scholarly journals Balance Markers and Saccadic Eye-Movement Measures in Adolescents With Postconcussion Syndrome

2020 ◽  
Vol 55 (5) ◽  
pp. 475-481 ◽  
Author(s):  
Coralie Rochefort ◽  
Elizabeth Legace ◽  
Chadwick Boulay ◽  
Gail Macartney ◽  
Kristian Goulet ◽  
...  

Context Deficits in both balance and oculomotor function, including impairments in saccadic eye movements, are observed in approximately 30% of patients postconcussion. Whereas balance and saccadic eye movements are routinely assessed separately, growing evidence suggests that they should be assessed concurrently. Objective To compare balance measures and saccades between adolescents 1 to 3 months postconcussion and healthy uninjured adolescents. Design Case-control study. Setting Concussion clinic and 2 private schools. Patients or Other Participants Twenty-five adolescents (10 boys, 15 girls; median [interquartile range (IQR)] age = 14 years [11.5–16 years]) between 1 and 3 months postconcussion (median [IQR] time since injury = 39.5 days [30–56.75 days]) and 33 uninjured adolescents (18 boys, 15 girls; median [IQR] age = 13 years [11.5–14 years]). Main Outcome Measure(s) The center-of-pressure 95% ellipse area and medial-lateral and anterior-posterior velocity and the number of saccades in the dual-task balance conditions including a high cognitive load (cognitive condition), a low cognitive load and a gaze-shifting component (visual condition) or both a high cognitive load and a gaze-shifting component (combined condition). Results Concussion-group participants swayed over larger center-of-pressure ellipse areas in the visual (P = .02; effect size = 0.73) and combined (P = .005; effect size = 0.86) conditions but not in the cognitive condition (P = .07; effect size = 0.50). No group differences were identified for anterior-posterior (F1,56 = 2.57, P = .12) or medial-lateral (F1,56 = 0.157, P = .69) velocity. Concussion-group participants also did not perform more saccades than the control-group participants (F1,56 = 2.04, P = .16). Conclusions Performing dual-task balance conditions for which the secondary task involved a gaze-shifting component or both a gaze-shifting component and a high cognitive load resulted in greater sway amplitude in adolescents with concussion. However, these larger amounts of postural sway were not associated with increased saccadic eye movements.

2021 ◽  
pp. 136276
Author(s):  
Matheus Belizário Brito ◽  
Gisele Chiozi Gotardi Formal Analyses ◽  
Sérgio Tosi Rodrigues ◽  
Beatriz Carvalho Cavalieri ◽  
Diego Nera Lima ◽  
...  

2020 ◽  
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.


1993 ◽  
Vol 46 (1) ◽  
pp. 51-82 ◽  
Author(s):  
Harold Pashler ◽  
Mark Carrier ◽  
James Hoffman

Four dual-task experiments required a speeded manual choice response to a tone in a close temporal proximity to a saccadic eye movement task. In Experiment 1, subjects made a saccade towards a single transient; in Experiment 2, a red and a green colour patch were presented to left and right, and the saccade was to which ever patch was the pre-specified target colour. There was some slowing of the eye movement, but neither task combination showed typical dual-task interference (the “psychological refractory effect”). However, more interference was observed when the direction of the saccade depended on whether a central colour patch was red or green, or when the saccade was directed towards the numerically higher of two large digits presented to the left and the right. Experiment 5 examined a vocal second task, for comparison. The findings might reflect the fact that eye movements can be directed by two separate brain systems–-the superior colliculus and the frontal eye fields; commands from the latter but not the former may be delayed by simultaneous unrelated sensorimotor tasks.


Perception ◽  
1994 ◽  
Vol 23 (1) ◽  
pp. 45-64 ◽  
Author(s):  
Monica Biscaldi ◽  
Burkhart Fischer ◽  
Franz Aiple

Twenty-four children made saccades in five noncognitive tasks. Two standard tasks required saccades to a single target presented randomly 4 deg to the right or left of a fixation point. Three other tasks required sequential saccades from the left to the right. 75 parameters of the eye-movement data were collected for each child. On the basis of their reading, writing, and other cognitive performances, twelve children were considered dyslexic and were divided into two groups (D1 and D2). Group statistical comparisons revealed significant differences between control and dyslexic subjects. In general, in the standard tasks the dyslexic subjects had poorer fixation quality, failed more often to hit the target at once, had smaller primary saccades, and had shorter reaction times to the left as compared with the control group. The control group and group D1 dyslexics showed an asymmetrical distribution of reaction times, but in opposite directions. Group D2 dyslexics made more anticipatory and express saccades, they undershot the target more often in comparison with the control group, and almost never overshot it. In the sequential tasks group D1 subjects made fewer and larger saccades in a shorter time and group D2 subjects had shorter fixation durations than the subjects of the control group.


2020 ◽  
Vol 2 ◽  
Author(s):  
Ivan E. Pinto Vargas ◽  
Lucas E. Bicalho ◽  
Sérgio T. Rodrigues ◽  
José A. Barela

1984 ◽  
Vol 25 (1-2) ◽  
pp. 53-65 ◽  
Author(s):  
Robert V. Kenyon ◽  
James T. Becker ◽  
Nelson Butters ◽  
Howard Hermann

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.


2020 ◽  
Vol 10 (12) ◽  
pp. 1016
Author(s):  
Tsz Lok Lee ◽  
Michael K. Yeung ◽  
Sophia L. Sze ◽  
Agnes S. Chan

Abnormal saccadic eye movements, such as longer anti-saccade latency and lower pro-saccade accuracy, are common in children with attention-deficit/hyperactivity disorder (ADHD). The present study aimed to investigate the effectiveness of computerized eye-tracking training on improving saccadic eye movements in children with ADHD. Eighteen children with ADHD (mean age = 8.8 years, 10 males) were recruited and assigned to either the experimental (n = 9) or control group (n = 9). The experimental group underwent an accumulated 240 min of eye-tracking training within two weeks, whereas the control group engaged in web game playing for the same amount of time. Saccadic performances were assessed using the anti- and pro-saccade tasks before and after training. Compared to the baseline, only the children who underwent the eye-tracking training showed significant improvements in saccade latency and accuracy in the anti- and pro-saccade tasks, respectively. In contrast, the control group exhibited no significant changes. These preliminary findings support the use of eye-tracking training as a safe non-pharmacological intervention for improving the saccadic eye movements of children with ADHD.


Author(s):  
M Selthafner ◽  
XC Liu ◽  
F Ellis ◽  
C Tassone ◽  
J Thometz ◽  
...  

We haven’t known whether the center of pressure (COP) could be considered as a better indicator in the evaluation of posture and balance change after the physiotherapeutic scoliosis specific exercise (PSSE) during level walking. The objective of this study was: 1) to determine changes in COP displacement in anterior-posterior (COP-AP) and medial-lateral (COP-ML) for AIS following the PSSE; 2) to find out COP oscillation(COP-OS) from the midline for the left and right foot; 3) to investigate max pressure at the forefoot, midfoot and hindfoot bilaterally. AIS patients with three reflective markers on their back walked on the pressure sensors embedded treadmill at 2 km/h and their trunks were also registered by DIERS Formetric 4D system. Each child received the PSSE for 12 weeks by the same physical therapist and had a dynamic pressure analysis before and after the PSSE. Six AIS children at a mean age of 13 years and with averaged major Cobb angle of 26° were enrolled. There was an increase in COP-AP (15%) and a decrease in the COP-ML (-25%) following the PSSE. COP-OS on the left foot shifted farther away from the midline (about 16%) as the right side moved closer (-1%), which becomes more symmetrical (Pre-PSSE: 0.86mm & Post-PSSE: 0.32mm). There were increased pressures on the left (35%) and right (26%) hallux after PSSE. Pressure metrics, especially including COP-ML, COP-AP, COP-OS, and peak pressures on the forefoot, may be opted as optimal predictors to posture improvements by the means of PSSE.


1991 ◽  
Vol 81 (5) ◽  
pp. 243-247 ◽  
Author(s):  
MW Cornwall ◽  
P Murrell

The single-limb sway of 20 individuals with a history of unilateral inversion ankle sprain was compared to that of a control group of 30 individuals without a history of ankle sprain. Using a force platform to obtain center-of-pressure data, the linear distance traveled (mm) and the mean power frequency, (Hz) of postural sway were calculated for each subject. The results of this study showed that postural sway amplitude was significantly greater in the injured group than in the control group. Contrary to previous investigations, this study indicates that individuals with a history of inversion ankle sprain are less stable in single-limb stance compared to a noninjured control group. This decreased stability is evident as much as 2 years following the injury.


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