Self-Mobilization Exercise Program Improved Postural Stability in the Anterior-Posterior Direction with Eyes Closed

Abstract

Maintenance of equilibrium is influenced by postural symmetry and deviations such as a forward head. An exercise program involving an effect such as self-joint mobilization was developed to address spinal curvature; however, its effect on postural stability is still unclear. The purpose of this study was to address to what extent the self-mobilization exercise program would influence postural sway while standing still. The Exercise group (n = 16) performed the self-mobilization while lying supine on a cylinder-shaped tube (98 cm length, 15 cm diameter), consisting of three warm-up positionings followed by seven motions. The Control group (n = 16) laid supine on a flat surface with their legs flexed. Before and immediately after respective interventions, the plantar center of pressure was quantified while subjects were standing with eyes open and closed. The results show the exercise group reduced the postural sway in the antero-posterior direction only during the eyes-closed condition. Neither exercise nor control groups showed a significant change in postural sway during the eyes-open condition. Our findings indicate the self-mobilization exercise program improved the participant’s stability when visual feedback was not reliable for postural control. The improved postural control in the antero-posterior direction may be accounted for by facilitated activation of planterflexors and dorsiflexors which are primary muscles in ankle strategy for postural control. Effects of this exercise program on postural stability appear to be direction dependent, which provide insight when healthcare professionals incorporate exercise programs for postural symmetry.