Postural Control and Adaptation Strategy of Young Adults on Unstable Surface

in Motor Control

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Qian Qi Lai School of Engineering, Monash University Malaysia, Selangor, Malaysia

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Darwin Gouwanda School of Engineering, Monash University Malaysia, Selangor, Malaysia

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Alpha A. Gopalai School of Engineering, Monash University Malaysia, Selangor, Malaysia

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Balance control is essential for postural adjustment in physical activities. This study investigates the behavior of human postural control and the coordination and adaptation strategy of hip, knee, and ankle when standing on an unstable surface. Twenty participants were recruited. Four different conditions were investigated: a quiet bipedal stance with eyes open and eyes closed, and standing on an unstable surface with eyes open and eyes closed. Other than the joint angle, the standard body sway measures, such as sway area and sway velocity, were computed. A nonlinear time series measure, that is, sample entropy, was used to determine the regularity of the time series and body adaptability to change and perturbation. The results show that the body sway increases as the difficulty increases. This study also confirms the coordination of the hip, knee, and ankle to maintain body balance on the unstable surface by decreasing the joint angle and adopting a lower posture. Even though the individual joint has lower sample entropy value and is deemed to be rigid and less adaptive to perturbation, the postural control exhibits higher sample entropy value, particularly in the anterior–posterior direction, and has the ability to stabilize the body by manipulating the joints simultaneously. These outcomes suggest that an unstable surface not only challenges the human postural control, but also reduces the hip, knee, and ankle adaptability to perturbation, thus making it a great tool to train body balance.

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  • Alexandrov, A.V., Frolov, A.A., Horak, F.B., Carlson-Kuhta, P., & Park, S. (2005). Feedback equilibrium control during human standing. Biological Cybernetics, 93(5), 309322. https://doi.org/10.1007/s00422-005-0004-1

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Bothner, K.E., & Jensen, J.L. (2001). How do non-muscular torques contribute to the kinetics of postural recovery following a support surface translation? Journal of Biomechanics, 34(2), 245250. https://doi.org/10.1016/S0021-9290(00)00161-5

    • Search Google Scholar
    • Export Citation
  • Bryanton, M.A., & Bilodeau, M. (2019). The effect of vision and surface compliance on balance in untrained and strength athletes. Journal of Motor Behavior, 51(1), 7582. https://doi.org/10.1080/00222895.2017.1423019

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Caballero, C., Barbado, D., & Moreno, F.J. (2015). What COP and kinematic parameters better characterize postural control in standing balance tasks? Journal of Motor Behavior, 47(6), 550562. https://doi.org/10.1080/00222895.2015.1014545

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Cheng, K.B. (2016). Does knee motion contribute to feet-in-place balance recovery? Journal of Biomechanics, 49(9), 18731880. https://doi.org/10.1016/j.jbiomech.2016.04.026

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Cheng, K.B., Huang, Y.C., & Kuo, S.Y. (2014). Effect of arm swing on single-step balance recovery. Human Movement Science, 38, 173184. https://doi.org/10.1016/j.humov.2014.08.011

    • PubMed
    • Search Google Scholar
    • Export Citation
  • De Ridder, R., Willems, T., Vanrenterghem, J., & Roosen, P. (2015). Influence of balance surface on ankle stabilizing muscle activity in subjects with chronic ankle instability. Journal of Rehabilitation Medicine, 47(7), 632638. https://doi.org/10.2340/16501977-1970

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Donker, S.F., Ledebt, A., Roerdink, M., Savelsbergh, G.J., & Beek, P.J. (2008). Children with cerebral palsy exhibit greater and more regular postural sway than typically developing children. Experimental Brain Research, 184(3), 363370. https://doi.org/10.1007/s00221-007-1105-y

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Duarte, M., & Zatsiorsky, V.M. (2002). Effects of body lean and visual information on the equilibrium maintenance during stance. Experimental Brain Research, 146(1), 6069. https://doi.org/10.1007/s00221-002-1154-1

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Duncan, P.W., Studenski, S., Chandler, J., Bloomfeld, R., & LaPointe, L.K. (1990). Electromyographic analysis of postural adjustments in two methods of balance testing. Physical Therapy, 70(2), 8896. https://doi.org/10.1093/ptj/70.2.88

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Estrada, L., Torres, A., Sarlabous, L., & Jané, R. (2017). Influence of parameter selection in fixed sample entropy of surface diaphragm electromyography for estimating respiratory activity. Entropy, 19(9), Article 460. https://doi.org/10.3390/e19090460

    • Search Google Scholar
    • Export Citation
  • Freeman, D.L., Gera, G., Horak, F.B., Blackinton, M.T., Besch, M., & King, L. (2018). The instrumented test of sensory integration for balance: A validation study. Journal of Geriatric Physical Therapy, 41(2), 77. https://doi.org/10.1519/JPT.0000000000000110

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ferreira, L.A.B., Pereira, W.M., Rossi, L.P., Kerpers, I.I., de Paula, A.R., Jr., & Oliveira, C.S. (2011). Analysis of electromyographic activity of ankle muscles on stable and unstable surfaces with eyes open and closed. Journal of Bodywork and Movement Therapies, 15(4), 496501. https://doi.org/10.1016/j.jbmt.2010.09.003

    • Search Google Scholar
    • Export Citation
  • Freitas, S.M.S.F., & Duarte, M. (2012). Joint coordination in young and older adults during quiet stance: Effect of visual feedback of the center of pressure. Gait & Posture, 35(1), 8387. https://doi.org/10.1016/j.gaitpost.2011.08.011

    • Search Google Scholar
    • Export Citation
  • Gauchard, G.C., Vançon, G., Meyer, P., Mainard, D., & Perrin, P.P. (2010). On the role of knee joint in balance control and postural strategies: Effects of total knee replacement in elderly subjects with knee osteoarthritis. Gait & Posture, 32(2), 155160. https://doi.org/10.1016/j.gaitpost.2010.04.002

    • Search Google Scholar
    • Export Citation
  • Giulio, I.D., Baltzopoulos, V., Maganaris, C.N., & Loram, I.D. (2013). Human standing: Does the control strategy preprogram a rigid knee? Journal of Applied Physiology, 114(12), 17171729. https://doi.org/10.1152/japplphysiol.01299.2012

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gopalai, A.A., Senanayake, S.M.N.A, & Gouwanda, D. (2011). Determining level of postural control in young adults using force-sensing resistors. IEEE Transactions on Information Technology in Biomedicine, 15(4), 608614. https://doi.org/10.1109/TITB.2011.2140378

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gouwanda, D., & Gopalai, A.A. (2017). Investigating human balance and postural control during bilateral stance on BOSU Balance Trainer. Journal of Medical and Biological Engineering, 37(4), 484491. https://doi.org/10.1007/s40846-017-0282-9

    • Search Google Scholar
    • Export Citation
  • Hemami, H., Barin, K., & Pai, Y.C. (2006). Quantitative analysis of the ankle strategy under platform disturbance. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 14(4), 470480. https://doi.org/10.1109/TNSRE.2006.886718

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Horak, F.B., & Nashner, L.M. (1986). Central programming of postural movements: Adaptation to altered support-surface configurations. Journal of Neurophysiology, 55(6), 13691381. https://doi.org/10.1152/jn.1986.55.6.1369

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hsu, W.L., Scholz, J.P., Schoner, G., Jeka, J.J., & Kiemel, T. (2007). Control and estimation of posture during quiet stance depends on multijoint coordination. Journal of Neurophysiology, 97(4), 30243035. https://doi.org/10.1152/jn.01142.2006

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Isableu, B., Hlavackova, P., Diot, B., & Vuillerme, N. (2017). Regularity of center of pressure trajectories in expert gymnasts during bipedal closed-eyes quiet standing. Frontiers in Human Neuroscience, 11, Article 317. https://doi.org/10.3389/fnhum.2017.00317

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Krishnamoorthy, V., Yang, J.F., & Scholz, J.P. (2005). Joint coordination during quiet stance: Effects of vision. Experimental Brain Research, 164(1), 117. https://doi.org/10.1007/s00221-004-2205-6

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kuo, A.D., & Zajac, F.E. (1993). Human standing posture: Multi-joint movement strategies based on biomechanical constraints. Progress in Brain Research, 97, 349358. https://doi.org/10.1016/s0079-6123(08)62294-3

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lamoth, C.J., van Lummel, R.C., & Beek, P.J. (2009). Athletic skill level is reflected in body sway: A test case for accelometry in combination with stochastic dynamics. Gait & Posture, 29(4), 546551. https://doi.org/10.1016/j.gaitpost.2008.12.006

    • Search Google Scholar
    • Export Citation
  • Luu, B.L., Inglis, J.T., Huryn, T.P., Van der Loos, H.M., Croft, E.A., & Blouin, J.S. (2012). Human standing is modified by an unconscious integration of congruent sensory and motor signals. The Journal of Physiology, 590(22), 57835794. https://doi.org/10.1113/jphysiol.2012.230334

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Massion, J. (1994). Postural control system. Current Opinion in Neurobiology, 4(6), 877887. https://doi.org/10.1016/0959-4388(94)90137-6

  • Menayo, R., Encarnación, A., Gea, G.M., & Marcos, P.J. (2014). Sample entropy-based analysis of differential and traditional training effects on dynamic balance in healthy people. Journal of Motor Behavior, 46(2), 7382. https://doi.org/10.1080/00222895.2013.866932

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mills, R., Levac, D., & Sveistrup, H. (2018). Kinematics and postural muscular activity during continuous oscillating platform movement in children and adolescents with cerebral palsy. Gait & Posture, 66, 1320. https://doi.org/10.1016/j.gaitpost.2018.08.002

    • Search Google Scholar
    • Export Citation
  • Montesinos, L., Castaldo, R., & Pecchia, L. (2018). On the use of approximate entropy and sample entropy with centre of pressure time-series. Journal of NeuroEngineering and Rehabilitation, 15(1), 116. https://doi.org/10.1186/s12984-018-0465-9

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Park, S., Horak, F.B., & Kuo, A.D. (2004). Postural feedback responses scale with biomechanical constraints in human standing. Experimental Brain Research, 154(4), 417427. https://doi.org/10.1007/s00221-003-1674-3

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Park, W., Singh, D.P., Huston, R.L., & Song, S. (2008). A quantitative method for representing balance strategies of goal-directed human motions. Computers in Biology and Medicine, 38(10), 10941102. https://doi.org/10.1016/j.compbiomed.2008.08.005

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Peterka, R.J. (2003). Simplifying the complexities of maintaining balance. IEEE Engineering in Medicine and Biology Magazine, 22(2), 6368. https://doi.org/10.1109/MEMB.2003.1195698

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pinsault, N., & Vuillerme, N. (2009). Test–retest reliability of centre of foot pressure measures to assess postural control during unperturbed stance. Medical Engineering & Physics, 31(2), 276286. https://doi.org/10.1016/j.medengphy.2008.08.003

    • Search Google Scholar
    • Export Citation
  • Raffalt, P.C., Spedden, M.E., & Geertsen, S.S. (2019). Dynamics of postural control during bilateral stance—Effect of support area, visual input and age. Human Movement Science, 67, 102462. https://doi.org/10.1016/j.humov.2019.05.007

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Rigoldi, C., Cimolin, V., Camerota, F., Celletti, C., Albertini, G., et al. (2013). Measuring regularity of human postural sway using approximate entropy and sample entropy in patients with Ehlers-Danlos syndrome hypermobility type. Research in Developmental Disabilities, 34(2), 840846. https://doi.org/10.1016/j.ridd.2012.11.007

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Runge, C.F., Shupert, C.L., Horak, F.B., & Zajac, F.E. (1999). Ankle and hip postural strategies defined by joint torques. Gait & Posture, 10(2), 161170. https://doi.org/10.1016/S0966-6362(99)00032-6

    • Search Google Scholar
    • Export Citation
  • Scholz, J.P., Schöner, G., Hsu, W.L., Jeka, J.J., Horak, F., & Martin, V. (2007). Motor equivalent control of the center of mass in response to support surface perturbations. Experimental Brain Research, 180(1), 163179. https://doi.org/10.1007/s00221-006-0848-1

    • Search Google Scholar
    • Export Citation
  • Schubert, P., & Kirchner, M. (2014). Ellipse area calculations and their applicability in posturography. Gait & Posture, 39(1), 518522. https://doi.org/10.1016/j.gaitpost.2013.09.001

    • Search Google Scholar
    • Export Citation
  • Vitale, C., Marcelli, V., Furia, T., Santangelo, G., Cozzolino, A., et al. (2011), Vestibular impairment and adaptive postural imbalance in parkinsonian patients with lateral trunk flexion. Movement Disorders, 26(8), 14581463. https://doi.org/10.1002/mds.23657

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wayne, P.M., Gow, B.J., Costa, M.D., Peng, C.K., Lipsitz, L.A., et al. (2014). Complexity-based measures inform effects of Tai Chi training on standing postural control: Cross-sectional and randomized trial studies. PLoS One, 9(12), Article e114731. https://doi.org/10.1371/journal.pone.0114731

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Winter, D.A., Patla, A.E., Ishac, M., & Gage, W.H. (2003). Motor mechanisms of balance during quiet standing. Journal of Electromyography and Kinesiology, 13(1), 4956. https://doi.org/10.1016/S1050-6411(02)00085-8

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zemkova, E., Jelen M., Kovacikova, Z., Miklovic, P., Svoboda, Z., & Janura, M. (2017). Balance performance during perturbed standing is not associated with muscle strength and power in young adults. Journal of Motor Behavior, 45(9), 514523. https://doi.org/10.1080/00222895.2016.1241751

    • Search Google Scholar
    • Export Citation
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