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Evaluation of postural control in quiet standing using center of mass acceleration: comparison among the young, the elderly, and people with stroke
Authors:Yu Erkang  Abe Masaki  Masani Kei  Kawashima Noritaka  Eto Fumio  Haga Nobuhiko  Nakazawa Kimitaka
Institution:a Department of Rehabilitation Medicine, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, Tokyo, Japan
b Department of Rehabilitation for the Movement Functions, Research Institute of the National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Saitama, Japan
c Department of Kinesiology, Pennsylvania State University, State College, PA
d Rehabilitation Engineering Laboratory, Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada
e Rehabilitation Engineering Laboratory, Toronto Rehab, Toronto, ON, Canada
f Japan Society for the Promotion of Science, Tokyo, Japan
g WHO Collaborating Center for Disability Prevention and Rehabilitation, Tokorozawa, Saitama, Japan.
Abstract:Yu E, Abe M, Masani K, Kawashima N, Eto F, Haga N, Nakazawa K. Evaluation of postural control in quiet standing using center of mass acceleration: comparison among the young, the elderly, and people with stroke.

Objective

To determine center of mass (COM) acceleration usefulness in the evaluation of postural control during quiet standing.

Design

Three-group comparison design.

Setting

A research laboratory.

Participants

Poststroke subjects (n=12), healthy elderly subjects (n=22), and healthy young subjects (n=25).

Interventions

Not applicable.

Main Outcome Measures

With a force platform, postural sway was evaluated by using the standard deviations of COM acceleration and center of pressure (COP) and COM (COP-COM) in which COP-COM represents the distance between the COP and the COM.

Results

COM acceleration and COP-COM variables were greater in the poststroke group than in the healthy groups (elderly and young) in the mediolateral (ML) direction. Both variables in the anteroposterior (AP) direction were greater in the poststroke group and the elderly group than in the young group. Furthermore, the correlations between COM acceleration and COP-COM in each group in each direction were shown to be significantly high (r range, .906-.979; P<.001).

Conclusions

COM acceleration was useful in the evaluation of postural control during quiet standing when comparing the young, the elderly, and poststroke patients. Additionally, COM acceleration and COP-COM in both the AP and ML directions during quiet standing were significantly and highly correlated. Thus, we proposed that COM acceleration can be an alternative and convenient measure instead of COP-COM in the evaluation of postural control.
Keywords:Balance  Biomechanics  Rehabilitation
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