Toward more reliable stability measurements in stance: recommendations for number of measurements, foot position and feedback -- a cross-sectional study among servicemen

Saskia Maria Theresia van der Heijden; Maarten Reinders Prins; Peter van der Wurff

doi:10.1186/s40779-019-0212-y

Your Location：

Home >

Browse articles >

Toward more reliable stability measurements in stance: recommendations for number of measurements, foot position and feedback -- a cross-sectional study among servicemen

RESEARCH | Updated：2023-06-05

- Toward more reliable stability measurements in stance: recommendations for number of measurements, foot position and feedback -- a cross-sectional study among servicemen
- Toward more reliable stability measurements in stance: recommendations for number of measurements, foot position and feedback -- a cross-sectional study among servicemen
- MMR 2020年7卷第2期页码：199-208
- Affiliations：
  
  1.Physical Therapy Sciences, Program in Clinical Health Sciences, University Medical Center Utrecht, 3584CX Utrecht, The Netherlands
  2.Research and Development, Military Rehabilitation Center Aardenburg, Korte Molenweg 3, 3941PW Doorn, The Netherlands
  3.Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam and Amsterdam Movement Sciences, 1081BT Amsterdam, The Netherlands
  4.Institute for Human Movement Studies, HU University of Applied Sciences Utrecht, 3584CS Utrecht, The Netherlands
- Author bio：
  
  * P.van.der.Wurff@mrcdoorn.nl
- Funds：
  
  the Military Rehabilitation Center Aardenburg, part of the Dutch Ministry of Defense. The Military Rehabilitation Center Aardenburg is under the command of Lieutenant Colonel L. Jans
- DOI：10.1186/s40779-019-0212-y
  中图分类号：
- 纸质出版：2020-06
- Accepted：
Scan QR Code
Toward more reliable stability measurements in stance: recommendations for number of measurements, foot position and feedback -- a cross-sectional study among servicemen[J]. MMR, 2020,7(2):199-208.

Cite this article as: Heijden et al.: Toward more reliable stability measurements in stance: recommendations for number of measurements, foot position and feedback -- a cross-sectional study among servicemen. Mil Med Res, 2019, 6: 21
Toward more reliable stability measurements in stance: recommendations for number of measurements, foot position and feedback -- a cross-sectional study among servicemen[J]. MMR, 2020,7(2):199-208. DOI： 10.1186/s40779-019-0212-y.

Cite this article as: Heijden et al.: Toward more reliable stability measurements in stance: recommendations for number of measurements, foot position and feedback -- a cross-sectional study among servicemen. Mil Med Res, 2019, 6: 21 DOI： 10.1186/s40779-019-0212-y.

摘要

Abstract

Background:

In the military

insufficient postural stability is a risk factor for developing lower extremity injuries. Postural stability training programs are effective in preventing these injuries. However

an objective method for the measurement of postural stability in servicemen is lacking. The primary objective of this study was to assess the influence of the number of repetitions

different foot positions and real-time visual feedback on postural stability

as well as their effects on the intrasession reliability of postural stability measurements in servicemen. The secondary objective was to assess the concurrent validity of the measurements.

Methods:

Twenty healthy servicemen between 20 and 50 years of age and in active duty were eligible for this quantitative

cross-sectional study. The measurements took place on a force plate

measuring the mean velocity of the center of pressure. The participants were asked to stand as still as possible in three different foot positions (wide stance

small stance

and on one leg)

five times each for 45 s each time

and the measurements were performed with and without real-time visual feedback.

Results:

We observed a significant main effect of foot position (

0.001)

but not of visual feedback (

=0.119) or repetition number (

=0.915). Postural stability decreased in the more challenging foot positions. The ICC estimates varied from 0.809 (one repetition in wide stance) to 0.985 (five repetitions on one leg). The common variance (

) between different foot positions without feedback varied between 0.008 (wide stance) and 0.412.

Conclusions:

To yield reliable data

wide-stance measurements should be conducted three times

and small-stance measurements and measurements on one leg should be conducted two times. The scores of a measurement in a particular foot position cannot predict the scores of measurements in other foot positions.

关键词

Keywords

references

Springer BA , Ross AE . Musculoskeletal injuries in military women, PJ Docherty editor . Fort Detrick Maryland , Borden Institute , 2013 . p. 1 – 109 .

Funk S , Jacob T , Ben-Dov D , Yanovich E , Tirosh O , Steinberg N . A balance and proprioception intervention programme to enhance combat performance in military personnel . J R Army Med Corps. 2018 ; 164 ( 1 ): 52 – 7 .

Jagiello W , Wojcicki Z , Barczynski BJ , Litwiniuk A , Kalina RM . Optimal body balance disturbance tolerance skills as a methodological basis for selection of firefighters to solve difficult rescue tasks . Ann Agric Environ Med. 2014 ; 21 ( 1 ): 148 – 55 .

Pelham TW , Rowe PR , Robinson MG , Holt LE . A research pilot project to test the efficacy of current pedorthic practices in the Canadian forces . Work. 2006 ; 26 ( 2 ): 207 – 14 .

Andersen KA , Grimshaw PN , Kelso RM , Bentley DJ . Musculoskeletal lower limb injury risk in army populations . Sport Med-open. 2016 ; 2 ( 1 ): 22 .

de Andrade Gomes MZ , Pinfildi CE . Prevalence of musculoskeletal injuries and a proposal for neuromuscular training to prevent lower limb injuries in Brazilian Army soldiers: an observational study . Mil Med Res. 2018 ; 5 ( 1 ): 23 .

Sell TC , Abt JP , Nagai T , Deluzio JB , Lovalekar M , Wirt MD , et al . The eagle tactical athlete program reduces musculoskeletal injuries in the 101st airborne division (air assault) . Mil Med. 2016 ; 181 ( 3 ): 250 – 7 .

Hauret KG , Jones BH , Bullock SH , Canham-Chervak M , Canada S . Musculoskeletal injuries description of an under-recognized injury problem among military personnel . Am J Prev Med. 2010 ; 38 ( 1 Suppl ): S61 – 70 .

Jay K , Brandt M , Hansen K , Sundstrup E , Jakobsen MD , Schraefel MC , et al . Effect of individually tailored biopsychosocial workplace interventions on chronic musculoskeletal pain and stress among laboratory technicians: randomized controlled trial . Pain Phys. 2015 ; 18 ( 5 ): 459 – 71 .

Jones BH , Perrotta DM , Canham-Chervak ML , Nee MA , Brundage JF . Injuries in the military: a review and commentary focused on prevention . Am J Prev Med. 2000 ; 18 ( 3 Suppl ): 71 – 84 .

Lauder TD , Baker SP , Smith GS , Lincoln AE . Sports and physical training injury hospitalizations in the army . Am J Prev Med. 2000 ; 18 ( 3 Suppl ): 118 – 28 .

Bonanno DR , Murley GS , Munteanu SE , Landorf KB , Menz HB . Foot orthoses for the prevention of lower limb overuse injuries in naval recruits: study protocol for a randomised controlled trial . J Foot Ankle Res. 2015 ; 8 ( 1 ): 51 .

Carow SD , Haniuk EM , Cameron KL , Padua DA , Marshall SW , DiStefano LJ , et al . Risk of lower extremity injury in a military cadet population after a supervised injury-prevention program . J Athl Train. 2016 ; 51 ( 11 ): 905 – 18 .

Davidson PL , Wilson SJ , Chalmers DJ , Wilson BD , McBride D . Examination of interventions to prevent common lower-limb injuries in the New Zealand defense force . Mil Med. 2009 ; 174 ( 11 ): 1196 – 202 .

Herman K , Barton C , Malliaras P , Morrissey D . The effectiveness of neuromuscular warm-up strategies, that require no additional equipment, for preventing lower limb injuries during sports participation: a systematic review . BMC Med. 2012 ; 10 ( 1 ): 75 .

Jones BH , Thacker SB , Gilchrist J , Kimsey CD Jr , Sosin DM . Prevention of lower extremity stress fractures in athletes and soldiers: a systematic review . Epidemiol Rev. 2002 ; 24 ( 2 ): 228 – 47 .

Kollock RO , Andrews C , Johnston A , Elliott T , Wilson AE , Games KE , et al . A meta-analysis to determine if lower extremity muscle strengthening should be included in military knee overuse injury-prevention programs . J Athl Train. 2016 ; 51 ( 11 ): 919 – 26 .

Peck KY , DiStefano LJ , Marshall SW , Padua DA , Beutler AI , de la Motte SJ , et al . Effect of a lower extremity preventive training program on physical performance scores in military recruits . J Strength Cond Res. 2017 ; 31 ( 11 ): 3146 – 57 .

Bahr R , Bahr IA . Incidence of acute volleyball injuries: a prospective cohort study of injury mechanisms and risk factors . Scand J Med Sci Sports. 1997 ; 7 ( 3 ): 166 – 71 .

Doherty C , Bleakley C , Delahunt E , Holden S . Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis . Br J Sports Med. 2017 ; 51 ( 2 ): 113 – 25 .

Alberts JL , Hirsch JR , Koop MM , Schindler DD , Kana DE , Linder SM , et al . Using accelerometer and gyroscopic measures to quantify postural stability . J Athl Train. 2015 ; 50 ( 6 ): 578 – 88 .

Krkeljas Z . Comparison of jump-landing protocols with Biodex balance system as measures of dynamic postural stability in athletes . Sport Biomech. 2018 ; 17 ( 3 ): 371 – 82 .

Linens SW , Ross SE , Arnold BL , Gayle R , Pidcoe P . Postural-stability tests that identify individuals with chronic ankle instability . J Athl Train. 2014 ; 49 ( 1 ): 15 – 23 .

Chiari L , Rocchi L , Cappello A . Stabilometric parameters are affected by anthropometry and foot placement . Clin Biomech. 2002 ; 17 ( 9 ): 666 – 77 .

Doyle TL , Dugan EL , Humphries B , Newton RU . Discriminating between elderly and young using a fractal dimension analysis of Centre of pressure . Int J Med Sci. 2004 ; 1 ( 1 ): 11 – 20 .

Hue O , Simoneau M , Marcotte J , Berrigan F , Dore J , Marceau P , et al . Body weight is a strong predictor of postural stability . Gait Posture. 2007 ; 26 ( 1 ): 32 – 8 .

Keating J , Matyas T . Unreliable inferences from reliable measurements . Aust J Physiother. 1998 ; 44 ( 1 ): 5 – 10 .

Lafond D , Corriveau H , Hebert R , Prince F . Intrasession reliability of center of pressure measures of postural steadiness in healthy elderly people . Arch Phys Med Rehabil. 2004 ; 85 ( 6 ): 896 – 901 .

Ruhe A , Fejer R , Walker B . The test-retest reliability of Centre of pressure measures in bipedal static task conditions--a systematic review of the literature . Gait Posture. 2010 ; 32 ( 4 ): 436 – 45 .

Doyle RJ , Hsiao-Wecksler ET , Ragan BG , Rosengren KS . Generalizability of center of pressure measures of quiet standing . Gait Posture. 2007 ; 25 ( 2 ): 166 – 71 .

Bartlett JW , Frost C . Reliability, repeatability and reproducibility: analysis of measurement errors in continuous variables . Ultrasound Obstet Gynecol. 2008 ; 31 ( 4 ): 466 – 75 .

Helmhout PH , Harts CC , Viechtbauer W , Staal JB , de Bie RA . Isolated lumbar extensor strengthening versus regular physical therapy in an army working population with nonacute low back pain: a randomized controlled trial . Arch Phys Med Rehabil. 2008 ; 89 ( 9 ): 1675 – 85 .

Hadian MR , Negahban H , Talebian S , Salavati M , Jafari AH , Sanjari MA , et al . Reliability of center of pressure measures of postural stability in patients with unilateral anterior cruciate ligament injury . J Appl Sci. 2008 ; 8 ( 17 ): 3019 – 25 .

Le Clair K , Riach C . Postural stability measures: what to measure and for how long . Clin Biomech. 1996 ; 11 ( 3 ): 176 – 8 .

Hill KD , Carroll SG , Kalogeropoulos A , Schwarz JA . Retest reliability of Centre of pressure measures of standing balance in healthy older women . Aust J Ageing. 1995 ; 14 ( 4 ): 76 – 80 .

World Medical Association . Declaration of Helsinki: ethical principles for medical research involving human subjects . JAMA. 2013 ; 310 ( 20 ): 2191 – 4 .

Hassanlouei H , Arendt-Nielsen L , Kersting UG , Falla D . Effect of exerciseinduced fatigue on postural control of the knee . J Electromyogr Kinesiol. 2012 ; 22 ( 3 ): 342 – 7 .

Benvenuti F , Mecacci R , Gineprari I , Bandinelli S , Benvenuti E , Ferrucci L , et al . Kinematic characteristics of standing disequilibrium: reliability and validity of a posturographic protocol . Arch Phys Med Rehabil. 1999 ; 80 ( 3 ): 278 – 87 .

Raymakers JA , Samson MM , Verhaar HJ . The assessment of body sway and the choice of the stability parameter(s) . Gait Posture. 2005 ; 21 ( 1 ): 48 – 58 .

Corriveau H , Hebert R , Prince F , Raiche M . Intrasession reliability of the "center of pressure minus center of mass" variable of postural control in the healthy elderly . Arch Phys Med Rehabil. 2000 ; 81 ( 1 ): 45 – 8 .

McGraw KO , Wong SP . Forming inferences about some intraclass correlation coefficients . Psychol Methods. 1996 ; 1 ( 1 ): 30 – 46 .

Koo TK , Li MY . A guideline of selecting and reporting intraclass correlation coefficients for reliability research . J Chiropr Med. 2016 ; 15 ( 2 ): 155 – 63 .

Stratford PW , Goldsmith CH . Use of the standard error as a reliability index of interest: an applied example using elbow flexor strength data . Phys Ther. 1997 ; 77 ( 7 ): 745 – 50 .

Stratford PW . Getting more from the literature: estimating the standard error of maesurement from reliability studies . Physiother Canada. 2004 ; 56 ( 01 ): 27 – 30 .

Overend T , Anderson C , Sawant A , Perryman B , Locking-Cusolito H . Relative and absolute reliability of physical function measures in people with endstage renal disease . Physiother Canada. 2010 ; 62 ( 2 ): 122 – 8 .

Mukaka MM . Statistics corner: a guide to appropriate use of correlation coefficient in medical research . Malawi Med J. 2012 ; 24 ( 3 ): 69 – 71 .

Hair J , Hult TM . A primer on partial least squares structural equation modeling (PLS-SEM) . 2 ed . Thousand Oaks : SAGE Publ ; 2016 .

Henry SM , Fung J , Horak FB . Effect of stance width on multidirectional postural responses . J Neurophysiol. 2001 ; 85 ( 2 ): 559 – 70 .

Tarantola J , Nardone A , Tacchini E , Schieppati M . Human stance stability improves with the repetition of the task: effect of foot position and visual condition . Neurosci Lett. 1997 ; 228 ( 2 ): 75 – 8 .

Teranishi T , Sakurai H , Ohtsuka K , Yamada M , Tsuzuki A , Miyasaka H , et al . Relationship between feet position and anterior-posterior center of presure (COP) location - what are the determining factors in the adjustment of center of gravity? J Phys Ther Sci. 2013 ; 25 ( 1 ): 41 – 3 .

Thompson LA , Badache M , Cale S , Behera L , Zhang N . Balance performance as observed by center-of-pressure parameter characteristics in male soccer athletes and non-athletes . Sports (Basel). 2017 ; 5 ( 4 ): 86 .

Golriz S , Hebert JJ , Foreman KB , Walker BF . The validity of a portable clinical force plate in assessment of static postural control: concurrent validity study . Chiropr Man Ther. 2012 ; 20 ( 1 ): 15 .

Boudrahem S , Rougier PR . Relation between postural control assessment with eyes open and Centre of pressure visual feedback effects in healthy individuals . Exp Brain Res. 2009 ; 195 ( 1 ): 145 – 52 .

Rougier PR . How visual feedback of decomposed movements of the center of pressure trajectories affects undisturbed postural control of healthy individuals . IEEE Trans Biomed Eng. 2007 ; 54 ( 5 ): 813 – 20 .

Sell TC , Lovalekar MT , Nagai T , Wirt MD , Abt JP , Lephart SM . Gender differences in static and dynamic postural stability of soldiers in the Army's 101st airborne division (air assault) . J Sport Rehabil. 2018 ; 27 ( 2 ): 126 – 31 .

Borah D , Wadhwa S , Singh U , Yadav SL , Bhattacharjee M , Sindhu V . Age related changes in postural stability . Indian J Physiol Pharmacol. 2007 ; 51 ( 4 ): 395 – 404 .

Sell TC . An examination, correlation, and comparison of static and dynamic measures of postural stability in healthy, physically active adults . Phys Ther Sport. 2012 ; 13 ( 2 ): 80 – 6 .

Sell TC , Pederson JJ , Abt JP , Nagai T , Deluzio J , Wirt MD , et al . The addition of body amor diminishes dynamic postural stability in military soldiers . Mil Med. 2016 ; 181 ( 10 ): 1391 .

Carpenter MG , Frank JS , Winter DA , Peysar GW . Sampling duration effects on Centre of pressure summary measures . Gait Posture. 2001 ; 13 ( 1 ): 35 – 40 .

浏览量

Downloads

CSCD

文章被引用时，请邮件提醒。

Submit

工具集

关联资源

暂无数据