Understanding balance differences in individuals with multiple sclerosis with mild disability: an investigation of differences in sensory feedback on postural control during a Romberg task

A major presenting symptom in ‘individuals with multiple sclerosis with mild balance disability’ (IwMS) is poor postural control, resulting from slowed spinal somatosensory conduction. Postural control deficits in IwMS are most apparent when vision is removed and the base of support is reduced such...

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Veröffentlicht in:Experimental brain research 2014-06, Vol.232 (6), p.1833-1842
Hauptverfasser: Denommé, Luke T., Mandalfino, Patricia, Cinelli, Michael E.
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creator Denommé, Luke T.
Mandalfino, Patricia
Cinelli, Michael E.
description A major presenting symptom in ‘individuals with multiple sclerosis with mild balance disability’ (IwMS) is poor postural control, resulting from slowed spinal somatosensory conduction. Postural control deficits in IwMS are most apparent when vision is removed and the base of support is reduced such is the case during tandem and single support stances. The current study used center of pressure (COP) measurements to determine whether postural control differences exist between IwMS and either ‘healthy age-matched individuals’ (HAMI) or ‘community-dwelling older adults’ (OA). Postural control was evaluated using a Romberg standing task, which required participants to stand with their feet together and hands by their sides for 45 s with either their eyes open or closed. Results revealed that COP velocity root mean square was greater in IwMS and their COP position was closer to their self-selected maximum stability limits (e.g., greater Standing Index proportion) when vision was removed compared to HAMI. Conversely, IwMS displayed similar postural control characteristics to OA. The current study highlights two novel findings: (1) the utility of novel COP measurements to assess differences in the level of postural control in IwMS; and (2) the benefit of assessing postural control levels in IwMS to not only a population with a fully intact and functional postural control system (HAMI) but also to another population that is thought to experience postural control deficits (OA).
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The current study highlights two novel findings: (1) the utility of novel COP measurements to assess differences in the level of postural control in IwMS; and (2) the benefit of assessing postural control levels in IwMS to not only a population with a fully intact and functional postural control system (HAMI) but also to another population that is thought to experience postural control deficits (OA).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24682428</pmid><doi>10.1007/s00221-014-3875-3</doi><tpages>10</tpages></addata></record>
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ispartof Experimental brain research, 2014-06, Vol.232 (6), p.1833-1842
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subjects Adult
Aged
Analysis of Variance
Balance
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Case-Control Studies
Complications and side effects
Equilibrium (Physiology)
Feedback, Sensory - physiology
Female
Fundamental and applied biological sciences. Psychology
Humans
Investigations
Lower Extremity - innervation
Lower Extremity - physiopathology
Male
Middle Aged
Multiple sclerosis
Multiple Sclerosis - complications
Neurology
Neurosciences
Physiological aspects
Postural Balance - physiology
Posture
Posture - physiology
Pressure
Research Article
Sensation Disorders - etiology
Vertebrates: nervous system and sense organs
Young Adult
title Understanding balance differences in individuals with multiple sclerosis with mild disability: an investigation of differences in sensory feedback on postural control during a Romberg task
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