Changes In Postural Control Research Articles

Effects of Constraining Postural Sway During Upper-Limb Precision Aiming Task Practice in Individuals with Stroke

Individuals post-stroke commonly demonstrate alterations in motor behavior with regard to both task performance and the motor strategies used in pursuit of task goals. We evaluated whether constraining postural sway (motor strategy) during practice would affect upper-limb precision aiming performance (task performance) and postural control adaptations. Adults with stroke stood on a force plate while immersed in a virtual scene displaying an anterior target. Participants aimed to position a virtual laser pointer (via handheld device) in the target. Participants then completed practice trials involving aiming at a lateral target. For this practice session, participants were randomized to either (a) a “constraint” group wherein they received physical constraint to limit postural sway, or (b) a “no-constraint” group. Task performance and postural control were assessed before and after practice, and transfer to another upper-limb task was evaluated. After practice, both groups improved paretic upper-limb performance. For the target task, the no-constraint group showed task-sensitive changes in postural control. The constraint group showed no changes in postural control. At transfer, the constraint group increased postural sway. Constraining postural sway after stroke should be carefully considered with the recognition that postural sway arises from exploratory movements involved in the discovery of adaptable motor solutions.

Concern about falling is related to threat-induced changes in emotions and postural control in older adults

BackgroundConcern about falling is reportedly related to mobility and balance in older adults. While increased concern about falling may be directly related to balance deficits, establishing a causal relationship remains limited. This study aimed to investigate whether concern about falling affects threat-induced changes in emotions and postural control in older adults. Research questionHow does concern about falling affect threat-induced changes in emotions and postural control among older adults? MethodsSixty-two older adults (age; 78.8 ± 5.7 years, height; 152.7 ± 6.3 cm) were exposed to height-related fear while standing, leaning forward, and leaning backward on the floor and a higher surface. The mean position, root mean square, and mean velocity of the center of pressure (COP) displacement were measured during the standing task, as well as the forward and backward limits of stability (LOS) tasks. The degree of self-reported fear of falling (FoF) was also obtained during the standing and LOS tasks. The participants were categorized into lower and higher concerns about falling based on the short form of the Falls Efficacy Scale International (FESI). ResultsLower and higher concern about falling groups scored 10.2 ± 2.2 and 17.3 ± 3.3 in the short FESI. Both groups experienced increased FoF during the standing and forward LOS tasks on a higher surface. Leaning away from the edge of the surface resulted in increased COP velocity, decreased COP amplitude while standing, and decreased forward LOS. Participants with higher concern about falling had increased FoF during the backward LOS task and decreased backward LOS on a higher surface, while those with lower concern about falling did not. SignificanceConcern about falling can directly affect emotions and balance control owing to the occurrence of threat-related changes.

Postural Control Changes When Performing Explosive Ordnance Disposal (eod) Operational Tasks With Eod Personal Protection Equipment (PPE): Bending Over At The Waist

Postural Control Changes When Performing Explosive Ordnance Disposal (eod) Operational Tasks With Eod Personal Protection Equipment (PPE): Bending Over At The Waist

INFOGRAPHIC: Changes in locomotor performance and postural control in people with hemophilia

INFOGRAPHIC: Changes in locomotor performance and postural control in people with hemophilia

Intersession reliability of center of pressure measurement during bipedal standing with different count-back orders

IntroductionDual-task assessments can identify changes in postural control during balance assessments. Static standing with backward counting is frequently used to evaluate postural control while dual-tasking. The most reliable countdown method for standing postural stability has not yet been defined. Research objectiveto investigate postural stability's intra- and inter-day reliability while backward counting in different steps. MethodThirty-nine healthy adults (20 females, 26.94 ± 7.55 years) completed 70 s trials of stability tests with no dual-task, counting backward under five conditions (in ones, tows, threes, fours, and fives) while standing on a force-plate in three sessions: two sessions were on the same day, and the third session was one-week apart. The repeatability of measurements was tested using repeated-measure analysis of variance, interclass correlation, and standard error of measurements. ResultsThe interclass correlation scores ranged from 0.67 to 0.92, and the standard error of measurements ranged from 2.9% to 13.4%. No significant systematic changes (p < 0.05) occurred between the testing sessions for any backward counting. DiscussionThe backward counting showed higher reliability when performed in condition 5 (counting backward in five's). The inter-day reliability scores were greater than intera-day reliability. ConclusionsDual-tasking with most backward counting (in ones to fives) is reliable, and a quantitative assessment of the center of pressure could be used to monitor the changes in postural stability between sessions.

Changes in trunk postural control with different types of mounts with relevance for hippotherapy

BackgroundHippotherapy uses horseback riding movements for therapeutic purposes. In addition to the horse's movement, the choice of equipment and types of positions are also useful in the intervention. Trunk postural control demands can be manipulated through varying mounting materials and patient positioning on the horse. The quantification of trunk dynamic parameters under the interaction of the different types of riding material and the position variations act upon trunk postural control provides insight into how children with neurotypical development respond to a similar hippotherapy session. This study aimed to evaluate the postural control of the trunk of children with neurotypical development when the riding materials and positioning of the feet and hands support were modified during horse riding. MethodsFifteen children with neurotypical development, aged 6–12 years old, of both sexes, participated in a hippotherapy session. Postural control was measured by the mean amplitudes of oscillation of the lumbar (L5) and thoracic (T5) segments in the mediolateral, anteroposterior and rotational planes with a portable inertial measurement system, in situations using the saddle or blanket, hands resting on the straps or thigh and feet free or supported on the stirrup. ResultsDifferences were observed in lumbar and thoracic oscillation in the mediolateral direction. Values were significantly higher with the use of the blanket when the hands were on the handle and feet in the stirrups, compared to the use of the saddle. When using the blanket and feet positioned in the stirrups, statistical differences with higher values occurred with the hands on the handle compared to the thigh positioning. ConclusionThe use of the blanket equipment associated with the support of the hands on the handles and feet on the stirrups produces greater mediolateral oscillation in the subjects. DescriptorsBalance. Stability. Children. Hippotherapy. Kinematics.

Kinesiotaping Is Not Better Than a Placebo: Kinesiotaping for Postural Control in Anterior Cruciate Ligament-Reconstructed Patients-A Randomized Controlled Trial.

The primary aim of this study was to investigate the immediate and delayed effects of kinesiotape (KT) on postural control and patient-reported outcome measures under challenging conditions in individuals with anterior cruciate ligament reconstructions. Thirty-two anterior cruciate ligament-reconstructed patients for whom 6months had passed since their operation were randomly assigned to either the KT (n = 16, aged 21.8 [5.5]y) or the placebo KT (n = 16, aged 24.0 [5.1]y) groups. Initially, both groups stood barefoot on a force platform while performing postural tasks in 4 randomized conditions (eyes open, eyes closed, cognitive task, and foam). Before the experiment, patients would bring the 4 conditions, which were written on folded papers, one by one, and in this way, the order of conditions for the examiners was determined. The patients' evaluations were conducted immediately and 48hours after KT application. Postural control measures, with area and displacement of the center of pressure (CoP) in anterior-posterior and medial-lateral directions, and mean total velocity displacement of CoP (MVELO CoP) served as dependent variables. In addition, the International Knee Documentation Committee score was measured pretreatment and 48hours posttreatment. Significant group-by-time interactions were observed for displacement of COP in medial-lateral direction (P = .002) and MVELO CoP (P = .034). MVELO CoP significantly decreased (mean difference = 0.60, P = .009) immediately after KT application compared with preapplication measures. In the placebo group, a statistically significant decrease in MVELO CoP (mean difference = 0.869, P = .001) was observed at 48hours post-KT compared with preapplication values. International Knee Documentation Committee scores significantly improved at 48hours post-KT application in both groups (P < .05). Though observed at different time points, both KT (immediately after the intervention) and placebo KT (48h after the intervention) were found to improve postural control measures. It appears that the changes in postural control may be more related to proprioceptive enhancement due to KT rather than the specific KT pattern.

Postural control during gait termination and prehension

BackgroundChallenges to postural stability emerge in the transition from locomotion to a standing posture as during gait termination, often accompanied by another task (e.g., opening a door), which may complicate control. However, less is known about postural control during terminating gait while engaged in a secondary manual task. Research questionWhat are the changes in postural control when terminating gait with and without a prehension task? MethodsIn a cross-sectional design, 15 healthy young adults (M=8, F=7; 27±2 years; 69±13 kg; 171±8 cm) underwent both a single task gait termination (GTO) and dual task (gait termination plus reaching; GTR). Postural Time-to-Contact (TtC) was measured using Center of Pressure (CoP) and the sternum position in anterior-posterior (AP) and medial-lateral (ML) directions over two different phases: preparatory phase and stabilization phase. Five successful trials were recorded to obtain a mean TtC. For statistical analysis of TtC, a two-tailed paired t-test was used (p =.05) as normality was satisfied. ResultsFor the preparatory phase, there were no differences for the CoP, but TtC of the sternum position in AP was shorter in GTR than GTO (p =.001). Meanwhile, for the stabilization phase, TtCs of both the CoP and sternum position were longer in GTR in both AP and ML directions (p’s <.001). SignificanceWe suggest that for the preparatory phase, the shorter TtC of the sternum position with intact TtC of the CoP in GTR indicates that healthy young individuals are flexible, in that they smoothly integrate CoP control with the upper body demands required to also perform the prehension task. Meanwhile, for the stabilization phase, the longer TtC in dual termination and prehension task indicates that the perturbation imposed by the prehension movement did not result in reduced stabilization when returning to an upright posture.

Postural control imbalance in individuals with a minor lower extremity amputation: a scoping review protocol.

Introduction Lower extremity amputations (LEA) impact the quality of life and physical abilities and increase the risk of developing secondary health complications. Current literature predominantly focuses on major LEA, leaving a gap in understanding biomechanics related to balance and postural control in minor LEA. The shifts towards increased rates of minor LEA, due to improved quality of care and patient management, highlights the need for a focused exploration of postural control deficits in this population. The scoping review will address this gap in the literature. Objectives The purpose of the review is to synthesize current research on postural control deficits following a minor foot amputation, focusing on any resections through or distal to the ankle joint, and to evaluate interventions aimed at improving balance in affected individuals. Inclusion criteria The review will encompass individuals of all ages who underwent a minor foot amputation, including various levels and etiologies. It will focus on quantitative data related to standing posture, ability to perform self-balanced activities of daily living, and external aids or treatments to improve postural control. The outcomes will include modifications in the sensation of balance, fall predictors, and biomechanical changes in postural control. Methods A preliminary search of MEDLINE (PubMed) was conducted to develop a full search strategy aimed at compiling all existing scientific articles on postural control and balance in individuals with a minor LEA. A comprehensive search will be performed across multiple databases and grey literature. Two reviewers will independently extract the data. The Mixed Methods Appraisal Tool will be used to assess risk and quality. Discussion By emphasizing the understudied aspects of postural control imbalances induced by minor LEA, the review will highlight potential areas for therapeutic intervention and contribute to a better understanding of rehabilitation for those affected.

Enhancing Postural Stability in Patients with Diabetic Peripheral Neuropathy: Assessing the Impact of Vestibulo-Postural Training Using a Bipodalic Stabilometric Platform

Aims &amp; Objective: The aim of this study is to evaluate the effectiveness of Vestibulo-Postural Training Using a Bipodalic Stabilometric Platform in patients with diabetic peripheral neuropathy. Methodology: Thirty-two participants were randomly allocated into either Level Bipodalic Stabilometric Training Group (LBSTG) or Tilted Bipodalic Stabilometric Training Group (TBSTG), using a computer-generated randomization sequence. The study's approach to evaluating postural control in individuals with Diabetic Peripheral Neuropathy (DPN) involved a precise methodology using a state-of-the-art ProKin 252 balancing platform (ProKin 252, TecnoBody, Italy). Results: The study revealed that while the LBSTG training did not produce a significant change in postural control for individuals with DPN, the TBSTG training led to a significant improvement. These results highlight the potential benefits of incorporating challenging balance tasks into rehabilitation programs for individuals with DPN to enhance postural control and stability. Conclusions: this study advocates for the importance of innovative balance training interventions in enhancing the stability and mobility of patients with DPN, potentially leading to improved clinical outcomes in the management of this condition.

Anticipatory postural control in adaptation of goal-directed lower extremity movements.

Skilled football players can adapt their kicking movements depending on external environments. Predictive postural control movements, known as anticipatory postural adjustments (APAs), are needed preceding kicking movements to precisely control them while maintaining a standing posture only with the support leg. We aimed to clarify APAs of the support leg in the process of adaptation of goal-directed movements with the lower limb. Participants replicated ball-kicking movements such that they reached a cursor, representing a kicking-foot position towards a forward target while standing with the support leg. APAs were observed as the centre of pressure of the support leg shifted approximately 300ms in advance of the onset of movement of the kicking foot. When the cursor trajectory of the kicking foot was visually rotated during the task, the kicking-foot movement was gradually modified to reach the target, indicating adaptation to the novel visuomotor environment. Interestingly, APAs in the mediolateral direction were also altered following the change in kicking-foot movements. Additionally, the APAs modified more slowly than the kicking-foot movements. These results suggest that flexible changes in predictive postural control might support the adaptation of goal-directed movements of the lower limb.

Quadriceps vascular occlusion does not alter muscle action or balance: A cross-sectional study.

Partial vascular occlusion (PVO) can increase muscle strength and hypertrophy without joint overload. However, PVO could increase the possibility of imbalances and injuries during physical activity. To identify changes in strength, muscle activation, and postural control during the use of PVO in young women. A total of 14 healthy women aged between 18 and 30 years were evaluated. Dynamometry was used to analyse the strength of the quadriceps muscle, and surface electromyography to evaluate quadriceps muscle activity. A force platform was utilised to assess postural control, static single-legged support, single-legged squat, and climbing and descending stairs. Participants were randomly assigned to the evaluations either with or without PVO. The results were compared and correlated. The performance of static, dynamic, or stair exercises, with or without PVO, did not indicate differences in muscle strength and recruitment (p > 0.05). The use of PVO improved the velocity of anteroposterior (AP) oscillation of static postural control (p = 0.001). We found a moderate negative correlation between muscle strength and postural control during the ascending stairs task with the use of PVO (r = -0.54; r = -0.59), while in the group without PVO, the correlation was moderate to high (r = -0.55; r = -0.76). The use of PVO did not impair muscle strength and recruitment of the quadriceps or postural control in healthy women. Partial vascular occlusion can be used during dynamic exercises without impairing the balance and muscle strength of the quadriceps during its execution.

Assessment of Postural Control and Proprioception Using the Delos Postural Proprioceptive System

Background. Proper postural control and proprioception are essential for maintaining balance, preventing falls, and performing daily activities. Traditional methods of assessing postural control and proprioceptive function often lack objectivity and precision. The DPPS offers a promising solution by providing a quantitative and comprehensive evaluation of postural stability and proprioceptive performance.&#x0D; Methods. The DPPS utilises advanced sensor technology and computerised analysis to measure various parameters related to postural control, including stability indexes, weight distribution, sway patterns, and proprioceptive responses. It incorporates both static and dynamic tests, allowing for a comprehensive assessment of postural control in different conditions.&#x0D; Results. Numerous studies have demonstrated the effectiveness of the DPPS in evaluating postural control and proprioception in various populations, such as athletes, older adults, individuals with balance disorders, and patients undergoing rehabilitation. The DPPS has shown good reliability and validity, with its measurements correlating well with other established assessment tools. It has also proven to be sensitive in detecting changes in postural control and proprioceptive function over time.&#x0D; Conclusions. The DPPS represents a valuable tool for objective assessment and monitoring of postural control and proprioceptive function. Its ability to provide quantitative data in a reliable and sensitive manner makes it an attractive option for researchers, clinicians, and rehabilitation professionals. By enhancing our understanding of postural control and proprioception, the DPPS can contribute to the development of targeted interventions and personalised treatment strategies aimed at improving balance, preventing falls, and optimising functional performance.&#x0D; Keywords: Delos Postural Proprioceptive System, Postural control, Proprioception, Assessment, Balance.

A non-expensive bidimensional kinematic balance assessment can detect early postural instability in people with Parkinson's disease.

BackgroundPostural instability is a debilitating cardinal symptom of Parkinson’s disease (PD). Its onset marks a pivotal milestone in PD when balance impairment results in disability in many activities of daily living. Early detection of postural instability by non-expensive tools that can be widely used in clinical practice is a key factor in the prevention of falls in widespread population and their negative consequences.ObjectiveThis study aimed to investigate the effectiveness of a two-dimensional balance assessment to identify the decline in postural control associated with PD progression.MethodsThis study recruited 55 people with PD, of which 37 were men. Eleven participants were in stage I, twenty-three in stage II, and twenty-one in stage III. According to the Hoehn and Yahr (H&amp;amp;Y) rating scale, three clinical balance tests (Timed Up and Go test, Balance Evaluation Systems Test, and Push and Release test) were carried out in addition to a static stance test recorded by a two-dimensional movement analysis software. Based on kinematic variables generated by the software, a Postural Instability Index (PII) was created, allowing a comparison between its results and those obtained by clinical tests.ResultsThere were differences between sociodemographic variables directly related to PD evolution. Although all tests were correlated with H&amp;amp;Y stages, only the PII was able to differentiate the first three stages of disease evolution (H&amp;amp;Y I and II: p = 0.03; H&amp;amp;Y I and III: p = 0.00001; H&amp;amp;Y II and III: p = 0.02). Other clinical tests were able to differentiate only people in the moderate PD stage (H&amp;amp;Y III).ConclusionBased on the PII index, it was possible to differentiate the postural control decline among the first three stages of PD evolution. This study offers a promising possibility of a low-cost, early identification of subtle changes in postural control in people with PD in clinical practice.

Effects of postural threat on the scaling of anticipatory postural adjustments in young and older adults.

The ability to scale anticipatory postural adjustments (APAs) according to the predicted size of the upcoming movement is reduced with aging. While age-related changes in central set may be one reason for this effect, an individual's emotional state might also contribute to changes in anticipatory postural control. Therefore, the purpose of this study was to determine whether an altered emotional state, as elicited through postural threat, alters the scaling of APAs during a handle pull movement in young and older adults. It was hypothesized that the presence of postural threat would lead to more homogenous APAs (i.e., less scaling of APAs) across a range of pulling forces. Young (n = 23) and older adults (n = 16) stood on top of a force plate that was mounted to a motorized platform. From this position, participants performed a series of handle pull trials without (no threat) or with (threat) the possibility of receiving a postural perturbation in the form of an unpredictable surface translation. Handle pulls were performed at force levels between 50 and 90% of maximum force. For each trial, the magnitude and timing of the APA were quantified from center of pressure (COP) recordings as well as electromyographic (EMG) activity of the soleus and medial gastrocnemius. The scaling of APAs with respect to force exertion was then determined through regression analyses and by comparing APAs during pulls of lower versus higher force. As evidenced by their smaller slope of the regression line between various dependent measures (i.e., COP velocity, soleus EMG onset latency, and soleus EMG amplitude) and the pulled forces, older adults demonstrated less scaling of APAs than the young. However, increases in arousal, anxiety and fear of falling due to postural threat, only minimally altered the scaling of APAs. Regardless of age, the slope of the regressions for none of the measures were affected by threat while only the soleus and medial gastrocnemius EMG onsets demonstrated significant force × threat interaction effects. These results suggest that the decreased ability to scale APAs with aging is unlikely to be due to changes in emotional state.

The effects of a single bout of high-intense strength exercise on cognitive function and postural dual-task control in older adults

ABSTRACT In this study we aimed to test if acute strength exercise would induce cognitive improvements. Secondarily, we examined the relationship between exercise-induced changes in cognitive function and postural dual-task control. Thirty-seven cognitively intact, non-faller older adults (≥60 years) were nonrandomly allocated to strength exercise or control. Strength exercise consisted of Smith machine squats (one session, 3 × 3reps at 90%, 95%, and 100% one-repetition maximum). Control participants held seated rest for 45 min. Cognitive functions, recognition (memory search), working memory (mathematical processing), processing speed (2-choice reaction time), and postural dual-task control were tested before and immediately after exercise or control using the Automated Neuropsychological Assessment Metrics-4 (ANAM4) battery and a mathematical counting task while maintaining a tandem Romberg stance with eyes open on a force plate. Outcome measures were response time and performance index (100 × [accuracy/response time]) on the ANAM4 tests and sway activity and entropy during the postural dual-task. We found a non-significant improvement with moderate effect size in performance index on the mathematical processing task of experimental participants compared to control participants (p = 0.145, = 0.060). Improvements in the mathematical processing task over time in the control group were associated with increased sway activity during the postural dual-task. No significant associations were found between changes in cognitive function and changes in postural control in the experimental group. Ultimately, our results may direct researchers and healthcare professionals in designing the optimal exercise treatment to improve cognitive function and postural control in older adults.

Does vibration frequency and location influence the effect of neck muscle vibration on postural sway? A cross-sectional study in asymptomatic participants.

Postural control is of utmost importance for human functioning. Cervical proprioception is crucial for balance control. Therefore, any change to it can lead to balance problems. Previous studies used neck vibration to change cervical proprioception and showed changes in postural control, but it remains unknown which vibration frequency or location causes the most significant effect. Therefore, this study aimed to investigate the effect of different vibration frequencies and locations on postural sway and to serve as future research protocol guidance. Seventeen healthy young participants were included in the study. We compared postural sway without vibration to postural sway with six different combinations of vibration frequency (80, 100, and 150Hz) and location (dorsal neck muscles and sternocleidomastoid). Postural sway was evaluated using a force platform. The mean center of pressure (CoP) displacement, the root mean square (RMS), and the mean velocity in the anteroposterior and mediolateral direction were calculated, as well as the sway area. The aligned rank transform tool and a three-way repeated measures ANOVA were used to identify significant differences in postural sway variables. Neck vibration caused a significant increase in all postural sway variables (p < 0.001). Neither the vibration frequency (p > 0.34) nor location (p > 0.29) nor the interaction of both (p > 0.30) influenced the magnitude of the change in postural sway measured during vibration. Neck muscle vibration significantly changes CoP displacement, mean velocity, RMS, and area. However, we investigated and found that there were no significant differences between the different combinations of vibration frequency and location.

Young type 1 diabetes subjects sway more than healthy persons when somatosensory system is challenged in static standing postural stability tests.

In type 1 diabetes, it is important to prevent diabetes-related complications and postural instability may be one clinically observable manifestation early on. This study was set to investigate differences between type 1 diabetics and healthy controls in variables of instrumented posturography assessment to inform about the potential of the assessment in early detection of diabetes-related complications.Eighteen type 1 diabetics with no apparent complications (HbA1c = 58 ± 9 mmol/L, diabetes duration = 15 ± 7 years) and 35 healthy controls underwent six 1-mintwo feet standing postural stability tests on a force plate. Study groups were comparable in age and anthropometric and performed the test with eyes open, eyes closed (EC), and EC head up with and without unstable padding. Type 1 diabetics exhibited greater sway (path length, p = 0.044 and standard deviation of velocity, p = 0.039) during the EC test with the unstable pad. Also, power spectral density indicated greater relative power (p = 0.043) in the high-frequency band in the test with EC head up on the unstable pad and somatosensory activity increased more (p = 0.038) when the unstable pad was added to the EC test. Type 1 diabetes may induce subtle changes in postural control requiring more active balancing when stability is challenged. Postural assessment using a portable easy-to-use force plate shows promise in detecting a diabetes-related decline in postural control that may be used as a sensitive biomarker of early-phase diabetes-related complications.

Sex differences concerning the effects of ankle muscle fatigue on static postural control and spinal proprioceptive input at the ankle.

The main aim of this study was to determine sex differences in postural control changes with ankle muscle fatigue during a standing forward leaning (FL) task under different vision conditions. The secondary aim was to examine sex differences in the effect of fatigue on soleus (SOL) H-reflex amplitude, a measure of motoneuron excitability with activation of Ia afferents. Fifteen healthy young adult males (mean age: 28.0 years) and 16 healthy young adult females (mean age: 26.1 years) were asked to perform four consecutive FL tasks [30 s; two with eyes open (EO) and two with eyes closed (EC)] before, and immediately following a fatiguing exercise consisting of alternating ankle plantarflexion (6 s) and dorsiflexion (2 s) maximal isometric contractions, and at 5 and 10 min of recovery. Center of pressure (COP) sway variables (mean position, standard deviation, ellipse area, average velocity, and frequency), an ankle co-contraction index, and a ratio of SOL H-reflex to the maximum amplitude of the compound muscle action potential (M-max) were obtained during the FL tasks. A rating of perceived fatigue (RPF) was also documented at the different time points. Time to task failure (reduction of 50% in maximal voluntary isometric contraction torque of ankle plantar flexors) and the increase in RPF value were not significantly different between males and females. Both sex groups showed similar and significant increases (p < 0.05) in mean COP sway velocity with no significant changes in co-contraction indices. No significant effects of fatigue and related interactions were found for SOL H/M-max ratio. The absence of a significant sex difference in postural control change (sway and co-contraction) with fatigue could be explained by similar perceived (RPF) and performance fatigability (exercise duration) between males and females in the present study. Fatigue did not lead to significant changes in SOL spinal motoneuron excitability with activation of Ia afferents.

Acute effect of boing balance board on postural control in older adults

BACKGROUND: Balance training has demonstrated a positive effect on older adults. However, the specific types and durations of interventions needed to effectively address postural deficits in aging individuals remain important areas of study. It is crucial to impact their motor performance quickly to bring about changes in postural control. AIM: This study aims to investigate the effect of an acute motor intervention using a balance board called the "Boing" on postural control in elderly individuals. METHOD: Twenty senior women between the ages of 60 and 78 were divided into two groups: Intervention Group (IG, n=10) and Control Group (n=10). Both groups performed a pretest postural task on a force plate, including conditions with feet together, feet apart, and semi-tandem stance. Participants in the IG then underwent the motor intervention on the Boing balance board, which disturbed balance in the antero-posterior and medio-lateral directions, similar to the pretest conditions. After the intervention, a posttest was conducted for both groups using the same procedure as the pretest. One week later, a retention test was performed. Analysis of center of pressure (COP) was conducted, examining total displacement (DOT) and root mean square (RMS) in the antero-posterior and medio-lateral directions. RESULTS: A two-way repeated measures ANOVA revealed that during the posttest phase, there were significant differences between the groups in DOT and ML RMS specifically in the semi-tandem condition. The IG group exhibited lower values. CONCLUSION: The Boing balance board shows promise as a useful apparatus for improving postural control through acute motor intervention.