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Test-Retest Reliability of Measurements of the Center of Pressure Displacement in Quiet Standing and During Maximal Voluntary Body Leaning Among Healthy Elderly Men

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Rafał S., Janusz M., Wiesław O., Robert S.
Journal of Human Kinetics
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2011
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vol. 28
15-23
EN
The aim of the study was to evaluate intra- and intersession test-retest reliability for the measurements of centre of pressure displacement in quiet standing and during maximal voluntary body leaning (approximate area of stability limits).27 elderly men participated in the study (71.4±4.9 of age). Intrasession (4 measurements with two-minute breaks) and intersession (4 measurements one week apart) reliability were examined. Parameters connected to the centre of pressure data (AMTI force platform) were measured during a quiet stance and voluntary body leaning in medio-lateral and anterior-posterior directions (approximate limits of stability). Intraclass correlation coefficients (ICC2,1 and ICC2, k) were calculated.In case of quiet standing, only mean velocity of centre of pressure sway provides high reliability in intrasession - ICC2,1 of .84 and ICC2, k of .96, and in intersession - ICC2,1 of .76. Evaluation of limits of stability showed high values of all parameters (maximal and minimal displacement in sagittal and frontal planes, distance between maximal and minimal position of centre of pressure in sagittal and frontal planes and approximated area of stability limits) in intrasession - ICC2,1 between .82 to .96 and ICC2, k between .95 to .99. Similar tendency was observed in the intersession retest.Average velocity of the centre of pressure is the only parameter that showed a high application value in case of measurements during quiet standing. Parameters related to the stability limits appeared very reliable what proves that this evaluation may have potential application in the clinical practice.
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Evaluation of the Limits of Stability (LOS) Balance Test

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Juras G., Słomka K., Fredyk A., Sobota G., Bacik B.
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EN
The main objective of this study was the estimation of intrasession reliability of the limits of stability (LOS) test conducted on a force platform as an alternative measurement to standard posturography in quiet standing. Fifteen healthy adults took part in the experiment. The standardized measurement protocol of the LOS test was proposed. It consists of three phases - 1st phase - 10s of quiet standing, 2nd phase - the maximal forward leaning in a self paced manner, and 3rd phase - maintenance of maximal forward leaning position. The analysis of variance Friedman's ANOVA and Repeated Measures ANOVA/MANOVA was used to diagnose the differences between 10 consecutive trials of the LOS test. In order to establish reliability of the test, the intraclass correlation (ICC) procedure was used. We presented different ways of maximal center of pressure (COP) excursion estimates. The results of this study show no significant differences between the chosen parameters of the LOS test. Moreover, the measurement of the range of COP excursion, which is most commonly analyzed in such tests, showed to be quite reliable with ICC2,1 above .85. LOS test conducted along the standard procedure should be considered as a very useful method in clinical and research conditions. Still the specific parameters of the LOS test should be given more thorough insight, but it is a very good alternative to quiet standing posturography.
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The development of postural control in 6–17 old years healthy children. Part II Postural control evaluation – Limits of Stability Test (LOS) in 6–17 old year children

88%
Orendorz-Frączkowska K., Kubacka M.
Polish Journal of Otolaryngology
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2020
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vol. 74
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issue 4
18-24
EN
Introduction: The ability to Reach quickly to changing external stimuli, to move the body quickly and precisely in any direction and to maintain the centre of gravity above the support base, all contribute to maintaining balance in dynamic conditions. The Limits of Stability Test (LOS) provides information on the state of dynamic equilibrium in a standing position. Aim : Assessment of dynamic postural control in developmental age. Material : 127 healthy children (65 girls and 62 boys) aged 6 – 17years. Methods: All children underwent LOS test (posturograph NeuroCom) with registration of reaction time (RT), movement velocity (MVL), directional control (DCL) , maximum excursion (MXE) and endpoint excursion (EPE). Results: At the age of 6-7 years, not fully developed jumping strategy and visual feedback mechanism in the control of movement were observed. All tested parameters were significantly worse in children aged 6 – 9 years. After this period, a significant improvement in TR and MVL was observed, with no significant changes in subsequent age groups while significant improvement in MXE up to 12 , EPE and DCL up to 13 years of age was noted. No significant gender differences were fund in the LOS test parameters. Conclusions: 1 The LOS test showed significantly lower dynamic balance development in children aged 6 – 7 years. 2 The study showed a significant improvement in all parameters of the LOS test up to 13 years of age, which supports the termination of the function at that time.
4
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The development of postural control in 6–17 old years healthy children. Part II Postural control evaluation – Limits of Stability Test (LOS) in 6–17 old year children

88%
Orendorz-Frączkowska K., Kubacka M.
Otolaryngologia Polska
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2020
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vol. 74(4)
18-24
EN
Introduction: The ability to Reach quickly to changing external stimuli, to move the body quickly and precisely in any direction and to maintain the centre of gravity above the support base, all contribute to maintaining balance in dynamic conditions. The Limits of Stability Test (LOS) provides information on the state of dynamic equilibrium in a standing position. Aim : Assessment of dynamic postural control in developmental age. Material : 127 healthy children (65 girls and 62 boys) aged 6 – 17years. Methods: All children underwent LOS test (posturograph NeuroCom) with registration of reaction time (RT), movement velocity (MVL), directional control (DCL) , maximum excursion (MXE) and endpoint excursion (EPE). Results: At the age of 6-7 years, not fully developed jumping strategy and visual feedback mechanism in the control of movement were observed. All tested parameters were significantly worse in children aged 6 – 9 years. After this period, a significant improvement in TR and MVL was observed, with no significant changes in subsequent age groups while significant improvement in MXE up to 12 , EPE and DCL up to 13 years of age was noted. No significant gender differences were fund in the LOS test parameters. Conclusions: 1 The LOS test showed significantly lower dynamic balance development in children aged 6 – 7 years. 2 The study showed a significant improvement in all parameters of the LOS test up to 13 years of age, which supports the termination of the function at that time.
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