Differential effects of visual versus auditory biofeedback training for voluntary postural sway

Augmented sensory biofeedback training is often used to improve postural control. Our previous study showed that continuous auditory biofeedback was more effective than continuous visual biofeedback to improve postural sway while standing. However, it has also been reported that both discrete visual and auditory biofeedback training, presented intermittently, improves bimanual task performance more than continuous visual biofeedback training. Therefore, this study aimed to investigate the relative effectiveness of discrete visual biofeedback versus discrete auditory biofeedback to improve postural control. Twenty-two healthy young adults were randomly assigned to either a visual or auditory biofeedback group. Participants were asked to shift their center of pressure (COP) by voluntary postural sway forward and backward in line with a hidden target, which moved in a sinusoidal manner and was displayed intermittently. Participants were asked to decrease the diameter of a visual circle (visual biofeedback) or the volume of a sound (auditory biofeedback) based on the distance between the COP and the target in the training session. The feedback and the target were given only when the target reached the inflection points of the sine curves. In addition, the perceptual magnitudes of visual and auditory biofeedback were equalized using Stevens’ power law. Results showed that the mean and standard deviation of the distance between COP and the target were reduced int the test session, removing the augmented sensory biofeedback, in both biofeedback training groups. However, the temporal domain of the performance improved in the test session in the auditory biofeedback training group, but not in the visual biofeedback training group. In conclusion, discrete auditory biofeedback training was more effective for the motor learning of voluntarily postural swaying compared to discrete visual biofeedback training, especially in the temporal domain.

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Application of Real-Time Visual Feedback System in Balance Training of the Center of Pressure with Smart Wearable Devices

10.21203/rs.3.rs-129265/v1 ◽

2020 ◽

Author(s):

I-Lin Wang ◽

Li-I Wang ◽

Yang Liu ◽

Shi-Jie Xue ◽

Rui Hu ◽

...

Keyword(s):

Real Time ◽

Visual Feedback ◽

Postural Sway ◽

Center Of Pressure ◽

Balance Training ◽

Training Group ◽

Wearable Devices ◽

Control Group ◽

Feedback Training ◽

Smart Wearable

Abstract Background: Visual feedback from the center of pressure (COP) on the benefits of standing quietly remains controversial. The study was to investigate the adaptive effect of COP real-time visual feedback training provided by smart wearable devices on standing in silence. Methods: Thirty healthy female college students were randomly divided into three groups (visual feedback balance training group (VFT), non-visual feedback balance training group (NVFT) and control group (CG)) .Two force plates were used to calculate the coordinates of COP anteroposterior (COPAP) and COP mediolateral (COPML).The motion analysis system is used to calculate the coordinates of the center of mass in two directions. Enhanced visual feedback on the screen in the form of fluctuating in different directions, VFT received real-time visual feedback from Podoon APP for training, the NVFT only performs open eye balance without receiving real-time visual feedback. The CG group did not receive any visual feedback. The training lasted 4 weeks, the training lasts 30 minutes at an interval of 1 days. Results: After four weeks of balance training, the results showed that visual feedback training can improve the stability of human posture control by one leg stance and tandem stance static balance training on VFT intelligent App. The parameters of COPML/AP max displacement, COPML/AP velocity and COP radius and COP area in the VFT were significantly increased (p＜0.05).Conclusion: The conclusion shows that COP real-time visual feedback training provided by smart wearable devices can reduce postural sway better and improve body balance ability than general training when standing quietly.

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Characteristics of Standing Postural Control in Women under Additional Load

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17020490 ◽

2020 ◽

Vol 17 (2) ◽

pp. 490

Author(s):

Bożena Wojciechowska-Maszkowska ◽

Dorota Borzucka

Keyword(s):

Postural Control ◽

Postural Stability ◽

Postural Sway ◽

Center Of Pressure ◽

Stability Control ◽

Standing Posture ◽

Additional Load ◽

Eyes Open ◽

Heavy Loads ◽

Load Conditions

The aim of this study was to evaluate the effect of additional load on postural-stability control in young women. To evaluate postural control in the 34 women in this study (mean age, 20.8 years), we measured postural sway (center of pressure, COP) in a neutral stance (with eyes open) in three trials of 30 s each. Three load conditions were used in the study: 0, 14, and 30 kg. In analysis, we used three COP parameters, variability (linear), mean sway velocity (linear), and entropy (nonlinear). Results suggested that a considerable load on a young woman’s body (approximately 48% of body weight) had significant influence on stability. Specifically, heavy loads triggered random movements, increased the dynamics of postural-stability control, and required more attention to control standing posture. The results of our study indicate that inferior postural control mainly results from insufficient experience in lifting such a load.

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The Effects of Active Self-Correction on Postural Control in Girls with Adolescent Idiopathic Scoliosis: The Role of an Additional Mental Task

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17051640 ◽

2020 ◽

Vol 17 (5) ◽

pp. 1640 ◽

Cited By ~ 1

Author(s):

Elżbieta Piątek ◽

Michał Kuczyński ◽

Bożena Ostrowska

Keyword(s):

Adolescent Idiopathic Scoliosis ◽

Idiopathic Scoliosis ◽

Postural Control ◽

Repeated Measures ◽

Postural Sway ◽

Center Of Pressure ◽

Force Plate ◽

Stroop Test ◽

Quiet Standing ◽

Mental Task

Due to balance deficits that accompany adolescent idiopathic scoliosis (AIS), the potential interaction between activities of daily living and active self-correction movements (ASC) on postural control deserves particular attention. Our purpose was to assess the effects of ASC movements with or without a secondary mental task on postural control in twenty-five girls with AIS. It is a quasi-experimental within-subject design with repeated measures ANOVA. They were measured in four 20-s quiet standing trials on a force plate: no task, ASC, Stroop test, and both. Based on the center-of-pressure (COP) recordings, the COP parameters were computed. The ASC alone had no effect on any of the postural sway measures. Stroop test alone decreased COP speed and increased COP entropy. Performing the ASC movements and Stroop test together increased the COP speed and decreased COP entropy as compared to the baseline data. In conclusion, our results indicate that AIS did not interfere with postural control. The effects of the Stroop test accounted for good capacity of subjects with AIS to take advantage of distracting attentional resources from the posture. However, performing both tasks together exhibited some deficits in postural control, which may suggest the need for therapeutic consultation while engaging in more demanding activities.

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Effects of Slackline Training on Acceleration, Agility, Jump Performance and Postural Control in Youth Soccer Players

Journal of Human Kinetics ◽

10.2478/hukin-2018-0078 ◽

2019 ◽

Vol 67 (1) ◽

pp. 235-245

Author(s):

Javier Fernández-Rio ◽

Luis Santos ◽

Benjamín Fernández-García ◽

Roberto Robles ◽

Iván Casquero ◽

...

Keyword(s):

Postural Control ◽

Training Program ◽

Perceived Exertion ◽

Center Of Pressure ◽

Training Session ◽

Soccer Players ◽

Control Group ◽

Countermovement Jump ◽

Jump Performance ◽

Squat Jump

AbstractThe goal of this study was to assess the effects of a supervised slackline training program in a group of soccer players. Thirty-four male division I under-19 players (16.64 ± 0.81 years) agreed to participate in the study. They were randomly divided into an experimental group (EG) and a control group (CG). The first group (EG) followed a 6-week supervised slackline training program (3 sessions/week; 5-9 min/session), while the CG performed only regular soccer training. Several variables were assessed in all participants: acceleration (20-m sprint test), agility (90º turns test), jump performance (squat jump, countermovement jump), and postural control (Center of Pressure ( CoP) testing: length, area, speed, Xmean, Ymean, Xspeed, Yspeed, Xdeviation, Ydeviation). Ratings of perceived exertion and local muscle ratings of perceived exertions were also recorded after each slackline training session. At post-tests, there was a significant increase only in the EG in acceleration, agility, squat jump and countermovement jump performance, as well as several CoP variables: area in the bipedal support on a firm surface, and length, area and speed in the left leg on a firm surface. The program was rated as “somewhat hard” by the players, while quadriceps, gastrocnemius and tibialis anterior were the most exerted muscles while slacklining. In conclusion, slackline training can be an effective training tool for young, high-level soccer players.

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Influences of Arm Proprioception and Degrees of Freedom on Postural Control With Light Touch Feedback

Journal of Neurophysiology ◽

10.1152/jn.00504.2007 ◽

2008 ◽

Vol 99 (2) ◽

pp. 595-604 ◽

Cited By ~ 32

Author(s):

Ely Rabin ◽

Paul DiZio ◽

Joel Ventura ◽

James R. Lackner

Keyword(s):

Postural Control ◽

Degrees Of Freedom ◽

Biceps Brachii ◽

Postural Sway ◽

Center Of Pressure ◽

Tactile Feedback ◽

Contact Forces ◽

Light Touch ◽

Postural Stabilization ◽

And Control

Lightly touching a stable surface with one fingertip strongly stabilizes standing posture. The three main features of this phenomenon are fingertip contact forces maintained at levels too low to provide mechanical support, attenuation of postural sway relative to conditions without fingertip touch, and center of pressure (CP) lags changes in fingertip shear forces by ∼250 ms. In the experiments presented here, we tested whether accurate arm proprioception and also whether the precision fingertip contact afforded by the arm's many degrees of freedom are necessary for postural stabilization by finger contact. In our first experiment, we perturbed arm proprioception and control with biceps brachii vibration (120-Hz, 2-mm amplitude). This degraded postural control, resulting in greater postural sway amplitudes. In a second study, we immobilized the touching arm with a splint. This prevented precision fingertip contact but had no effect on postural sway amplitude. In both experiments, the correlation and latency of fingertip contact forces to postural sway were unaffected. We conclude that postural control is executed based on information about arm orientation as well as tactile feedback from light touch, although precision fingertip contact is not essential. The consistent correlation and timing of CP movement and fingertip forces across conditions in which postural sway amplitude and fingertip contact are differentially disrupted suggests posture and the fingertip are controlled in parallel with feedback from the fingertip in this task.

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Center-of-Pressure Parameters Used in the Assessment of Postural Control

Journal of Sport Rehabilitation ◽

10.1123/jsr.11.1.51 ◽

2002 ◽

Vol 11 (1) ◽

pp. 51-66 ◽

Cited By ~ 176

Author(s):

Riann M. Palmieri ◽

Christopher D. Ingersoll ◽

Marcus B. Stone ◽

B. Andrew Krause

Keyword(s):

Control System ◽

Postural Control ◽

Postural Sway ◽

Center Of Pressure ◽

Data Sources ◽

Postural Control System ◽

Type Data

Objective:To define the numerous center-of-pressure derivatives used in the assessment of postural control and discuss what value each might provide in the assessment of balance.Data Sources:MEDLINE and SPORTDiscus were searched with the termsbalance, postural control, postural sway,andcenter of pressure. The remaining citations were collected from references of similar papers. A total of 67 references were studied.Conclusions:Understanding what is represented by each parameter used to assess postural control is crucial. At the present time the literature has failed to demonstrate how the variables reflect changes made by the postural-control system. Until it can be shown that the center of pressure and its derivatives actually reveal changes in the postural-control system, the value of using these measures to assess deficits in postural control is minimized.

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QUANTIFICATION OF DIRECTION AND MAGNITUDE OF CYCLICAL POSTURAL SWAY USING ELLIPSES

Biomedical Engineering Applications Basis and Communications ◽

10.4015/s1016237201000261 ◽

2001 ◽

Vol 13 (05) ◽

pp. 213-217 ◽

Cited By ~ 4

Author(s):

PATRICK J. SPARTO ◽

MARK S. REDFERN

Keyword(s):

Postural Control ◽

Postural Sway ◽

Center Of Pressure ◽

Vestibular Stimulation ◽

Control Mechanisms ◽

Pressure Data ◽

Cardinal Direction ◽

Periodic Inputs ◽

Lateral Axis

In this paper we demonstrate a new method to quantify direction and magnitude of sway in response to periodic inputs. The postural sway response was modeled as an ellipse, allowing the determination of angle of heading as well as the resultant magnitude. To demonstrate this methodology, center of pressure data obtained from a subject receiving sinusoidal (0.25 Hz, 1.2 mA peak-to-peak) galvanic vestibular stimulation in both the binaural-bipolar and binaural-monopolar configurations were analyzed. The binaural-bipolar and binaural-monopolar stimuli elicited sway patterns that were oriented at 4° and 97° to the medial-lateral axis, respectively. In addition, the binaural-monopolar stimulus generated twice as much sway as the binaural-bipolar stimulus. We propose that this method can be applied to sway obtained from sinusoidal inputs to the sensory systems controlling balance. Estimation of the direction and magnitude of postural sway will become an important tool for understanding postural control mechanisms for disturbances to balance that do not occur in a cardinal direction.

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Relation between postural sway magnitude and metabolic energy cost during upright standing on a compliant surface

Journal of Applied Physiology ◽

10.1152/japplphysiol.00907.2014 ◽

2015 ◽

Vol 119 (6) ◽

pp. 696-703 ◽

Cited By ~ 10

Author(s):

Han Houdijk ◽

Starr E. Brown ◽

Jaap H. van Dieën

Keyword(s):

Postural Control ◽

Muscle Activation ◽

Metabolic Response ◽

Postural Sway ◽

Center Of Pressure ◽

Metabolic Cost ◽

Optimization Criterion ◽

Metabolic Energy ◽

Emg Activity ◽

Upright Standing

Postural control performance is often described in terms of postural sway magnitude, assuming that lower sway magnitude reflects better performance. However, people do not typically minimize sway magnitude when performing a postural control task. Possibly, other criteria are satisfied when people select the amount of sway they do. Minimal metabolic cost has been suggested as such a criterion. The aim of this study was to experimentally test the relation between sway magnitude and metabolic cost to establish whether metabolic cost could be a potential optimization criterion in postural control. Nineteen healthy subjects engaged in two experiments in which different magnitudes of sway were evoked during upright standing on a foam surface while metabolic energy expenditure, center of pressure (CoP) excursion, and muscle activation were recorded. In one experiment, sway was manipulated by visual feedback of CoP excursion. The other experiment involved verbal instructions of standing still, natural or relaxed. In both experiments, metabolic cost changed with sway magnitude in an asymmetric parabolic fashion, with a minimum around self-selected sway magnitudes and a larger increase at small compared with large sway magnitudes. This metabolic response was paralleled by a change in tonic and phasic EMG activity in the major leg muscles. It is concluded that these results are in line with the notion that metabolic cost can be an optimization criterion used to set postural control and as such could account for the magnitude of naturally occurring postural sway in healthy individuals, although the pathway remains to be elucidated.

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Center of pressure-based postural sway differences on parallel and single leg stance in Olympic deaf basketball and volleyball players

Journal of Exercise Rehabilitation ◽

10.12965/jer.2142558.279 ◽

2021 ◽

Vol 17 (6) ◽

pp. 418-427

Author(s):

Yücel Makaracı ◽

Recep Soslu ◽

Ömer Özer ◽

Abdullah Uysal

Keyword(s):

Postural Control ◽

Postural Stability ◽

Postural Sway ◽

Center Of Pressure ◽

Force Plate ◽

Basketball Players ◽

Male Athletes ◽

Significant Difference ◽

Single Leg Stance ◽

Volleyball Players

In sports such as basketball and volleyball, loss of balance due to the inability to maintain body stability and lack of postural control adversely affect athletic performance. Deaf athletes appear to struggle with balance and postural stability problems. The purpose of this study was to examine postural sway values in parallel and single leg stance of Olympic deaf basketball and volleyball players and reveal differences between the branches. Twenty-three male athletes from the Turkish national deaf basketball (n= 11) and volleyball (n= 12) teams participated in the study. After anthropometric measurements, the subjects completed postural sway (PS) tests in parallel/single leg stances with open eyes and closed eyes on a force plate. PS parameters (sway path, velocity, and area) obtained from the device software were used for the statistical analysis. The Mann-Whitney U-test was used to compare differences in PS parameters between basketball and volleyball players, and the alpha value was accepted as 0.05. Volleyball players had significantly better results in parallel stance and dominant leg PS values than basketball players (P<0.05). There was no significant difference between the groups in nondominant leg PS values (P>0.05). We think that proprioceptive and vestibular system enhancing training practices to be performed with stability exercises will be beneficial in terms of both promoting functional stability and interlimb coordination. Trainers and strength coaches should be aware of differences in the postural control mechanism of deaf athletes.

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Postural and Head Control Given Different Environmental Contexts

Frontiers in Neurology ◽

10.3389/fneur.2021.597404 ◽

2021 ◽

Vol 12 ◽

Author(s):

Anat V. Lubetzky ◽

Jennifer L. Kelly ◽

Bryan D. Hujsak ◽

Jenny Liu ◽

Daphna Harel ◽

...

Keyword(s):

Postural Control ◽

Postural Sway ◽

Center Of Pressure ◽

Force Plate ◽

Small Sample ◽

Head Kinematics ◽

City Environment ◽

Head Mounted Displays ◽

Control Balance ◽

The City

Virtual reality allows for testing of multisensory integration for balance using portable Head Mounted Displays (HMDs). HMDs provide head kinematics data while showing a moving scene when participants are not. Are HMDs useful to investigate postural control? We used an HMD to investigate postural sway and head kinematics changes in response to auditory and visual perturbations and whether this response varies by context. We tested 25 healthy adults, and a small sample of people with diverse monaural hearing (n = 7), or unilateral vestibular dysfunction (n = 7). Participants stood naturally on a stable force-plate and looked at 2 environments via the Oculus Rift (abstract “stars;” busy “street”) with 3 visual and auditory levels (static, “low,” “high”). We quantified medio-lateral (ML) and anterior-posterior (AP) postural sway path from the center-of-pressure data and ML, AP, pitch, yaw and roll head path from the headset. We found no difference between the different combinations of “low” and “high” visuals and sounds. We then combined all perturbations data into “dynamic” and compared it to the static level. The increase in path between “static” and “dynamic” was significantly larger in the city environment for: Postural sway ML, Head ML, AP, pitch and roll. The majority of the vestibular group moved more than controls, particularly around the head, when the scenes, especially the city, were dynamic. Several patients with monaural hearing performed similar to controls whereas others, particularly older participants, performed worse. In conclusion, responses to sensory perturbations are magnified around the head. Significant differences in performance between environments support the importance of context in sensory integration. Future studies should further investigate the sensitivity of head kinematics to diagnose vestibular disorders and the implications of aging with hearing loss to postural control. Balance assessment and rehabilitation should be conducted in different environmental contexts.

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