Does monopedal postural balance differ between the dominant leg and the non-dominant leg? A review

Paillard, Thierry; Noé, Frédéric

doi:10.1016/j.humov.2020.102686

Cited by 44 publications

(41 citation statements)

References 72 publications

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“…However, subjects who were left-footed had comparable age, height, and weight, as well as performance in the BBS, TUG, MMSE, and ABC (all p > 0.05), in comparison with those who were right-footed ( Table 2 ). Moreover, most of the studies showed no differences between dominant and non-dominant legs in performing dynamic balance tasks in non-athletic adults (Paillard and Noé, 2020 ). In addition, only healthy older adults were included in the current study, which does not represent more vulnerable older populations who are more likely to fall.…”

Section: Discussionmentioning

confidence: 99%

Perturbation Training for Fall-Risk Reduction in Healthy Older Adults: Interference and Generalization to Opposing Novel Perturbations Post Intervention

Bhatt

Wang

et al. 2021

Front. Sports Act. Living

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This study examined the effects of perturbation training on the contextual interference and generalization of encountering a novel opposing perturbation. One hundred and sixty-nine community-dwelling healthy older adults (69.6 ± 6.4 years) were randomly assigned to one of the three groups: slip-perturbation training (St, n = 67) group received 24 slips, trip-perturbation training (Tt, n = 67) group received 24 trips, and control (Ctrl: n = 31) group received only non-perturbed walking trials (ClinicalTrials.gov NCT03199729; https://clinicaltrials.gov/ct2/show/NCT03199729). After training, all groups had 30 min of rest and three post-training non-perturbed walking trials, followed by a reslip and a novel trip trial for St, a retrip and a novel slip trial for Tt, and randomized novel slip and trip trials for Ctrl. The margin of stability (MOS), step length, and toe clearance of post-training walking trials were compared among three groups to examine interferences in proactive adjustment. Falls, MOS at the instant of recovery foot touchdown, and hip height of post-training perturbation trials were investigated to detect interferences and generalization in reactive responses. Results indicated that prior adaptation to slip perturbation training, resulting in walking with a greater MOS (more anterior) and a shorter step length (p < 0.01) than that of the Ctrl group, would be associated with a greater likelihood to forward balance loss if encountered with a trip. The trip adaptation training mainly induced a higher toe clearance during walking (p < 0.01) than the Ctrl group, which could lead to reduced effectiveness of the reactive response when encountered with a novel slip. However, there was no difference in the reactive MOS, limb support, and falls between the control group and the slip and trip training groups on their respective opposing novel perturbation post-training (MOS, limb support, and falls for novel slip: Tt = Ctrl; for the novel trip: St = Ctrl, both p > 0.05). Current findings suggested that, although perturbation training results in proactive adjustments that could worsen the reactive response (interference) when exposed to an unexpected opposing perturbation, older adults demonstrated the ability to immediately generalize the training-induced adaptive reactive control to maintain MOS, to preserve limb support control, and to reduce fall risk.

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Section: Discussionmentioning

confidence: 99%

Perturbation Training for Fall-Risk Reduction in Healthy Older Adults: Interference and Generalization to Opposing Novel Perturbations Post Intervention

Bhatt

Wang

et al. 2021

Front. Sports Act. Living

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“…Results of this meta-analysis did not demonstrate significant differences between the dominant and the non-dominant legs in unilateral balance tests. Indeed, Paillard & Noé (2020) suggested that the possible differences in balance control between the dominant and non-dominant leg could stem from a multitude of factors other than solely neuromuscular ones ( e.g. , morphology, proprioception, hemispheric laterality).…”

Section: Discussionmentioning

confidence: 99%

“…However, it should be noted that in measurement protocols of isokinetic strength and postural control various methods are used to determine the dominant and non-dominant leg, simultaneously, and there is no consensus on the optimal choice ( Van Melick et al, 2017 ). The basis for the selection of dominant leg can be made on the basis of strength tests, functional tests (ball kick test) and footedness questionnaires ( Paillard & Noé, 2020 ). At first, the dominant leg was defined as that used in order to manipulate an object or to lead a movement ( Peters, 1988 ).…”

Section: Discussionmentioning

confidence: 99%

“…At first, the dominant leg was defined as that used in order to manipulate an object or to lead a movement ( Peters, 1988 ). It should be noted that the dominant leg is mainly used during performing movements that require both force and accuracy, therefore the ball kick test is a simple and reliable test which helps identify leg dominance ( Paillard & Noé, 2020 ). Nevertheless, should be taken into consideration that other authors define the dominant leg as the stance limb initially selected when standing on one leg ( Beretta et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

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The relationships between knee extensors/ flexors strength and balance control in elite male soccer players

Śliwowski¹,

Marynowicz²,

Jadczak³

et al. 2021

PeerJ

Self Cite

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Background Strength and balance are important factors for soccer players to be successful. This study’s aim was to determine the relationship between lower-limb muscle strength and balance control in elite male soccer players (n = 77). Methods Concentric isokinetic strength (peak torque of quadriceps (PT-Q) and hamstrings (PT-H), hamstrings/quadriceps (H/Q) ratio) was measured for the dominant and non-dominant leg at angular velocities of 60°s−1and 240°s−1, as well as the total work for extensors (TW-Q) and flexors (TW-H) for both legs (at an angular velocity of 240°s−1only). Balance score (BAL score) was used for unilateral assessment of balance control using a Delos Postural System Test measurement tool. Hierarchical multiple regression analyses were performed to predict balance control using isokinetic knee strength performance for dominant and non-dominant legs. Results Final modelling included peak torque of hamstrings at 240°s−1 and peak torque of the quadriceps at 240°s−1 for the non-dominant leg (R2 = 19.6%; p ≤ 0.001) and only peak hamstring torque at 240°s−1 for the dominant leg (R2 = 11.3%; p = 0.003) as significant predictors of balance score. Conclusion Findings indicate that balance control is widely influenced by peak hamstring torque and peak quadriceps torque at high angular velocity particularly in the non-dominant leg i.e., the supporting leg in soccer players.

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“…The range of the COP has been widely used to analyze postural deficits and is a reliable parameter, and larger ranges characterize worse postural stability [ 5 ]. A comprehensive review of research results in the area of postural balance revealed that the dominant and non-dominant leg in different groups of athletes (footballers, swimmers, and basketball players) often showed no differences [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Postural Stability in Athletes during Special Hurdle Tests without a Definite Dominant Leg

Wojciechowska–Maszkowska

Marcinów

Iskra

et al. 2020

IJERPH

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The purpose of this study was to analyze the body balance control of people walking and hurdling with or without a specific dominant leg in a monopodal position. This study involved 28 physical education students. The center of pressure (COP) was measured with a force plate under four conditions: single-leg standing (right and left) with eyes open and two upper limb positions (the arms were positioned in either a specific hurdle technique manner or alongside the body). A repeated measures analysis of variance (ANOVA) was conducted separately for five parameters of the COP in the medial-lateral (ML) and anterior-posterior (AP) directions under the four conditions. In the single-leg position, athletes without a dominant lower leg had better body balance than those with a dominant lower leg. The position of the upper limbs influenced the body position when hurdling. Accepting the correct position of the upper limbs helped to maintain balance (when overcoming hurdles). In hurdles, the position of the upper limbs should be improved to maintain postural stability and save this function for more demanding postural tasks.

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Does monopedal postural balance differ between the dominant leg and the non-dominant leg? A review

Cited by 44 publications

References 72 publications

Perturbation Training for Fall-Risk Reduction in Healthy Older Adults: Interference and Generalization to Opposing Novel Perturbations Post Intervention

Perturbation Training for Fall-Risk Reduction in Healthy Older Adults: Interference and Generalization to Opposing Novel Perturbations Post Intervention

The relationships between knee extensors/ flexors strength and balance control in elite male soccer players

Postural Stability in Athletes during Special Hurdle Tests without a Definite Dominant Leg

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