Balance Performance across the Lifespan Assessed by the Leonardo Mechanograph®: A Cross-Sectional Study

Wiegmann, Sabine; Felsenberg, Dieter; Gast, Ulf; Börst, Hendrikje; Armbrecht, Gabriele; Dietzel, Roswitha

doi:10.3390/jfmk5010001

Cited by 6 publications

(6 citation statements)

References 32 publications

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“…A similar impact of sex on postural stability, i.e., a slight tendency toward better balance in women, has been noted in previous studies [43][44][45]. This improved postural control may be achieved by the use of the ankle strategy, or in the case of severe body balance problems, by the hip strategy [27]. Clearly there is a need to update the current standardization protocol for posturography, published by the International Society of Posturography in 1983 [28].…”

Section: Discussionsupporting

confidence: 79%

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The Relationship between Cognitive Dysfunction and Postural Stability in Multiple Sclerosis

et al. 2021

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Background and Objectives: Multiple Sclerosis (MS) is a demyelinating disease of the central nervous system (CNS), most commonly characterized by balance dysfunction, fatigue syndrome and cognitive impairment. The goal of our study was to determine the association between cognitive functions and static posture control. Materials and Methods: The research group consisted of 76 randomized MS patients (ICDG 35.0) hospitalized at the Neurological Rehabilitation Clinic of the Medical University of Lodz. This group was divided into three subgroups according to the cognitive assessment based on the Mini Mental State Examination (MMSE) for patients over 65 years of age and the Montreal Cognitive Assessment (MoCA) under the age of 65. Fatigue syndrome was assessed using the Fatigue Severity Scale (FSS), and postural stability using a stabilometric platform. Results: The men demonstrated poorer stabilometric platform measurements than the women. Statistically significant differences were observed between patients without dysfunction and severe cognitive impairment. The results of the stabilometric platform were found to correlate with body mass index in all three groups of patients (Spearman’s test). Conclusions: Body mass index and cognition have impact on postural stability in MS patients with moderate disability and fatigue syndrome.

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Section: Discussionsupporting

confidence: 79%

“…The last standardization protocol for posturography by the International Society of Posturography was published in 1983. Therefore, there is a need to update this information to account for novel therapies in MS rehabilitation [27,28]. Analysis of COP movements provides a wealth of information about postural stability.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Cognitive Dysfunction and Postural Stability in Multiple Sclerosis

et al. 2021

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“…During the assessement, the Leonardo software recorded the movement of the centre of pressure (CoP), which describes the postural sway. Relevant outcome parameters were included in the analysis, such as path length (PLen), area of sway (StdElA), mean velocity of CoP (VmeanCoP), and path length and velocity in the anterior–posterior (PLenY, VmeanY) and medio-lateral (PLenX, VmeanX) directions (Table 1 ) [ 36 ].…”

Section: Methodsmentioning

confidence: 99%

Balance and prospective falls in patients with rheumatoid arthritis

Wiegmann

Armbrecht

Borucki

et al. 2022

BMC Musculoskelet Disord

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Background Postural control is associated with fall risk. Patients with rheumatoid arthritis (RA) have a higher risk to fall than healthy subjects. The objective of this study was to identify associations between variables of postural control with prospective falls in patients with RA. Methods For the baseline, the balance performance of 289 men and women with RA, ages 24–85 years, was evaluated by SPPB, FICSIT-4 and Romberg tests. Postural sway for Romberg, semitandem, tandem and one-leg stands were measured with the Leonardo Mechanograph®. Self-reported disability was assessed using the Health Assessment Questionnaire (HAQ) and the Activity-specific Balance Confidence Scale (ABC-scale). Falls were reported in quarterly reports over a year. Univariate and multiple logistic regression analysis were used to explore any associations with falling. Receiver-operating characteristics were determined, and the area under the curve is reported. Results A total of 238 subjects completed the 1-year follow-up, 48 (20.2%) experienced at least one fall during the observational period. Age (OR = 1.04, CI 1.01–1.07), HAQ (OR = 1.62, 1.1–2.38), FICSIT-4 scoring 0–4 (OR = 2.38, 1.13–5.0), and one-leg standing (OR = 2.14, 1.06–4.31) showed significant associations with falls. With regard to the SPPB and ABC-scale, no statistically significant associations with falls were found. The quartiles containing the worst results of medio-lateral sway of Romberg (OR = 2.63, CI 1.03–6.69), total sway of semitandem (OR = 3.07, CI 1.10–8.57) and tandem (OR = 2.86, CI 1.06–7.69), and area of sway of semitandem (OR = 2.80, CI 1.11–7.08) stands were associated with falls. Conclusions The assessment of a one-leg stand seems to be a good screening tool to discriminate between high and low risk of falls in RA patients in clinical practice. A low FICSIT-4 score and several sway parameters are important predictors of falls. Trial registration The study has been registered at the German Clinical Trials Register and the WHO International Clinical Trials Registry Platform (ICTRP) since 16 March 2017 (DRKS00011873).

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“…However, the assessment of postural stability under conditions of relative silence with closed and open eyes among PE students clearly was in favor of women compared to men [ 13 ]. There are also some recent studies that indicate better values of posturographic parameters of women, although the difference in these studies was small [ 14 ]. Gender-related differences in the values of stability parameter were also observed [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Differences in the Effect of Sleep Deprivation on the Postural Stability among Men and Women

Ołpińska-Lischka¹,

Kujawa²,

Maciaszek³

2021

IJERPH

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Objective: Sleepiness caused by sleep deprivation may increase the risk of injuries and damages during physical activity. Individual data so far indicate a generally better static postural stability of women regardless of sleeping conditions. The main aim of this study was to assess the impact of sleep deprivation on postural stability according to gender after 24 h of sleep deprivation. Methods: Participants included 83 students (36 men and 47 women). Postural stability was measured with eyes open and closed eyes before and after sleep deprivation. Data from posturographic platform were used to assess postural stability objectively. Results: The type of test determined the size of observed changes in postural stability. The data suggest that women are better able to cope with the effects of sleep deprivation than men. Conclusion: Postural control system is very important in sport and in physically active people. The results show that men are more sensitive to sleep deprivation than women because they had higher COP (center of pressure) values in tests. Less postural stability of the body due to sleep deprivation indicates a higher risk of injury during physical activity.

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Balance Performance across the Lifespan Assessed by the Leonardo Mechanograph®: A Cross-Sectional Study

Cited by 6 publications

References 32 publications

The Relationship between Cognitive Dysfunction and Postural Stability in Multiple Sclerosis

The Relationship between Cognitive Dysfunction and Postural Stability in Multiple Sclerosis

Balance and prospective falls in patients with rheumatoid arthritis

Differences in the Effect of Sleep Deprivation on the Postural Stability among Men and Women

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