Footwear Interventions

2013 ◽  
Vol 103 (6) ◽  
pp. 516-533 ◽  
Author(s):  
Anna L. Hatton ◽  
Keith Rome ◽  
John Dixon ◽  
Denis J. Martin ◽  
Patrick O. McKeon
Keyword(s):  
Older People ◽  
Balance Control ◽  
Dynamic Balance ◽  
The Elderly ◽  
Quiet Standing ◽  
Long Term Effects ◽  
Balance Performance ◽  
Dynamic Movement ◽  
Balance Task ◽  
Older Populations

Footwear interventions, including shoe insoles and foot orthoses, have the capacity to enhance balance control and gait in older people. This review assessed the evidence for the effect of footwear interventions on static and dynamic balance performance and gait in older populations and explored proposed theories for underlying sensorimotor and mechanical mechanisms. We searched the Medline, EMBASE, CINAHL (the Cumulative Index to Nursing and Allied Health Literature), and AMED databases and conducted hand searches. Of 115 relevant articles screened, 14 met the predefined inclusion criteria. Articles were grouped into one of three categories based on balance task (static balance performance during quiet standing, dynamic balance performance during walking, and dynamic balance performance during perturbed standing or functional tasks) and were scored for methodological quality using the Downs and Black Quality Index tool. Footwear interventions seem to alter underlying strategies controlling static and dynamic movement patterns through a combination of sensorimotor and mechanical mechanisms in older people, including those with chronic sensory and musculoskeletal conditions. Evidence shows a consistent trend toward footwear interventions markedly improving lateral stability measures, which are predictors of falls in the elderly. In-depth investigation of neurophysiologic responses to footwear interventions is necessary to help confirm any sensorimotor adaptations. The long-term effects of footwear interventions on balance, gait, and the prevention of falls in older people require further investigation. (J Am Podiatr Med Assoc 103(6): 516–533, 2013)

Single-Leg Balance Performance in Sub-Elite Young Soccer Players and Swimmers as a Function of Age and Sports Experience

2019 ◽  
Vol 7 (3) ◽  
pp. 374-388 ◽  
Author(s):  
Peter Leinen ◽  
Thomas Muehlbauer ◽  
Stefan Panzer
Keyword(s):  
Center Of Pressure ◽  
Dynamic Balance ◽  
Age Groups ◽  
Force Plate ◽  
Soccer Players ◽  
Functional Specialization ◽  
Balance Performance ◽  
Balance Test ◽  
Balance Task ◽  
Anterior Posterior

The present study investigated if accumulated, advanced, regular soccer practice (balance-demanding exercise) compared to regular swim practice (non-balance–demanding exercise) induces a more pronounced functional specialization in postural control. Therefore, single-leg balance performance in sub-elite young soccer players (under 13 [U13]: n = 16; U15: n = 18; U19: n = 15), and sub-elite young swimmers (U13: n = 7; U15: n = 4; U19: n = 5) was tested in different balance task conditions (i.e., static and dynamic balance on firm and foam surface). All athletes practiced 3–10 times per week. Single-leg balance of the dominant and non-dominant leg was measured using a force plate. The standard deviation of the center of pressure displacements in anterior-posterior and medio-lateral directions were used as dependent variables. Irrespective of age groups and type of sport, the results failed to indicate significant leg differences in single-leg balance performance. The soccer players showed significant better single-leg balance performance in anterior-posterior direction in the dynamic balance test on the firm and foam surface compared to the swimmers. Functional specialization was accompanied by the type of sport but not by accumulated practice.

scholarly journals DUAL-TASK BALANCE CONTROL IN ADOLESCENT ATHLETES FOLLOWING CONCUSSION

2020 ◽  
Vol 8 (4_suppl3) ◽  
pp. 2325967120S0015
Author(s):  
Tracy Zaslow ◽  
Camille Burton ◽  
Nicole M. Mueske ◽  
Adriana Conrad-Forrest ◽  
Bianca Edison ◽  
...  
Keyword(s):  
Dual Task ◽  
Verbal Fluency ◽  
Walking Speed ◽  
Balance Control ◽  
Dynamic Balance ◽  
Center Of Mass ◽  
Quiet Standing ◽  
Return To Play ◽  
Treatment Protocols ◽  
Single Task

Background: Previous research has identified deficient dual-task balance control at the time of return to play (RTP) and possible worsening after RTP in older adolescents/young adults with concussion. These findings have not been investigated in younger patients with concussion. Hypothesis/Purpose: We hypothesized that concussed adolescents would have slower walking speed and increased medial-lateral (ML) center of mass (COM) movement, which would normalize by the time of RTP but worsen after resuming activity. Methods: 13 adolescent concussion patients (7 male; age 10-17 years) were prospectively evaluated at their initial visit (IV) (mean 18, range 4-43 days post-concussion), at RTP clearance (mean 46, range 12-173 days post-concussion), and one month later (mean 26, range 20-41 days post-RTP) along with 11 controls (3 male) seen for similarly timed visits. Standing balance was assessed using range and root mean squared (RMS) COM motion in the anterior-posterior (AP) and ML directions during standing on both legs with eyes open while performing quiet standing, dual-task audio Stroop, side-to-side head turns, and side-to-side thumb tracking tasks. Dynamic balance was assessed using walking speed and COM ML range and velocity during walking alone and with side-to-side head turns and verbal fluency (reciting words starting with “F”) dual tasks. Patients were compared against controls using t-tests, and changes over time were evaluated using linear mixed-effects regression. Results: During standing, patients had higher COM ML RMS than controls at IV during head turns and higher COM AP range during thumb tracking. COM ML motion decreased from IV to RTP (head turns range -6.5mm, p=0.058; head turns RMS -16.8mm, p=0.002; thumb range 9.2mm, p=0.012) and increased from RTP to 1 month follow-up (head turns RMS +10.0mm, p=0.040; Stroop RMS +8.4mm, p=0.086). Patients walked slower than controls at IV during all tasks, and COM ML range was higher in patients vs. controls during verbal fluency at IV and RTP. Walking speed increased from IV to RTP during verbal fluency (+7.8cm/s, p=0.044), from RTP to post-RTP in single task walking (+6.1cm/s, p=0.041), and at each successive visit during head turns (+6.0cm/s and +6.5cm/s, p<0.07). COM ML range also decreased in patients from IV to RTP with verbal fluency (-14.7mm, p=0.011) and from RTP to post-RTP in single task walking ( 4.0mm, p=0.061). Conclusion: Adolescent concussion patients had deficits in static and dynamic balance control at initial presentation. This tended to improve by RTP and only worsened post-RTP for dual-task ML control during standing, suggesting that current conservative treatment protocols are appropriate.

scholarly journals Effect of Milwaukee brace on static and dynamic balance of female hyperkyphotic adolescents

2012 ◽  
Vol 37 (1) ◽  
pp. 76-84 ◽  
Author(s):  
Arezoo Eshraghi ◽  
Nader Maroufi ◽  
Mohammad Ali Sanjari ◽  
Hassan Saeedi ◽  
Mohammad Reza Keyhani ◽  
...  
Keyword(s):  
Sagittal Plane ◽  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Normal Subjects ◽  
Balance Performance ◽  
Functional Reach ◽  
Significant Difference ◽  
The Right ◽  
Milwaukee Brace

Background: Biomechanical factors, such as spinal deformities can result in balance control disorders. Objectives: The purpose of this study was to examine the effect of bracing on static and dynamic balance control of hyperkyphotic female adolescents. Study Design: Clinical trial. Methods: A force platform was employed to record center of pressure (COP) parameters. Ten adolescents undergoing Milwaukee brace for hyperkyphosis and 14 normal subjects participated in the study. The COP data were collected with and without brace immediately on first day and after 120 days of continuous brace wear. Results: No significant difference was found in dynamic and static balance tests with and without brace on the first day ( P > 0.05). After 120 days, the values of COP displacement in functional reach to the right and left for the hyperkyphotic adolescents when performing without brace enhanced significantly compared to the first day. The forward reach distance was not significantly different between the normal and hyperkyphotic subjects ( P = 0.361); however, hyperkyphotic participants had significantly smaller reach distance in the functional reach to the right (21.88 vs. 25.56cm) and left (17.04 vs. 21.25cm). Conclusion: It might be concluded that bracing had a possible effect on improvement of dynamic balance performance, because the subjects could reach the target in dynamic reach tests with higher displacement in sagittal plane without losing their balance control. Clinical relevance Little is known about the biomechanical aspects of brace wear in individuals with hyperkyphosis. This study investigated balance differences between the healthy and hyperkyphotic individuals, and outcomes of Milwaukee brace wear. It might provide some new insight into the conservative treatment of hyperkyphosis for clinicians and researchers.

Social Facilitation of Young Children's Dynamic Balance Performance

1985 ◽  
Vol 7 (2) ◽  
pp. 150-165 ◽  
Author(s):  
Mary Jo MacCracken ◽  
Robert E. Stadulis
Keyword(s):  
Social Facilitation ◽  
Dynamic Balance ◽  
Narrow Beam ◽  
Balance Performance ◽  
Social Situations ◽  
Age And Gender ◽  
Wide Beam ◽  
Positive Effects ◽  
Balance Task ◽  
And Gender

Dynamic balance performance of young children (ages 4, 6, and 8) was assessed in three social situations: alone (only with tester present); coaction (one other child performing at the same time); and spectators (five other observer children present). Within each age and gender, children (N = 120) were classified as of higher or lower comparative skill. Each balance task performed (walking forward and backward on a line, a narrow beam or a wide beam) was classified as representing easier or more difficult tasks for each child individually. Findings (p ≤ .05) indicated that the facilitation effects of social situations strengthened over age, with spectators producing increments in performance for children of higher skill (especially boys) and decrements in performance for the lower skilled children (both boys and girls). Coaction resulted in positive effects regardless of skill level.

scholarly journals Balance control enhancement using sub-sensory stimulation and visual-auditory biofeedback strategies for amputee subjects

2007 ◽  
Vol 31 (4) ◽  
pp. 342-352 ◽  
Author(s):  
Ming-Yih Lee ◽  
Chih-Feng Lin ◽  
Kok-Soon Soon
Keyword(s):  
Electrical Stimulation ◽  
Balance Control ◽  
Sensory Stimulation ◽  
Quiet Standing ◽  
Static Balance ◽  
Balance Performance ◽  
Foot Pressure ◽  
Gait Performance ◽  
Sound Side ◽  
Dynamic Gait

Sub-sensory electrical or mechanical stimulation can enhance the sensitivity of the human somatosensory system to improve the balance control capabilities of elderly. In addition, clinical studies suggest that visual-auditory biofeedback can improve sensory compensation for the elderly. This study hypothesizes that the static balance and gait performance of single leg quiet standing and treadmill walking could be improved for providing proprioceptive neuromuscular facilitation using sub-sensory stimulation and visual-auditory biofeedback in amputee subjects. To test this, a computerized foot pressure biofeedback sensory compensation system using sub-threshold low-level electrical stimulation combined with visual-auditory biofeedback was developed. Seven unilateral trans-tibial amputees who wore prostheses over 2 years were recruited. The subjects performed multiple single leg quiet standing trials with sub-sensory electrical stimulation applied at the quadriceps muscle during half of the trials. Static balance performance was characterized by using a Zebris motion analysis system to measure the sway distance and duration of the centre of mass on the second sacral (S2) of the subjects. In addition, multiple treadmill ambulatory trials with or without visual-auditory biofeedback was performed. Dynamic gait performance was characterized with a Zebris instrumented insole to measure the temporal responses of foot pressure sensors. Experimental results showed an improvement in three balance performance indices (Holding Time Index, HTI, Maximum Sway Distance Index, MSDI, and Average Sway Distance Index, ASDI) during single leg quiet standing by applying sub-sensory stimulation. The improvement ratio of these balance performance indices across subjects for single leg quiet standing tests resulted in 132.34% in HTI, 44.61% in MSDI, and 61.45% in ASDI. With visual-auditory biofeedback as a cue for heel contact and toe push-off condition during treadmill ambulation, the improvement of four dynamic gait performance measures (Double Support Period, DSP, Constant Time Cadence, CTC, Single Support Period, SSP, and Stance/Swing Ratio, SSR) in amputees was verified. This resulted in 7.89% in DSP (affected side), 5.09% in CTC, 16.67% in SSP (sound side), 45.30% in SSR (sound side), and 40.30% in SSR (affected side) respectively. These findings suggest that sub-threshold electrical stimulation and visual-auditory biofeedback rehabilitation strategies may be effective in compensating sensory loss and improving static balance and dynamic ambulation performance for amputees.

scholarly journals Galvanic vestibular stimulation with low intensity improves dynamic balance

2021 ◽  
Vol 12 (1) ◽  
pp. 512-521
Author(s):  
Hongmei Chen ◽  
Zhen Hu ◽  
Yujuan Chai ◽  
Enxiang Tao ◽  
Kai Chen ◽  
...  
Keyword(s):  
Healthy Subjects ◽  
Center Of Pressure ◽  
Balance Control ◽  
Dynamic Balance ◽  
Vestibular Stimulation ◽  
Galvanic Vestibular Stimulation ◽  
Balance Performance ◽  
Improvement Rate ◽  
Average Speed ◽  
Low Intensity

Abstract Background Dynamic balance is associated with fall risk. The aim of this study is to explore the effects of galvanic vestibular stimulation with very low intensity direct current (dcGVS) on dynamic balance. Methodology We used a rocker force platform for assessing the dynamic balance performance. Center-of-pressure (COP) coordinates were acquired and decomposed to rambling (RA) and trembling (TR). We measured sway parameters, including length, average speed, and average range, affected by dcGVS at 0.01 mA with eyes open (EO) and eyes closed (EC). Results We assessed 33 young healthy subjects and found that all sway parameters were shorter in the EO condition, indicating a better dynamic balance performance. dcGVS significantly improved the dynamic balance performance both in EO and EC conditions. All the sway parameters in COP in EO were significantly shorter than those in EC, indicating a better dynamic balance performance in EO. In EO, RA had greater improvement rates than TR. In EC, only average speed had a greater improvement rate in RA, whereas length and average range had greater improvement rates in TR. These results indicate a different modulation model between EO and EC. Conclusion These findings indicate that very low intensity dcGVS improved the sway parameters of dynamic balance in young healthy subjects. Moreover, our results suggest different dynamic balance control models between having EO and EC. The mechanisms of these phenomena caused by very low intensity dcGVS require further investigation.

scholarly journals Dual-tasking effects on static and dynamic postural balance performance: a comparison between endurance and team sport athletes

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e9765
Author(s):  
Fabio Sarto ◽  
Giorgia Cona ◽  
Francesco Chiossi ◽  
Antonio Paoli ◽  
Patrizia Bisiacchi ◽  
...  
Keyword(s):  
Postural Balance ◽  
Balance Control ◽  
Dynamic Balance ◽  
Cognitive Strategies ◽  
Limiting Factors ◽  
Balance Performance ◽  
Balance Assessment ◽  
Dual Tasking ◽  
Task Conditions ◽  
External Stimuli

In sports, postural balance control has been demonstrated to be one of the limiting factors of performance and a necessary component to achieve any sport technique. Team players (TP) must process and react to multiple external stimuli while executing at the same time the skills of the game. By contrast, endurance athletes (END) must perform the same gesture repetitively without a concurrent coordination of continuous stimuli-related actions. However, END are used to facilitate their physical performance by adopting cognitive strategies while performing their sport gesture. Therefore, we aimed to investigate static and dynamic balance performance in these two types of athletes, both in single and dual-task conditions. Nineteen END and sixteen TP underwent a static and a dynamic balance assessment on a dynamometric platform and an instrumented oscillating board, respectively. Among TP static but not dynamic postural balance performance was negatively affected by dual-tasking considering the area of the confidence ellipse (p < 0.001; d = 0.52) and the sway path mean speed (p < 0.001; d = 0.93). Conversely, END unaltered static balance performance but showed an overall improvement in the dynamic one when dual-tasking occurred. The limited human processing capacity accounted the worsening of the cognitive performance in both TP (p < 0.05; d = 0.22) and END (p < 0.001; d = 0.37). Although TP are more used coping dual tasking, the better performance of END could be accounted for by the employment of the external attentive focus (i.e. counting backward aloud) that called into play a strategy close to those adopted during training and competitions. These surprising results should be considered when driving and developing new trainings for team players in dual-tasking conditions.

scholarly journals Are Static and Dynamic Postural Balance Assessments Two Sides of the Same Coin? A Cross-Sectional Study in the Older Adults

2021 ◽  
Vol 12 ◽  
Author(s):  
Alex Rizzato ◽  
Antonio Paoli ◽  
Marta Andretta ◽  
Francesca Vidorin ◽  
Giuseppe Marcolin
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Postural Balance ◽  
Balance Control ◽  
Handgrip Strength ◽  
Dynamic Balance ◽  
Task Condition ◽  
Balance Performance ◽  
Dual Task Condition ◽  
Healthy Older Adults

The aim of this study was to investigate if the combination of static and dynamic postural balance assessments gives more accurate indications on balance performance among healthy older adults. We also aimed at studying the effect of a dual-task condition on static and dynamic postural balance control. Fifty-seven healthy older adults (age = 73.2 ± 5.0 year, height = 1.66 ± 0.08 m, and body mass = 72.8 ± 13.8 kg) completed the study. Static and dynamic balance were assessed both in single-task and dual-task conditions through a force plate and an oscillating platform. The dominant handgrip strength was also measured with a dynamometer. Pearson’s correlation revealed non-statistically significant correlations between static and dynamic balance performance. The dual-task worsened the balance performance more in the dynamic (+147.8%) than in the static (+25.10%, +43.45%, and +72.93% for ellipse area, sway path, and AP oscillations, respectively) condition (p &lt; 0.001). A weak correlation was found between dynamic balance performance and handgrip strength both in the single (p &lt; 0.05; r = −0.264) and dual (p &lt; 0.05; r = −0.302) task condition. The absence of correlations between static and dynamic balance performance suggests including both static and dynamic balance tests in the assessment of postural balance alterations among older adults. Since cognitive-interference tasks exacerbated the degradation of the postural control performance, dual-task condition should also be considered in the postural balance assessment.

scholarly journals Dynamic balance performance of professional turkish soccer players by playing position

2019 ◽  
Vol 23 (5) ◽  
pp. 223-228
Author(s):  
B.A. Ateş
Keyword(s):  
Balance Control ◽  
Dynamic Balance ◽  
Soccer Players ◽  
Balance Performance ◽  
Balance Test ◽  
Future Studies ◽  
Professional Soccer ◽  
Anthropometric Characteristics ◽  
Player Positions

Background and Study Aim: Balance control has been regarded as a crucial factor in sports and indicated as an important element to be examined for the risks of injury. But it is unknown whether the dynamic balance changes according to the player positions in professional soccer players. To determine whether there were differences in the dynamic balance performance of the different positions of Turkish professional soccer players from within one squad. Material and Methods: Twenty-four professional soccer players were divided into 4 groups by the coach, including goalkeepers (n = 3), midfielders (n = 6), defenders (n = 7) and forwards (n = 8). Prior the competition season, anthropometric characteristics of players were measured. Then, players were tested Y Balance Test (YBT) for the anterior (ANT), posteromedial (PM), and posterolateral (PL) reach distances and limb lengths bilaterally. Results: The goalkeepers were heavier compared with the midfielders. Furthermore, the BMI of the goalkeepers were higher than midfielders and defenders (p< 0.05). There were no significant differences in the ANT, PM, PL, and COMP score between the groups (p> 0.05). The values for reach asymmetry were lower than four centimeters among groups in the all reach direction with regards to reach asymmetries, except normalized posterolateral direction. Conclusions: The results of this study have shown that the YBT performance scores do not differ between the groups. Future studies are required to create specific norms related to dynamic balance performance and establish risk cut-off score for professional soccer players.

Sign in / Sign up

Export Citation Format

Share Document