Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Variations in Limits of Stability under different Sensory Conditions among Young Adult Women


Affiliations
1 College of Physiotherapy, PSG Medical College and Research Institute, PSG Hospitals, Coimbatore, Tamil Nadu, India
2 PSG College of Physiotherapy, PSG Hospitals, Coimbatore, Tamil Nadu, India
     

   Subscribe/Renew Journal


Background: Good postural stability is required for the integrated functions of visual, somatosensory and vestibular system. But there is a less evidence related to limits of stability variations under different sensory conditions in young adult women by using swaymetre. Objective: The objective of this study is to analyze the variations in limits of stability under different sensory conditions among young adult women.

Methods: A total of 15 female subjects of age group between18-22 were selected based on convenient sampling. All participants were exposed to different sensory conditions for assessing the steadiness and maximum balance range by using swaymetre. These parameters were measured both in A-P and M-L directions. The study was conducted in PSG Evidence-based Neuro Rehabilitation Centre, Department of Neurological Physical Therapy, PSG Hospitals, Coimbatore. Mean difference of steadiness and maximum balance range was used as statistical stool.

Results: The values obtained as mean differences of steadiness and maximum balance range with eyes open and eyes closed in A-P and M-L directions on flat and foam surfaces were real data. Obtained values of steadiness and maximum balance range were mentioned. The mean differences of steadiness with eyes open in A-P and M-L directions on flat and foam surfaces were 13.54mm & 14.60mm and with eyes closed are 49.07mm & 55.33mm respectively. The mean differences of maximum balance range with eyes open in A-P and M-L directions on flat and foam surfaces were 31.06 & 54mm and with eyes closed are 2.13mm and 49.53mm respectively. The mean differences of steadiness in A-P and M-L directions on flat surface with eyes open and eyes closed were 2.6mm and 2.14mm and on foam surface with eyes open and eyes closed were 38.13mm and 42.93mm respectively. The mean differences of maximum balance range in A-P and M-L directions on flat surface with eyes open and eyes closed were 20.06mm & 10.5mm and on foam surface with eyes open and eyes closed were 10.13mm and 6mm respectively.

Conclusion: Vision, Proprioception and Vestibular system play a major role in maintaining the postural stability under different sensory conditions. This study recommends the obtained values for the limits of stability under different sensory conditions for women using swaymetre can be used as a baseline value for further studies.


Keywords

Limits of Stability, Steadiness, Maximum Balance Range, Swaymetre
Subscription Login to verify subscription
User
Notifications
Font Size


  • Susan B. O’Sullivan, Thomas J.Schmitz, Physical Rehabilitation - Assessment and Treatment; Jaypee Brothers; New Delhi; 2001; 4th edition.

  • Teasdale N, Stelmach GE, Breunig A. Postural sway characteristics of the elderly under normal and altered visual and support surface conditions. J Gerontol1991; 46:B238–44.

  • Era P, Heikkinen E. Postural sway during standing and unexpected disturbance of balance in random samples of men of different ages. J Gerontol1985; 40:287–95

  • http://herkules.oulu.fi/isbn9514267931/html/ c169.html 2002 oulu university Library.

  • http://www.kines.uiuc.edu/kines-courses/ kines-257/Laboratory_files/257Lab4.html. Kinesiology KINES 257, university of illinois at urbana campaign.

  • Hassan B, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Ann Rheum Dis2001;60:612–8.

  • Stelmach GE, Teasdale N, Di Fabio RP, Phillips J. Age related decline in postural control mechanisms Int J. Aging HumanDev 1989; 29; 205-23.

  • Woolacott M, Shumway-Cook A, Nashner LM. Aging and posture control: Changes in sensory organization and muscular coordination. Int J Aging Human Dev1986; 23:97–114.

  • Briggs RC, Gossman MR, Birch R, Drews JE, Shaddeau SA. Balance performance among non institutionalized elderly women. Phys Ther1989; 69:748–56.

  • Brocklehurst JC, Robertson D, James-Groom P. Skeletal deformities in the elderly and their effect on postural sway. J Am Geriatric Soc1982;30:534

  • Kollegger H, Baumgartner C, Wober C, Oder W, Deecke L. Spontaneous body sway as a function of sex, age, and vision: Posturographic study in 30 healthy adults. Eur Neurol1992; 32:253–9.

  • Darey .A. Umphred: Neurological Rehabilitation; Mosby Elsevier; USA; 2007; 5th edition

  • Florence Peterson Kendall, Elizabeth Kendall Mccreary, Patricia Geise Provance, Mary McIntyre Rodgers: Muscles testing and function with posture and pain; Lippincott Williams and Wilkins; USA; 2005; 5th edition.

  • Gill, J. H. J. Allum, M. G. Carpenter, M. Held- Ziolkowska, A. L. Adkin, F. Honegger, and K. Pierchala. Trunk Sway Measures of Postural Stability During Clinical Balance Tests: Effects of Age. J. Gerontol. A Biol. Sci. Med. Sci. 2001 56: M438-M447.

  • Hill K, Bernhardt J, McGann AM, Maltese D, Berkovits D. A new test of dynamic standing balance for stroke patients: Reliability, validity and comparison with healthy elderly. Physiotherapy Can1996;48:257–62

  • Jones G. Posture. In: Kandel E, Schwartz J, Jessell T, eds. Principles of neural science. New York: McGraw-Hill, 2000:816–31

  • Karolyn Kisner, Lynn Allen Colby: Therapeutic exercise foundations and techniques; Jaypee brothers; New Delhi; 1996; 3rd edition.

  • Koceja DM, Allway D, Earles DR. Age differences in postural sway during volitional head movement. Arch Phys Med Rehabil1999; 80:1537– 41.

  • Lord SR, Clark RD, Webster JW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol1991; 46:M69–M76.

  • Lichenstein MJ, Shields SL, Shiairi RG, Burger MC. Clinical determinants of biomechanics platform measures of balance in aged women. J Am Geriatr Soc1988; 36:996–1002.

  • Dr. Rezza Mazaher, Assistant professor of Sports Medicine, Regaining postural stability and balance, medicine.tums.ac.ir/…/… Department of Sports Medicine, Tehran university of Medical Sciences.

  • Margaret Hollis, Phyl fletcher-cook Practical Exercise Therapy; Blackwell Science; USA; 1999; 4th edition.

  • Nancy Low Choy, Sandra Brauer and Jennifer Nitz; Changes in Postural Stability in Women Aged 20 to 80 Years. Department of Physiotherapy, the University of Queensland, St. Lucia, Australia.

  • Ring C, Nayak US, Isaacs B. The effect of visual deprivation and proprioceptive change on postural sway in healthy adults. J Am Geriatric Soc1989;37:745–9.

  • Ray L Watts, William C Koller; Movement disorders-Neurologic principles and practice; McGraw hill; Europe; 2004; 2nd edition

  • Richard I Levin, David S.Rubin; Statistics for management; Prenlice Hall of India; New Delhi; 2002; 7th edition.

  • Susan Edwards; Neurological physiotherapy; Churchill Livingstone; Edinburgh; 2004; 2nd edition.

  • Shirley A Sahrmann; Diagnosis and treatment of movement impairment syndromes; Mosby; USA; 2002.

  • Suzanne Tink Martin, Mary Kessler; Neurologic Intervention for Physical therapist Assisstants; Saunders; USA; 2000; 1st edition.


Abstract Views: 514

PDF Views: 0




  • Variations in Limits of Stability under different Sensory Conditions among Young Adult Women

Abstract Views: 514  |  PDF Views: 0

Authors

R. Venkat Raj
College of Physiotherapy, PSG Medical College and Research Institute, PSG Hospitals, Coimbatore, Tamil Nadu, India
T. Neelakannan
College of Physiotherapy, PSG Medical College and Research Institute, PSG Hospitals, Coimbatore, Tamil Nadu, India
G. Prabakaran
College of Physiotherapy, PSG Medical College and Research Institute, PSG Hospitals, Coimbatore, Tamil Nadu, India
N. Gopan
College of Physiotherapy, PSG Medical College and Research Institute, PSG Hospitals, Coimbatore, Tamil Nadu, India
K. Immanuel Jeya Singh Raj
PSG College of Physiotherapy, PSG Hospitals, Coimbatore, Tamil Nadu, India
Kokila
PSG College of Physiotherapy, PSG Hospitals, Coimbatore, Tamil Nadu, India
Deepa
PSG College of Physiotherapy, PSG Hospitals, Coimbatore, Tamil Nadu, India

Abstract


Background: Good postural stability is required for the integrated functions of visual, somatosensory and vestibular system. But there is a less evidence related to limits of stability variations under different sensory conditions in young adult women by using swaymetre. Objective: The objective of this study is to analyze the variations in limits of stability under different sensory conditions among young adult women.

Methods: A total of 15 female subjects of age group between18-22 were selected based on convenient sampling. All participants were exposed to different sensory conditions for assessing the steadiness and maximum balance range by using swaymetre. These parameters were measured both in A-P and M-L directions. The study was conducted in PSG Evidence-based Neuro Rehabilitation Centre, Department of Neurological Physical Therapy, PSG Hospitals, Coimbatore. Mean difference of steadiness and maximum balance range was used as statistical stool.

Results: The values obtained as mean differences of steadiness and maximum balance range with eyes open and eyes closed in A-P and M-L directions on flat and foam surfaces were real data. Obtained values of steadiness and maximum balance range were mentioned. The mean differences of steadiness with eyes open in A-P and M-L directions on flat and foam surfaces were 13.54mm & 14.60mm and with eyes closed are 49.07mm & 55.33mm respectively. The mean differences of maximum balance range with eyes open in A-P and M-L directions on flat and foam surfaces were 31.06 & 54mm and with eyes closed are 2.13mm and 49.53mm respectively. The mean differences of steadiness in A-P and M-L directions on flat surface with eyes open and eyes closed were 2.6mm and 2.14mm and on foam surface with eyes open and eyes closed were 38.13mm and 42.93mm respectively. The mean differences of maximum balance range in A-P and M-L directions on flat surface with eyes open and eyes closed were 20.06mm & 10.5mm and on foam surface with eyes open and eyes closed were 10.13mm and 6mm respectively.

Conclusion: Vision, Proprioception and Vestibular system play a major role in maintaining the postural stability under different sensory conditions. This study recommends the obtained values for the limits of stability under different sensory conditions for women using swaymetre can be used as a baseline value for further studies.


Keywords


Limits of Stability, Steadiness, Maximum Balance Range, Swaymetre

References