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Postural control under visual and proprioceptive perturbations during double and single limb stances: insights for balance training.

Abstract

Single Limb Stance under visual and proprioceptive disturbances is largely used in clinical settings in order to improve balance in a wide range of functional disabilities. However, the proper role of vision and proprioception in SLS is not completely understood. The objectives of this study were to test the hypotheses that when ankle proprioception is perturbed, the role of vision in postural control increases according to the difficulty of the standing task. And to test the effect of vision during postural adaptation after withdrawal of the somesthetic perturbation during double and single limb stance Eleven males were submitted to double (DLS) and single limb (SLS) stances under conditions of normal or reduced vision, both with normal and perturbed proprioception. Center of pressure parameters were analyzed across conditions. Vision had a main effect in SLS, whereas proprioception perturbation showed effects only during DLS. Baseline stability was promptly achieved independently of visual input after proprioception reintegration. In conclusion, the role of vision increases in SLS. After proprioception reintegration, vision does not affect postural recovery. Balance training programs must take that into account.

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  • Publisher Full Text
  • Authors

    Hazime FA, Allard P, Ide MR, Siqueira CM, Amorim CF, Tanaka C

    Institution

    Division of Rheumatology, School of Medicine, University of São Paulo, Brazil.

    Source

    Journal of bodywork and movement therapies 16:2 2012 Apr pg 224-9

    MeSH

    Adaptation, Physiological
    Adult
    Ankle Joint
    Humans
    Male
    Physical Therapy Modalities
    Postural Balance
    Posture
    Proprioception
    Psychomotor Performance
    Recovery of Function
    Somatosensory Disorders
    Vibration
    Vision, Low
    Young Adult

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22464121