Evaluation of anticipatory postural adjustment before quantified weight shifting—system development and reliability test

Jiunn Woei Liaw, Rou Shayn Chen, Vincent Chiun Fan Chen, Yan Ru Wang, Hsiao Lung Chan*, Ya Ju Chang*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

1 Scopus citations

Abstract

Anticipatory postural adjustment (APA) existed before a self-induced perturbation is an important motor control skill for balance and gait initiation, but cannot be easily monitored. During proactive balance test, a self-initiated weight shifting is produced. This might be an optimal paradigm for APA measurement. The purpose of this study was to investigate if APAs existed in the proactive balance test which consists of quantifiable weight shifting. The feature and reliability of the APAs were also evaluated. We firstly built a proactive balance test program on the commercially available Wii balance board. The program could generate adjustable target direction and distance for guiding subjects performing quantifiable weight shifting. The center of pressure (COP) was recorded and analyzed for balance-related variables (path length, path time, and direction error) and APA-related variables (APA time, APA distance, and APA correction). The results showed that APAs could be detected in every testing trial. Adequate to good reliability in both balance and APA-related variables were found. This study proved the feasibility of quantifying APA during proactive balance tests and its feasibility for clinical-and home-based measurements.

Original languageEnglish
Article number758
Pages (from-to)1-13
Number of pages13
JournalApplied Sciences (Switzerland)
Volume11
Issue number2
DOIs
StatePublished - 02 01 2021

Bibliographical note

Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.

Keywords

  • Anticipatory postural adjustment (APA)
  • Balance
  • Center of pressure (COP)
  • Home-based system
  • Wii balance board

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