Detecting and Understanding Differences in Postural Sway. Focus on “A New Interpretation of Spontaneous Sway Measures Based on a Simple Model of Human Postural Control”

2005 ◽  
Vol 93 (1) ◽  
pp. 20-21 ◽  
Author(s):  
Michael J. Pavol
2016 ◽  
Vol 21 (4) ◽  
pp. 195-202 ◽  
Author(s):  
Jessica Vitkovic ◽  
Carmen Le ◽  
Su-Ling Lee ◽  
Ross A. Clark

This study investigated the hypothesis that a hearing ‘map' of our surroundings is used to maintain balance control. We investigated the effects of sound on postural sway using centre of pressure analysis in 50 subjects with normal hearing, 28 with hearing loss and 19 with vestibular dysfunction. The acoustic environments utilized sound cues that were either present or absent. It was found that auditory cues are utilized by subjects with normal hearing to improve postural sway. The ability to utilize sound for postural control is diminished when there is a hearing loss, but this appears to be overcome by the use of a hearing aid. Patients with additional vestibular deficits exploit auditory cues to a greater degree, suggesting that sensory weighting to enhance the use of auditory cues may be applied when there is diminished sensory redundancy.


2002 ◽  
Vol 357 (1428) ◽  
pp. 1767-1779 ◽  
Author(s):  
Paul Adams ◽  
Kingsley Cox

Almost all the information that is needed to specify thalamocortical and neocortical wiring derives from patterned electrical activity induced by the environment. Wiring accuracy must be limited by the anatomical specificity of the cascade of events triggered by neural activity and culminating in synaptogenesis. We present a simple model of learning in the presence of plasticity errors. One way to achieve learning specificity is to build better synapses. We discuss an alternative, circuit–based, approach that only allows plasticity at connections that support highly selective correlations. This circuit resembles some of the more puzzling aspects of thalamocorticothalamic circuitry.


2014 ◽  
Vol 27 (3) ◽  
pp. 399-406 ◽  
Author(s):  
Sarina Francescato Torres ◽  
Júlia Guimarães Reis ◽  
Daniela Cristina Carvalho de Abreu

Objective To verify the effects of gender and physical activity on postural sway. Method A cross-sectional study was conducted to analyze upright balance of young men and women between the ages of 20-30, both active and sedentary. Study participants were 60 individuals, who were divided into: active women (n = 15), sedentary women (n = 15), active men (n = 15) and sedentary men (n = 15). The International Physical Activity Questionnaire (IPAQ) short form, was used to evaluate each participant’s level of physical activity. According to the questionnaire, active individuals are those who carry out moderate activity, with an energy expenditure between 3.5 and 6 METs (1 MET: 3.5 ml/kg/min), or vigorous activity, with an energy expenditure above 6 METs, at least three days a week for 20 minutes. To assess control of postural sway, we measured the amplitude and velocity of anteroposterior (AP) and mediolateral (ML) sway in standing position, with their eyes open and closed, with and without foam, on a force platform. Results Comparison between genders revealed that, when compared to sedentary women, sedentary men displayed poorer performance in velocity and amplitude of AP postural control sway with their eyes closed, with and without foam. There were no differences in the amplitude and velocity of ML sway, both with open and closed eyes among groups (p < 0.05). There were no differences when comparing physically active men and women either. Conclusion Sedentary men seem to rely more on vision for maintaining postural control in quiet standing situations with respect to women.


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.


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.


2017 ◽  
Vol 80 (9) ◽  
pp. 539-548
Author(s):  
Anna Rossiter ◽  
Matthew J Allsop ◽  
Rachael K Raw ◽  
Lindsay Howard ◽  
Raymond J Holt ◽  
...  

Introduction Older adults show increased postural sway and a greater risk of falls when completing activities with high cognitive demands. While dual-task approaches have clarified an association between cognitive processes and postural control, it is unclear how manual ability, which is also required for the successful completion of cognitively demanding tasks (such as putting a key into a lock), affects this relationship. Method Kinematic technology was used to explore the relationship between postural sway and manual control in healthy younger and older adults. Participants ( n = 82) remained standing to complete a visual-motor tracking task on a tablet computer. Root mean square tracking error measured manual performance, and a balance board measured deviations in centre of pressure as a marker of postural sway. Results Older adults displayed poorer manual accuracy and increased postural sway across all testing conditions. Conclusions Cognitive capacity can interact with multiple task demands, and in turn affect postural sway in older adults. Improving our understanding of factors that influence postural control will assist falls-prevention efforts and inform clinical practice.


2018 ◽  
Vol 30 (1) ◽  
pp. 176-184 ◽  
Author(s):  
Michael Wälchli ◽  
Jan Ruffieux, ◽  
Audrey Mouthon ◽  
Martin Keller ◽  
Wolfgang Taube

Purpose: Balance training (BT) studies in children reported conflicting results without evidence for improvements in children under the age of 8. The aim of this study therefore was to compare BT adaptations in children of different age groups to clarify whether young age prevents positive training outcomes. Methods: The effects of 5 weeks of child-oriented BT were tested in 77 (38 girls and 39 boys) participants of different age groups (6–7 y, 11–12 y, and 14–15 y) and compared with age-matched controls. Static and dynamic postural control, explosive strength, and jump height were assessed. Results: Across age groups, dynamic postural sway decreased (−18.7%; P = .012; ) and explosive force increased (8.6%; P = .040; ) in the intervention groups. Age-specific improvements were observed in dynamic postural sway, with greatest effects in the youngest group (−28.8%; P = .026; r = .61). Conclusion: In contrast to previous research using adult-oriented balance exercises, this study demonstrated for the first time that postural control can be trained from as early as the age of 6 years in children when using child-oriented BT. Therefore, the conception of the training seems to be essential in improving balance skills in young children.


2008 ◽  
Vol 99 (2) ◽  
pp. 595-604 ◽  
Author(s):  
Ely Rabin ◽  
Paul DiZio ◽  
Joel Ventura ◽  
James R. Lackner

Lightly touching a stable surface with one fingertip strongly stabilizes standing posture. The three main features of this phenomenon are fingertip contact forces maintained at levels too low to provide mechanical support, attenuation of postural sway relative to conditions without fingertip touch, and center of pressure (CP) lags changes in fingertip shear forces by ∼250 ms. In the experiments presented here, we tested whether accurate arm proprioception and also whether the precision fingertip contact afforded by the arm's many degrees of freedom are necessary for postural stabilization by finger contact. In our first experiment, we perturbed arm proprioception and control with biceps brachii vibration (120-Hz, 2-mm amplitude). This degraded postural control, resulting in greater postural sway amplitudes. In a second study, we immobilized the touching arm with a splint. This prevented precision fingertip contact but had no effect on postural sway amplitude. In both experiments, the correlation and latency of fingertip contact forces to postural sway were unaffected. We conclude that postural control is executed based on information about arm orientation as well as tactile feedback from light touch, although precision fingertip contact is not essential. The consistent correlation and timing of CP movement and fingertip forces across conditions in which postural sway amplitude and fingertip contact are differentially disrupted suggests posture and the fingertip are controlled in parallel with feedback from the fingertip in this task.


2002 ◽  
Vol 11 (1) ◽  
pp. 51-66 ◽  
Author(s):  
Riann M. Palmieri ◽  
Christopher D. Ingersoll ◽  
Marcus B. Stone ◽  
B. Andrew Krause

Objective:To define the numerous center-of-pressure derivatives used in the assessment of postural control and discuss what value each might provide in the assessment of balance.Data Sources:MEDLINE and SPORTDiscus were searched with the termsbalance, postural control, postural sway,andcenter of pressure. The remaining citations were collected from references of similar papers. A total of 67 references were studied.Conclusions:Understanding what is represented by each parameter used to assess postural control is crucial. At the present time the literature has failed to demonstrate how the variables reflect changes made by the postural-control system. Until it can be shown that the center of pressure and its derivatives actually reveal changes in the postural-control system, the value of using these measures to assess deficits in postural control is minimized.


2001 ◽  
Vol 13 (05) ◽  
pp. 213-217 ◽  
Author(s):  
PATRICK J. SPARTO ◽  
MARK S. REDFERN

In this paper we demonstrate a new method to quantify direction and magnitude of sway in response to periodic inputs. The postural sway response was modeled as an ellipse, allowing the determination of angle of heading as well as the resultant magnitude. To demonstrate this methodology, center of pressure data obtained from a subject receiving sinusoidal (0.25 Hz, 1.2 mA peak-to-peak) galvanic vestibular stimulation in both the binaural-bipolar and binaural-monopolar configurations were analyzed. The binaural-bipolar and binaural-monopolar stimuli elicited sway patterns that were oriented at 4° and 97° to the medial-lateral axis, respectively. In addition, the binaural-monopolar stimulus generated twice as much sway as the binaural-bipolar stimulus. We propose that this method can be applied to sway obtained from sinusoidal inputs to the sensory systems controlling balance. Estimation of the direction and magnitude of postural sway will become an important tool for understanding postural control mechanisms for disturbances to balance that do not occur in a cardinal direction.


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