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Effect on the Limit of Stability of the Lowered Center of Mass With a Weight Belt

  • Phan, Jimmy (Department of Physical Therapy, Chapman University) ;
  • Wakumoto, Kaylen (Department of Physical Therapy, Chapman University) ;
  • Chen, Jeffrey (Department of Physical Therapy, Chapman University) ;
  • Choi, Woochol Joseph (Injury Prevention and Biomechanics Laboratory, Department of Physical Therapy, Yonsei University)
  • 투고 : 2020.01.30
  • 심사 : 2020.04.24
  • 발행 : 2020.05.20

초록

Background: The consequences of falls are often debilitating, and prevention is important. In theory, the lower the center of mass (COM), the greater postural stability during standing, and a weight belt at the waist level may help to lower the COM and improve the standing balance. Objects: We examined how the limit of stability (LOS) was affected by the lowered center of mass with the weight belt. Methods: Twenty healthy individuals participated in the LOS test. After calculating each participant's COM, a weight belt was fastened ten centimeters below the COM. Trials were acquired with five weight belt conditions: 0%, 2%, 4%, 6%, and 8% of body weight. Outcome measures included reaction time, movement velocity, endpoint excursion, maximum excursion, and directional control in 4 cardinal moving directions. Results: None of our outcome variables were associated with a weight belt (p > 0.075), but all of them were associated with moving direction (p < 0.01). On average, movement velocity of the COM and maximum excursion were 31% and 18% greater, respectively, in mediolateral than anteroposterior direction (5.4°/s vs. 4.1°/s; 97.5% vs. 82.6%). Conclusion: Our results suggest that postural stability was not affected by the weight-induced lowered COM, informing the development and improvement of balance training strategies.

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참고문헌

  1. Empana JP, Dargent-Molina P, Breart G; EPIDOS Group. Effect of hip fracture on mortality in elderly women: the EPIDOS prospective study. J Am Geriatr Soc 2004;52(5):685-90. https://doi.org/10.1111/j.1532-5415.2004.52203.x
  2. Wolinsky FD, Fitzgerald JF, Stump TE. The effect of hip fracture on mortality, hospitalization, and functional status: a prospective study. Am J Public Health 1997;87(3):398-403. https://doi.org/10.2105/AJPH.87.3.398
  3. Brauer CA, Coca-Perraillon M, Cutler DM, Rosen AB. Incidence and mortality of hip fractures in the United States. JAMA 2009;302(14):1573-9. https://doi.org/10.1001/jama.2009.1462
  4. Burge R, Dawson-Hughes B, Solomon DH, Wong JB, King A, Tosteson A. Incidence and economic burden of osteoporosisrelated fractures in the United States, 2005-2025. J Bone Miner Res 2007;22(3):465-75. https://doi.org/10.1359/jbmr.061113
  5. Gillespie WJ. Extracts from "clinical evidence": hip fracture. BMJ 2001;322(7292):968-75. https://doi.org/10.1136/bmj.322.7292.968
  6. Statistics Korea. The fall experience of the elderly adults. Statistics Korea [Internet]. Daejeon: 2018 Dec [cited 2020 Jan 30]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117071_050&conn_path=I2.
  7. Lee SR, Kim SR, Chung KH, Ko DO, Cho SH, Ha YC, et al. Mortality and activity after hip fracture: a prospective study. J Korean Orthop Assoc 2005;40(4):423-7. https://doi.org/10.4055/jkoa.2005.40.4.423
  8. Burns E, Kakara R. Deaths from falls among persons aged ${\geq}$65 years - United States, 2007-2016. MMWR Morb Mortal Wkly Rep 2018;67(18):509-14. https://doi.org/10.15585/mmwr.mm6718a1
  9. Almeida CW, Castro CH, Pedreira PG, Heymann RE, Szejnfeld VL. Percentage height of center of mass is associated with the risk of falls among elderly women: a case-control study. Gait Posture 2011;34(2):208-12. https://doi.org/10.1016/j.gaitpost.2011.04.013
  10. Richardson JK, Ross AD, Riley B, Rhodes RL. Halo vest effect on balance. Arch Phys Med Rehabil 2000;81(3):255-7. https://doi.org/10.1016/S0003-9993(00)90067-4
  11. Bridger RS. Introduction to human factors and ergonomics. 4th ed. Boca Raton: CRC Press; 2018;108-10.
  12. Wan FKW, Yick KL, Yu WWM. Effects of heel height and highheel experience on foot stability during quiet standing. Gait Posture 2019;68:252-7. https://doi.org/10.1016/j.gaitpost.2018.12.004
  13. Boulgarides LK, McGinty SM, Willett JA, Barnes CW. Use of clinical and impairment-based tests to predict falls by community-dwelling older adults. Phys Ther 2003;83(4):328-39. https://doi.org/10.1093/ptj/83.4.328
  14. Brauer SG, Burns YR, Galley P. A prospective study of laboratory and clinical measures of postural stability to predict community-dwelling fallers. J Gerontol A Biol Sci Med Sci 2000;55(8):M469-76. https://doi.org/10.1093/gerona/55.8.M469
  15. Clark S, Rose DJ. Evaluation of dynamic balance among community-dwelling older adult fallers: a generalizability study of the limits of stability test. Arch Phys Med Rehabil 2001;82(4):468-74. https://doi.org/10.1053/apmr.2001.21859
  16. Mancini M, Rocchi L, Horak FB, Chiari L. Effects of Parkinson's disease and levodopa on functional limits of stability. Clin Biomech (Bristol, Avon) 2008;23(4):450-8. https://doi.org/10.1016/j.clinbiomech.2007.11.007
  17. Melzer I, Benjuya N, Kaplanski J. Postural stability in the elderly: a comparison between fallers and non-fallers. Age Ageing 2004;33(6):602-7. https://doi.org/10.1093/ageing/afh218
  18. Newstead AH, Hinman MR, Tomberlin JA. Reliability of the Berg Balance Scale and balance master limits of stability tests for individuals with brain injury. J Neurol Phys Ther 2005;29(1):18-23. https://doi.org/10.1097/01.NPT.0000282258.74325.cf
  19. Wallmann HW. Comparison of elderly nonfallers and fallers on performance measures of functional reach, sensory organization, and limits of stability. J Gerontol A Biol Sci Med Sci 2001;56(9):M580-3. https://doi.org/10.1093/gerona/56.9.M580
  20. Ozkaya N, Nordin M, Goldsheyder D, Leger D. Fundamentals of biomechanics: equilibrium, motion, and deformation. 3rd ed. New York: Springer; 2012;53-4.
  21. Robinovitch SN, Feldman F, Yang Y, Schonnop R, Leung PM, Sarraf T, et al. Video capture of the circumstances of falls in elderly people residing in long-term care: an observational study. Lancet 2013;381(9860):47-54. https://doi.org/10.1016/S0140-6736(12)61263-X
  22. Schonnop R, Yang Y, Feldman F, Robinson E, Loughin M, Robinovitch SN. Prevalence of and factors associated with head impact during falls in older adults in long-term care. CMAJ 2013;185(17):E803-10. https://doi.org/10.1503/cmaj.130498