Reliability of Posturographic Parameters Assessing Standing Ability in Different Positions and Walking Activity in Healthy Participants

  • LU Rong-rong ,
  • GAO Tian-hao ,
  • LI Ce ,
  • GUO Shuai ,
  • WANG Zhi-yong ,
  • BAI Yu-long
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  • 1. Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China;
    2. Shanghai University, Shanghai 200436, China;
    3. Shanghai Golden Arrow Robot Technology Co. Ltd., Shanghai 200436, China

Received date: 2018-06-11

  Revised date: 2018-07-13

  Online published: 2018-08-20

Abstract

Objective In the recovery process of stroke patients, the ability of maintaining standing and sitting position might have a great effect on the improvement of activity of daily living. There are few the methods which evaluate quantitatively and effectively the ability of position control ability in clinical practice. The aim of the study is to quantitatively evaluate the reliability of posturographic parameters based on the center of pelvis in different standing positions and walking activity.Methods From May to June, 2018, Seventy-nine healthy participants were enrolled. They were evaluated with iReGo, a walking assisstant robot, in three conditions: normal standing position, left/right standing position and walking 10 meters at an appropriate speed. The computer calculated the posturographic parameters automatically. The participants completed their second test one day after the first one.Results During normal standing position, the intra-class correlation coefficients (ICC) of average sway in coronal plane, average sway in sagittal plane, path length, and covered area were more than 0.70. During left standing position, ICC of all the above parameters were more than 0.70. During right standing position, ICC of all the above parameters were more than 0.49. When walking 10 meters at an appropriate speed, ICC of path length and covered area were more than 0.75. Comparing different standing positions, the normal standing position was more stable than the left/right standing position, and there was no difference between the left and the right standing positions.Conclusion Posturographic parameters based on the center of pelvis might be a reliable way to assess the position control ability in different standing positions and walking process.

Cite this article

LU Rong-rong , GAO Tian-hao , LI Ce , GUO Shuai , WANG Zhi-yong , BAI Yu-long . Reliability of Posturographic Parameters Assessing Standing Ability in Different Positions and Walking Activity in Healthy Participants[J]. Chinese Journal of Rehabilitation Theory and Practice, 2018 , 24(8) : 963 -969 . DOI: 10.3969/j.issn.1006-9771.2018.08.017

References

[1] Batchelor FA, Mackintosh SF, Said CM, et al.Falls after stroke[J]. Int J Stroke, 2012, 7(6): 482-490.
[2] Chu VW, Hornby TG, Schmit BD.Perception of lower extremity loads in stroke survivors[J]. Clin Neurophysiol, 2015, 126(2): 372-381.
[3] Schinkel-Ivy A, Singer JC, Inness EL, et al.Do quiet standing centre of pressure measures within specific frequencies differ based on ability to recover balance in individuals with stroke?[J]. Clin Neurophysiol, 2016, 127(6): 2463-2471.
[4] Mansfield A, Wong JS, McIlroy WE, et al. Do measures of reactive balance control predict falls in people with stroke returning to the community?[J]. Physiotherapy, 2015, 101(4): 373-380.
[5] Schinkel-Ivy A, Wong JS, Mansfield A.Balance confidence is related to features of balance and gait in individuals with chronic stroke[J]. J Stroke Cerebrovasc Dis, 2017, 26(2): 237-245.
[6] Kamphuis JF, de Kam D, Geurts AC, et al. Is weight-bearing asymmetry associated with postural instability after stroke? A systematic review[J]. Stroke Res Treat, 2013, 2013: 692137.
[7] Mansfield A, Danells CJ, Zettel JL, et al.Determinants and consequences for standing balance of spontaneous weight-bearing on the paretic side among individuals with chronic stroke[J]. Gait Posture, 2013, 38(3): 428-432.
[8] Hendrickson J, Patterson KK, Inness EL, et al.Relationship between asymmetry of quiet standing balance control and walking post-stroke[J]. Gait Posture, 2014, 39(1): 177-181.
[9] Sheikh M, Azarpazhooh MR, Hosseini HA.Randomized comparison trial of gait training with and without compelled weight-shift therapy in individuals with chronic stroke[J]. Clin Rehabil, 2016, 30(11): 1088-1096.
[10] Berg KO, Wood-Dauphinee SL, Williams JI, et al.Measuring balance in the elderly: validation of an instrument[J]. Can J Public Health, 1992, 83(Suppl 2): S7-S11.
[11] Blum L, Korner-Bitensky N.Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review[J]. Phys Ther, 2008, 88(5): 559-566.
[12] Tilson JK, Wu SS, Cen SY, et al.Characterizing and identifying risk for falls in the LEAPS study: a randomized clinical trial of interventions to improve walking post stroke[J]. Stroke, 2012, 43(2): 446-452.
[13] Lu RR, Li F, Wu Y, et al.Demonstration of posturographic parameters of squat-stand activity in hemiparetic patients on a new multi-utility balance assessing and training system[J]. J Neuroeng Rehabil, 2013, 10: 37.
[14] 高天昊,吴毅,陆蓉蓉,等. 健康人坐-站-坐运动中姿势图参数的重测信度研究[J]. 中国运动医学杂志, 2017, 36(7): 605-609.
[15] Gray VL, Ivanova TD, Garland SJ.Reliability of center of pressure measures within and between sessions in individuals post-stroke and healthy controls[J]. Gait Posture, 2014, 40(1): 198-203.
[16] Ezekiel HJ, Lehto NK, Marley TL, et al.Application of motor learning principles: The physiotherapy client as a problem-solver. III: Augmented feedback[J]. Physiother Can, 2001,53: 33-39.
[17] Brewer BR, Fagan M, Klatzky RL, et al.Perceptual limits for a robotic rehabilitation environment using visual feedback distortion[J]. IEEE Trans Neural Syst Rehabil Eng, 2005, 13: 1-11
[18] Yanohara R, Teranishi T, Tomita Y, et al.Recovery process of standing postural control in hemiplegia after stroke[J]. J Phys Ther Sci, 2014, 26(11): 1761-1765.
[19] Tasseel-Ponche S, Yelnik AP, Bonan IV.Motor strategies of postural control after hemispheric stroke[J]. Neurophysiol Clin, 2015, 45(4-5): 327-333.
[20] Boukadida A, Piotte F, Dehail P, et al.Determinants of sit-to-stand tasks in individuals with hemiparesis post stroke: A review[J]. Ann Phys Rehabil Med, 2015, 58(3): 167-172.
[21] Vongsirinavarat M, Hiengkaew V.Factors determining functional ability of individuals with stroke in community[J]. J Med Assoc Thai, 2014, 97(Suppl 7): S60-64.
[22] Satjanitikun A, Pichaiyongwongdee S, Jalayondeja C.Correlation between weight transfer on paretic limb while standing in three directions and Fugl-Meyer Assessment for lower extremities in individuals with stroke[J]. J Med Assoc Thai, 2015, 98(Suppl 5): S1-S5.
[23] Benvenuti F, Mecacci R, Gineprari I, et al.Kinematic characteristics of standing disequilibrium: Reliability and validity of a posturographic protocol[J]. Arch Phys Med Rehabil, 1999, 80: 278-287.
[24] 金东梅,燕铁斌,谭杰文. 平衡测试仪的信度研究[J]. 中华物理医学与康复杂志, 2002, 24(4): 203-205.
[25] Sheikh M, Azarpazhooh MR, Hosseini HA.The effect of immediate decreasing of weight bearing asymmetry on quiet standing postural control in individuals with chronic stroke[J]. Physiother Theory Pract, 2017, 33(10): 751-757.
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