Search Results (51)

The purpose of this study was to determine the effect of static stretching (SS) duration on balance. Twenty-two participants performed passive dorsiflexion measurements and balance tests before and after SS. Passive dorsiflexion measurements determined the maximal dorsiflexion angle, passive torque, displacement of the muscle–tendon junction, and electromyography amplitude during passive dorsiflexion. In the balance test, the participant stood on a single leg with their eyes open while the postural sway evaluated in the center of pressure (COP), standing duration, and electromyography amplitude were measured. The ankle and metatarsophalangeal joints underwent SS for 30 s × one set, two sets, and four sets. There were significant increases in COP displacement and COP velocity after two sets of SS but not after one and four sets. Standing duration and electromyography during balance tests were not changed after SS. No gender differences were found in changes in balance. Maximal dorsiflexion angle and passive torque were increased after SS, but the displacement of the muscle–tendon junction and electromyography during passive dorsiflexion were not changed. There was no significant correlation between changes in maximal dorsiflexion angle or passive torque and changes in COP variables after two sets of SS. These results therefore revealed that SS duration affects COP displacement and COP velocity. Full article

This study explored the impact of a four-week Neuromuscular Electrical Stimulation (NMES)-induced eccentric contraction training on single-leg standing balance and muscle strength in 17 healthy adults. The unique training approach involved active antagonist muscle contraction during NMES. Post-training results revealed significant improvements in balance, with notable reductions in Center of Pressure (CoP) trajectory velocity (mean reduction: 0.07 ± 0.01 cm/s, p < 0.05) and range (mean reduction: 2.98 ± 0.53 cm, p < 0.05) on a firm surface. While increases in dorsiflexion force (mean increase: 21.43 ± 0.79 N, p < 0.05) and muscle activation were observed, these were not statistically significant. Changes in muscle pennation angles were also not significant (mean change: 0.43 ± 0.06 degrees, p > 0.05), underscoring the complexity of muscle adaptation processes. This study highlights NMES’s potential in enhancing balance and proprioceptive sensing, suggesting its promising applications in neuromuscular rehabilitation. However, further research is needed to fully understand its impact. Full article

Background: Physical fitness is vital for children’s development and future health. However, Asian preschool-aged populations lack robust physical fitness benchmarks. Objectives: This study aimed to establish age- and sex-specific physical fitness reference values for Korean preschool children and examine associations with anthropometric measures. Methods: A retrospective analysis of data from 36,118 children aged 3 to 6 years was conducted, using five physical fitness tests (Sit and Reach Test, V-Sit Endurance Test, Standing Long Jump, Single-Leg Stand, and 5-Meter Shuttle Run). Percentile curves were generated via Generalized Additive Models for Location, Scale, and Shape (GAMLSS). Relationships between fitness and anthropometric measures were analyzed with LOESS regression. Results: Girls outperformed boys in flexibility, endurance, and balance, while boys excelled in jumping power. Physical fitness improved with age, with performance peaking near average height and weight z-scores. Conclusions: This study provides the first large-scale reference standards for physical fitness in Korean preschoolers, facilitating early identification of fitness deficits and guiding interventions. Full article

Background/Objectives: Advanced Glycation End Products (AGEs) are high-molecular-weight compounds formed through non-enzymatic reactions between sugars and proteins, lipids, or nucleic acids. This study aimed to comprehensively analyze the association between the accumulation of AGEs and lower-limb muscle strength, gait speed, and balance abilities related to mobility in elderly individuals. Methods: This cross-sectional correlational study included 552 community-dwelling older adults. AGE accumulation was assessed using skin autofluorescence (SAF) measured using an AGE reader. Mobility decline factors were evaluated using the sit-to-stand (STS), gait speed (4 m walk tests), single-leg stance (SLS), and Timed Up and Go (TUG) tests. Results: A comparison of the physical function across the quartile groups revealed that the group with the highest SAF values, Q4, exhibited a general decline in STS, gait speed, SLS, and TUG performance when compared with the other groups (p < 0.001). Spearman’s correlation analysis revealed that the SAF-AGEs demonstrated significant negative correlations with STS (r = −0.211, p < 0.001), gait speed (r = −0.243, p < 0.001) and SLS (r = −0.201, p < 0.001). Additionally, TUG showed a significant positive correlation (r = 0.239, p < 0.001). In the logistic regression analysis, compared with the Q1 group, the Q4 group had significantly higher odds of low STS performance (odds ratio (OR) = 2.43, p = 0.006), slow gait speed (OR = 2.28, p = 0.002), low SLS performance (OR = 2.52, p = 0.001), and slow TUG (OR = 2.00, p = 0.035). The optimal cutoff value of the SAF for mobility decline was 3.15 (area under the curve 0.694; 95% confidence interval: 0.618–0.771). Conclusions: This study has demonstrated that higher SAF values were associated with decreased lower-limb strength, gait speed, and balance, thereby suggesting that SAF may be a useful screening tool for predicting mobility decline in older adults. Full article

Background: Mild traumatic brain injury (mTBI) in the pediatric population is a significant public health concern, often associated with persistent post-concussion symptoms, including postural instability. Current tools for assessing postural control, such as the Balance Error Scoring System (BESS), lack integration with objective metrics. Incorporating force plate sensors into BESS assessments may enhance diagnostic accuracy and support return-to-play or sports decisions. This study evaluates postural performance in children with mTBI compared to controls using an instrumented BESS and examines recovery trajectories after mTBI. Methods: This prospective, longitudinal study included 31 children with mTBI (12.01 ± 3.28 years, 20 females) and 31 controls (12.31 ± 3.27 years, 18 females). Postural control was assessed using an instrumented BESS protocol during standing on a ground reaction force plate at three timepoints: within 72 h post injury (T1), at two weeks (T2), and three months after trauma (T3). Posturographic parameters derived from the displacement of the center of pressure included the ellipse area, path length, and mean velocity in the anterior–posterior and medio–lateral directions. Symptom burden was monitored using the Post-Concussion Symptom Inventory (PCSI). Results: The BESS total scores did not differ significantly between the groups at any timepoint. A significant reduction in BESS errors over time was observed exclusively in the two-legged stance on a soft surface (p = 0.047). The instrumented BESS revealed higher body swaying in the mTBI group compared to controls, particularly under demanding conditions. Significant between-group differences were most frequently observed in single-leg soft surface (38% of comparisons) and two-legged soft surface stances (29%). In those cases, path length and mean velocity differed between groups, respectively. Ellipse area did not show significant differences across conditions. Conclusions: An instrumented BESS has the potential to enhance the detection of subtle postural deficits in pediatric mTBI patients. Specifically, more demanding conditions with altered sensory-proprioceptive input and path length as an outcome measure should be focused on. This study underscores the need for tailored and age-appropriate objective and quantitative balance assessments to improve diagnostic precision in pediatric mTBI populations. Full article

Single-leg standing is a conventional balance evaluation method used in medicine. Although the center of mass (COM) displacement should be evaluated to determine balance quality, no practical COM estimation methods have been developed for single-leg standing. This study aimed to estimate the COM displacement in the anteroposterior and mediolateral directions during single-leg standing using practical measurements. We used a force platform and three inertial measurement units to estimate the COM displacement based on rigid-link models in the sagittal and frontal planes. The rigid-link models were composed of the stance leg, upper body, and non-stance leg. Seven healthy male subjects participated in the experiment to validate the estimation accuracy. The COM estimation accuracy was verified by comparison with measurements obtained using an optical motion capture system. The root mean square error of this method was 1.18 mm in the sagittal plane and 1.26 mm in the frontal plane. This technique will contribute to the detailed evaluation of individual balance abilities in the medical and sports fields. Full article

Background: Although a cross-legged sitting (CLS) posture has been commonly practiced as a daily activity, particularly in Arabic, Middle Eastern, and Asian societies, there is no medical study focusing on the effects of cross-legged sitting on body balance and muscular strength. Therefore, this study aimed to investigate the effect of CLS on lower extremity muscular strength, muscular electrical activity, and body balance. Methods: Thirty healthy volunteers participated in this research study by performing CLS for a 20 min duration. The balance tests included a static test, i.e., a single-leg-standing posture with eyes closed, to assess if the centre of the pelvis and centre of the shoulders (CoS) moved, and a dynamic test, i.e., four-square-returning, to assess if the moving speed changed. Regarding the muscular assessment, the electrical activity was assessed depending on the maximal value of activation and rooted mean of squared values, while the muscular strength was assessed according to the maximum force by the lower limbs using a force sensor. The balance and muscular results were statistically compared before and after CLS. Results: The duration of the static balance after CLS decreased by an average of 2.5 s, or approximately 15.64%, compared to before CLS (p < 0.05 *). Further, the Centre of Pelvis moved greater distances in the medial–lateral direction after CLS compared to before, but CoS was not significantly changed in the static balance test. However, in the dynamic balance test, the duration significantly decreased by 0.2 s, or approximately 8.5%, after CLS compared to before, meaning that dynamic balance ability improved. Considering the muscle results, only the lateral gastrocnemius muscle was noticeably electrically activated after CLS, while the hip extensor and knee flexor muscles became significantly stronger after CLS compared to before, roughly by about 14%, and the ankle plantar flexor maximum force increased noticeably, by about 4%, after CLS. Conclusions: CLS had a positive impact on the dynamic balance; the strength of the hip extensor, knee flexor, and ankle plantar flexion; and all lower limb muscles, in terms of electrical stimulation, except for the lateral gastrocnemius post-CLS compared to pre-CLS. Therefore, CLS can be safely included in one’s daily routine and in any rehabilitation programme, except for patients who are suffering from static balance disturbance. Although this posture is commonly used in many societies, because this is the first study focused on the impact of CLS on body balance and muscular status, the results would supply knowledge and new understanding, as well as provide clear insight for sitting posture research. Full article

Background: The proper development of balance is essential in the acquisition of a correct physical condition, as well as in the evolutionary follow-up at early ages, and its periodic evaluation is very relevant in the educational environment. Objectives: The objective of this research was to design an accessible web application for static and dynamic balance assessment, based on a force platform and motion analysis software. Methods: The Single leg balance test (SLB), Tandem balance test (TBT), and Y balance test (YBT) were performed on a sample of 75 children aged 6 to 9 years. Results: The results show that static balance is more complex at an older age, greater standing height, and with eyes closed (p < 0.001). Regarding the center of pressure (COP), its variability was greater in girls owing to a lower Total Force (TF) at the time of the test (p < 0.05). Parallel observation with the Kinovea software has made it possible to elaborate a scale from 1 to 10 points for integration into an open-access web application (IMEP) to assess static and dynamic balance. Conclusions: The creation of an ad hoc application for primary school teachers and students has been possible by using validated devices obtaining a rating scale, which facilitate the monitoring of students’ functional evolution and offers the possibility of scheduling physical education sessions with a preventive approach as well as a focus on improving physical condition. Full article

Background: Low back pain (LBP) is the leading cause of lost productivity, absenteeism, disability, and early retirement worldwide. LBP treatment should be comprehensive, including prevention, education, diagnosis, and various treatment methods. Management can be divided into pharmacological and non-pharmacological. The role of physiotherapy in the comprehensive treatment of LBP is very important. Elastic therapeutic tape, also called kinesiology tape or therapeutic kinesiology tape, has been used for about 50 years. Purpose: The aim of this study was to evaluate the effectiveness of Kinesio taping in patients suffering from (LBP), and its possible effect on the swing of the center of pressure (COP), balance, gait, improvement of coordination, and pain reduction. Methods: A total of 60 patients aged 20 to 83 years (54% women) were examined, all of whom fulfilled the requirements for admission and rejection. The L1–L5 spine of the experimental group underwent Kinesio taping in addition to thorough rehabilitation. The control group underwent balance control training based on visual feedback (VFB). The research tools used included the Bohannon single-leg standing test, the FAC (Functional Ambulatory Category) scale, the Podsiadlo and Richardson Standing and Walking Test called “Timed Up and Go” (TUG), evaluation of lumbar spine movement, Lasegue’s test and examination of neurological deficit symptoms, and self-assessment of pain using the Visual Analog Scale (VAS). Results: The effects of Kinesio taping on pain, gait, coordination, postural control, and balance are statistically significant. The main parameter influencing the effects of Kinesio taping was age (below 55 years); this relationship was also observed in the control group. Conclusions: Kinesio taping is an effective method in the treatment of LBP. It improves postural control, balance, gait, coordination, and pain. Full article

Background: Modern technologies are being applied to maintain and improve the functional performance of older adults. Fully immersive virtual reality (VR) combined with a scope of dual-task (DT) activities may effectively complement conventional physiotherapy programmes for seniors. The study aimed to compare the effectiveness of a fully immersive virtual reality (VR) environment combined with a scope of dual-task activities regarding balance in older women. Methods: Eighty women were recruited to the study protocol and, following randomisation, allocated to two equally sized groups, one pursuing conventional OTAGO exercises, the other one the VR-solutions-aided exercise programme combined with a scope of DT activities. Physiotherapy sessions spanned 6 weeks, each one lasting 60 min, three times a week, in both groups. Results: Homogeneity analysis of both study groups indicated no statistically significant differences at the first measurement point. After the intervention, both study groups achieved significantly improved scores on all tests. The VR + DT group obtained better results in dual-task gait and single-leg standing, whereas the greatest difference was observed during SLS CL (1.52 s vs. 2.33 s—difference 0.81 s 53.2% change, p = 0.001). The OTAGO group performed better in the TUG single-task gait (11.35 s vs. 12.60 s, p < 0.001) and in the Berg balance scale. Conclusions: The VR + DT training is effective in improving individual balance as well as in reducing fall risks. VR-assisted physiotherapy should complement conventional physiotherapy programmes (e.g., OTAGO). The benefits of applying VR solutions indicate that older women might well use this form of activity regularly under the guidance of a therapist or a family member. Full article

The tapping paradigm offers valuable insights into movement timing; however, it simplifies mechanics by minimizing force, restricting motion, and relying on a clear contact endpoint. Thus, it may not fully capture the complexity of larger-scale multi-segmental (or single-segment) timed body movements. The aim of this study was to extend beyond the tapping paradigm by examining the timing of two large-scale movements commonly performed in physical fitness or rehabilitation modalities, with varying inherent balance threats: two-legged squatting (low balance threat) and standing hip abduction (higher balance threat) paced by a metronome set at the participants’ preferred tempo (N = 39, all physically active). In synchronization with the metronome audio signal, the trunk and shank angular velocities were also recorded to extract the entrainment, synchronization, and pace stability metrics. Paired t-tests indicated similar entrainment in both movements (p > 0.05 for IRI match) but significant differences in timing metrics’ manifestations (p ≤ 0.05, standing hip abduction: 50% greater IRI error, 30% lower synchronization error, 2.6% units lower pace stability). The similar entrainment but different synchronization error and pace stability highlight a complex timing interplay between balance threat/challenges and movement complexity concerning the two large-scale movements employed in physical fitness and rehabilitation modalities. Full article

Postural imbalance is a leading cause of injury in older adults. Our study investigated the effectiveness of virtual reality (VR)-based interventions on balance ability in this population. Here, we examined 21 older, healthy adults (75.8 ± 5.2 years old). Participants performed 6 weeks of balance training, twice per week for 30 min; the experimental group donned an Oculus VR headset during the training while control participants did not. To assess balance ability, a force platform measured displacement of the center of pressure (COP) during quiet standing in double-leg, tandem, and single-leg stances with eyes closed pre- and post-assessment. COP measurements included mediolateral (ML) and anterior–posterior (AP) directions for root mean square (RMS), peak-to-peak displacement (MAXD), total excursion (TE), and 95% confidence area ellipse (AE) parameters. Post-training assessments showed improvements (significant decreases) in the COP parameters. Control group COP parameters improved in various stances ranging from a 3% to 40% decrease on average. The VR group improved MAXD, TE, and 95% AE ranging from a 5% to 47% decrease, on average, across various stances post- compared to pre-training. VR-based exercise training programs may encourage older adults to engage in mobility exercises, leading to a reduced risk of falls or injuries. Full article

Objectives: Existing applications of non-invasive brain stimulation in the modulation of balance ability are focused on the primary motor cortex (M1). It is conceivable that other brain and spinal cord areas may be comparable or more promising targets in this regard. This study compares transcranial direct current stimulation (tDCS) over (i) the M1, (ii) the cerebellum, and (iii) trans-spinal direct current stimulation (tsDCS) in the modulation of balance ability. Methods: Forty-two sports students were randomized in this placebo-controlled study. Twenty minutes of anodal 1.5 mA t/tsDCS over (i) the M1, (ii) the cerebellum, and (iii) the spinal cord, as well as (iv) sham tDCS were applied to each subject. The Y Balance Test, Single Leg Landing Test, and Single Leg Squat Test were performed prior to and after each intervention. Results: The Y Balance Test showed significant improvement after real stimulation of each region compared to sham stimulation. While tsDCS supported the balance ability of both legs, M1 and cerebellar tDCS supported right leg stand only. No significant differences were found in the Single Leg Landing Test and the Single Leg Squat Test. Conclusions: Our data encourage the application of DCS over the cerebellum and spinal cord (in addition to the M1 region) in supporting balance control. Future research should investigate and compare the effects of different stimulation protocols (anodal or cathodal direct current stimulation (DCS), alternating current stimulation (ACS), high-definition DCS/ACS, closed-loop ACS) over these regions in healthy people and examine the potential of these approaches in the neurorehabilitation. Full article

Background: Some evidence indicates that adults with attention deficit hyperactivity disorder (ADHD) may have balance impairments. This study examined the associations between moderate-to-vigorous physical activity (MVPA), response inhibition (RI), and static balance in this population while off and on psychostimulant medication (PS). Methods: Participants (n = 40; 30 females; M age = 29.0; SD = 6.3 years) wore an ActiGraph GT9X–link around their waist to estimate MVPA levels (minutes/day). To assess RI, participants completed the Delis–Kaplan Executive Function System (D–KEFS) subtests Trail-Making Test (TMT) and Color–Word Interference Test (CWIT). To evaluate static balance, participants completed postural sway area (cm²) assessments in four conditions: feet-apart eyes-open (FAEO), feet-apart eyes-closed (FAEC), feet-together eyes-open (FTEO), and feet-together eyes-closed (FTEC). Participants also completed the single-leg standing tests (seconds) with eyes open (SLEO) and with eyes closed (SLEC). Results: When off medication, MVPA significantly predicted SLEC (β = 0.30; p = 0.017). MVPA and TMT significantly predicted FTEO, explaining ~19% of the variance in FTEO; both MVPA and TMT were significant predictors (β = –0.33, p = 0.027 and β = –0.31, p = 0.039, respectively). When on medication, TMT significantly predicted FAEC (β = 0.17; p = 0.047). Conclusions: MVPA and RI may be effective parameters in predicting static balance in adults with ADHD when off medication only. Full article

The purpose of this study was to examine the cross-over influence of lower limb fatigue on postural control. Using two experiments, cross-over fatigue was investigated using a proximal (Experiment 1—single-leg squat) and distal (Experiment 2—calf raise) muscle group. In Experiment 1, 15 healthy young participants underwent a single-leg standing task on both the right and left leg, with variations of having eyes open or closed and on stable or unstable surfaces, performing each task for 30 s. For Experiment 2, 20 individuals performed single-leg balance testing for the right and left leg and stable and unstable surfaces. Center-of-pressure data were collected during the balance tasks and were analyzed with linear (standard deviation) and nonlinear (detrended fluctuation analysis) metrics. The results lacked significant differences (p > 0.05) for cross-over fatigue effects on the non-exercised limb, which exhibited similar levels of postural sway between the pre- and post-fatigue balance tests. These tasks may have lacked an appropriate level of duration or intensity to cause a significant effect of central fatigue on the nervous system. The findings underscore the need to better understand how a specific fatiguing task during unilateral rehabilitation may alter postural control. Full article