scholarly journals Postural and Head Control Given Different Environmental Contexts

2021 ◽  
Vol 12 ◽  
Author(s):  
Anat V. Lubetzky ◽  
Jennifer L. Kelly ◽  
Bryan D. Hujsak ◽  
Jenny Liu ◽  
Daphna Harel ◽  
...  

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.

Author(s):  
Elżbieta Piątek ◽  
Michał Kuczyński ◽  
Bożena Ostrowska

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.


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.


2019 ◽  
Vol 28 (8) ◽  
pp. 840-846 ◽  
Author(s):  
Jessica Ferreira ◽  
André Bebiano ◽  
Daniel Raro ◽  
João Martins ◽  
Anabela G. Silva

Context: Sliding and tensioning neural mobilization are used to restore normal function of the nervous system, but they impose different stresses on it. Particularly, sliding induces greater nerve excursion than tensioning. Conceivably, they might impact nervous system function differently. Objective: To compare the effects of tensioning neural mobilization versus sliding neural mobilization of the dominant lower limb on static postural control and hop testing. Design: Randomized, parallel and double blinded trial. Setting/Participants: Thirty-seven football players. Intervention(s): Participants were randomized into 2 groups: sliding neural mobilization (n = 18) or tensioning neural mobilization (n = 19) targeting the tibial nerve. Main Outcome Measures: Static postural sway was assessed with a force plate and functional performance with hop tests. Measurements were taken at baseline, after the intervention, and at 30-minute follow-up. Results: There was a significant effect of time for the center of pressure total displacement and velocity (P < .05), for the single-leg hop test (P < .05), the 6-m timed hop test (P < .05), and the cross-over hop test (P < .05), but no significant effect of the intervention. Conclusions: Sliding and tensioning neural mobilization improved postural control and hop testing in football players, and improvements remained 30 minutes after the intervention. Additional research examining the influence of neural mobilization on sensory motor impairments, postural control, and functional performance is needed.


Author(s):  
Dorota Borzucka ◽  
Krzysztof Kręcisz ◽  
Zbigniew Rektor ◽  
Michał Kuczyński

Abstract Background The aim of this study was to compare the postural control of the Poland national women’s volleyball team players with a control group of non-training young women. It was hypothesized that volleyball players use a specific balance control strategy due to the high motor requirements of their team sport. Methods Static postural sway variables were measured in 31 athletes and 31 non-training women. Participants were standing on a force plate with eyes open, and their center of pressure signals were recorded for the 20s with the sampling rate of 20 Hz in the medial-lateral (ML) and anterior-posterior (AP) planes. Results In both AP and ML planes, athletes had lower range and higher fractal dimension of the COP. They had also higher peak frequency than control group in the ML plane only. The remaining COP indices including variability, mean velocity and mean frequency did not display any intergroup differences. Conclusion It can be assumed that due to the high motor requirements of their sport discipline Polish female volleyball players have developed a unique posture control. On the court they have to distribute their sensory resources optimally between balance control and actions resulting from the specifics of the volleyball game. There are no clearly defined criteria for optimal postural strategies for elite athletes, but they rather vary depending on a given sport. The results of our research confirm this claim. Trial registration The tests were previously approved by the Bioethical Commission of the Chamber of Physicians in Opole. (Resolution No. 151/13.12.2007). This study adheres to the CONSORT guidelines.


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Omid Rasouli ◽  
Egil A. Fors ◽  
Ottar Vasseljen ◽  
Ann-Katrin Stensdotter

Background and Objectives. Cognitive complaints are common in fibromyalgia (FM) and chronic fatigue syndrome (CFS). Fatigue as well as pain may require greater effort to perform cognitive tasks, thereby increasing the load on processing in the central nervous system and interfering with motor control.Methods. The effect of a concurrent arithmetic cognitive task on postural control during quiet standing was investigated in 75 women (aged 19–49 years) and compared between FM, CFS, and matched controls (n=25/group). Quiet standing on a force plate was performed for 60 s/condition, with and without a concurrent cognitive task. The center of pressure data was decomposed into a slow component and a fast component representing postural sway and adjusting ankle torque.Results. Compared to controls, CFS and FM displayed lower frequency in the slow component (p<0.001), and CFS displayed greater amplitude in the slow (p=0.038andp=0.018) and fast (p=0.045) components. There were no interactions indicating different responses to the added cognitive task between any of the three groups.Conclusion. Patients displayed insufficient postural control across both conditions, while the concurrent cognitive task did not perturb quiet standing. Fatigue but not pain correlated with postural control variables.


2020 ◽  
Author(s):  
Brian Sylcott ◽  
Chia-Cheng Lin ◽  
Keith Williams ◽  
Mark Hinderaker

BACKGROUND Accurately measuring postural sway is an important part of balance assessment and rehabilitation. While force plates give accurate measurements, their cost and space requirements make their use impractical in many situations. OBJECTIVE The work presented here is aimed at addressing this issue by validating a virtual reality (VR) headset as a relatively low-cost alternative for postural sway measurement. The HTC Vive (VR) headset has built-in sensors that allow for position and orientation tracking making it a potentially effective tool for balance assessments. METHODS Participants in this study were asked to stand upright on a force plate (Neurocom platform) while wearing the HTC ViveTM. Position data was collected from the headset and force plate simultaneously as participants experienced a custom-built VR environment that covered their entire field of view. The Intraclass Correlation Coefficient (ICC) was used to examined the test-retest reliability on the postural control variables, including normalized path length (NPL), root-mean-square (RMS), and peak-to-peak (P2P), computed from the VR position output and the center of pressure (COP) data from the force plate. Liner regression were used to investigate the correlation between the VR and force plate measurements. RESULTS Results showed that the test-retest reliability of VR headset was similar to COP in RMS and P2P, ranging from .285 to .636 in VR and .228 to .759. Linear regression between VR and COP measures showed significant correlation in RMS and P2P. CONCLUSIONS Based on our results, the VR headset has potential for use in postural control measurements. However, further development of software and testing protocols for balance assessments is needed.


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 29 (2) ◽  
pp. 174-178
Author(s):  
Kelly M. Meiners ◽  
Janice K. Loudon

Purpose/Background: Various methods are available for assessment of static and dynamic postural stability. The primary purpose of this study was to investigate the relationship between dynamic postural stability as measured by the Star Excursion Balance Test (SEBT) and static postural sway assessment as measured by the TechnoBody™ Pro-Kin in female soccer players. A secondary purpose was to determine side-to-side symmetry in this cohort. Methods: A total of 18 female soccer players completed testing on the SEBT and Technobody™ Pro-Kin balance device. Outcome measures were anterior, posterior medial, and posterior lateral reaches from the SEBT and center of pressure in the x- and y-axes as well as SD of movement in the forward/backward and medial/lateral directions from the force plate on left and right legs. Bivariate correlations were determined between the 8 measures. In addition, paired Wilcoxon signed-rank tests were performed to determine similarity between limb scores. Results: All measures on both the SEBT and postural sway assessment were significantly correlated when comparing dominant with nondominant lower-extremities with the exception of SD of movement in both x- and y-axes. When correlating results of the SEBT with postural sway assessment, a significant correlation was found between the SEBT right lower-extremity posterior lateral reach (r = .567, P < .05) and summed SEBT (r = .486, P < .05) and the center of pressure in the y-axis. A significant correlation was also found on the left lower-extremity, with SD of forward/backward movement and SEBT posterior medial reach (r = −.511, P < .05). Conclusions: Dynamic postural tests and static postural tests provide different information to the overall assessment of balance in female soccer players. Relationship between variables differed based on the subject’s lower-extremity dominance.


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.


2020 ◽  
pp. 003151252094509
Author(s):  
Mark Walsh ◽  
Caroline Church ◽  
Audrey Hoffmeister ◽  
Dean Smith ◽  
Joshua Haworth

Measurements of postural sway are used to assess physiological changes due to therapy or sport training, or to describe group differences based on activity history or disease status. Portable force plates have been widely adopted for this purpose, leading us in this study to validate with linear and nonlinear metrics the posturographic data derived from both a portable plate (Natus) when compared to an in-ground plate (Bertec). Twenty participants stood on each plate for two trials each, with and without a foam perturbation and with and without eyes open on each surface. We calculated measures of path length, range, root mean squares, sample entropy, and correlation dimensions from center of pressure traces on each plate. An intraclass correlation coefficient across trials from each plate in each condition indicated satisfactory overall reliability (ICC consistency), supporting the use of either plate for postural sway research and interventions. Additionally, our results generally supported common validity (ICC absolute agreement), though, the specific degree of similarity differed for each of the tested metrics of postural sway, especially when considering whether or not data was filtered. For situations in which participants cannot visit a laboratory (e.g. performing athletes, community dwelling clinical patients, and virus risk concerns) an in-home portable force plate is a trusted and valuable data collection tool.


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