Do quiet standing centre of pressure measures within specific frequencies differ based on ability to recover balance in individuals with stroke?. Issue 6 (June 2016)

• Record Type: Journal Article
• Authors: Schinkel-Ivy, Alison; Singer, Jonathan C.; Inness, Elizabeth L.; Mansfield, Avril
• Is Part Of: Clinical neurophysiology. Volume 127:Issue 6(2016:Jun.)
• Page Start: 2463
• Page End: 2471
• Publication Date: 2016-06
• Subjects: CMSA Chedoke-McMaster Stroke Assessment -- COM centre of mass -- COP centre of pressure -- NIHSS National Institutes of Health Stroke Scale -- RMS root mean square; Stroke -- Quiet standing -- Ability to recover balance -- Discrete wavelet analysis -- Centre of pressure; Neurophysiology -- Periodicals; Electroencephalography -- Periodicals; Electromyography -- Periodicals; Neurology -- Periodicals; 612.8
• DOI: 10.1016/j.clinph.2016.02.021
• Languages: English
• ISSNs: 1388-2457

Abstract

Highlights: Standing centre of pressure signals from individuals with stroke were decomposed. Individuals with poor ability to recover balance showed impaired standing control. This technique may have potential to assess ability to recover balance post-stroke. Abstract: Objective: To determine whether quiet standing measures at specific frequency levels (representative of reactive control) differed between individuals with stroke based on their ability to recover balance (Failed or Successful Responses to external perturbations). Methods: Individuals with stroke completed a clinical assessment, including 30 s of quiet standing and lean-and-release postural perturbations, at admission to in-patient rehabilitation. Quiet standing centre of pressure (COP) signals were calculated and discrete wavelet decomposition was performed. Net COP amplitude, between-limb synchronization, and ratios of individual-limb COP were determined for each frequency level of interest, and for the non-decomposed signal (all frequency levels). Outcome measures were compared between individuals who exhibited Failed and Successful Responses during (a) unconstrained and (b) encouraged-use lean-and-release trials. Results: Individuals with Failed Responses during the unconstrained lean-and-release trials displayed greater net COP amplitude than those with Successful Responses, specifically within a frequency range of 0.40–3.20 Hz. Conclusions: Reduced ability to recover balance among individuals with stroke may be reflected in impaired reactive control of quiet standing. Significance: These results provide insight into the mechanism by which reactive control of quiet standing is impaired in individuals with stroke, and may inform assessment and rehabilitation strategies for post-stroke reactive balance control.