Regulation of static and dynamic balance in healthy young adults: interactions between stance width and visual conditions.

IF 4.8 3区 工程技术 Q1 BIOTECHNOLOGY & APPLIED MICROBIOLOGY Frontiers in Bioengineering and Biotechnology Pub Date : 2025-01-28 eCollection Date: 2025-01-01 DOI:10.3389/fbioe.2025.1538286
Wei Luo, Zhirui Huang, Hao Li, Tao Zhong, Peishun Chen, Yu Min
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Abstract

Objectives: This study investigates the impact of five distinct stance widths on static balance and limits of stability in healthy adults under varying visual conditions, specifically with eyes open and closed.

Methods: The Prokin Balance Instrument was used to evaluate static balance with both eyes open and closed, as well as limits of stability with eyes open, in 20 healthy adults (male, age = 21.55 ± 1.39). Participants were assessed at five stance widths (0 cm, 10 cm, 20 cm, 30 cm, and self-selected width) for each condition. Statistical analysis of the test indices was conducted using repeated measures ANOVA.

Results: In static balance tests, index values were higher with eyes closed than with eyes open, with this difference being most pronounced at narrower stance widths. Notably, a significant main effect was observed for all indicators, in the static balance test under varying visual and stance width conditions (P < 0.001). Significant interactions between visual conditions and stance width were identified for all static balance indicators (P < 0.001), except for average speed of anteroposterior sway (P = 0.195). Across both visual conditions, static balance indicators displayed a U-shaped distribution (a decrease followed by an increase) with increasing stance width, reaching a minimum at the self-selected width (16.35 ± 4.20 cm) and 20 cm. Additionally, significant main effects were observed for limits of stability in both the anteroposterior and mediolateral directions (P < 0.001). The limits of stability in the anteroposterior and mediolateral directions increased monotonically with stance width, peaking at 30 cm. The influence of stance width on static balance and limits of stability was significantly greater in the mediolateral direction compared to the anteroposterior direction, regardless of visual condition.

Conclusion: As stance width increases, the reliance on visual input for maintaining static balance decreases in healthy adults. We recommend using a self-selected stance width to optimize static balance and a 30 cm stance width to achieve maximum limits of stability during postural assessments.

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健康年轻人静态和动态平衡的调节:立场宽度和视觉条件之间的相互作用。
目的:本研究探讨在不同视觉条件下,特别是睁眼和闭眼时,五种不同的站立宽度对健康成人静态平衡和稳定性极限的影响。方法:采用Prokin平衡仪对20例健康成人(男性,年龄= 21.55±1.39)进行双眼开闭静态平衡及双眼开闭稳定极限评估。参与者在每种情况下以五种姿势宽度(0厘米,10厘米,20厘米,30厘米和自选宽度)进行评估。检验指标采用重复测量方差分析进行统计分析。结果:在静态平衡测试中,闭眼时的指数值高于睁眼时,这种差异在较窄的立场宽度下最为明显。值得注意的是,在不同视觉和立场宽度条件下的静态平衡测试中,所有指标都观察到显著的主效应(P < 0.001)。除了平均前后摇摆速度(P = 0.195)外,所有静态平衡指标的视觉条件和立场宽度之间存在显著的相互作用(P < 0.001)。在两种视觉条件下,静态平衡指标均随姿态宽度的增加呈先减小后增大的u型分布,在自选宽度(16.35±4.20 cm)和20 cm处达到最小值。此外,在前后和中外侧方向的稳定性限制方面观察到显著的主要影响(P < 0.001)。前后和中外侧方向的稳定极限随着站位宽度的增加而单调增加,在30 cm处达到峰值。无论视觉状况如何,站立宽度对静平衡和稳定极限的影响在中外侧方向明显大于正前方方向。结论:随着站姿宽度的增加,健康成人对视觉输入维持静态平衡的依赖性降低。我们建议使用自选的姿势宽度来优化静态平衡,并在姿势评估中使用30厘米的姿势宽度来实现最大限度的稳定性。
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来源期刊
Frontiers in Bioengineering and Biotechnology
Frontiers in Bioengineering and Biotechnology Chemical Engineering-Bioengineering
CiteScore
8.30
自引率
5.30%
发文量
2270
审稿时长
12 weeks
期刊介绍: The translation of new discoveries in medicine to clinical routine has never been easy. During the second half of the last century, thanks to the progress in chemistry, biochemistry and pharmacology, we have seen the development and the application of a large number of drugs and devices aimed at the treatment of symptoms, blocking unwanted pathways and, in the case of infectious diseases, fighting the micro-organisms responsible. However, we are facing, today, a dramatic change in the therapeutic approach to pathologies and diseases. Indeed, the challenge of the present and the next decade is to fully restore the physiological status of the diseased organism and to completely regenerate tissue and organs when they are so seriously affected that treatments cannot be limited to the repression of symptoms or to the repair of damage. This is being made possible thanks to the major developments made in basic cell and molecular biology, including stem cell science, growth factor delivery, gene isolation and transfection, the advances in bioengineering and nanotechnology, including development of new biomaterials, biofabrication technologies and use of bioreactors, and the big improvements in diagnostic tools and imaging of cells, tissues and organs. In today`s world, an enhancement of communication between multidisciplinary experts, together with the promotion of joint projects and close collaborations among scientists, engineers, industry people, regulatory agencies and physicians are absolute requirements for the success of any attempt to develop and clinically apply a new biological therapy or an innovative device involving the collective use of biomaterials, cells and/or bioactive molecules. “Frontiers in Bioengineering and Biotechnology” aspires to be a forum for all people involved in the process by bridging the gap too often existing between a discovery in the basic sciences and its clinical application.
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