates a positive effect in terms of the functionality and symmetry of the left and right sides of the body, and in terms of improved posture on the frontal and sagittal planes.


Author(s):  
Nataliya Kufterina

Based on a survey of 99 young people suffering from vertebrogenic lumbosacral pain syndromes in 100 % of patients a impairment of the motor pattern is shown, which is manifested by postural imbalance not only in the muscles of the pelvic girdle, but also in the muscles of the neck, chest and shoulder girdle, as well as a shift in the center of gravity, caused either by asymmetry of the legs with deformation of the body in the frontal plane, or in the sagittal plane, depending on the location of the pain with symmetry of the lower extremities. Key words: vertebrogenic lumbosacral pain syndromes, motor pattern


2019 ◽  
Vol 8 (1) ◽  
pp. 96-102
Author(s):  
I. N. Yashina ◽  
A. V. Ivanov ◽  
S. V. Klochkova

The aimis to study the structure of the femur of conditionally healthy modern people, as part of the link of the musculoskeletal system, providing bipedal locomotion.Material and methods.By the original osteometric method was measured 23 structures of 166 femoral  bones with full synostosis of epiphysis without evidence of bone pathology. After the introduction of the coefficient of proportionality for linear parameters and the calculation of confidence intervals for each of them, a multilevel factor analysis was carried out, separately for the right and left femoral bones by the maximum likelihood factor analysis method with Equamax normalized rotation.Results.Four levels of the structural organization, which characterized by asymmetry of factor loadings, are identified. The parameters forming the 1st level ensure the transfer of the mechanical load along the limb axis from the head through the intertrochantcric crest to the medial condyle. 2nd level parameters provide rotational movements at the knee joint. Parameters of the 3rd and 4th levels reflecting the function of the rotation of the leg in the hip joint when upright and maintaining the vertical position of the body in the sagittal plane.Conclusion.Thus, the human femur is a multilevel system with asymmetric participation of parameters in its formation. Femur, as part of the musculoskeletal system, has a distinct vertical structural differentiation, which is manifested in the dominance of the right limb in the implementation of the support functions at the level of the proximal epiphysis, and motor functions at the level of the distal epiphysis of the femur.


2020 ◽  
Vol 28 (2) ◽  
pp. 18-23
Author(s):  
Ol'ga Yu. Aleshkina ◽  
Tat'yana S. Bikbaeva ◽  
Anton A. Devyatkin ◽  
Marina V. Markeeva ◽  
Ol'ga V. Konnova ◽  
...  

Information about the typical stereotopic variability of the sphenoidal yoke of the sphenoid bone is necessary to expand the scientific and technical capabilities in neurosurgery. The aim of the study was to study the stereotopic variability of the sphenoidal yoke of the sphenoid bone in adults, depending on the type of base of the skull. By stereotopometry on 100 passported turtles of people of mature age (21-60 years old) from the collection of the Fundamental Museum of the Department of Human Anatomy Razumovsky Saratov State Medical University, the value of the basilar angle is determined and the types of its base are highlighted; we studied the spatial coordinates of standard craniometric points (nasion, sellar, basion) and non-standard craniometric points: the front and rear edges of the sphenoidal yoke on the right and left, according to the distance of their projections to three mutually perpendicular planes: sagittal, frontal and Frankfurt. The typical variability of the spatial position of the sphenoidal yoke was established: in flexibasilar types of the skull – yoke occupies a higher spatial position relative to the Frankfurt plane, close to the front and both its edges are equally distant from the sagittal plane, compared with the level of platibasilar type. The height of the sphenoidal yoke of the mediobasilar type relative to the Frankfurt plane corresponds to the level of flexibasilar, relative to the frontal plane - it occupies a middle position between the parameters of the extreme types of the base of the skull, relative to the sagittal plane - its front edge occupies the same position as the extreme types, while the location of its posterior edge corresponds to the level of the plate-basilar type.


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