Abstract
This study applied the posturography framework on five static standing tasks from the Berg Balance Scale (BBS). Thirteen participants were recruited and the trajectory data of the center of pressure (CoP) were collected. To analyze the postural performance, two approaches were taken: the scores from the BBS and statistical analysis. For the statistical analysis, Spearman’s method was applied to determine the correlation of CoP parameters. The results revealed the correlations between CoP parameters in the anterior-posterior (AP) and medial-lateral (ML) directions, and on the statokinesgram (SK) plane for all tasks. To obtain the in-depth detail between normal weight and overweight groups, the differences in the postural control mechanism were defined by correlations of CoP parameters. The Mann-Whitney U test was conducted to define the difference in postural control in terms of difference in weight gain and standing task factors, while Cohen’s d was used to investigate the influence of the difference in standing tasks and weight gain on postural control. The results showed that the correlations of CoP parameters could distinguish the balance impairment in the overweight condition from the normal postural control. Otherwise, the scores of BBS, the Mann-Whitney U test and Cohen’s d did not separate this slightly compensatory movement during equilibrium. Therefore, the correlations of CoP parameters could provide more information to analyze the balance function in each individual, especially in terms of slight compensation.
Author Statement
Research funding: Authors state no funding involved.
Conflict of interest: Authors state no conflict of interest.
Informed consent: All participants have given written informed consent.
Ethical approval: The study was approved by the Mahidol University Central Institutional Review Board (MU-IRB: 2014/112.1508), and the study was conducted in accordance with the Declaration of Helsinki.
References
[1] Tiedemann A, Sherrington C, Lord SR. The role of exercise for fall prevention in older age. Motriz Rev Ed Fís 2013;19:541–7.10.1590/S1980-65742013000300002Search in Google Scholar
[2] Palmieri RM, Ingersoll CD, Stone MB, Krause BA. Center-of-pressure parameters used in the assessment of postural control. J Sport Rehabil 2002;11:51–66.10.1123/jsr.11.1.51Search in Google Scholar
[3] Liaw MY, Chen CL, Pei YC, Leong CP, Lau YC. Comparison of the static and dynamic balance performance in young, middle-aged, and elderly healthy people. Chang Gung Med J 2009;32:297–304.Search in Google Scholar
[4] Halicka Z, Lobotkova J, Buckova K, Bzduskova D, Hlavacka F. Age-related effect of visual biofeedback on human balance control. Activ Nerv Super Rediviva 2011;53:67–71.Search in Google Scholar
[5] Booth FW, Roberts CK, Laye MJ. Lack of exercise is a major cause of chronic diseases. Compr Physiol 2012;2:1143–211.10.1002/cphy.c110025Search in Google Scholar PubMed PubMed Central
[6] Cai L, Chan JSY, Yan JH, Peng K. Brain plasticity and motor practice in cognitive aging. Front Aging Neurosci 2014;6:31.10.3389/fnagi.2014.00031Search in Google Scholar PubMed PubMed Central
[7] Fabris de Souza SA, Faintuch J, Valezi AC, Sant’Anna AF, Gama-Rodrigues JJ, de Batista Fonseca IC, et al. Postural changes in morbidly obese patients. Obes Surg 2005;15:1013–6.10.1381/0960892054621224Search in Google Scholar PubMed
[8] Capodaglio P, Cimolin V, Tacchini E, Parisio C, Galli M. Balance control and balance recovery in obesity. Curr Obes Rep 2012;1:166–73.10.1007/s13679-012-0018-7Search in Google Scholar
[9] Persad CC, Cook S, Giordani B. Assessing falls in the elderly: should we use simple screening tests or a comprehensive fall risk evaluation? Eur J Phys Rehabil Med 2010;46:249–59.Search in Google Scholar
[10] Santos GM, Souza ACS, Virtuoso JF, Tavares GMS, Mazo GZ. Predictive values at risk of falling in physically active and no active elderly with Berg Balance Scale. Braz J Phys Ther 2011;15:95–101.10.1590/S1413-35552011000200003Search in Google Scholar PubMed
[11] Paillard T, Noe F. Techniques and methods for testing the postural function in healthy and pathological subjects. BioMed Res Int 2015;2015:15.10.1155/2015/891390Search in Google Scholar PubMed PubMed Central
[12] Schneiders A, Gregory K, Karas S, Mundermann A. Effect of foot position on balance ability in single-leg stance with and without visual feedback. J Biomech 2016;49:1969–72.10.1016/j.jbiomech.2016.04.020Search in Google Scholar PubMed
[13] Lima CA, Perracini M, Nogueira E, Ricci N. The Berg Balance Scale as a screening test to predict falls in older adults: a systematic review. Innov Aging 2017;1(Suppl 1):433.10.1093/geroni/igx004.1554Search in Google Scholar
[14] Duarte M, Freitas SM. Revision of posturography based on force plate for balance evaluation. Rev Bras Fisioter 2010;14:183–92.10.1590/S1413-35552010000300003Search in Google Scholar
[15] Nejc S, Jernej R, Loefler S, Kern H. Sensitivity of body sway parameters during quiet standing to manipulation of support surface size. J Sports Sci Med 2010;9:431–8.Search in Google Scholar
[16] Cimolin V, Galli M, Grugni G, Vismara L, Precilios H, Albertini G, et al. Postural strategies in Prader-Willi and down syndrome patients. Res Dev Disabil 2011;32:669–73.10.1016/j.ridd.2010.11.017Search in Google Scholar PubMed
[17] Prieto TE, Myklebust JB, Hoffmann RG, Lovett EG, Myklebust BM. Measures of postural steadiness: differences between healthy young and elderly adults. IEEE Trans Biomed Eng 1996;43:956–66.10.1109/10.532130Search in Google Scholar PubMed
[18] Petrella M, Neves TM, Reis JG, Gomes MM, Oliveira RD, Abreu DC. Postural control parameters in elderly female fallers and non-fallers diagnosed or not with knee osteoarthritis. Rev Bras Reumatol 2012;52:512–7.10.1590/S0482-50042012000400004Search in Google Scholar
[19] Dutil M, Handrigan GA, Corbeil P, Cantin V, Simoneau M, Teasdale N, et al. The impact of obesity on balance control in community-dwelling older women. Age 2013;35:883–90.10.1007/s11357-012-9386-xSearch in Google Scholar PubMed PubMed Central
[20] Kovacikova Z, Svoboda Z, Neumannova K, Bizovska L, Cuberek R, Janura M. Assessment of postural stability in overweight and obese middle-aged women. Acta Gymn 2014;44:149–53.10.5507/ag.2014.015Search in Google Scholar
[21] Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 2009;41:1149–60.10.3758/BRM.41.4.1149Search in Google Scholar PubMed
[22] AbilityLab SR. Berg Balance Scale 2013 [updated June 19, 2013]. Available from: https://www.sralab.org/rehabilitation-measures/berg-balance-scale.Search in Google Scholar
[23] Zammit GV, Menz HB, Munteanu SE. Reliability of the TekScan MatScan® system for the measurement of plantar forces and pressures during barefoot level walking in healthy adults. J Foot Ankle Res 2010;3:11.10.1186/1757-1146-3-11Search in Google Scholar PubMed PubMed Central
[24] Brog F. The Confidence 95 Ellipse 2002 [updated Feb 2002]. Available from: https://www1.udel.edu/biology/rosewc/kaap686/reserve/cop/center%20of%20position%20conf95.pdf.Search in Google Scholar
[25] Weaver KF, Morales V, Dunn SL, Godde K, Weaver PF. Pearson’s and Spearman’s Correlation. In: Weaver KF, Morales V, Dunn SL, Godde K, Weaver PF, editors. An Introduction to Statistical Analysis in Research. New Jersey: John Wiley & Sons, Inc.; 2017:435–71.10.1002/9781119454205.ch10Search in Google Scholar
[26] Nam H-S, Kim J-H, Lim Y-J. The effect of the base of support on anticipatory postural adjustment and postural stability. J Korean Phys Ther 2017;29:135–41.10.18857/jkpt.2017.29.3.135Search in Google Scholar
[27] Rogers ME, Page P, Takeshima N. Balance training for the older athlete. Int J Sports Phys Ther 2013;8:517–30.Search in Google Scholar
[28] Cheng K. A systematic perspective of postural control: IBBME; 2003. Available from: http://www.ecf.utoronto.ca/∼sdavies/sysbioldir/cheng.pdf.Search in Google Scholar
[29] Duarte M, Zatsiorsky VM. Effects of body lean and visual information on the equilibrium maintenance during stance. Exp Brain Res 2002;146:60–9.10.1007/s00221-002-1154-1Search in Google Scholar PubMed
[30] Prasertsakul T, Kaimuk P, Chinjenpradit W, Limroongreungrat W, Charoensuk W. The effect of virtual reality-based balance training on motor learning and postural control in healthy adults: a randomized preliminary study. Biomed Eng Online 2018;17:124.10.1186/s12938-018-0550-0Search in Google Scholar PubMed PubMed Central
[31] Del Porto H, Pechak C, Smith D, Reed-Jones R. Biomechanical effects of obesity on balance. Int J Exerc Sci2012;5:301–20.Search in Google Scholar
[32] Ku PX, Abu Osman NA, Yusof A, Wan Abas WA. Biomechanical evaluation of the relationship between postural control and body mass index. J Biomech 2012;45:1638–42.10.1016/j.jbiomech.2012.03.029Search in Google Scholar PubMed
[33] Son SM. Influence of obesity on postural stability in young adults. Osong Public Health Res Perspect 2016;7:378–81.10.1016/j.phrp.2016.10.001Search in Google Scholar PubMed PubMed Central
[34] Fransson PA, Tjernstrom F, Hafstrom A, Magnusson M, Johansson R. Analysis of short- and long-term effects of adaptation in human postural control. Biol Cybern 2002;86:355–65.10.1007/s00422-001-0305-ySearch in Google Scholar PubMed
[35] Sarabon N, Rosker J, Loefler S, Kern H. The effect of vision elimination during quiet stance tasks with different feet positions. Gait Posture 2013;38:708–11.10.1016/j.gaitpost.2013.03.005Search in Google Scholar PubMed
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