Search

Background: Postural stability requires coordination of the visual, somatosensory, and vestibular systems. Cognitive tasks can divert attention from maintaining posture, potentially reducing body sway and fall risk. The effect on postural stability increases with cognitive load complexity. Understanding these aspects is crucial for studying the relationship between cognitive functions and postural stability, especially in older adults who may face declines in both areas. Method: The study involved 70 participants, divided into 2 groups: group I consisted of 35 young adults, and group II included 35 older adults. Each participant underwent a hearing test using pure-tone audiometry and was screened for vestibular and cognitive function. Postural stability was assessed using a stabilometer, with evaluations conducted under various conditions, both with and without cognitive tasks. The cognitive tasks utilized included word generation, backward letter repetition, and backward serial 7 subtraction. Results: Compared to noncognitive tasks, postural stability improved with cognitive tasks for both groups. When compared across different cognitive tasks, the backward letter repetition task enhanced postural stability more than word generation and backward serial 7 subtraction task. The most significant differences were observed on a cushioned surface with eyes closed when comparing noncognitive to cognitive tasks and across different cognitive tasks in both groups. However, younger adults exhibited better postural stability with cognitive tasks than older adults. Conclusion: Postural stability was enhanced with cognitive tasks compared to noncognitive tasks for both young and older adults. [ABSTRACT FROM AUTHOR]

This study aims to investigate the effects of whole-body vibration (WBV) exposure on the disturbance of standing balance function assuming that the cause of slip, trip and fall accidents in the land transportation industry is related to WBV exposure when traveling in vehicles. In the experiment, ten participants underwent 60 min of virtual driving in a driving simulator (DS) for WBV exposure. In addition, standing balance measurements were conducted before exposure, immediately after exposure, 2 min after exposure and 4 min after exposure. Four conditions were considered by combining two magnitudes of WBV exposure and the driver and passenger conditions. This study focused on two indexes of standing balance, namely, total length and enveloped area and the rate of change relative to the value before the vibration exposure was calculated. The rate of change remained almost constant at 1.0 in the control condition without vibration exposure, whereas that under vibration exposure conditions varied. Interestingly, the rate of change at 2 min after exposure remained high in the driver condition, but it decreased to almost 1.0 in the passenger condition. Since no difference appeared in the vibration acceleration measured at the seating surface between the driver and passenger conditions, it was believed that the difference between the driving and passenger conditions was related to fatigue caused by the accelerator-pedal operation. As a result of considering the percentage of the standing balance that returned to 1.0 after 4 min in most conditions, this study proposed that a rest period of several minutes be allowed from the experiment in which the participants were exposed to vibration at 0.5m/s2 rms for 60 min at the DS. Further basic experiments will be conducted to introduce another WBV exposure assessment, including loss of standing balance as a health indicator, to ISO 2631-1.

Abstract Background Mild cognitive impairment (MCI) is not just a prodrome to dementia, but a very important intervention point to prevent dementia caused by Alzheimer's disease (AD). It has long been known that people with AD have a higher frequency of falls with some gait instability. Recent evidence suggests that vestibular impairment is disproportionately prevalent among individuals with MCI and dementia due to AD. Therefore, we hypothesized that the measurement of balance capability is helpful to identify individuals with MCI. Methods First, we developed a useful method to evaluate balance capability as well as vestibular function using Nintendo Wii balance board as a stabilometer and foam rubber on it. Then, 49 healthy volunteers aged from 56 to 75 with no clinically apparent cognitive impairment were recruited and the association between their balance capability and cognitive function was examined. Cognitive functions were assessed by MoCA, MMSE, CDR, and TMT-A and -B tests. Results The new balance capability indicator, termed visual dependency index of postural stability (VPS), was highly associated with cognitive impairment assessed by MoCA, and the area under the receiver operating characteristic (ROC) curve was more than 0.8, demonstrating high sensitivity and specificity (app. 80% and 60%, respectively). Conclusions Early evidence suggests that VPS measured using Nintendo Wii balance board as a stabilometer helps identify individuals with MCI at an early and preclinical stage with high sensitivity, establishing a useful method to screen MCI.

Background: Mild cognitive impairment (MCI) is not just a prodrome to dementia, but a very important intervention point to prevent dementia caused by Alzheimer's disease (AD). It has long been known that people with AD have a higher frequency of falls with some gait instability. Recent evidence suggests that vestibular impairment is disproportionately prevalent among individuals with MCI and dementia due to AD. Therefore, we hypothesized that the measurement of balance capability is helpful to identify individuals with MCI. Methods: First, we developed a useful method to evaluate balance capability as well as vestibular function using Nintendo Wii balance board as a stabilometer and foam rubber on it. Then, 49 healthy volunteers aged from 56 to 75 with no clinically apparent cognitive impairment were recruited and the association between their balance capability and cognitive function was examined. Cognitive functions were assessed by MoCA, MMSE, CDR, and TMT-A and -B tests. Results: The new balance capability indicator, termed visual dependency index of postural stability (VPS), was highly associated with cognitive impairment assessed by MoCA, and the area under the receiver operating characteristic (ROC) curve was more than 0.8, demonstrating high sensitivity and specificity (app. 80% and 60%, respectively). Conclusions: Early evidence suggests that VPS measured using Nintendo Wii balance board as a stabilometer helps identify individuals with MCI at an early and preclinical stage with high sensitivity, establishing a useful method to screen MCI. [ABSTRACT FROM AUTHOR]

Abstract Background In youth, sex-related differences in balance performances have been reported with girls usually outperforming same-aged boys. However, it is not known whether sex also has an influence on learning of a new balance task in primary school-aged children. Therefore, the present study investigated sex-related differences in children learning to maintain balance under dynamic conditions. Methods Thirty-two children (16 girls, 16 boys) aged 8.5 ± 0.5 years practiced balancing on a stabilometer (i.e., to keep it as horizontal as possible) for seven trials (90 s each) on two consecutive days. Knowledge of results (KR) (i.e., time in balance) was provided after each trial. On day three learning was assessed using a retention test (i.e., balance task only) and a test of automation (i.e., balance plus concurrent motor interference task). Root-mean-square-error (RMSE) was recorded for all trials and used for further analysis. Results During practicing (Day 1, Day 2) RMSE values significantly decreased over the days (p = 0.019, d = 0.92) and trials (p = 0.003, d = 0.70) in boys and girls. Further, the main effect of sex showed a tendency toward significance (p = 0.082, d = 0.67). On day 3, the girls showed significantly smaller RMSE values compared to boys in the retention (p = 0.012, d = 1.00) and transfer test (p = 0.045, d = 0.74). Conclusions Performance increases during the acquisition phase tended to be larger in girls than in boys. Further, learning (i.e., retention and automation) was significantly larger in girls compared to boys. Therefore, practitioners (e.g., teachers, coaches) should supply boys and grils with balance exercises of various task difficulties and complexities to address their diverse learning progress.

Cerebral palsy (CP) is a neurological condition that affects musculoskeletal system causing altered balance control, which is governed by constant adjustments by muscular activity and joint positioning. Since the foot is the platform upon which we stand and balance, it is important to study and characterize foot posture abnormalities in CP to better understand their possible effect on multidirectional limits of stability (MDLS) in standing. Our aim was to find relation between foot posture and MDLS in diplegic children. Thirty diplegics (13 pes-planus and 17 pes-cavus) between the age of 6 to 14, gross motor function classification system (GMFCS) levels I and II, whose parents consented were included in this study. Diplegics unable to stand unsupported for < 2 minutes, undergone lower-limb surgeries in 6 months, having visual impairments were excluded. Foot posture was assessed with arch index, MDLS were measured by GEAMASTER stabilometer. There was significant positive correlation between foot posture and limits of stability. Diplegic children having pes-planus have better MDLS as compared with pes-cavus., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

The concurrent execution of two or more tasks simultaneously results in performance decrements in one or both conducted tasks. The practice of dual-task (DT) situations has been shown to decrease performance decrements. The purpose of this study was to investigate the effects of consecutive versus concurrent practice on cognitive and motor task performance under single-task (ST) and DT conditions. Forty-five young adults (21 females, 24 males) were randomly assigned to either a consecutive practice (INT consecutive) group, a concurrent practice (INT concurrent) group or a control (CON) group (i.e., no practice). Both INT groups performed 2 days of acquisition, i.e., practicing a cognitive and a motor task either consecutively or concurrently. The cognitive task required participants to perform an auditory stroop task and the number of correct responses was used as outcome measure. In the motor task, participants were asked to stand on a stabilometer and to keep the platform as close to horizontal as possible. The time in balance was calculated for further analysis. Pre- and post-practice testing included performance assessment under ST (i.e., cognitive task only, motor task only) and DT (i.e., cognitive and motor task simultaneously) test conditions. Pre-practice testing revealed no significant group differences under ST and DT test conditions neither for the cognitive nor the motor task measure. During acquisition, both INT groups improved their cognitive and motor task performance. The post-practice testing showed significantly better cognitive and motor task values under ST and DT test conditions for the two INT groups compared to the CON group. Further comparisons between the two INT groups revealed better motor but not cognitive task values in favor of the INT consecutive practice group (ST: p = 0.022; DT: p = 0.002). We conclude that consecutive and concurrent practice resulted in better cognitive (ST condition) and motor (ST and DT test conditions) task performance than no practice. In addition, consecutive practice resulted in superior motor task performance (ST and DT test conditions) compared to concurrent practice and is, therefore, recommended when executing DT practice schedules. [ABSTRACT FROM AUTHOR]

Background: Vision is seen as an important factor in maintaining balance, but different visual conditions, such as following a cue or looking in one direction may increase or decrease body sway. Contradicting results in earlier studies focusing on visual control of posture show the same eye movements' conditions have a different impact on postural stability. Objective: The aim of the study was to assess the influence of different eye movements on standing balance performance. Methods: Thirty-two healthy students (age 22.8 ± 2.7 years) participated in the study. Participants were asked to follow a stationary dot and moving dots in horizontal and vertical directions in low and high frequencies while standing on a stabilometer - an unstable platform which allows movement in the frontal plane. Results: There was no impact of different saccadic speeds (p = .251, partial η2 =.044) nor different directions (p = .287, partial η2 = .039) on a postural sway in young adults. Conclusions: The postural stability is not influenced by visual stimuli in healthy young adults while maintaining balance on an unstable platform.

Background: Previous studies have reported positive effects of concurrent motor and cognitive task practice compared to motor or cognitive task practice only on dual-task performance in young adults. Knowledge about the effect of motor vs. cognitive task prioritization during practice on dual-task performance remains unclear and has not been investigated in depth so far. Thus, we examined the effects of motor task compared to cognitive task prioritization during dual-task practice on motor-cognitive performance in healthy young adults.Methods: Healthy young adults were randomly assigned to dual-task (DT; i.e., concurrent motor and cognitive practice) or single-task (ST; i.e., motor or cognitive task practice only) practice groups. In DT practice, subjects were instructed to either prioritize the motor or the cognitive task. The motor task required subjects to keep a stabilometer in a horizontal position. The cognitive task involved serial three subtractions. Outcome variables were the root-mean-square error (RMSE) for the motor task and the total number of correct calculations for the cognitive task. All participants practiced for 2 consecutive days under their respective treatment condition and were tested under DT condition 24 h later (i.e., retention on day 3) without providing instructions on task prioritization.Results: Irrespective of prioritization (i.e., prioritize the motor task or the cognitive task), the DT practice groups similarly improved their DT motor and cognitive task performance. The ST groups also improved motor or cognitive performance depending on their respective training contents (i.e., motor practice improved RMSE and cognitive practice improved number of correct calculations but not vice versa).Conclusion: We conclude that DT compared to ST practice is well-suited to improve DT performance, irrespective of task-prioritization. DT but not ST practice resulted in an improved modulation of both domains (i.e., motor and cognitive) during DT performance. Our findings might be explained by freeing up central resources following DT practice that can be used to effectively perform the concurrent execution of motor and cognitive processing demands. However, this process is not further enhanced by the prioritized task domain.

Background : Previous studies have reported positive effects of concurrent motor and cognitive task practice compared to motor or cognitive task practice only on dual-task performance in young adults. Knowledge about the effect of motor vs. cognitive task prioritization during practice on dual-task performance remains unclear and has not been investigated in depth so far. Thus, we examined the effects of motor task compared to cognitive task prioritization during dual-task practice on motor-cognitive performance in healthy young adults. Methods : Healthy young adults were randomly assigned to dual-task (DT; i.e., concurrent motor and cognitive practice) or single-task (ST; i.e., motor or cognitive task practice only) practice groups. In DT practice, subjects were instructed to either prioritize the motor or the cognitive task. The motor task required subjects to keep a stabilometer in a horizontal position. The cognitive task involved serial three subtractions. Outcome variables were the root-mean-square error (RMSE) for the motor task and the total number of correct calculations for the cognitive task. All participants practiced for 2 consecutive days under their respective treatment condition and were tested under DT condition 24 h later (i.e., retention on day 3) without providing instructions on task prioritization. Results : Irrespective of prioritization (i.e., prioritize the motor task or the cognitive task), the DT practice groups similarly improved their DT motor and cognitive task performance. The ST groups also improved motor or cognitive performance depending on their respective training contents (i.e., motor practice improved RMSE and cognitive practice improved number of correct calculations but not vice versa). Conclusion : We conclude that DT compared to ST practice is well-suited to improve DT performance, irrespective of task-prioritization. DT but not ST practice resulted in an improved modulation of both domains (i.e., motor and cognitive) during DT performance. Our findings might be explained by freeing up central resources following DT practice that can be used to effectively perform the concurrent execution of motor and cognitive processing demands. However, this process is not further enhanced by the prioritized task domain. [ABSTRACT FROM AUTHOR]

Background: In youth, sex-related differences in balance performances have been reported with girls usually outperforming same-aged boys. However, it is not known whether sex also has an influence on learning of a new balance task in primary school-aged children. Therefore, the present study investigated sex-related differences in children learning to maintain balance under dynamic conditions. Methods: Thirty-two children (16 girls, 16 boys) aged 8.5 ± 0.5 years practiced balancing on a stabilometer (i.e., to keep it as horizontal as possible) for seven trials (90 s each) on two consecutive days. Knowledge of results (KR) (i.e., time in balance) was provided after each trial. On day three learning was assessed using a retention test (i.e., balance task only) and a test of automation (i.e., balance plus concurrent motor interference task). Root-mean-square-error (RMSE) was recorded for all trials and used for further analysis. Results: During practicing (Day 1, Day 2) RMSE values significantly decreased over the days (p = 0.019, d = 0.92) and trials (p = 0.003, d = 0.70) in boys and girls. Further, the main effect of sex showed a tendency toward significance (p = 0.082, d = 0.67). On day 3, the girls showed significantly smaller RMSE values compared to boys in the retention (p = 0.012, d = 1.00) and transfer test (p = 0.045, d = 0.74). Conclusions: Performance increases during the acquisition phase tended to be larger in girls than in boys. Further, learning (i.e., retention and automation) was significantly larger in girls compared to boys. Therefore, practitioners (e.g., teachers, coaches) should supply boys and grils with balance exercises of various task difficulties and complexities to address their diverse learning progress. [ABSTRACT FROM AUTHOR]

Background: Vision is seen as an important factor in maintaining balance, but different visual conditions, such as following a cue or looking in one direction may increase or decrease body sway. Contradicting results in earlier studies focusing on visual control of posture show the same eye movements' conditions have a different impact on postural stability. Objective: The aim of the study was to assess the influence of different eye movements on standing balance performance. Methods: Thirty-two healthy students (age 22.8 ± 2.7 years) participated in the study. Participants were asked to follow a stationary dot and moving dots in horizontal and vertical directions in low and high frequencies while standing on a stabilometer - an unstable platform which allows movement in the frontal plane. Results: There was no impact of different saccadic speeds (p = .251, partial η² =.044) nor different directions (p = .287, partial η² = .039) on a postural sway in young adults. Conclusions: The postural stability is not influenced by visual stimuli in healthy young adults while maintaining balance on an unstable platform. [ABSTRACT FROM AUTHOR]

The squat exercise is a fundamental movement in athletic training and rehabilitation. In this study, we measured muscle activities in a normal squat posture (NSP) and a squat posture with the center of foot pressure (COP) intentionally shifted forward as far as possible (FSP). Ten healthy men performed double-limb squats, adopting the NSP and FSP, with three knee flexion angles (30, 60, and 90 degrees). The muscle activities of the vastus medialis (VM), semitendinosus (ST), tibialis anterior (TA), and gastrocnemius muscle lateral head (GL) were measured using surface electromyography, and activity patterns were analyzed. Compared to that for the NSP, the COP was significantly shifted forward in the FSP by at least 30% of the foot length for all knee flexion angles (p < 0.05). At all knee flexion angles, VM muscle activity significantly decreased, while GL muscle activity increased, in the FSP compared to that for the NSP (p < 0.05). In addition, ST muscle activity increased significantly in the FSP compared to that for the NSP at knee flexion angles of 30 and 60 degrees (p < 0.05). TA muscle activity significantly decreased in the FSP compared to that for the NSP at only 90 degrees of knee flexion (p < 0.05). These results demonstrate that muscle activity patterns vary significantly according to squat posture. Thus, the active control of the COP position during the squat can be a new training approach in targeting specific muscle groups. [ABSTRACT FROM AUTHOR]

In this study, we developed an evaluation method using posture and joint torque for the evaluation of balance ability. The evaluation and analysis of standing with a disturbance is conducted for effective balance evaluations. Center of pressure information is mainly used for the evaluation of balance ability using a stabilometer. It is necessary for a more detailed analysis to combine the measurements of body motion. The analysis of posture and joint angle is conducted by body-motion measurement, and joint torque is calculated using ground reaction force and posture information. In this study, we estimated posture and joint torque using a wearable sensor system in the balance evaluation of standing using a stabilometer that generates a disturbance. The analytical results indicated the posture information and joint torque. Analysis and feedback in a short time can be conducted using the wearable sensor system.

Background: In everyday life, people engage in situations involving the concurrent processing of motor (balance) and cognitive tasks (i.e., “dual task situations”) that result in performance declines in at least one of the given tasks. The concurrent practice of both the motor and cognitive task may counteract these performance decrements. The purpose of this study was to examine the effects of single task (ST) compared to dual task (DT) practice on learning a dynamic balance task.Methods: Forty-eight young adults were randomly assigned to either a ST (i.e., motor or cognitive task training only) or a DT (i.e., motor-cognitive training) practice condition. The motor task required participants to stand on a platform and keeping the platform as close to horizontal as possible. In the cognitive task, participants were asked to recite serial subtractions of three. For 2 days, participants of the ST groups practiced the motor or cognitive task only, while the participants of the DT group concurrently performed both. Root-mean-square error (RMSE) for the motor and total number of correct calculations for the cognitive task were computed.Results: During practice, all groups improved their respective balance and/or cognitive task performance. With regard to the assessment of learning on day 3, we found significantly smaller RMSE values for the ST motor (d = 1.31) and the DT motor-cognitive (d = 0.76) practice group compared to the ST cognitive practice group but not between the ST motor and the DT motor-cognitive practice group under DT test condition. Further, we detected significantly larger total numbers of correct calculations under DT test condition for the ST cognitive (d = 2.19) and the DT motor-cognitive (d = 1.55) practice group compared to the ST motor practice group but not between the ST cognitive and the DT motor-cognitive practice group.Conclusion: We conclude that ST practice resulted in an effective modulation of the trained domain (i.e., motor or cognitive) while only DT practice resulted in an effective modulation of both domains (i.e., motor and cognitive). Thus, particularly DT practice frees up central resources that were used for an effective modulation of motor and cognitive processing mechanisms.

Background: A pronounced discrepancy exists between balance assessments for stroke survivors that are used for clinical purposes and those used for research. Clinical assessments like the Berg Balance Scale generally have stronger ecological validity, whereas research-based assessments like posturography are generally more reliable and precise. We developed a stabilometer balance test (SBT) that aims to couple measurement reliability and precision to clinical meaningfulness by means of a personalized and adaptive test procedure.Research Question: To examine the validity, reliability, and measurement error of the stabilometer balance test in inpatient stroke patients.Methods: In this cross-sectional study, inpatient stroke patients (FAC > 2) were tested on a stabilometer with adjustable resistance to mediolateral movement. A modified staircase procedure was used to adapt task difficulty (i.e., rotational stiffness) on a trial-by-trial basis. The main outcome was the threshold stiffness at which a patient could just stay balanced. Threshold stiffness was correlated with the Berg Balance Scale and posturography measurements to determine concurrent validity (N = 86). Test-retest reliability (N = 23) was analyzed with the Intraclass Correlation Coefficient (ICC). Floor and ceiling effects were assessed. The minimal detectable change was determined at individual and group level.Results: Threshold rotational stiffness moderately correlated with the Berg Balance Scale (r=-0.559, p < 0.001), and the absolute path length of the center of pressure during posturography (r=0.348, p = 0.006). Test-retest reliability was good to excellent (ICC=0.869; 95%CI=0.696-0.944). There were no floor or ceiling effects. The minimal detectable change was sufficiently small to detect relevant changes in balance control both on individual and group level.Relevance: The SBT is both a valid and reliable balance assessment in stroke patients. It is at least as precise as current clinically preferred measures and does not suffer from ceiling effects. Therefore, it is suitable for use in clinical practice as well as research. [ABSTRACT FROM AUTHOR]

Background: In everyday life, people engage in situations involving the concurrent processing of motor (balance) and cognitive tasks (i.e., "dual task situations") that result in performance declines in at least one of the given tasks. The concurrent practice of both the motor and cognitive task may counteract these performance decrements. The purpose of this study was to examine the effects of single task (ST) compared to dual task (DT) practice on learning a dynamic balance task. Methods: Forty-eight young adults were randomly assigned to either a ST (i.e., motor or cognitive task training only) or a DT (i.e., motor-cognitive training) practice condition. The motor task required participants to stand on a platform and keeping the platform as close to horizontal as possible. In the cognitive task, participants were asked to recite serial subtractions of three. For 2 days, participants of the ST groups practiced the motor or cognitive task only, while the participants of the DT group concurrently performed both. Root-mean-square error (RMSE) for the motor and total number of correct calculations for the cognitive task were computed. Results: During practice, all groups improved their respective balance and/or cognitive task performance. With regard to the assessment of learning on day 3, we found significantly smaller RMSE values for the ST motor (d = 1.31) and the DT motor-cognitive (d = 0.76) practice group compared to the ST cognitive practice group but not between the ST motor and the DT motor-cognitive practice group under DT test condition. Further, we detected significantly larger total numbers of correct calculations under DT test condition for the ST cognitive (d = 2.19) and the DT motor-cognitive (d = 1.55) practice group compared to the ST motor practice group but not between the ST cognitive and the DT motor-cognitive practice group. Conclusion: We conclude that ST practice resulted in an effective modulation of the trained domain (i.e., motor or cognitive) while only DT practice resulted in an effective modulation of both domains (i.e., motor and cognitive). Thus, particularly DT practice frees up central resources that were used for an effective modulation of motor and cognitive processing mechanisms. [ABSTRACT FROM AUTHOR]

Deformation of embankments built on marshy territories is mainly displayed by slowly increasing residual settlements and significant elastic settlements. These cause intensive wear of fastening elements and prove the definitive role of peat used as foundation material in the reliable performance of railway track in general. Investigation of peat physical and deformation characteristics were conducted on samples having undisturbed structure. The result of experiments were obtained the following dependencies: E(W) – dependence of aggregate deformation modulus on natural moisture level; E(ρ d ) – dependence of aggregate deformation modulus on porosity. Analysis of the obtained data allows to draw a conclusion, that peat porosity growth at low values of moisture leads to significant reduction of deformation modulus. It is also worth mentioning that the impact of vibration and dynamic loading increases this reduction even further. The described findings emphasize the importance of taking into consideration vibration and dynamic loads when calculating settlements in railway embankments built on peat foundations. [ABSTRACT FROM AUTHOR]

Objective: To investigate the effect of a 12-month sensomotor balance exercise programme on postural control and the frequency of falling in women with established osteoporosis. Design: Randomized controlled trial where the intervention group was assigned the 12-month Balance Training Programme and the control group did not undertake any intervention beyond regular osteoporosis treatment. Subjects: A total of 100 osteoporotic women - at least with one osteoporotic fracture - aged 65 years old and above. Main measures: Balance was assessed in static and dynamic posture both with performance-based measures of balance, such as the Berg Balance Scale and the Timed Up and Go Test, and with a stabilometric computerized platform. Interventions: Patients in the intervention group completed the 12-month sensomotor Balance Training Programme in an outpatient setting, guided by physical therapists, three times a week, for 30 minutes. Results: The Berg Balance Scale and the Timed Up and Go Test showed a statistically significant improvement of balance in the intervention group (p = 0.001 and p = 0.005, respectively). Balance tests using the stabilometer also showed a statistically significant improvement in static and dynamic postural balance for osteoporotic women after the completion of the Balance Training Programme. As a consequence, the one-year exercise programme significantly decreased the number of falls in the exercise group compared with the control group. Conclusion: The Balance Training Programme significantly improved the balance parameters and reduced the number of falls in postmenopausal women who have already had at least one fracture in the past. [ABSTRACT FROM AUTHOR]

Upright balance control is an important human skill which can be impaired by aging and different disorders. Therefore, clinical and laboratory measures of balance assessment were established. The latest technology in the laboratory methods is a stabilemeter with a computer or computerized dynamic posturography which assesses static and dynamic balance using body sways. A computerized dynamic posturography system consists of a computer and a stabilemeter which is an unstable platform under patient's feet and calculates center of pressure on the platform to display it immediately on the screen. For these purposes, two protocols of "Limits of stability" (LOS) and "Postural stability" (PS) were designed and developed in the present study for a prefabricated stabile meter with a max. of 20 degrees deviation from horizontal in all directions to achieve the mentioned purposes. The protocols calculate and display the person's functional characteristics that can be saved to the computer of computerized dynamic posturography to demonstrate a diagram of the patient's functional progression. In addition to the balance assessment, the device improves balance and neuromuscular strength, and is useful in medicine, laboratory researches, physiotherapy and bodybuilding. [ABSTRACT FROM AUTHOR]

Outer ankle ligament rupture is a commonly occurring injury in everyday clinical practice, yet relatively little attention is paid to rehabilitation during its conservative treatment. In this paper, functional results of injured individuals who underwent rehabilitation using a sensorimotor training protocol developed by the authors are compared with those of individuals who had none, or had (non-standardized) aftercare in a home care setting in undetermined circumstances. Altogether 67 patients (40 males, 27 females) who had complete rupture of the anterior talofibular and calcaneofibular ligaments, confirmed by physical examination and x-ray, were included in the study. In case of the 45 patients (28 males and 17 females) who made up the test group, the sensorimotor training protocol was part of rehabilitation, while the 22 patients who belonged to the control group (12 male, 10 female), did not participate in the rehabilitation program after undergoing functional conservative treatment. In all patients functional stability was assessed with Bretz sports stabilometer on the 6th and 12th weeks following conservative therapy. It has been established that patients who were rehabilitated with the sensorimotor training protocol had significantly better static and dynamic balance parameters compared to the control group. Based on these results, it is likely that the rehabilitation protocol employed by the rs enhances safe return to physical activity of the injured and decreases the risk of re-injury as well. [ABSTRACT FROM AUTHOR]

The objective of the present study was to determine the effects of exercise continued until the anaerobic threshold on balance performance in basketball players. Twelve male basketball players (age = 20.92 ± 2.81 years, body height = 192.72 ± 7.61 cm, body mass = 88.09 ± 8.41 kg, training experience = 7.17 ± 3.10 years) volunteered to participate in this study. A Kinesthetic Ability Trainer (KAT 2000 stabilometer) was used to measure the balance performance. Balance tests consisted of static tests on dominant, nondominant and double leg stance. The Bruce Protocol was performed by means of a treadmill. The exercise protocol was terminated when the subject passed the anaerobic threshold. After the exercise protocol, balance measurements were immediately repeated. Statistical differences between pre and post-exercise for dominant, nondominant and double leg stance were determined by the paired samples t-test according to the results of the test of normality. The post-exercise balance score on the dominant leg was significantly higher than pre-exercise (t = -2.758, p < 0.05). No differences existed between pre- and postexercise in the balance scores of the nondominant leg after the exercise protocol (t = 0.428, p > 0.05). A significant difference was found between pre and post-exercise balance scores in the double leg stance (t = -2.354, p < 0.05). The main finding of this study was that an incremental exercise continued until the anaerobic threshold decreased balance performance on the dominant leg in basketball players, but did not alter it in the nondominant leg. [ABSTRACT FROM AUTHOR]

The relation between prefrontal cortex and cerebro-cerebellar functions of 50 normal healthy elderly people was examined. The function of the prefrontal cortex was measured by means of a letter fluency test and the Digit Cancellation Test (D-CAT, a test for the assessment of attention). Two indexes of postural tremor measured by the stabilometer were employed for the indication of cerebello-thalamo-cortical circuit functions. The results of groups consisting of participants showing higher or lower scores than the mean of the norm on the stabilometer index measurements were compared with their D-CAT and letter fluency test performances. The results showed that 2 indexes of cerebello-thalamo-cortical circuit functions related to the attention function while the relation to the language function was rather weak. The results of the behavioral measures demonstrated a mutual relation between prefrontal cortex and cerebello-thalamo-cortical circuit functions and strongly suggest the notion that the human brain functions as a system, which includes neocortex, subcortex, and cerebellum. [ABSTRACT FROM AUTHOR]

We examined whether fixation of an upper extremity affected upright posture by stabilometer and moire topography. All data were measured from ten healthy young male volunteers without disorder of the sense of equilibrium. A control study was performed before fixation. In the fixation experiment, each subject was instructed to perform as follows: first, flexion of right elbow at 90°, then pronation of right forearm and slight palmar flexion of the right wrist joint. A splint was used for holding the arm position, and a sling fixed the overall upper extremity. After measurement, the position of the right upper extremity was recovered, and then the left one was fixed in the same manner. In the fixation experiments, data on both the right and left upper extremities by stabilometer showed no significant differences compared with control values. Moire topography data clearly showed elevation of the ipsilateral scapula under hemilateral fixation. Our results suggested that the fixation of the upper extremity hardly influenced the regulation system of upright posture but induced extreme hypertonia. [ABSTRACT FROM AUTHOR]

This experiment followed up on previous studies showing learning benefits of instructions directing the performers' attention to the effects of their movements (external focus) relative to instructions directing attention to the movements themselves (internal focus). The main purpose was to determine whether similar advantages could be achieved by preventing learners from focusing on their movements through the use of an attention-demanding secondary task. Participants practiced balancing on a stabilometer. External and internal focus group participants were instructed to focus on markers attached to the balance platform or on their feet, respectively. A third group was required to shadow a story presented to them while balancing. In addition, a control group without attentional focus instructions or a secondary task was included. The external focus group showed more effective balance learning than the other groups. The results provide evidence for the learning benefits of external focus instructions. In addition, they show that similar advantages cannot be achieved by simply preventing learners from focusing on the task to be learned. [ABSTRACT FROM AUTHOR]

Objective – To investigate the effect of acetazolamide on spinocerebellar ataxia type 6 (SCA6). Methods – Acetazolamide (250–500 mg/day) was administered orally for 88 weeks to 6 patients with SCA6, and its effect was quantitatively monitored using the Ataxia Rating Scale (ARS) and body sway analysis by stabilometry. Results – During administration of acetazolamide, the ARS score and the amplitude of body sway were significantly reduced compared with before administration. However, the response became weaker after 1 year of treatment. Conclusion – Although this was an open trial, the results suggested that acetazolamide can temporarily reduce the severity of symptoms during the progression of SCA6. [ABSTRACT FROM AUTHOR]

Objective In this article, we aimed to describe the Foulage test (FT) and investigate the test-retest reliability of parameters recorded during stepping execution in healthy adults. Materials and methods This was a single-center prospective cohort study conducted at an outpatient clinic. It included five healthy male participants [mean age ± standard deviation (SD): 27 ± 5.4 years]. The FT was performed first with the participants' eyes open and again with their eyes closed. If the heel height was not within 2-6 cm, the participant was asked to restart. The FT value and variance of steps were automatically calculated. To verify the influence of heel height, measurements were taken at different heel heights. We also evaluated the Romberg ratio (calculated from the parameters with eyes open and closed) and defined it as the dynamic Romberg ratio. Correlations between parameters were also assessed. Results The parameters' FT value (front-back width of the band of locus shape) and variance of steps plateaued under stable conditions within a heel height of 2-6 cm. FT values and variance of steps were strongly correlated. The dynamic Romberg ratios by FT value and by the variance of steps were also strongly correlated. Conclusions The FT is a dynamic and reproducible equilibrium function test that can quantify agitation with the eyes open or closed in general outpatient clinics, and it may be employed as a clinically useful method for the observation of clinical courses in patients with vestibular disorders., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2022, Miwa et al.)

[Purpose] The efficacy of a stabilometer-based index of postural stability (IPS) as an indicator of dynamic balance ability was investigated. [Subjects and Methods] Using a stabilometer, we calculated the IPS in 583 healthy subjects (178 males, 405 females) under two conditions (open eyes/hard surface, OE/HS; closed eyes/soft surface, CE/SS). [Results] Results revealed a negative relation between IPS and age. IPS (OE/HS) began to decrease at middle-age (40-60 years old), and then decreased more rapidly during elderly ages (>60 years old). On the other hand, IPS (CE/SS) decreased linearly with increasing age. There was no gender difference between the two IPSs. [Conclusion] These results suggest that IPS can evaluate balance ability quantitatively and without a ceiling effect. It was concluded that IPS (OE/HS) indicates comprehensive balance ability, while IPS (CE/SS) reveals balance ability without compensation by visual acuity and plantar superficial sense.