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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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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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).</description><identifier>ISSN: 0014-4819</identifier><identifier>EISSN: 1432-1106</identifier><identifier>DOI: 10.1007/s00221-014-3875-3</identifier><identifier>PMID: 24682428</identifier><identifier>CODEN: EXBRAP</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Experimental brain research, 2014-06, Vol.232 (6), p.1833-1842</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2014 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c567t-9c6c1b34d1f1eba46fe04a4564eb03b4c0b5bc99f9da1611338b492d5218045e3</citedby><cites>FETCH-LOGICAL-c567t-9c6c1b34d1f1eba46fe04a4564eb03b4c0b5bc99f9da1611338b492d5218045e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00221-014-3875-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00221-014-3875-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28599117$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24682428$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Denommé, Luke T.</creatorcontrib><creatorcontrib>Mandalfino, Patricia</creatorcontrib><creatorcontrib>Cinelli, Michael E.</creatorcontrib><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</title><title>Experimental brain research</title><addtitle>Exp Brain Res</addtitle><addtitle>Exp Brain Res</addtitle><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).</description><subject>Adult</subject><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Balance</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Case-Control Studies</subject><subject>Complications and side effects</subject><subject>Equilibrium (Physiology)</subject><subject>Feedback, Sensory - physiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Investigations</subject><subject>Lower Extremity - innervation</subject><subject>Lower Extremity - physiopathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple sclerosis</subject><subject>Multiple Sclerosis - complications</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Physiological aspects</subject><subject>Postural Balance - physiology</subject><subject>Posture</subject><subject>Posture - physiology</subject><subject>Pressure</subject><subject>Research Article</subject><subject>Sensation Disorders - etiology</subject><subject>Vertebrates: nervous system and sense organs</subject><subject>Young Adult</subject><issn>0014-4819</issn><issn>1432-1106</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkltvFCEYhidGY2v1B3hjSIxGL6bCwJy8axoPTZqYVHtNOHzs0jLDFpjq_jd_nIy7td1GExkSGHjeb-CdtyieE3xIMG7fRYyripSYsJJ2bV3SB8U-YbQqCcHNw2IfzzusI_1e8STGi_mVtvhxsVexpqtY1e0XP89HDSEmMWo7LpAUTowKkLbGQIA8jciOuWt7bfUkXETfbVqiYXLJrhygqBwEH-3NunU6i6OQ1tm0fo_ELL6GmOxCJOtH5M394hHG6MMaGQAthbpEmVr5mKYgHFJ-TME7pKcwn0-gMz9ICAuURLx8Wjwy-UjwbDseFOcfP3w7_lyefvl0cnx0Wqq6aVPZq0YRSZkmhoAUrDGAmWB1w0BiKpnCspaq702vBWkIobSTrK90XZEOsxroQfFmU3cV_NWUL8MHGxW47BX4KXJSU9bRhuL-f1Dc1x3DNKMv76EXfgpjvshvijYVweSWWggH3I7GpyDUXJQf0Ta3pu7qTB3-hcqPhsFmD8HYvL4jeLsjmH2GH2khphj5ydezXfb1HXYJwqVl9G6a_2fcBckGVDkSMYDhq2AHEdacYD4nlm8Sy3MQ-ZxYPrvwYuvCJAfQfxQ3Ec3Aqy0gohLOhBxQG2-5ru57QtrMVRsuruaoQLhj5z-__gsDSwOP</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Denommé, Luke T.</creator><creator>Mandalfino, Patricia</creator><creator>Cinelli, Michael E.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>0-V</scope><scope>3V.</scope><scope>7QP</scope><scope>7QR</scope><scope>7RV</scope><scope>7TK</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20140601</creationdate><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</title><author>Denommé, Luke T. ; Mandalfino, Patricia ; Cinelli, Michael E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c567t-9c6c1b34d1f1eba46fe04a4564eb03b4c0b5bc99f9da1611338b492d5218045e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Balance</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Case-Control Studies</topic><topic>Complications and side effects</topic><topic>Equilibrium (Physiology)</topic><topic>Feedback, Sensory - physiology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Investigations</topic><topic>Lower Extremity - innervation</topic><topic>Lower Extremity - physiopathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiple sclerosis</topic><topic>Multiple Sclerosis - complications</topic><topic>Neurology</topic><topic>Neurosciences</topic><topic>Physiological aspects</topic><topic>Postural Balance - physiology</topic><topic>Posture</topic><topic>Posture - physiology</topic><topic>Pressure</topic><topic>Research Article</topic><topic>Sensation Disorders - etiology</topic><topic>Vertebrates: nervous system and sense organs</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Denommé, Luke T.</creatorcontrib><creatorcontrib>Mandalfino, Patricia</creatorcontrib><creatorcontrib>Cinelli, Michael E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Social Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Experimental brain research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Denommé, Luke T.</au><au>Mandalfino, Patricia</au><au>Cinelli, Michael E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Experimental brain research</jtitle><stitle>Exp Brain Res</stitle><addtitle>Exp Brain Res</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>232</volume><issue>6</issue><spage>1833</spage><epage>1842</epage><pages>1833-1842</pages><issn>0014-4819</issn><eissn>1432-1106</eissn><coden>EXBRAP</coden><abstract>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).</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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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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