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Reliability and feasibility of gait initiation centre-of-pressure excursions using a Wii(®) Balance Board in older adults at risk of falling

BACKGROUND: Impairments in dynamic balance have a detrimental effect in older adults at risk of falls (OARF). Gait initiation (GI) is a challenging transitional movement. Centre of pressure (COP) excursions using force plates have been used to measure GI performance. The Nintendo Wii Balance Board (...

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Autores principales: Lee, James, Webb, Graham, Shortland, Adam P., Edwards, Rebecca, Wilce, Charlotte, Jones, Gareth D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373388/
https://www.ncbi.nlm.nih.gov/pubmed/29667154
http://dx.doi.org/10.1007/s40520-018-0945-6
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author Lee, James
Webb, Graham
Shortland, Adam P.
Edwards, Rebecca
Wilce, Charlotte
Jones, Gareth D.
author_facet Lee, James
Webb, Graham
Shortland, Adam P.
Edwards, Rebecca
Wilce, Charlotte
Jones, Gareth D.
author_sort Lee, James
collection PubMed
description BACKGROUND: Impairments in dynamic balance have a detrimental effect in older adults at risk of falls (OARF). Gait initiation (GI) is a challenging transitional movement. Centre of pressure (COP) excursions using force plates have been used to measure GI performance. The Nintendo Wii Balance Board (WBB) offers an alternative to a standard force plate for the measurement of CoP excursion. AIMS: To determine the reliability of COP excursions using the WBB, and its feasibility within a 4-week strength and balance intervention (SBI) treating OARF. METHODS: Ten OARF subjects attending SBI and ten young healthy adults, each performed three GI trials after 10 s of quiet stance from a standardised foot position (shoulder width) before walking forward 3 m to pick up an object. Averaged COP mediolateral (ML) and anteroposterior (AP) excursions (distance) and path-length time (GI-onset to first toe-off) were analysed. RESULTS: WBB ML (0.866) and AP COP excursion (0.895) reliability (ICC(3,1)) was excellent, and COP path-length reliability was fair (0.517). Compared to OARF, healthy subjects presented with larger COP excursion in both directions and shorter COP path length. OARF subjects meaningfully improved their timed-up-and-go and ML COP excursion between weeks 1–4, while AP COP excursions, path length, and confidence-in-balance remained stable. DISCUSSION: COP path length and excursion directions probably measure different GI postural control attributes. Limitations in WBB accuracy and precision in transition tasks needs to be established before it can be used clinically to measure postural aspects of GI viably. CONCLUSIONS: The WBB could provide valuable clinical evaluation of balance function in OARF.
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spelling pubmed-63733882019-03-01 Reliability and feasibility of gait initiation centre-of-pressure excursions using a Wii(®) Balance Board in older adults at risk of falling Lee, James Webb, Graham Shortland, Adam P. Edwards, Rebecca Wilce, Charlotte Jones, Gareth D. Aging Clin Exp Res Original Article BACKGROUND: Impairments in dynamic balance have a detrimental effect in older adults at risk of falls (OARF). Gait initiation (GI) is a challenging transitional movement. Centre of pressure (COP) excursions using force plates have been used to measure GI performance. The Nintendo Wii Balance Board (WBB) offers an alternative to a standard force plate for the measurement of CoP excursion. AIMS: To determine the reliability of COP excursions using the WBB, and its feasibility within a 4-week strength and balance intervention (SBI) treating OARF. METHODS: Ten OARF subjects attending SBI and ten young healthy adults, each performed three GI trials after 10 s of quiet stance from a standardised foot position (shoulder width) before walking forward 3 m to pick up an object. Averaged COP mediolateral (ML) and anteroposterior (AP) excursions (distance) and path-length time (GI-onset to first toe-off) were analysed. RESULTS: WBB ML (0.866) and AP COP excursion (0.895) reliability (ICC(3,1)) was excellent, and COP path-length reliability was fair (0.517). Compared to OARF, healthy subjects presented with larger COP excursion in both directions and shorter COP path length. OARF subjects meaningfully improved their timed-up-and-go and ML COP excursion between weeks 1–4, while AP COP excursions, path length, and confidence-in-balance remained stable. DISCUSSION: COP path length and excursion directions probably measure different GI postural control attributes. Limitations in WBB accuracy and precision in transition tasks needs to be established before it can be used clinically to measure postural aspects of GI viably. CONCLUSIONS: The WBB could provide valuable clinical evaluation of balance function in OARF. Springer International Publishing 2018-04-17 2019 /pmc/articles/PMC6373388/ /pubmed/29667154 http://dx.doi.org/10.1007/s40520-018-0945-6 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Lee, James
Webb, Graham
Shortland, Adam P.
Edwards, Rebecca
Wilce, Charlotte
Jones, Gareth D.
Reliability and feasibility of gait initiation centre-of-pressure excursions using a Wii(®) Balance Board in older adults at risk of falling
title Reliability and feasibility of gait initiation centre-of-pressure excursions using a Wii(®) Balance Board in older adults at risk of falling
title_full Reliability and feasibility of gait initiation centre-of-pressure excursions using a Wii(®) Balance Board in older adults at risk of falling
title_fullStr Reliability and feasibility of gait initiation centre-of-pressure excursions using a Wii(®) Balance Board in older adults at risk of falling
title_full_unstemmed Reliability and feasibility of gait initiation centre-of-pressure excursions using a Wii(®) Balance Board in older adults at risk of falling
title_short Reliability and feasibility of gait initiation centre-of-pressure excursions using a Wii(®) Balance Board in older adults at risk of falling
title_sort reliability and feasibility of gait initiation centre-of-pressure excursions using a wii(®) balance board in older adults at risk of falling
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373388/
https://www.ncbi.nlm.nih.gov/pubmed/29667154
http://dx.doi.org/10.1007/s40520-018-0945-6
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