scholarly journals Influence of Visual Information and Sex on Postural Control in Children Aged 6–12 Years Assessed with Accelerometric Technology

Diagnostics ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. 637
Author(s):  
Jesús García-Liñeira ◽  
Raquel Leirós-Rodríguez ◽  
José Luis Chinchilla-Minguet ◽  
José Luis García-Soidán
Keyword(s):  
Postural Control ◽  
Visual Information ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Sensory Stimuli ◽  
Eyes Closed ◽  
Visual Inputs ◽  
Eyes Open ◽  
Three Body ◽  
Muscular Activation

The performance of postural control is believed to be linked to how children use available sensory stimuli to produce adequate muscular activation. Therefore, the aim of the present study was to thoroughly explore postural stability under normal conditions and without visual information in postural control in children aged 6–12 years during static single-leg support. A descriptive cross-sectional study was conducted with 316 children (girls = 158). The analyzed variables were the mean and maximum values obtained in each of the three body axes and their root mean square during two static single-leg support tests: one with eyes open and one with eyes closed. Girls showed lower magnitudes in the recorded accelerations at all ages and in all the variables of both tests. Accelerations during the tests showed progressively lower values from 6 to 12 years of age. The sex had a significant influence on the magnitude obtained in the accelerations recorded during the tests. Improvements in balance with increasing age were greater with visual information than without visual information. The tests of single-leg support showed preferential sensorimotor strategies in boys and girls: boys tend to rely more on visual inputs, and girls process somesthetic information in a preferential way.

Velocities and Accelerations of Body Parts during Standing: Association with Visual Information

2004 ◽  
Vol 13 (1) ◽  
pp. 31-43
Author(s):  
Pirjo Kejonen ◽  
Kari Kauranen ◽  
Ahti Niinimaa ◽  
Heikki Vanharanta
Keyword(s):  
Outcome Measures ◽  
Visual Information ◽  
Body Movement ◽  
Cross Sectional Study ◽  
The Body ◽  
Maximal Velocity ◽  
Body Parts ◽  
Cross Sectional ◽  
Eyes Closed ◽  
Eyes Open

Context:Balance evaluation and training are typically included in rehabilitation after sport injuries.Objective:To evaluate and compare the maximal velocities and accelerations of balancing movements during 2-leg stance with eyes open and closed. The effect of age on the measured values was also evaluated.Design:Cross-sectional study.Participants:100 healthy, randomly selected subjects (50 men, 50 women; age 31–80 years).Setting:Body-movement values were measured with the Mac Reflex motion-analysis system.Intervention:Subjects stood barefoot.Main Outcome Measures:ANOVAs were used to explain the body movements. The location of measurement, presence or absence of vision, and subjects’ age and gender were used as explanatory variables.Results:With eyes closed, all measured body parts had significantly higher maximal velocity and acceleration values than with eyes open. Age seemed to affect the acceleration values.Conclusion:Visual information was found to significantly influence movement values. Exercises should be done under various conditions to improve standing balance abilities.

scholarly journals Impact of Body Mass Index on Static Postural Control in Adults With and Without Diabetes: A Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Lianhua Yin ◽  
Jiawei Qin ◽  
Yannan Chen ◽  
Jinjin Xie ◽  
Cuiping Hong ◽  
...  
Keyword(s):  
Postural Control ◽  
Cross Sectional Study ◽  
Normal Weight ◽  
Healthy Controls ◽  
Control Parameters ◽  
Control Groups ◽  
Cross Sectional ◽  
Eyes Closed ◽  
Eyes Open ◽  
Healthy Control

AimThe objective of this research was to determine the static postural control differences measured from a force platform in Type 2 diabetes mellitus (T2DM) and healthy control groups with different levels of body mass index (BMI), and detect the static postural control difference between T2DM and healthy control groups stratified by different BMI category. This research also explored the relationship of BMI and static postural performance.MethodsWe recruited 706 participants with T2DM and 692 healthy controls who were sufficiently matched for age, gender, and BMI in this cross-sectional study. The participants were stratified into three groups by BMI: normal weight, overweight, and obesity. All participants performed two-legged static stance postural control assessment on a firm force platform. The Center of Pressure (CoP) parameters were collected under eyes-open and eyes-closed conditions. Mann–Whitney U test was used to compare the static postural control parameters within each BMI category in both groups. The static postural control parameters among different weight groups were compared by Kruskal–Wallis test, post hoc pair-wise comparison were conducted. Generalized linear model was conducted to examine the association between BMI and static postural control parameters while controlling for confounding factors.ResultsHealthy control group had statistical difference in most CoP parameters compared to T2DM group based on all BMI categories. Normal weight participants presented significant difference compared with overweight and/or obesity for total track length (TTL) and velocity of CoP displacements in Y direction (V-Y) under eyes-open condition, and for most CoP parameters under eyes-closed condition in both groups. There were statistically significant correlations between BMI and most static postural control parameters under only eyes-closed condition according to the result of generalized linear model.ConclusionT2DM patients had impaired static postural control performance compared to healthy controls at all BMI categories. The findings also indicated the association between BMI and static postural control, where higher BMI individuals showed more static postural instability in both T2DM and healthy controls.

Does Dual Motor Tasks Provokes Posture Adaptations in Healthy Young Adults? A Cross-sectional Study

2021 ◽  
Author(s):  
Carley Bowman ◽  
Aleena Jose ◽  
Martin G Rosario
Keyword(s):  
Young Adults ◽  
Postural Stability ◽  
Cross Sectional Study ◽  
P Value ◽  
Motor Tasks ◽  
Anova Analysis ◽  
Dual Tasks ◽  
Cross Sectional ◽  
Eyes Closed ◽  
Eyes Open

Introduction: Most studies on postural deviations during single and dual tasks have been extensively studied in neuromuscular and older adult populations. Nevertheless, further research is warranted to identify whether such tasks can impose postural adaptations in young, healthy adults without sensory impairments. Aim: To assess postural stability modifications in young adults during single tasks and dual motor tasks (holding a cup filled with water) while concomitantly challenging the sensory systems. Materials and Methods: This was the cross-sectional study on 82 young adults (18-45 years old) from Texas Woman’s University (TWU) Health Science Center in Dallas, Texas, and surrounding areas. Standing postural control was measured by collecting total sway, direction of sway and velocity in the Anterior-Posterior (AP) and Medial-Lateral (ML) directions during different balance tasks. For single and dual tasks, the tests were performed with a bipedal stance on foam involving challenging the sensory input via Eyes Open (EO), Eyes Closed (EC), and head movements with eyes open (EO HUD) and closed (EC HUD). The dual motor tasks were similar to the single tasks with the addition of holding a cup full of water to split attention. Data were placed into the Statistical Package for Social Sciences (SPSS) Data Analysis 25.0 system and were analysed for repeated measures Analysis of Variance (ANOVA) analysis. Results: Eighty-two healthy young adults participated in this study (mean age of 24.6±2.7 years, 13 males and 69 females). An ANOVA analysis revealed that postural stability was considerably altered during motor tasks. Sway in the Antero-Posterior (AP) direction, and velocity of sway increased as the complexity of the tasks intensified. A substantial difference in total sway during single tasks when eyes were closed compared to eyes open (p-value <0.01) was noted. There was a significant difference in total sway (AP and ML) during eyes open (EOM) to eyes closed (ECM) and during eyes open with head moving up and down (EOM HUD) (p-value 0.001). There were significant differences in mean AP velocity during EO (0.11±0.12) compared to EC HUD (0.19±0.15), and when comparing EOM (0.07±0.04) to ECM HUD (0.13±0.08) (p=0.01) Conclusion: This study identified postural changes when comparing single and dual tasks in healthy young adults, and the outcomes of this study showed definite distinctions in postural responses during single and dual motor tasks.

scholarly journals DIFFERENCES IN HIP MUSCLE STRENGTH AND STATIC BALANCE IN PATIENTS WITH TRANSFEMORAL AMPUTATIONS CLASSIFIED AT DIFFERENT K-LEVELS: A PRELIMINARY CROSS-SECTIONAL STUDY

2022 ◽  
Vol 5 (1) ◽  
Author(s):  
Stefanie John ◽  
Katja Orlowski ◽  
Kai-Uwe Mrkor ◽  
Jürgen Edelmann-Nusser ◽  
Kerstin Witte
Keyword(s):  
Muscle Strength ◽  
Cross Sectional Study ◽  
Static Balance ◽  
Residual Limb ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hip Strength ◽  
Eyes Closed ◽  
Hip Muscle ◽  
Eyes Open

BACKGROUND: Following amputation, patients with lower limb amputations (LLA) are classified into different functional mobility levels (K-levels) ranging from K0 (lowest) to K4 (highest). However, K-level classification is often based on subjective criteria. Objective measures that are able to differentiate between K-levels can help to enhance the objectivity of K-level classification. OBJECTIVE(S): The goal of this preliminary cross-sectional study was to investigate whether differences in hip muscle strength and balance parameters exist among patients with transfemoral amputations (TFA) assigned to different K-levels. METHODOLOGY: Twenty-two participants with unilateral TFA were recruited for this study, with four participants assigned to K1 or K2, six assigned to K3 and twelve assigned to K4. Maximum isometric hip strength of the residual limb was assessed in hip flexion, abduction, extension, and adduction using a custom-made diagnostic device. Static balance was investigated in the bipedal stance on a force plate in eyes open (EO) and eyes closed (EC) conditions. Kruskal-Wallis tests were used to evaluate differences between K-level groups. FINDINGS: Statistical analyses revealed no significant differences in the parameters between the three K-level groups (p>0.05). Descriptive analysis showed that all hip strength parameters differed among K-level groups showing an increase in maximum hip torque from K1/2-classified participants to those classified as K4. Group differences were also present in all balance parameters. Increased sway was observed in the K1/2 group compared to the K4 group, especially for the EC condition. CONCLUSION: Although not statistically significant, the magnitude of the differences indicates a distinction between K-level groups. These results suggest that residual limb strength and balance parameters may have the potential to be used as objective measures to assist K-level assignment for patients with TFA. This potential needs to be confirmed in future studies with a larger number of participants. Layman's Abstract Patients with lower limb amputation (LLA) are classified into different mobility levels, so-called K-levels, which are ranging from K0 (lowest) to K4 (highest). K-level classification is relevant for the patients as it determines the type of prosthetic components available. However, K-level can vary greatly based on the clinician or orthopedic technician individual assessment. Objective data from physical performance tests can help to improve K-level classification. Therefore, muscle strength tests of the amputation stump as well as balance tests were performed in this study to determine whether these parameters have the potential to support K-level classification. Twenty-two participants with a thigh amputation participated in the study (four K1/2-, six K3- and twelve K4-participants). Hip muscle strength on the amputation side was assessed as well as static balance in the double leg stance with eyes open and eyes closed. Analysis of the data showed that all hip strength parameters differed between the K-level groups, with maximum strength increasing from the K1/2 group to the K4 group. Group differences were also seen in the balance parameters with greater body sway for the K1/2 group when compared to the K4 group, especially when participants had their eyes closed. These results show that muscle strength tests of the residual limb and static balance tests may serve as additional measures to improve K-level assignment for patients with LLA. This was only an initial study and further studies with a larger number of participants are required to confirm these results. Article PDF Link: https://jps.library.utoronto.ca/index.php/cpoj/article/view/37456/28905 How To Cite: John S, Orlowski K, Mrkor K.U, Edelmann-Nusser J, Witte K. Differences in hip muscle strength and static balance in patients with transfemoral amputations classified at different K-levels: A preliminary cross-sectional study. Canadian Prosthetics & Orthotics Journal. 2022; Volume 5, Issue 1, No.5. https://doi.org/10.33137/cpoj.v5i1.37456 Corresponding Author: Stefanie John,Department of Sports Science, Faculty of Humanities, Otto von Guericke University, Magdeburg, Germany.E-Mail: [email protected] ID: https://orcid.org/0000-0001-6722-7195

scholarly journals The postural control of Brazilian children aged 6 to 9 years using a smartphone is similar to their posture with eyes closed

2021 ◽  
Vol 31 (2) ◽  
pp. 199-208
Author(s):  
Thiago Weyk de Oliveira Beliche ◽  
Tânia Cristina Dias da Silva Hamu ◽  
Thailyne Bizinotto ◽  
Celmo Celeno Porto ◽  
Cibelle Kayenne Martins Roberto Formiga
Keyword(s):  
Public Schools ◽  
Postural Control ◽  
Smartphone Application ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Postural Adjustments ◽  
Eyes Closed ◽  
Smartphone Use ◽  
The Impact ◽  
Brazilian Children

Introduction: Electronic devices have been used by increasingly younger people, leading researchers to investigate the impact of these technologies on the health of developing children. Objective: To investigate the impact of smartphone use on the postural control of Brazilian children 6 to 9 years old.Methods: This cross-sectional study was conducted with 278 children from public schools in Goiânia (Goiás, Brazil). The children were assessed in an orthostatic posture with the computerized baropodometry system in three conditions: eyes open, eyes closed, and using a free smartphone application. Results: The children were 8.36 years old on average, 82% of them were well-nourished, and had a daily mean screen time of 2 hours. The postural control analyses revealed that the children made greater postural adjustments with their eyes closed than with them open. When using the smartphone application, the postural adjustments were similar to those with eyes closed. In the stabilometry, the postural displacements made by the children behaved similarly to the static assessment only in total feet surface area. Conclusion: Smartphone use and absence of visual stimulus in the orthostatic position caused postural instability in children 6 to 9 years old. These findings can contribute to understanding the impact of technologies on children’s development of balance in daily tasks.

scholarly journals Stability of Three Different Sanitary Shoes on Healthcare Workers: A Cross-Sectional Study

2019 ◽  
Vol 16 (12) ◽  
pp. 2126 ◽  
Author(s):  
José Manuel Sánchez-Sáez ◽  
Patricia Palomo-López ◽  
Ricardo Becerro-de-Bengoa-Vallejo ◽  
César Calvo-Lobo ◽  
Marta Elena Losa-Iglesias ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Intraclass Correlation ◽  
Cross Sectional Study ◽  
Stroke Length ◽  
Cross Sectional ◽  
Eyes Closed ◽  
Quasi Experimental ◽  
Eyes Open ◽  
The Stability ◽  
Stability Measurements

Background: The main purpose of this research was to determine the stability of three different sanitary shoes on nurses with eyes open and closed with respect to barefoot condition. In addition, the secondary aim was to determine the reliability of stability measurements under these different conditions. Methods: A crossover quasi-experimental study (NCT03764332) was performed. Twenty-six nurses who wore different sanitary shoes (Eva Plus Ultralight®, Gym Step® and Milan-SCL Liso®) were evaluated with respect to barefoot condition for stability measures on the Podoprint® podobarometric and stabilometry tool and with eyes open and closed. Furthermore, the reliability of stability measurements was determined by the intraclass correlation coefficient (ICC) under these different conditions. Results: Between-groups comparisons of the static and stabilometry podobarometric data with eyes open showed statistically significant differences (p < 0.05). Milan-SCL Liso® sanitary shoes improved podobarometric data of forefoot force and distribution with respect to barefoot condition. Eva Plus Ultralight® and Gym Step® sanitary shoes increased the stroke length mean, stroke surface mean, and anterior speed mean as well as reduced y axis displacement mean with respect to barefoot condition. Similar findings were determined for measurements with eyes closed. ICCs ranged from poor to excellent reliability (ICC = 0.010–0.995). Conclusions: Sanitary shoes improved podobarometric and stabilometry stability with respect to barefoot condition.

scholarly journals Using Accelerometers to Record Postural Sway in Adolescents With Concussion: A Cross-Sectional Study

2018 ◽  
Vol 53 (12) ◽  
pp. 1166-1172 ◽  
Author(s):  
Abdulaziz A. Alkathiry ◽  
Patrick J. Sparto ◽  
Brin Freund ◽  
Susan L. Whitney ◽  
Anne Mucha ◽  
...  
Keyword(s):  
Postural Sway ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eyes Closed ◽  
Lower Back ◽  
Input Type ◽  
Eyes Open ◽  
Clinical Environments ◽  
Anterior Posterior

Objective To investigate the magnitude of postural sway induced by different balance tasks in adolescents with concussion and to examine the associations of postural sway with concussion symptoms. Design Cross-sectional study. Patients or Other Participants Fifty-six adolescents (20 girls, 36 boys) between 13 and 17 years of age who sustained a concussion within the past 44 days and were still symptomatic. Main Outcome Measure(s) Anterior-posterior postural sway was measured using an accelerometer attached to the participant's lower back while he or she performed 6 static-balance tasks that varied the visual input, type of surface, and foot stance. Participants self-reported symptoms that occurred at the time of the concussion (eg, dizziness, confusion, amnesia) as well as at the time of balance testing (eg, eye and head movement–induced dizziness). Results The normalized path length of postural sway during the different balance tasks was greater with the eyes closed (mean = 19.3 mG/s) compared with the eyes open (mean = 12.4 mG/s; P &lt; .001). Furthermore, sway while standing with the feet together on a foam surface (mean = 17.9 mG/s) or while tandem standing on a firm surface (mean = 19.4 mG/s) was greater than sway while standing with the feet together on a firm surface (mean = 10.3 mG/s; P &lt; .001). Greater sway was associated with dizziness and confusion reported at the time of injury (P &lt; .05). Dizziness and headache symptoms at rest were positively correlated with sway (P &lt; .05). Conclusions Using accelerometers to measure postural sway during different challenging balance conditions in adolescents with concussion may provide an objective means of quantifying balance impairments in clinical environments. Furthermore, the association of these measurements with symptoms suggests a need to account for symptom severity at the time of testing.

Changes in Posture Following a Single Session of Long-Duration Water Immersion

2018 ◽  
Vol 34 (6) ◽  
pp. 435-441
Author(s):  
Stephen M. Glass ◽  
Christopher K. Rhea ◽  
Matthew W. Wittstein ◽  
Scott E. Ross ◽  
John P. Florian ◽  
...  
Keyword(s):  
Postural Control ◽  
Postural Sway ◽  
Center Of Pressure ◽  
Water Immersion ◽  
Specific Pattern ◽  
Eyes Closed ◽  
Stable Surface ◽  
Visual Inputs ◽  
Long Duration ◽  
Eyes Open

Transitioning between different sensory environments is known to affect sensorimotor function and postural control. Water immersion presents a novel environmental stimulus common to many professional and recreational pursuits, but is not well-studied with regard to its sensorimotor effects upon transitioning back to land. The authors investigated the effects of long-duration water immersion on terrestrial postural control outcomes in veteran divers. Eleven healthy men completed a 6-hour thermoneutral pool dive (4.57 m) breathing diver air. Center of pressure was observed before and 15 minutes after the dive under 4 conditions: (1) eyes open/stable surface (Open-Stable); (2) eyes open/foam surface (Open-Foam); (3) eyes closed/stable surface (Closed-Stable); and (4) eyes closed/foam surface (Closed-Foam). Postdive decreases in postural sway were observed in all testing conditions except for Open-Stable. The specific pattern of center of pressure changes in the postdive window is consistent with (1) a stiffening/overregulation of the ankle strategy during Open-Foam, Closed-Stable, and Closed-Foam or (2) acute upweighting of vestibular input along with downweighting of somatosensory, proprioceptive, and visual inputs. Thus, our findings suggest that postimmersion decreases in postural sway may have been driven by changes in weighting of sensory inputs and associated changes in balance strategy following adaptation to the aquatic environment.

scholarly journals Chemotherapy-induced peripheral neuropathy: longitudinal analysis of predictors for postural control

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jana Müller ◽  
Charlotte Kreutz ◽  
Steffen Ringhof ◽  
Maximilian Koeppel ◽  
Nikolaus Kleindienst ◽  
...  
Keyword(s):  
Peripheral Neuropathy ◽  
Peripheral Nerve ◽  
Postural Control ◽  
Action Potentials ◽  
Exercise Intervention ◽  
Cross Sectional Study ◽  
Nerve Function ◽  
Cross Sectional ◽  
Peripheral Nerve Function

AbstractImpaired postural control is often observed in response to neurotoxic chemotherapy. However, potential explanatory factors other than chemotherapy-induced peripheral neuropathy (CIPN) have not been adequately considered to date due to primarily cross-sectional study designs. Our objective was to comprehensively analyze postural control during and after neurotoxic chemotherapy, and to identify potential CIPN-independent predictors for its impairment. Postural control and CIPN symptoms (EORTC QLQ-CIPN20) were longitudinally assessed before, during and three weeks after neurotoxic chemotherapy, and in three and six months follow-up examinations (N = 54). The influence of peripheral nerve function as determined by nerve conduction studies (NCS: compound motor action potentials (CMAP) and sensory action potentials (SNAP)), physical activity, and muscle strength on the change in postural control during and after chemotherapy was analyzed by multiple linear regression adjusted for age and body mass index. Postural control, CIPN signs/symptoms, and CMAP/SNAP amplitudes significantly deteriorated during chemotherapy (p < .01). During follow-up, patients recovered from postural instabilities (p < .01), whereas CIPN signs/symptoms and pathologic NCS findings persisted compared to baseline (p < .001). The regression model showed that low CMAP and high SNAP amplitudes at baseline predicted impairment of postural control during but not after chemotherapy. Hence, pre-therapeutically disturbed somatosensory inputs may induce adaptive processes that have compensatory effects and allow recovery of postural control while CIPN signs/symptoms and pathologic peripheral nerve function persist. Baseline NCS findings in cancer patients who receive neurotoxic chemotherapy thus might assist in delineating individual CIPN risk profiles more precisely to which specific exercise intervention programs could be tailor-made.

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