scholarly journals Static postural control assessment during pregnancy

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Ana Silvia Moccellin ◽  
Fernanda G. S. A. Nora ◽  
Paula H. L. Costa ◽  
Patricia Driusso

<p>The hormonal and anatomic changes during pregnancy affect the musculoskeletal system and may lead to instability of static postural control and increased risk of falls. The aim of this study was to analyze changes in static postural control during the three trimesters of pregnancy, using variables derived from the center of pressure. This is a descriptive study in which posturographic tests were applied in four still standing positions, for three trials, with a combination of different visual conditions (eyes open - EO/eyes closed - EC) and support base configurations on 20 non-pregnant women (C) and 13 pregnant women during the gestational period (G1, G2 and G3). For static postural control assessment, a force plate (Bertec®) was used, and the variables analyzed were statokinesigram area, displacement amplitude, displacement velocity and sway frequency. The results demonstrate that, early in pregnancy, the woman's body seems to already change postural control, probably due to increased mobility of the sacroiliac joint and pubic symphysis caused by hormonal factors, and during the trimesters there is a decrease in postural stability, observed as an increase in the elliptical areas, amplitudes of center of pressure displacement and velocity of center of pressure displacement.</p>

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Ana Silvia Moccellin ◽  
Fernanda G. S. A. Nora ◽  
Paula H. L. Costa ◽  
Patricia Driusso

The hormonal and anatomic changes during pregnancy affect the musculoskeletal system and may lead to instability of static postural control and increased risk of falls. The aim of this study was to analyze changes in static postural control during the three trimesters of pregnancy, using variables derived from the center of pressure. This is a descriptive study in which posturographic tests were applied in four still standing positions, for three trials, with a combination of different visual conditions (eyes open - EO/eyes closed - EC) and support base configurations on 20 non-pregnant women (C) and 13 pregnant women during the gestational period (G1, G2 and G3). For static postural control assessment, a force plate (Bertec®) was used, and the variables analyzed were statokinesigram area, displacement amplitude, displacement velocity and sway frequency. The results demonstrate that, early in pregnancy, the woman's body seems to already change postural control, probably due to increased mobility of the sacroiliac joint and pubic symphysis caused by hormonal factors, and during the trimesters there is a decrease in postural stability, observed as an increase in the elliptical areas, amplitudes of center of pressure displacement and velocity of center of pressure displacement.


2019 ◽  
Vol 10 (1) ◽  
pp. 1 ◽  
Author(s):  
Felix Wachholz ◽  
Federico Tiribello ◽  
Arunee Promsri ◽  
Peter Federolf

Dual-tasking charges the sensorimotor system with performing two tasks simultaneously. Center of pressure (COP) analysis reveals the postural control that is altered during dual-tasking, but may not reveal the underlying neural mechanisms. In the current study, we hypothesized that the minimal intervention principle (MIP) provides a concept by which dual-tasking effects on the organization and prioritization of postural control can be predicted. Postural movements of 23 adolescents (age 12.7 ± 1.3; 8 females) and 15 adults (26.9 ± 2.3) were measured in a bipedal stance with eyes open, eyes closed and eyes open while performing a dual-task using a force plate and 39 reflective markers. COP data was analyzed by calculating the mean velocity, standard deviation and amplitude of displacement. Kinematic data was examined by performing a principal component analysis (PCA) and extracting postural movement components. Two variables were determined to investigate changes in amplitude (aVark) and in control (Nk) of the principal movement components. Results in aVark and in Nk agreed well with the predicted dual-tasking effects. Thus, the current study corroborates the notion that the MIP should be considered when investigating postural control under dual-tasking conditions.


2016 ◽  
Vol 33 (3) ◽  
pp. 271-282 ◽  
Author(s):  
Matthew J. Leineweber ◽  
Dominik Wyss ◽  
Sophie-Krystale Dufour ◽  
Claire Gane ◽  
Karl Zabjek ◽  
...  

This study evaluated the effects of intense physical exercise on postural stability of children with cerebral palsy (CP). Center of pressure (CoP) was measured in 9 typically developing (TD) children and 8 with CP before and after a maximal aerobic shuttle-run test (SRT) using a single force plate. Anteroposterior and mediolateral sway velocities, sway area, and sway regularity were calculated from the CoP data and compared between pre- and postexercise levels and between groups. Children with CP demonstrated significantly higher pre-SRT CoP velocities than TD children in the sagittal (18.6 ± 7.6 vs. 6.75 1.78 m/s) and frontal planes (15.4 ± 5.3 vs. 8.04 ± 1.51 m/s). Post-SRT, CoP velocities significantly increased for children with CP in the sagittal plane (27.0 ± 1.2 m/s), with near-significant increases in the frontal plane (25.0 ± 1.5m/s). Similarly, children with CP evidenced larger sway areas than the TD children both pre- and postexercise. The diminished postural stability in children with CP after short but intense physical exercise may have important implications including increased risk of falls and injury.


2018 ◽  
Vol 30 (01) ◽  
pp. 1850014
Author(s):  
Chu-Fen Chang ◽  
Hui-Ji Fan ◽  
Hung-Bin Chen ◽  
Houu-Wooi Lim ◽  
Hsiao-Yuan Lee ◽  
...  

The aim of this study was to investigate the immediate effect of wearing the functional insoles with different slopes of forefoot wedges on postural stability in young adults during quiet stance. In this study, the functional insole was composed of a forefoot wedge and a medial arch support. Twelve healthy young adults (six males and six females) participated. Each subject wore sneakers with and without functional insole and stood as still as possible on a force plate with feet together, arms by side and head facing ahead for 60[Formula: see text]s, while eyes open and eyes closed, respectively. The functional insole was applied in the random sequence of no insole, wearing insole with a medial arch and a four-degree forefoot wedge, as well as wearing insole with a medial arch and an eight-degree forefoot wedge. The sway areas as well as the maximal excursions of the center of pressure (COP) in anterior–posterior (AP) and medial–lateral (ML) directions were used to evaluate the static postural stability. During stance with feet together and eyes closed, the sway area and maximal excursion of the COP in the AP direction were significantly decreased when wearing an eight-degree forefoot wedge functional insole. Since the reduced displacements of the COP indicated better postural control, it was suggested that the functional insole with an eight-degree forefoot wedge and a medial arch support might be beneficial to improve the postural stability in patients with impaired balance control, especially for whom having high risk of forward falls.


Sensors ◽  
2020 ◽  
Vol 20 (13) ◽  
pp. 3731
Author(s):  
Magdalena Cyma-Wejchenig ◽  
Jacek Tarnas ◽  
Katarzyna Marciniak ◽  
Rafał Stemplewski

The aim of the study was to assess the impact of proprioceptive training with the use of virtual reality (VR) on the level of postural stability of high–altitude workers. Twenty-one men working at height were randomly assigned to the experimental group (EG) with training (n = 10) and control group (CG) without training (n = 11). Path length of the displacement of the center of pressure (COP) signal and its components in the anteroposterior and medial–lateral directions were measured with use of an AccuGaitTM force plate before and after intervention (6 weeks, 2 sessions × 30 min a week). Tests were performed at two different platform heights, with or without eyes open and with or without a dual task. Two–way ANOVA revealed statistically significant interaction effects for low–high threat, eyes open-eyes closed, and single task-dual task. Post-training values of average COP length were significantly lower in the EG than before training for all analyzed parameters. Based on these results, it can be concluded that the use of proprioceptive training with use of VR can support, or even replace, traditional methods of balance training.


2021 ◽  
Vol 4 (1) ◽  
pp. 013-022
Author(s):  
Blanchet Mariève ◽  
Prince François ◽  
Lemay Martin ◽  
Chouinard Sylvain ◽  
Messier Julie

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.


Author(s):  
Bożena Wojciechowska-Maszkowska ◽  
Dorota Borzucka

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.


Sports ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. 89
Author(s):  
Albina Andreeva ◽  
Andrey Melnikov ◽  
Dmitry Skvortsov ◽  
Kadriya Akhmerova ◽  
Alexander Vavaev ◽  
...  

The effects of different factors—such as age, sex, performance level, and athletic shoe features—on postural balance in athletes remain unclear. The main objective of our study is to identify the features of postural stability in athletes of different age, sex, performance level, and using different types of athletic shoes. This study assessed postural stability in athletes (n = 936, 6–47 years) in a normal bipedal stance with eyes open (EO) and eyes closed (EC). Postural stability was evaluated based on the center of pressure (COP), sway area (AS), and velocity (VCP) while standing on a stabiloplatform. Children (6–12 years) and teen athletes (13–17 years) showed reduced AS-EO (p < 0.01) and VCP-EO (p < 0.01) compared to control (n = 225, 7–30 years). In male and female athletes aged 18+, only VCP-EC was lower versus control. In females (13–17 and 18+), VCP-EO and EC were lower than in males (p < 0.05). Only in the Shooting group, the athletes’ performance levels had an effect on VCP-EO (p = 0.020). Long use of rigid athletic shoes with stiff ankle support was associated with reduced posture stability. Postural stability in athletes was mostly influenced by the athlete‘s age, and, to a lesser extent, by their sex, performance level, and athlete shoe features.


Scientifica ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Hossein Talebi ◽  
Mohammad Taghi Karimi ◽  
Seyed Hamid Reza Abtahi ◽  
Niloofar Fereshtenejad

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.


2021 ◽  
Vol 17 (6) ◽  
pp. 418-427
Author(s):  
Yücel Makaracı ◽  
Recep Soslu ◽  
Ömer Özer ◽  
Abdullah Uysal

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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