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EFFECTS OF ANTHROPOMETRIC FACTORS, AGE, GENDER, AND FOOT POSTURE ON SINGLE LEG BALANCE PERFORMANCE IN ASYMPTOMATIC SUBJECTS

Year 2019, Volume: 30 Issue: 3, 154 - 160, 20.12.2019
https://doi.org/10.21653/tjpr.665138

Abstract

Purpose: The aim of the present study was to investigate the effects of age, gender, height, weight, body mass index (BMI), and foot posture on single leg standing balance performance.
Methods: A total of 76 healthy young asymptomatic adults were enrolled (52 females and 24 males) with an age range of 19-49 years. Age, gender, height, weight, and BMI, foot posture (Foot Posture Index), and balance (Biodex Balance Systems) were assessed. Balance assessments were performed on the dominant leg.
Results: A regression analysis showed that 43.2% of the anterior- posterior (AP) stability index score explained the total variance, and the effects of height (p=0.006, B=-4.387, β=-1.974,
SD=1.554), weight (p=0.001, B=0.068, β=4.550, SD=0.020), and BMI (p=0.003, B=-0.171, β=- 2.833, SD=0.056) found statistically significant. The regression analysis also revealed that 66.5% of the variance in the medial-lateral (ML) stability index score and age (p=0.026, B=0.003, β=0.173, SD=0.001) and weight (p=0.048, B=0.022, β=2.031, SD=0.011). Foot posture and gender were not statistically significant in both AP stability index and ML stability index (p>0.05).
Conclusion: The findings of the study showed that age, and anthropometric factors (height, weight, and BMI) are potential markers for balance assessments. These results suggest that age and anthropometric factors play an important role in balance performance in asymptomatic subjects

References

  • 1. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing. 2006;35(suppl_2):7-11.
  • 2. McCann RS, Crossett ID, Terada M, Kosik KB, Bolding BA, Gribble PA. Hip strength and star excursion balance test deficits of patients with chronic ankle instability. J Sci Med Sport. 2017;20(11):992-6.
  • 3. Soliman ES, Shousha TM, Alayat MS. The effect of pain severity on postural stability and dynamic limits of stability in chronic low back pain. J Back Musculoskelet Rehabil. 2017;30(5):1023-9.
  • 4. Butterworth PA, Urquhart DM, Landorf KB, Wluka AE, Cicuttini FM, Menz HB. Foot posture, range of motion and plantar pressure characteristics in obese and non-obese individuals. Gait Posture. 2015;41(2):465-9.
  • 5. Greve JMDA, Cuğ M, Dülgeroğlu D, Brech GC, Alonso AC. Relationship between anthropometric factors, gender, and balance under unstable conditions in young adults. BioMed Res Int. 2013;2013.
  • 6. Lizama LEC, Pijnappels M, Faber GH, Reeves PN, Verschueren SM, van Dieen JH. Age effects on mediolateral balance control. PloS One. 2014;9(10):e110757.
  • 7. Büyükturan Ö, Büyükturan B, Karartı C. Sağlıklı genç yetişkinlerde pes planus ile ağrı, hipermobilite ve denge arasındaki ilişkinin incelenmesi. FÜ Sağ Bil Tıp Derg. 2017;31(1):33-7.
  • 8. Hageman PA, Leibowitz JM, Blanke D. Age and gender effects on postural control measures. Arch Phys Med Rehabil. 1995;76(10):961-5.
  • 9. Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clin Biomec. 2006;21(1):89-98.
  • 10. Arifin N, Osman NAA, Abas WABW. Intrarater test-retest reliability of static and dynamic stability indexes measurement using the Biodex Stability System during unilateral stance. J Appl Biomec. 2014;30(2):300-4.
  • 11. Ku P, Osman NA, Yusof A, Abas WW. Biomechanical evaluation of the relationship between postural control and body mass index. J Biomech. 2012;45(9):1638-42. 12. Cobb SC, Bazett-Jones DM, Joshi MN, Earl-Boehm JE, James CR. The relationship among foot posture, core and lower extremity muscle function, and postural stability. J Athl Train. 2014;49(2):173-80.
  • 13. Taş S, Bek N. Effects of morphological and mechanical properties of plantar fascia and heel pad on balance performance in asymptomatic females. Foot. 2018;1(36):30-4.
  • 14. Cohen J, Cohen P, West SG, Aiken LS. Applied multiple regression/ correlation analysis for the behavioral sciences. Mahwah, NJ: Erlbaum. 3rd ed. New Jersey: Lawrence Erlbaum Associates Publishers; 2003.
  • 15. Hue O, Simoneau M, Marcotte J, Berrigan F, Doré J, Marceau P, et al. Body weight is a strong predictor of postural stability. Gait Posture. 2007;26(1):32-8.
  • 16. Van Wegen E, Van Emmerik R, Riccio G. Postural orientation: age-related changes in variability and time-to-boundary. Hum Mov Sci. 2002;21(1):61-84.
  • 17. Lizama CL, Pijnappels M, Reeves N, Verschueren S, van Dieën J. Can explicit visual feedback of postural sway efface the effects of sensory manipulations on mediolateral balance performance? J Neurophysiol. 2016; 115(2):907-14.
  • 18. Alonso AC, Luna NMS, Mochizuki L, Barbieri F, Santos S, Greve JMDA. The influence of anthropometric factors on postural balance: the relationship between body composition and posturographic measurements in young adults. Clinics. 2012;67(12):1433-41.
  • 19. Baloh RW, Ying SH, Jacobson KM. A longitudinal study of gait and balance dysfunction in normal older people. Arch Neurol. 160 TÜRK FİZYOTERAPİ VE REHABİLİTASYON DERGİSİ 2019; 30(3) Effects of Anthropometric Factors, Age, Gender, and Foot Posture on Single Leg Balance Performance in Asymptomatic Subjects 2003;60(6):835-9.
  • 20. Winter DA, Prince F, Frank J, Powell C, Zabjek KF. Unified theory regarding A/P and M/L balance in quiet stance. J Neurophysiol. 1996;75(6):2334-43.
  • 21. Egerton T, Brauer SG, Cresswell AG. Dynamic postural stability is not impaired by moderate-intensity physical activity in healthy or balance-impaired older people. Hum Mov Sci. 2010;29(6):1011- 22.
  • 22. Mainenti MRM, Rodrigues ÉdC, Oliveira JFd, Ferreira AdS, Dias CM, Silva ALdS. Adiposity and postural balance control: correlations between bioelectrical impedance and stabilometric signals in elderly Brazilian women. Clinics. 2011;66(9):1513-8. 23. McGraw B, McClenaghan BA, Williams HG, Dickerson J, Ward DS. Gait and postural stability in obese and nonobese prepubertal boys. Arch Phys Med and Rehabil. 2000;81(4):484-9.
  • 24. Singh D, Park W, Levy M, Jung ES. The effects of obesity and standing time on postural sway during prolonged quiet standing. Ergonomics. 2009;52(8):977-86. 25. Maffiuletti N, Agosti F, Proietti M, Riva D, Resnik M, Lafortuna C, et al. Postural instability of extremely obese individuals improves after a body weight reduction program entailing specific balance training. J Endocrinol Invest. 2005;28(1):2-7.
  • 26. Chiari L, Rocchi L, Cappello A. Stabilometric parameters are affected by anthropometry and foot placement. Clin Biomech. 2002;17(9):666-77.
  • 27. Kejonen P, Kauranen K, Vanharanta H. The relationship between anthropometric factors and body-balancing movements in postural balance. Arch Phys Med Rehabil. 2003;84(1):17-22.
  • 28. Berger W, Trippel M, Discher M, Dietz V. Influence of subjects’ height on the stabilization of posture. Acta Otolaryngol. 1992;112(1):22-30.
  • 29. Hertel J, Gay MR, Denegar CR. Differences in postural control during single-leg stance among healthy individuals with different foot types. J Athl Train. 2002;37(2):129.
  • 30. Menz HB, Morris ME, Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J Gerontol A Biol Sci Med Sci. 2005;60(12):1546-52.

ASEMPTOMATİK BİREYLERİN TEK AYAK ÜZERİ DENGE PERFORMANSINDA ANTROPOMETRİK FAKTÖRLER, YAŞ, CİNSİYET VE AYAK POSTÜRÜNÜN ETKİLERİ

Year 2019, Volume: 30 Issue: 3, 154 - 160, 20.12.2019
https://doi.org/10.21653/tjpr.665138

Abstract

Amaç: Çalışmamızın amacı yaş, cinsiyet, boy, vücut ağırlığı, vücut kütle indeksi (VKİ) ve ayak postürünün tek ayak denge performansı üzerine etkilerini araştırmaktı.
Yöntem: Yaşları 19 ve 49 arasında değişen (52 kadın ve 24 erkek) 76 sağlıklı genç asemptomatik birey gönüllü olarak çalışmaya katıldı. Yaş, cinsiyet, boy, vücut ağırlığı ve VKİ, Ayak Postür İndeksi ve denge testleri (Biodex Denge Sistemleri) değerlendirildi. Denge değerlendirmesi dominant ayak üzerinde yapıldı.
Sonuçlar: Yapılan regresyon analizi sonuçları anterior-posterior (AP) stabilite indeks skorlarında total varyansın % 43,2’sini açıkladığı bulundu ve boy (p=0,006, B=-4,387, β=-1,974, SD=1,554), vücut ağırlığı (p=0,001, B=0,068, β=4,550, SD=0,020) ve VKİ’nin (p=0,003, B=-,171, β=-2,833, SD=0,056) etkisi istatistiksel olarak anlamlı bulundu. Regresyon analizi sonucunda medial-lateral (ML) stabilite indeks skorundaki toplam varyansın % 66,5‘ini yaş (p=0,026, B=0,003, β=0,173, SD=0,001) ve vücut ağırlığı (p=0,048, B=0,022, β=2,031, SD=0,011) açıkladığı bulundu. Ayak postürü ve cinsiyet hem AP hem de ML stabilite indeksinde istatistiksel olarak anlamlı değildi (p>0,05).
Tartışma: Bu çalışma yaş ve boy, vücut ağırlığı, VKİ gibi antropometrik faktörlerin denge değerlendirmesinde potansiyel belirteçler olarak bilgi verdiğini göstermektedir. Bu sonuçlar, asemptomatik bireylerde yaş ve antropometrik faktörlerin, denge performansında önemli bir rol oynadığinı göstermektedir.

References

  • 1. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing. 2006;35(suppl_2):7-11.
  • 2. McCann RS, Crossett ID, Terada M, Kosik KB, Bolding BA, Gribble PA. Hip strength and star excursion balance test deficits of patients with chronic ankle instability. J Sci Med Sport. 2017;20(11):992-6.
  • 3. Soliman ES, Shousha TM, Alayat MS. The effect of pain severity on postural stability and dynamic limits of stability in chronic low back pain. J Back Musculoskelet Rehabil. 2017;30(5):1023-9.
  • 4. Butterworth PA, Urquhart DM, Landorf KB, Wluka AE, Cicuttini FM, Menz HB. Foot posture, range of motion and plantar pressure characteristics in obese and non-obese individuals. Gait Posture. 2015;41(2):465-9.
  • 5. Greve JMDA, Cuğ M, Dülgeroğlu D, Brech GC, Alonso AC. Relationship between anthropometric factors, gender, and balance under unstable conditions in young adults. BioMed Res Int. 2013;2013.
  • 6. Lizama LEC, Pijnappels M, Faber GH, Reeves PN, Verschueren SM, van Dieen JH. Age effects on mediolateral balance control. PloS One. 2014;9(10):e110757.
  • 7. Büyükturan Ö, Büyükturan B, Karartı C. Sağlıklı genç yetişkinlerde pes planus ile ağrı, hipermobilite ve denge arasındaki ilişkinin incelenmesi. FÜ Sağ Bil Tıp Derg. 2017;31(1):33-7.
  • 8. Hageman PA, Leibowitz JM, Blanke D. Age and gender effects on postural control measures. Arch Phys Med Rehabil. 1995;76(10):961-5.
  • 9. Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clin Biomec. 2006;21(1):89-98.
  • 10. Arifin N, Osman NAA, Abas WABW. Intrarater test-retest reliability of static and dynamic stability indexes measurement using the Biodex Stability System during unilateral stance. J Appl Biomec. 2014;30(2):300-4.
  • 11. Ku P, Osman NA, Yusof A, Abas WW. Biomechanical evaluation of the relationship between postural control and body mass index. J Biomech. 2012;45(9):1638-42. 12. Cobb SC, Bazett-Jones DM, Joshi MN, Earl-Boehm JE, James CR. The relationship among foot posture, core and lower extremity muscle function, and postural stability. J Athl Train. 2014;49(2):173-80.
  • 13. Taş S, Bek N. Effects of morphological and mechanical properties of plantar fascia and heel pad on balance performance in asymptomatic females. Foot. 2018;1(36):30-4.
  • 14. Cohen J, Cohen P, West SG, Aiken LS. Applied multiple regression/ correlation analysis for the behavioral sciences. Mahwah, NJ: Erlbaum. 3rd ed. New Jersey: Lawrence Erlbaum Associates Publishers; 2003.
  • 15. Hue O, Simoneau M, Marcotte J, Berrigan F, Doré J, Marceau P, et al. Body weight is a strong predictor of postural stability. Gait Posture. 2007;26(1):32-8.
  • 16. Van Wegen E, Van Emmerik R, Riccio G. Postural orientation: age-related changes in variability and time-to-boundary. Hum Mov Sci. 2002;21(1):61-84.
  • 17. Lizama CL, Pijnappels M, Reeves N, Verschueren S, van Dieën J. Can explicit visual feedback of postural sway efface the effects of sensory manipulations on mediolateral balance performance? J Neurophysiol. 2016; 115(2):907-14.
  • 18. Alonso AC, Luna NMS, Mochizuki L, Barbieri F, Santos S, Greve JMDA. The influence of anthropometric factors on postural balance: the relationship between body composition and posturographic measurements in young adults. Clinics. 2012;67(12):1433-41.
  • 19. Baloh RW, Ying SH, Jacobson KM. A longitudinal study of gait and balance dysfunction in normal older people. Arch Neurol. 160 TÜRK FİZYOTERAPİ VE REHABİLİTASYON DERGİSİ 2019; 30(3) Effects of Anthropometric Factors, Age, Gender, and Foot Posture on Single Leg Balance Performance in Asymptomatic Subjects 2003;60(6):835-9.
  • 20. Winter DA, Prince F, Frank J, Powell C, Zabjek KF. Unified theory regarding A/P and M/L balance in quiet stance. J Neurophysiol. 1996;75(6):2334-43.
  • 21. Egerton T, Brauer SG, Cresswell AG. Dynamic postural stability is not impaired by moderate-intensity physical activity in healthy or balance-impaired older people. Hum Mov Sci. 2010;29(6):1011- 22.
  • 22. Mainenti MRM, Rodrigues ÉdC, Oliveira JFd, Ferreira AdS, Dias CM, Silva ALdS. Adiposity and postural balance control: correlations between bioelectrical impedance and stabilometric signals in elderly Brazilian women. Clinics. 2011;66(9):1513-8. 23. McGraw B, McClenaghan BA, Williams HG, Dickerson J, Ward DS. Gait and postural stability in obese and nonobese prepubertal boys. Arch Phys Med and Rehabil. 2000;81(4):484-9.
  • 24. Singh D, Park W, Levy M, Jung ES. The effects of obesity and standing time on postural sway during prolonged quiet standing. Ergonomics. 2009;52(8):977-86. 25. Maffiuletti N, Agosti F, Proietti M, Riva D, Resnik M, Lafortuna C, et al. Postural instability of extremely obese individuals improves after a body weight reduction program entailing specific balance training. J Endocrinol Invest. 2005;28(1):2-7.
  • 26. Chiari L, Rocchi L, Cappello A. Stabilometric parameters are affected by anthropometry and foot placement. Clin Biomech. 2002;17(9):666-77.
  • 27. Kejonen P, Kauranen K, Vanharanta H. The relationship between anthropometric factors and body-balancing movements in postural balance. Arch Phys Med Rehabil. 2003;84(1):17-22.
  • 28. Berger W, Trippel M, Discher M, Dietz V. Influence of subjects’ height on the stabilization of posture. Acta Otolaryngol. 1992;112(1):22-30.
  • 29. Hertel J, Gay MR, Denegar CR. Differences in postural control during single-leg stance among healthy individuals with different foot types. J Athl Train. 2002;37(2):129.
  • 30. Menz HB, Morris ME, Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J Gerontol A Biol Sci Med Sci. 2005;60(12):1546-52.
There are 27 citations in total.

Details

Primary Language English
Subjects Rehabilitation
Journal Section Araştırma Makaleleri
Authors

Nezehat Özgül Ünlüer

Serkan Taş

Publication Date December 20, 2019
Published in Issue Year 2019 Volume: 30 Issue: 3

Cite

APA Ünlüer, N. Ö., & Taş, S. (2019). EFFECTS OF ANTHROPOMETRIC FACTORS, AGE, GENDER, AND FOOT POSTURE ON SINGLE LEG BALANCE PERFORMANCE IN ASYMPTOMATIC SUBJECTS. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 30(3), 154-160. https://doi.org/10.21653/tjpr.665138
AMA Ünlüer NÖ, Taş S. EFFECTS OF ANTHROPOMETRIC FACTORS, AGE, GENDER, AND FOOT POSTURE ON SINGLE LEG BALANCE PERFORMANCE IN ASYMPTOMATIC SUBJECTS. Turk J Physiother Rehabil. December 2019;30(3):154-160. doi:10.21653/tjpr.665138
Chicago Ünlüer, Nezehat Özgül, and Serkan Taş. “EFFECTS OF ANTHROPOMETRIC FACTORS, AGE, GENDER, AND FOOT POSTURE ON SINGLE LEG BALANCE PERFORMANCE IN ASYMPTOMATIC SUBJECTS”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 30, no. 3 (December 2019): 154-60. https://doi.org/10.21653/tjpr.665138.
EndNote Ünlüer NÖ, Taş S (December 1, 2019) EFFECTS OF ANTHROPOMETRIC FACTORS, AGE, GENDER, AND FOOT POSTURE ON SINGLE LEG BALANCE PERFORMANCE IN ASYMPTOMATIC SUBJECTS. Türk Fizyoterapi ve Rehabilitasyon Dergisi 30 3 154–160.
IEEE N. Ö. Ünlüer and S. Taş, “EFFECTS OF ANTHROPOMETRIC FACTORS, AGE, GENDER, AND FOOT POSTURE ON SINGLE LEG BALANCE PERFORMANCE IN ASYMPTOMATIC SUBJECTS”, Turk J Physiother Rehabil, vol. 30, no. 3, pp. 154–160, 2019, doi: 10.21653/tjpr.665138.
ISNAD Ünlüer, Nezehat Özgül - Taş, Serkan. “EFFECTS OF ANTHROPOMETRIC FACTORS, AGE, GENDER, AND FOOT POSTURE ON SINGLE LEG BALANCE PERFORMANCE IN ASYMPTOMATIC SUBJECTS”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 30/3 (December 2019), 154-160. https://doi.org/10.21653/tjpr.665138.
JAMA Ünlüer NÖ, Taş S. EFFECTS OF ANTHROPOMETRIC FACTORS, AGE, GENDER, AND FOOT POSTURE ON SINGLE LEG BALANCE PERFORMANCE IN ASYMPTOMATIC SUBJECTS. Turk J Physiother Rehabil. 2019;30:154–160.
MLA Ünlüer, Nezehat Özgül and Serkan Taş. “EFFECTS OF ANTHROPOMETRIC FACTORS, AGE, GENDER, AND FOOT POSTURE ON SINGLE LEG BALANCE PERFORMANCE IN ASYMPTOMATIC SUBJECTS”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 30, no. 3, 2019, pp. 154-60, doi:10.21653/tjpr.665138.
Vancouver Ünlüer NÖ, Taş S. EFFECTS OF ANTHROPOMETRIC FACTORS, AGE, GENDER, AND FOOT POSTURE ON SINGLE LEG BALANCE PERFORMANCE IN ASYMPTOMATIC SUBJECTS. Turk J Physiother Rehabil. 2019;30(3):154-60.