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

Author(s):  
I-Lin Wang ◽  
Li-I Wang ◽  
Yang Liu ◽  
Shi-Jie Xue ◽  
Rui Hu ◽  
...  

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.

Author(s):  
I-Lin Wang ◽  
Li-I Wang ◽  
Yang Liu ◽  
Yu Su ◽  
Shun Yao ◽  
...  

Balance control with an upright posture is affected by many factors. This study was undertaken to investigate the effects of real-time visual feedback training, provided by smart wearable devices for COP changes for healthy females, on static stance. Thirty healthy female college students were randomly divided into three groups (visual feedback balance training group, non-visual feedback balance training group, and control group). Enhanced visual feedback on the screen appeared in different directions, in the form of fluctuations; the visual feedback balance training group received real-time visual feedback from the Podoon APP for training, while the non-visual feedback balance training group only performed an open-eye balance, without receiving real-time visual feedback. The control group did not do any balance training. The balance training lasted 4 weeks, three times a week for 30 min each time with 1–2 day intervals. After four weeks of balance training, the results showed that the stability of human posture control improved for the one leg static stance for the visual feedback balance training group with smart wearable devices. The parameters of COP max displacement, COP velocity, COP radius, and COP area in the visual feedback balance training group were significantly decreased in the one leg stance (p < 0.05). The results showed that the COP real-time visual feedback training provided by smart wearable devices can better reduce postural sway and improve body balance ability than general training, when standing quietly.


Author(s):  
I-Lin Wang ◽  
Li-I Wang ◽  
Yang Liu ◽  
Shi-Jie Xue ◽  
Rui Hu ◽  
...  

This study aims to explore the effect of real-time visual feedback (VF) information of the pres-sure of center (COP) provided by intelligent insoles on balance training in a one leg stance (OLS) and tandem stance (TS) posture. Thirty healthy female college students were randomly assigned to the visual feedback balance training group (VFT), non-visual feedback balance training group (NVFT), and control group (CG). The balance training includes: OLS, tandem Stance (dominant leg behind, TSDL), tandem stance (non-dominant leg behind, TSNDL). The training lasted 4 weeks, the training lasts 30 minutes at an interval of 1 days. There was a sig-nificant difference in the interaction effect between Groups*Times of the COP parameters (p&lt;0.05) for OLS. There was no significant difference in the interaction effect between Groups*Times of the COP parameters (p&gt;0.05) for TS. The main effect of the COP parameters was a significant difference in Times (p&lt;0.05). The COP displacement, velocity, radius, and area in VFT significantly decreased after training (p &lt; 0.05). Therefore, the visual feedback technology of intelligent auxiliary equipment during balance training can enhance the benefit of training. The use of smart wearable devices in OLS balance training may improve the visual and physical balance integration ability.


Author(s):  
Stefano Vando ◽  
Stefano Longo ◽  
Luca Cavaggioni ◽  
Lucio Maurino ◽  
Alin Larion ◽  
...  

The aim of this study was to assess the efficacy of using real-time visual feedback (VF) during a one-week balance training intervention on postural sway parameters in young karatekas. Twenty-six young male karatekas (age = 14.0 ± 2.3 years) were randomly divided into two groups: real-time VF training (VFT; n = 14) and control (CTRL; n = 12). Their center of pressure (COP) displacement (path length, COPpl; distance from origin, COPod) was assessed pre- and post-training on a Wii Balance Board platform in two positions (Flex: knee of the supporting leg slightly bent, maximum hip and leg flexion of the other leg; Kick: knee of the supporting leg slightly bent, mawashi-geri posture for the kicking leg). Both groups trained twice a day for seven days, performing a one-legged stance on the non-dominant limb in the Kick position. During the training, VFT received real-time VF of COP displacement, while CTRL looked at a fixed point. No interaction effect was found (p > 0.05). VFT exhibited greater changes pre- and post-training in Flex COPpl (−25.2%, g = 1.5), Kick COPpl (−24.1%, g = 1.3), and Kick COPod (−44.1%, g = 1.0) compared to CTRL (−0.9–−13.0%, g-range: 0.1–0.7). It is possible that superimposing real-time VF to a week-long balance training intervention could induce a greater sport-specific balance-training effect in young karatekas.


2020 ◽  
Author(s):  
I-Lin Wang ◽  
Li-I Wang ◽  
Shi-Jie Xue ◽  
Rui Hu ◽  
Yu Su ◽  
...  

Abstract Background: The body maintains stability by integrating inputs from the central nervous system of vision, hearing, proprioception, and multiple senses. With the development of smart wearable devices, smart wearable devices can provide real-time center of pressure (COP) position-assisted balance control, which is beneficial to maintain physical balance.Methods: Forty healthy college students (20 male-20 female) participated in this study, and the posture balance actions of left-leg stance non-visual feedback, left -leg stance visual feedback, right-leg stance non-visual feedback, and right-leg stance visual feedback are performed. Visual feedback provides smart insoles matching Podoon APP on a tablet computer with the COP position displayed by a dot as real-time visual feedback. A mixed-design two-way ANOVA was performed and included the study.Results: The experimental results show that the displacement, velocity, radius, and area of the COP decreased significantly in the left-leg stance visual feedback/right-leg stance visual feedback, the test compared with the parameters in the eft-leg stance non-visual feedback/right-leg stance non-visual feedback (P < 0.05). Providing visual feedback through intelligent insoles can reduce the movement of the center of mass (COM) and maintain physical stability for healthy young people of different genders. In the one leg visual/non-visual in standing, the COP maximum anteroposterior displacement, COP anteroposterior velocity, COP radius, and COP area of women are significantly decreased than men (P < 0.05). Women have better real-time balance control ability than men with smart insoles.Conclusion: The simple intelligent wearable assisted devices can immediately increase the control ability in static stance of men and women, and women have better real-time balance control ability than men.


2021 ◽  
Vol 23 (1) ◽  
Author(s):  
I-Lin Wang ◽  
Li-I Wang ◽  
Shi-Jie Xue ◽  
Rui Hu ◽  
Rong-Jiun Jian ◽  
...  

Purpose: The body maintains stability by integrating inputs from the central nervous system of vision, hearing, proprioception, and multiple senses. With the development of smart wearable devices, smart wearable devices can provide real-time center of pressure position-assisted balance control, which is beneficial to maintain physical balance. Methods: Forty healthy college students (20 male, 20 female) participated in this study, and the posture balance actions of left-leg stance non-visual feedback, left-leg stance visual feedback, right-leg stance non-visual feedback, and right-leg stance visual feedback were performed. Visual feedback provided smart insoles matching Podoon APP on a tablet computer with the COP position displayed by a dot as real-time visual feedback. Results: The experimental results show that the displacement, velocity, radius, and area of the COP decreased significantly in the left-leg stance visual feedback/right-leg stance visual feedback, the test compared the parameters in the left-leg stance non-visual feedback/right-leg stance nonvisual feedback (P < 0.05). Providing visual feedback through intelligent insoles can reduce the movement of the center of mass and maintain physical stability for healthy young people of different genders. In the one leg visual/non-visual in standing, the COP maximum anteroposterior displacement, COP anteroposterior velocity, COP radius, and COP area in women are significantly smaller than in men (P < 0.05). Women have better real-time balance control ability than men with smart insoles. Conclusions: The simple intelligent wearable assisted devices can immediately increase the control ability in static stance of men and women, and women have better real-time balance control ability than men.


2020 ◽  
Vol 10 (22) ◽  
pp. 8269
Author(s):  
Tobias T. Tauböck ◽  
Matej Par ◽  
Thomas Attin ◽  
Phoebe Burrer

The present study investigated the effectiveness of employing a patient simulator with an integrated visual feedback mechanism to improve the light-curing skills of dental students. A total of 44 third-year dental students were randomly divided into a control group (n = 22) and a training group (n = 22). Both groups light-cured a simulated restoration in tooth 27 in a patient simulator (MARC Patient Simulator, BlueLight Analytics, Halifax, Canada) by using the same curing device for 10 s. Delivered irradiances were recorded in real time by the built-in spectrophotometer. After measuring the baseline irradiances for both groups, the training group received detailed light-curing instructions and hands-on training with immediate visual feedback using the patient simulator. The irradiance of the training group was re-measured after the training. Both groups then attended a 26-day preclinical course, which involved placing 30 composite restorations. Upon completion of this course, the light-curing performance of both groups was re-assessed. The data were statistically analyzed using the Wilcoxon signed-rank test, Friedman’s ANOVA, and the Mann-Whitney U-test at an overall level of significance of α = 0.05. At baseline, the control and the training group delivered statistically similar irradiances with similar data scattering. In the training group, data scattering was considerably reduced after the hands-on training with the patient simulator. After the 26-day preclinical course, the irradiance of the training group was significantly higher and considerably less scattered compared to the control group. In conclusion, training with the patient simulator improved the light-curing performance of the dental students, mainly by helping them to deliver light energy more consistently.


2000 ◽  
Vol 80 (9) ◽  
pp. 886-895 ◽  
Author(s):  
Catherine Walker ◽  
Brenda J Brouwer ◽  
Elsie G Culham

Abstract Background and Purpose. Visual feedback related to weight distribution and center-of-pressure positioning has been shown to be effective in increasing stance symmetry following stroke, although it is not clear whether functional balance ability also improves. This study compared the relative effectiveness of visual feedback training of center-of-gravity (CoG) positioning with conventional physical therapy following acute stroke. Subjects. Forty-six people who had strokes within 80 days before the study, resulting in unilateral hemiparesis, and who were in need of balance retraining participated. Methods and Materials. Initially, subjects were randomly assigned to visual feedback or conventional physical therapy groups for balance retraining until 16 subjects per group were recruited. The next 14 subjects were assigned to a control group. All subjects received physical therapy and occupational therapy (regular therapy) 2 hours a day, and subjects in the 2 experimental groups received additional balance training 30 minutes a day until discharge. The visual feedback group received information about their CoG position as they shifted their weight during various activities. The conventional therapy group received verbal and tactile cues to encourage symmetrical stance and weight shifting. Static (postural sway) and activity-based measures of balance (Berg Balance Scale, gait speed, and the Timed “Up & Go” Test) were contrasted across the 3 groups at baseline, at discharge, and at 1 month following discharge using an analysis of variance for repeated measures. Results. All groups demonstrated marked improvement over time for all measures of balance ability, with the greatest improvements occurring in the period from baseline to discharge. No between-group differences were detected in any of the outcome measures. Conclusion and Discussion. Visual feedback or conventional balance training in addition to regular therapy affords no added benefit when offered in the early stages of rehabilitation following stroke.


2021 ◽  
Vol 15 ◽  
Author(s):  
Katharina Fuchs ◽  
Thomas Krauskopf ◽  
Torben B. Lauck ◽  
Lukas Klein ◽  
Marc Mueller ◽  
...  

Patients with a lower limb amputation rely more on visual feedback to maintain balance than able-bodied individuals. Altering this sensory modality in amputees thus results in a disrupted postural control. However, little is known about how lower limb amputees cope with augmented visual information during balance tasks. In this study, we investigated how unilateral transfemoral amputees incorporate visual feedback of their center of pressure (CoP) position during quiet standing. Ten transfemoral amputees and ten age-matched able-bodied participants were provided with real-time visual feedback of the position of their CoP while standing on a pressure platform. Their task was to keep their CoP within a small circle in the center of a computer screen placed at eye level, which could be achieved by minimizing their postural sway. The visual feedback was then delayed by 250 and 500 ms and was combined with a two- and five-fold amplification of the CoP displacements. Trials with eyes open without augmented visual feedback as well as with eyes closed were further performed. The overall performance was measured by computing the sway area. We further quantified the dynamics of the CoP adjustments using the entropic half-life (EnHL) to study possible physiological mechanisms behind postural control. Amputees showed an increased sway area compared to the control group. The EnHL values of the amputated leg were significantly higher than those of the intact leg and the dominant and non-dominant leg of controls. This indicates lower dynamics in the CoP adjustments of the amputated leg, which was compensated by increasing the dynamics of the CoP adjustments of the intact leg. Receiving real-time visual feedback of the CoP position did not significantly reduce the sway area neither in amputees nor in controls when comparing with the eyes open condition without visual feedback of the CoP position. Further, with increasing delay and amplification, both groups were able to compensate for small visual perturbations, yet their dynamics were significantly lower when additional information was not received in a physiologically relevant time frame. These findings may be used for future design of neurorehabilitation programs to restore sensory feedback in lower limb amputees.


2019 ◽  
Vol 1 (2) ◽  
pp. 16-22
Author(s):  
Nondang Purnama Siregar ◽  
Santosa Santosa ◽  
Nur Arfian

The incidence of injuries in the sport of basketball was ranked third after football and handball. Basketball is the learning materials required in junior high school through the physical education lesson. Balance training program as an effort to prevent the occurrence of the injury shown to reduce postural sway, increase muscle strength and improve balance strategy. The objectives of the research was to assess the effect of Vladimir Janda balance training method against the risk of injury to the male students at SMP Negeri 15 Medan, Indonesia. The research used quasi-experimental study with nonrandomized control group pretest posttest design. The subjects were male students aged 12-15 years who follow basketball extracurricular. Each group consisted 11 male students. Subject exercise basketball 2 times a week for 50 minutes. Vladimir Janda balance training method performed for 5 weeks and consists of 5 phases. Phase I- IV carried out 5 times a week, while Phase V is done 3 times a week and each session lasted 10 minutes. Postural sway measured by posturometer. Body part discomfort was measured by Nordic Body Map (NBM) questionnaires. The statistical test used was the Independent t-test. There is a decrease in the frequency of postural sway of the right foot(61%) between exercise and control group, musculoskeletal pain has decreased but not statistically significant.


2013 ◽  
Vol 48 (5) ◽  
pp. 590-600 ◽  
Author(s):  
Styliani I. Spiliopoulou ◽  
Ioannis G. Amiridis ◽  
Georgios Tsigganos ◽  
Vassilia Hatzitaki

Context: Side-alternating vibration (SAV) may help reduce the risk of falling by improving body balance control. Such training has been promoted as a strength-training intervention because it can increase muscle activation through an augmented excitatory input from the muscle spindles. Objective: To determine the effect of SAV training on static balance during 3 postural tasks of increasing difficulty and lower limb strength. Design: Randomized controlled clinical trial. Setting: Laboratory. Patients or Other Participants: A total of 21 healthy women were divided into training (n = 11; age = 43.35 ± 4.12 years, height = 169 ± 6.60 cm, mass = 68.33 ± 11.90 kg) and control (n = 10; age = 42.31 ± 3.73 years, height = 167 ± 4.32 cm, mass = 66.29 ± 10.74 kg) groups. Intervention(s): The training group completed a 9-week program during which participants performed 3 sessions per week of ten 15-second isometric contractions with a 30-second active rest of 3 exercises (half-squat, wide-stance squat, 1-legged half-squat) on an SAV plate (acceleration = 0.91–16.3g). The control group did not participate in any form of exercise over the 9-week period. Main Outcome Measure(s): We evaluated isokinetic and isometric strength of the knee extensors and flexors and ankle plantar flexors, dorsiflexors, and evertors. Static balance was assessed using 3 tasks of increasing difficulty (quiet bipedal stance, tandem stance, 1-legged stance). The electromyographic activity of the vastus lateralis, semitendinosus, medial gastrocnemius, tibialis anterior, and peroneus longus was recorded during postural task performance, baseline and pretraining, immediately posttraining, and 15 days posttraining. Results: After training in the training group, ankle muscle strength improved (P = .03), whereas knee muscle strength remained unaltered (P = .13). Improved ankle-evertor strength was observed at all angular velocities (P = .001). Postural sway decreased in both directions but was greater in the mediolateral (P &lt; .001) than anteroposterior (P = .02) direction. The electromyographic activity of the peroneus longus increased during the sharpened tandem (P = .001) and 1-legged tasks (P = .007). No changes were seen in the control group for any measures. Conclusions: The SAV training could enhance ankle muscle strength and reduce postural sway during static balance performance. The reduction in mediolateral sway could be associated with the greater use of ankle evertors due to their strength improvement.


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