Article Text

PDF
74
BALANCE FAILURE IN SINGLE LIMB STANCE DUE TO ANKLE SPRAIN INJURY: AN ANALYSIS OF CENTRE OF PRESSURE USING THE FRACTAL DIMENSION METHOD
  1. C Doherty1,
  2. E Delahunt1,2,
  3. C Bleakley3,
  4. J Hertel4,
  5. J Ryan5,
  6. B Caulfield1
  1. 1School of Public Health, Physiotherapy and Population Science, Dublin, Ireland
  2. 2Institute for Sport and Health, University College Dublin, Dublin, Ireland
  3. 3Sport and Exercise Sciences Research Institute, Ulster Sports Academy, University of Ulster, Newtownabbey, United Kingdom
  4. 4Department of Kinesiology, University of Virginia, Charlottesville, USA
  5. 5St. Vincent's University Hospital, Dublin, Ireland

Abstract

Background Dynamic stability is ubiquitous to fulfilling daily living activities. Instrumented postural control analysis plays an important role in evaluating the effects of injury on dynamic stability during balance tasks, and is often characterized with measures based on the displacement of the centre of pressure (COP) assessed with a force platform. However, the desired outcome of the task is frequently characterized by a loss of dynamic stability, secondary to injury. Typically, failed trials of balance tasks are discarded during research investigations.

Objective To compare the COP characteristics of failed trials in participants with acute lateral ankle sprain (LAS) to successful trial data in another group with the same injury, and a non-injured control group during a single limb stance (SLS) task.

Design Cross-sectional.

Setting University biomechanics laboratory.

Participants 29 participants with acute LAS attempted and succeeded a task of eyes closed SLS on their non-injured limb (successful injured group). A separate group of 28 participants with acute LAS attempted and failed the task on their injured limb (failed injured group). Finally a non-injured control group of 16 participants successfully completed the task on their non-dominant limb (successful non-injured group).

Main outcome measure Fractal dimension (FD) of the COP path during the SLS task.

Results There was a statistically significant difference at the level of P<.05 in FD scores for the three groups: F (2, 70)=11.61, P<.05 (successful injured group=1.26±0.15=failed injured group: 1.17±0.14; successful non-injured group=1.38±0.11) with a large effect size.

Conclusion Successful eyes-closed SLS is characterized by a larger FD of the COP path trajectory when compared to failed trials, indicating greater utilisation of the available base of support.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.