1
|
Mineta S, Koyama T, Yamaguchi S, Inagaki H, Sekine Y. Epidemiology of lateral ankle sprain focusing on indirect contact mechanism in male and female soccer players: An 18.5-month cohort study. Injury 2024; 55:111699. [PMID: 38970925 DOI: 10.1016/j.injury.2024.111699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2024] [Revised: 06/12/2024] [Accepted: 06/19/2024] [Indexed: 07/08/2024]
Abstract
BACKGROUND Epidemiological research highlights the need to understand sports injuries for effective prevention. Yet, detailed knowledge about lateral ankle sprain (LAS) in soccer, especially related to indirect contact mechanisms and specific sports movements, remains scarce. This study aimed to determine the prevalence of LAS by examining injury mechanisms, focusing on indirect contact, and analyzing sports-related movements. STUDY DESIGN Prospective study. METHODS In this prospective study, 304 high-school and college soccer players (age: 19.0 ± 2.2 years, height: 168.3 ± 10.6 cm, weight: 64.2 ± 11.1 kg) were monitored for 18.5 months. Attendance and LAS incidents were recorded daily. Injury details, including movement at the time of injury, contact presence, and direction, were collected through interviews conducted on the injury day. LAS were categorized into direct contact, indirect contact, and non-contact mechanisms. Direct contact injuries were due to external forces on the lower leg or foot. Indirect contact injuries resulted from impacts on areas other than the lower leg or foot, and non-contact injuries involved no interaction with the ball or opponent. Incidence rates per 1,000 athlete exposures and 95 % confidence intervals (CIs) were calculated, along with rate ratios (RR) to assess sex differences. RESULTS The study recorded 59 LAS injuries. Indirect injuries were predominant, accounting for 47.5 % (n = 28) of the cases. Men experienced a higher incidence of indirect injuries, with an RR of 2.29 (95 % CI: 1.06-4.96). Outward contact was the most common (77.8 %; n = 21), while inward contact occurred in 22.2 % of the cases (n = 6). CONCLUSION High school and college soccer players primarily sustained injuries through indirect contact mechanisms, with a significant number of injuries occurring during lateral contact. Men were more prone to indirect contact injuries. Furthermore, 47.5 % of LAS incidents involved reactive movements, and injuries frequently occurred during specific sports actions, such as ball interception.
Collapse
Affiliation(s)
- Shinshiro Mineta
- Faculty of Health and Welfare, Fukuyamaheisei University, Hiroshima, Japan.
| | - Takeshi Koyama
- School of Physical Education, Tokai University, Kanagawa, Japan
| | | | - Honoka Inagaki
- Graduate School of Sport Sciences, Waseda University, Saitama, Japan
| | - Yuta Sekine
- Faculty of Humanities and Social Sciences, Teikyo Heisei University, Tokyo, Japan
| |
Collapse
|
2
|
Tasci S, Celik H, Kirazci S. Effects of environmental and task related conditions on postural control under concurrent visual feedback. Hum Mov Sci 2024; 94:103186. [PMID: 38330630 DOI: 10.1016/j.humov.2024.103186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 12/25/2023] [Accepted: 01/31/2024] [Indexed: 02/10/2024]
Abstract
BACKGROUND Previous studies have yielded conflicting results on the facilitative effects of concurrent visual feedback (CVFB) on postural control. In addition, these effects have generally been assessed only during a single postural task, and their scope has been limited to training sessions in the acquisition phase but not in the later retention phase. One explanation for these conflicting results is that assessing postural control during a single postural task, such as quiet stance, may not be sufficiently challenging for the postural control system to infer balance abilities. We aimed to address these shortcomings by diversifying postural tasks and environmental conditions and by including acquisition and retention phases in the experiments. RESEARCH QUESTIONS Does the provision of CVFB of the instantaneous COP position improve performance on a variety of postural tasks compared to no-CVFB controls? Are the effects of the CVFB retained the following day? Do the observed effect sizes differ in magnitude between the environmental and task conditions under CVFB? METHODS Forty healthy young adults were randomly assigned to CVFB and no-CVFB control groups. The subjects performed three postural tasks: quiet, tandem, and single-leg stance, under two environmental conditions based on the stiffness of the supporting ground surface. Seven measures of postural sway, including ellipse area, mean speed, and sample entropy, were examined. RESULTS The provision of CVFB significantly increased sample entropy and sway-path length of the normalized posturogram. In addition, ellipse area, standard deviation of resultant distance, and range in the anteroposterior direction were significantly reduced in the CVFB group compared to the no-CVFB controls; however, these effects were not retained the following day without the addition of CVFB augmentation. The postural sway measures under CVFB were affected by task and environmental constraints, with varying effect sizes. SIGNIFICANCE This study demonstrated environment and task-specific changes in postural sway measures under CVFB, which facilitated postural control in a variety of postural tasks. Providing CVFB significantly increased sample entropy, indicating less regular postural sway. The features of CVFB that attract external attention and reduce cognitive overload are possible explanations for these findings.
Collapse
Affiliation(s)
- Seda Tasci
- Department of Physical Education and Sports, Faculty of Education, Middle East Technical University, Ankara, Turkey
| | - Huseyin Celik
- Department of Biomechanics and Motor Control, Faculty of Sport Sciences, Hacettepe University, Ankara, Turkey.
| | - Sadettin Kirazci
- Department of Physical Education and Sports, Faculty of Education, Middle East Technical University, Ankara, Turkey
| |
Collapse
|
3
|
Oba K, Kyotani N, Tanaka M, Komatsuzaki M, Kasahara S, Ogasawara K, Samukawa M. Acute effects of static and dynamic stretching for ankle plantar flexors on postural control during the single-leg standing task. Sports Biomech 2023:1-11. [PMID: 38151982 DOI: 10.1080/14763141.2023.2298967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 11/28/2023] [Indexed: 12/29/2023]
Abstract
Static stretching (SS) and dynamic stretching (DS) are widely used as warm-ups before sports. However, whether stretching affects postural control remains unclear. We compared the effects of SS and DS on the plantar flexors and postural control during single-leg standing. Fifteen healthy young participants performed SS, DS, or no stretching (control). The stretch condition consisted of four sets lasting 30 s each. The control condition was a rest with standing for 210 s. Center of pressure (COP) displacement was measured using a force plate before and after each intervention to assess postural control during the single-leg standing task. The COP area, COP velocity, and anteroposterior (COPAP) and mediolateral (COPML) range were calculated. DS significantly decreased in the COPML range (21.5 ± 4.1 to 19.0 ± 2.5 mm; P = 0.02), COP velocity (33.8 ± 7.6 to 29.8 ± 6.5 mm/s; P < 0.01), and COP area (498.6 ± 148.3 to 393.3 ± 101.1 mm2; P < 0.01), whereas SS did not change in the COP parameters (COP area 457.2 ± 108.3 to 477.8 ± 106.1 mm2, P = .49; COP velocity 31.2 ± 4.2 to 30.7 ± 5.8 mm/s, P = 0.60; COPAP 25.4 ± 3.1 to 25.3 ± 3.2 mm, P = 0.02; COPML 20.7 ± 3.3 to 21.1 ± 2.5 mm, P = 0.94). Therefore, DS of the plantar flexors enhances postural control during single-leg standing and may be effective for both injury prevention and performance enhancement.
Collapse
Affiliation(s)
- Kensuke Oba
- Faculty of Health Sciences, Hokkaido University, Sapporo, Japan
- Department of Rehabilitation, Hitsujigaoka Hospital, Sapporo, Japan
| | - Naoto Kyotani
- Graduate School of Health Sciences, Hokkaido University, Sapporo, Japan
| | - Minori Tanaka
- Graduate School of Health Sciences, Hokkaido University, Sapporo, Japan
| | - Miho Komatsuzaki
- Graduate School of Health Sciences, Hokkaido University, Sapporo, Japan
| | | | | | - Mina Samukawa
- Faculty of Health Sciences, Hokkaido University, Sapporo, Japan
| |
Collapse
|
4
|
Mahmud MR, Cordova A, Quarles J. Visual Cues for a Steadier You: Visual Feedback Methods Improved Standing Balance in Virtual Reality for People with Balance Impairments. IEEE TRANSACTIONS ON VISUALIZATION AND COMPUTER GRAPHICS 2023; 29:4666-4675. [PMID: 37788203 DOI: 10.1109/tvcg.2023.3320244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/05/2023]
Abstract
Users of head-mounted displays (HMDs) for virtual reality (VR) sometimes have balance issues since HMDs impede their view of the outside world. This has a greater impact on people with balance impairments since many rely more heavily on their visual cues to keep their balance. This is a significant obstacle to the universal usability and accessibility of VR. Although previous studies have verified the imbalance issue, not much work has been done to diminish it. In this study, we investigated how to increase VR balance by utilizing additional visual cues. To examine how different visual approaches (static, rhythmic, spatial, and center of pressure (CoP) based feedback) affect balance in VR, we recruited 100 people (50 with balance impairments due to multiple sclerosis and 50 without balance impairments) across two different geographic locations (United States and Bangladesh). All people completed both standing visual exploration as well as standing reach and grasp tasks. Results demonstrated that static, rhythmic, and CoP visual feedback approaches enhanced balance significantly ( ) in VR for people with balance impairments. The methods described in this study could be applied to design more accessible virtual environments for people with balance impairments.
Collapse
|
5
|
Hasegawa T, Mori T, Kaminishi K, Chiba R, Ota J, Yozu A. Effect of Sway Frequency on the Joint Angle and Center of Pressure in Voluntary Sway. J Mot Behav 2023; 55:373-383. [PMID: 37257846 DOI: 10.1080/00222895.2023.2211540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 03/20/2023] [Accepted: 05/01/2023] [Indexed: 06/02/2023]
Abstract
Voluntary sway is the periodic movement of one's body back and forth. The study aimed to clarify the effects of sway frequency on center of pressure and joint angle during voluntary sway. We measured 10 unrestricted voluntary sway conditions with different frequencies and natural pace conditions. The frequencies ranged from 0.1 to 1 Hz in 0.1-Hz increments. The joint angles and centers of pressure during voluntary sway were compared between the conditions. The joint angle amplitude of the trunk and knee were greater in the slow frequency condition than in the fast frequency condition. The trunk and knee joint angles during voluntary sway were considered to change according to the sway frequency.
Collapse
Affiliation(s)
- Tetsuya Hasegawa
- Department of Precision Engineering, School of Engineering, The University of Tokyo, Tokyo, Japan
| | - Tomoki Mori
- Department of Precision Engineering, School of Engineering, The University of Tokyo, Tokyo, Japan
| | - Kohei Kaminishi
- Research into Artifacts, Center for Engineering (RACE), School of Engineering, The University of Tokyo, Tokyo, Japan
| | - Ryosuke Chiba
- Division of Neuroscience, Department of Physiology, Asahikawa Medical University, Asahikawa, Japan
| | - Jun Ota
- Research into Artifacts, Center for Engineering (RACE), School of Engineering, The University of Tokyo, Tokyo, Japan
| | - Arito Yozu
- Department of Precision Engineering, School of Engineering, The University of Tokyo, Tokyo, Japan
| |
Collapse
|
6
|
Review of Real-Time Biomechanical Feedback Systems in Sport and Rehabilitation. SENSORS 2022; 22:s22083006. [PMID: 35458991 PMCID: PMC9028061 DOI: 10.3390/s22083006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 04/01/2022] [Accepted: 04/11/2022] [Indexed: 02/04/2023]
Abstract
Real-time biomechanical feedback (BMF) is a relatively new area of research. The potential of using advanced technology to improve motion skills in sport and accelerate physical rehabilitation has been demonstrated in a number of studies. This paper provides a literature review of BMF systems in sports and rehabilitation. Our motivation was to examine the history of the field to capture its evolution over time, particularly how technologies are used and implemented in BMF systems, and to identify the most recent studies showing novel solutions and remarkable implementations. We searched for papers in three research databases: Scopus, Web of Science, and PubMed. The initial search yielded 1167 unique papers. After a rigorous and challenging exclusion process, 144 papers were eventually included in this report. We focused on papers describing applications and systems that implement a complete real-time feedback loop, which must include the use of sensors, real-time processing, and concurrent feedback. A number of research questions were raised, and the papers were studied and evaluated accordingly. We identified different types of physical activities, sensors, modalities, actuators, communications, settings and end users. A subset of the included papers, showing the most perspectives, was reviewed in depth to highlight and present their innovative research approaches and techniques. Real-time BMF has great potential in many areas. In recent years, sensors have been the main focus of these studies, but new types of processing devices, methods, and algorithms, actuators, and communication technologies and protocols will be explored in more depth in the future. This paper presents a broad insight into the field of BMF.
Collapse
|
7
|
Oppici L, Grütters K, Garofolini A, Rosenkranz R, Narciss S. Deliberate Practice and Motor Learning Principles to Underpin the Design of Training Interventions for Improving Lifting Movement in the Occupational Sector: A Perspective and a Pilot Study on the Role of Augmented Feedback. Front Sports Act Living 2021; 3:746142. [PMID: 34796319 PMCID: PMC8593185 DOI: 10.3389/fspor.2021.746142] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Accepted: 10/12/2021] [Indexed: 11/18/2022] Open
Abstract
Spine posture during repetitive lifting is one of the main risk factors for low-back injuries in the occupational sector. It is thus critical to design appropriate intervention strategies for training workers to improve their posture, reducing load on the spine during lifting. The main approach to train safe lifting to workers has been educational; however, systematic reviews and meta-analyses have shown that this approach does not improve lifting movement nor reduces the risk of low back injury. One of the main limitations of this approach lies in the amount, quality and context of practice of the lifting movement. In this article, first we argue for integrating psychologically-grounded perspectives of practice design in the development of training interventions for safe lifting. Principles from deliberate practice and motor learning are combined and integrated. Given the complexity of lifting, a training intervention should occur in the workplace and invite workers to repeatedly practice/perform the lifting movement with the clear goal of improving their lifting-related body posture. Augmented feedback has a central role in creating the suitable condition for achieving such intervention. Second, we focus on spine bending as risk factor and present a pilot study examining the benefits and boundary conditions of different feedback modalities for reducing bending during lifting. The results showed how feedback modalities meet differently key requirements of deliberate practice conditions, i.e., feedback has to be informative, individualized and actionable. Following the proposed approach, psychology will gain an active role in the development of training interventions, contributing to finding solutions for a reduction of risk factors for workers.
Collapse
Affiliation(s)
- Luca Oppici
- Psychology of Learning and Instruction, Department of Psychology, School of Science, Technische Universität Dresden, Dresden, Germany.,Centre for Tactile Internet With Human-in-the-Loop (CeTI), Technische Universität Dresden, Dresden, Germany
| | - Kim Grütters
- Psychology of Learning and Instruction, Department of Psychology, School of Science, Technische Universität Dresden, Dresden, Germany
| | - Alessandro Garofolini
- Institute for Health and Sport (IHES), Victoria University, Melbourne, VIC, Australia
| | - Robert Rosenkranz
- Centre for Tactile Internet With Human-in-the-Loop (CeTI), Technische Universität Dresden, Dresden, Germany.,Acoustic and Haptic Engineering, Faculty of Electrical and Computer Engineering, Technische Universität Dresden, Dresden, Germany
| | - Susanne Narciss
- Psychology of Learning and Instruction, Department of Psychology, School of Science, Technische Universität Dresden, Dresden, Germany.,Centre for Tactile Internet With Human-in-the-Loop (CeTI), Technische Universität Dresden, Dresden, Germany
| |
Collapse
|
8
|
Liu J, Kim HB, Wolf SL, Kesar TM. Comparison of the Immediate Effects of Audio, Visual, or Audiovisual Gait Biofeedback on Propulsive Force Generation in Able-Bodied and Post-stroke Individuals. Appl Psychophysiol Biofeedback 2021; 45:211-220. [PMID: 32347399 DOI: 10.1007/s10484-020-09464-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Real-time biofeedback is a promising post-stroke gait rehabilitation strategy that can target specific gait deficits preferentially in the paretic leg. Our previous work demonstrated that the use of an audiovisual biofeedback interface designed to increase paretic leg propulsion, measured via anterior ground reaction force (AGRF) generation during late stance phase of gait, can induce improvements in peak AGRF production of the targeted and paretic limb of able-bodied and post-stroke individuals, respectively. However, whether different modes of biofeedback, such as visual, auditory, or a combination of both, have differential effects on AGRF generation is unknown. The present study investigated the effects of audio only, visual only, or audiovisual AGRF biofeedback in able-bodied and post-stroke individuals. Seven able-bodied (6 females, 27 ± 2 years) and nine post-stroke individuals (6 females, 54 ± 12 years, 42 ± 26 months post-stroke) completed four 30-s walking trials on a treadmill under 4 conditions: no biofeedback, audio biofeedback, visual biofeedback, or audiovisual biofeedback. Compared to walking without biofeedback, all three biofeedback modes significantly increased peak AGRF in the targeted and paretic leg. There was no significant difference in peak AGRF between the three biofeedback modes. Able-bodied individuals demonstrated greater feedback-induced increase in stride-to-stride variation of AGRF generation during audio biofeedback compared to visual biofeedback; however, similar results were not observed in the post-stroke group. The present findings may inform future development of real-time gait biofeedback interfaces for use in clinical or community environments.
Collapse
Affiliation(s)
- Justin Liu
- Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University, 1441 Clifton Rd NE, Atlanta, GA, 30322, USA
| | - Hyun Bin Kim
- Emory College of Arts & Sciences, Emory University, Atlanta, GA, USA
| | - Steven L Wolf
- Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University, 1441 Clifton Rd NE, Atlanta, GA, 30322, USA.,Center for Visual and Neurocognitive Rehabilitation, Atlanta Veterans Affair Health Care System, Decatur, GA, USA
| | - Trisha M Kesar
- Division of Physical Therapy, Department of Rehabilitation Medicine, Emory University, 1441 Clifton Rd NE, Atlanta, GA, 30322, USA.
| |
Collapse
|
9
|
Hasegawa N, Takeda K, Mancini M, King LA, Horak FB, Asaka T. Differential effects of visual versus auditory biofeedback training for voluntary postural sway. PLoS One 2020; 15:e0244583. [PMID: 33370408 PMCID: PMC7769480 DOI: 10.1371/journal.pone.0244583] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 12/11/2020] [Indexed: 11/18/2022] Open
Abstract
Augmented sensory biofeedback training is often used to improve postural control. Our previous study showed that continuous auditory biofeedback was more effective than continuous visual biofeedback to improve postural sway while standing. However, it has also been reported that both discrete visual and auditory biofeedback training, presented intermittently, improves bimanual task performance more than continuous visual biofeedback training. Therefore, this study aimed to investigate the relative effectiveness of discrete visual biofeedback versus discrete auditory biofeedback to improve postural control. Twenty-two healthy young adults were randomly assigned to either a visual or auditory biofeedback group. Participants were asked to shift their center of pressure (COP) by voluntary postural sway forward and backward in line with a hidden target, which moved in a sinusoidal manner and was displayed intermittently. Participants were asked to decrease the diameter of a visual circle (visual biofeedback) or the volume of a sound (auditory biofeedback) based on the distance between the COP and the target in the training session. The feedback and the target were given only when the target reached the inflection points of the sine curves. In addition, the perceptual magnitudes of visual and auditory biofeedback were equalized using Stevens’ power law. Results showed that the mean and standard deviation of the distance between COP and the target were reduced int the test session, removing the augmented sensory biofeedback, in both biofeedback training groups. However, the temporal domain of the performance improved in the test session in the auditory biofeedback training group, but not in the visual biofeedback training group. In conclusion, discrete auditory biofeedback training was more effective for the motor learning of voluntarily postural swaying compared to discrete visual biofeedback training, especially in the temporal domain.
Collapse
Affiliation(s)
- Naoya Hasegawa
- Faculty of Health Sciences, Department of Rehabilitation Science, Hokkaido University, Sapporo, Hokkaido, Japan
| | - Kenta Takeda
- Department of Rehabilitation for the Movement Functions, Research Institute of National Center for Persons with Disabilities, Tokorozawa, Saitama, Japan
| | - Martina Mancini
- Department of Neurology, Oregon Health & Science University, Portland, Oregon, United States of America
| | - Laurie A. King
- Department of Neurology, Oregon Health & Science University, Portland, Oregon, United States of America
| | - Fay B. Horak
- Department of Neurology, Oregon Health & Science University, Portland, Oregon, United States of America
| | - Tadayoshi Asaka
- Faculty of Health Sciences, Department of Rehabilitation Science, Hokkaido University, Sapporo, Hokkaido, Japan
- * E-mail:
| |
Collapse
|
10
|
Audio Feedback for Device-Supported Balance Training: Parameter Mapping and Influencing Factors. ACOUSTICS 2020. [DOI: 10.3390/acoustics2030034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Recent studies suggest that real-time auditory feedback is an effective method to facilitate motor learning. The evaluation of the parameter mapping (sound-to-movement mapping) is a crucial, yet frequently neglected step in the development of audio feedback. We therefore conducted two experiments to evaluate audio parameters with target finding exercises designed for balance training. In the first experiment with ten participants, five different audio parameters were evaluated on the X-axis (mediolateral movement). Following that, in a larger experiment with twenty participants in a two-dimensional plane (mediolateral and anterior-posterior movement), a basic and synthetic audio model was compared to a more complex audio model with musical characteristics. Participants were able to orient themselves and find the targets with the audio models. In the one-dimensional condition of experiment one, percussion sounds and synthetic sound wavering were the overall most effective audio parameters. In experiment two, the synthetic model was more effective and better evaluated by the participants. In general, basic sounds were more helpful than complex (musical) sound models. Musical abilities and age were correlated with certain exercise scores. Audio feedback is a promising approach for balance training and should be evaluated with patients. Preliminary evaluation of the respective parameter mapping is highly advisable.
Collapse
|
11
|
Cruz-Montecinos C, Cuesta-Vargas A, Muñoz C, Flores D, Ellsworth J, De la Fuente C, Calatayud J, Rivera-Lillo G, Soto-Arellano V, Tapia C, García-Massó X. Impact of Visual Biofeedback of Trunk Sway Smoothness on Motor Learning during Unipedal Stance. SENSORS 2020; 20:s20092585. [PMID: 32370050 PMCID: PMC7248825 DOI: 10.3390/s20092585] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/08/2020] [Revised: 04/24/2020] [Accepted: 04/27/2020] [Indexed: 12/16/2022]
Abstract
The assessment of trunk sway smoothness using an accelerometer sensor embedded in a smartphone could be a biomarker for tracking motor learning. This study aimed to determine the reliability of trunk sway smoothness and the effect of visual biofeedback of sway smoothness on motor learning in healthy people during unipedal stance training using an iPhone 5 measurement system. In the first experiment, trunk sway smoothness in the reliability group (n = 11) was assessed on two days, separated by one week. In the second, the biofeedback group (n = 12) and no-biofeedback group (n = 12) were compared during 7 days of unipedal stance test training and one more day of retention (without biofeedback). The intraclass correlation coefficient score 0.98 (0.93–0.99) showed that this method has excellent test–retest reliability. Based on the power law of practice, the biofeedback group showed greater improvement during training days (p = 0.003). Two-way mixed analysis of variance indicates a significant difference between groups (p < 0.001) and between days (p < 0.001), as well as significant interaction (p < 0.001). Post hoc analysis shows better performance in the biofeedback group from training days 2 and 7, as well as on the retention day (p < 0.001). Motor learning objectification through visual biofeedback of trunk sway smoothness enhances postural control learning and is useful and reliable for assessing motor learning.
Collapse
Affiliation(s)
- Carlos Cruz-Montecinos
- Clinical Biomechanics Laboratory, Department of Physical Therapy, University of Chile, 8380453 Santiago, Chile; (C.C.-M.); (C.M.); (D.F.); (J.E.); (G.R.-L.)
- Biomechanics and Kinesiology Laboratory, Hospital San José, 8380419 Santiago, Chile
| | - Antonio Cuesta-Vargas
- Department of Physiotherapy, Faculty of Heath Sciences, University of Malaga, 29071 Málaga, Spain;
- Institute of Biomedical Research in Malaga (IBIMA), 29010 Málaga, Spain
- School of Clinical Science, Faculty of Health Science, Queensland University Technology, Brisbane, QLD 4000, Australia
| | - Cristian Muñoz
- Clinical Biomechanics Laboratory, Department of Physical Therapy, University of Chile, 8380453 Santiago, Chile; (C.C.-M.); (C.M.); (D.F.); (J.E.); (G.R.-L.)
| | - Dante Flores
- Clinical Biomechanics Laboratory, Department of Physical Therapy, University of Chile, 8380453 Santiago, Chile; (C.C.-M.); (C.M.); (D.F.); (J.E.); (G.R.-L.)
| | - Joseph Ellsworth
- Clinical Biomechanics Laboratory, Department of Physical Therapy, University of Chile, 8380453 Santiago, Chile; (C.C.-M.); (C.M.); (D.F.); (J.E.); (G.R.-L.)
| | - Carlos De la Fuente
- Carrera de Kinesiología, Departamento de Cs. de la Salud, Facultad de Medicina, Pontificia Universidad Católica, 7820436 Santiago, Chile;
- Laboratorio LIBFE, Escuela de Kinesiología, Universidad de los Andes, 7620086 Santiago, Chile
- Centro de Salud Deportiva, Clínica Santa María, 7520378 Santiago, Chile
| | - Joaquín Calatayud
- Exercise Intervention for Health Research Group (EXINH-RG), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain;
| | - Gonzalo Rivera-Lillo
- Clinical Biomechanics Laboratory, Department of Physical Therapy, University of Chile, 8380453 Santiago, Chile; (C.C.-M.); (C.M.); (D.F.); (J.E.); (G.R.-L.)
- Neuroscience Department, University of Chile, 8380453 Santiago, Chile
- Research and Development Unit, Clínica Los Coihues, 9190025 Santiago, Chile
| | | | - Claudio Tapia
- Clinical Biomechanics Laboratory, Department of Physical Therapy, University of Chile, 8380453 Santiago, Chile; (C.C.-M.); (C.M.); (D.F.); (J.E.); (G.R.-L.)
- Universidad Tecnológica de Chile INACAP, Escuela Salud, 8340536 Santiago, Chile
- Correspondence:
| | - Xavier García-Massó
- Human Movement Analysis Group (HuMAG), University of Valencia, 46022 Valencia, Spain;
| |
Collapse
|
12
|
Ghai S, Ghai I. Role of Sonification and Rhythmic Auditory Cueing for Enhancing Gait Associated Deficits Induced by Neurotoxic Cancer Therapies: A Perspective on Auditory Neuroprosthetics. Front Neurol 2019; 10:21. [PMID: 30761065 PMCID: PMC6361827 DOI: 10.3389/fneur.2019.00021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Accepted: 01/08/2019] [Indexed: 01/01/2023] Open
Abstract
Patients undergoing chemotherapy, radiotherapy, and immunotherapy experience neurotoxic changes in the central and peripheral nervous system. These neurotoxic changes adversely affect functioning in the sensory, motor, and cognitive domains. Thereby, considerably affecting autonomic activities like gait and posture. Recent evidence from a range of systematic reviews and meta-analyses have suggested the beneficial influence of music-based external auditory stimulations i.e., rhythmic auditory cueing and real-time auditory feedback (sonification) on gait and postural stability in population groups will balance disorders. This perspective explores the conjunct implications of auditory stimulations during cancer treatment to simultaneously reduce gait and posture related deficits. Underlying neurophysiological mechanisms by which auditory stimulations might influence motor performance have been discussed. Prompt recognition of this sensorimotor training strategy in future studies can have a widespread impact on patient care in all areas of oncology.
Collapse
Affiliation(s)
- Shashank Ghai
- Institute of Sports Science, Leibniz University Hannover, Hanover, Germany
| | - Ishan Ghai
- Consultation Division, Program Management Discovery Sciences, RSGBIOGEN, New Delhi, India
| |
Collapse
|
13
|
Ghai S, Schmitz G, Hwang TH, Effenberg AO. Training proprioception with sound: effects of real-time auditory feedback on intermodal learning. Ann N Y Acad Sci 2018; 1438:50-61. [PMID: 30221775 DOI: 10.1111/nyas.13967] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Revised: 08/17/2018] [Accepted: 08/23/2018] [Indexed: 12/15/2022]
Abstract
Our study analyzed the effects of real-time auditory feedback on intermodal learning during a bilateral knee repositioning task. Thirty healthy participants were randomly allocated to control and experimental groups. Participants performed an active knee joint repositioning task for the four target angles (20°, 40°, 60°, and 80°) bilaterally, with or without additional real-time auditory feedback. Here, the frequency of auditory feedback was mapped to the knee's angle range (0-90°). Retention measurements were performed on the same four angles, without auditory feedback, after 15 min and 24 hours. A generalized knee proprioception test was performed after the 24-h retention measurement on three untrained knee angles (15°, 35°, and 55°). Statistical analysis revealed a significant enhancement of knee proprioception, shown as a lower knee repositioning error with auditory feedback. This enhancement of proprioception also persisted in tests performed between the 5th and 6th auditory-motor training blocks (without auditory feedback). Enhancement in proprioception also remained stable during retention measurements (after 15 min and 24 h). Similarly, enhancement in the generalized proprioception on untrained knee angles was evident in the experimental group. This study extends our previous findings and demonstrates the beneficial effects of real-time auditory feedback to facilitate intermodal learning by enhancing knee proprioception in a persisting and generalized manner.
Collapse
Affiliation(s)
- Shashank Ghai
- The Institute of Sports Science, Leibniz University Hannover, Hannover, Germany
| | - Gerd Schmitz
- The Institute of Sports Science, Leibniz University Hannover, Hannover, Germany
| | - Tong-Hun Hwang
- The Institute of Sports Science, Leibniz University Hannover, Hannover, Germany.,The Institute of Microelectronic Systems, Leibniz University Hannover, Hannover, Germany
| | - Alfred O Effenberg
- The Institute of Sports Science, Leibniz University Hannover, Hannover, Germany
| |
Collapse
|
14
|
Marco-Ahulló A, Sánchez-Tormo A, García-Pérez JA, Villarrasa-Sapiña I, González LM, García-Massó X. Effect of Concurrent Visual Feedback Frequency on Postural Control Learning in Adolescents. J Mot Behav 2018; 51:193-198. [PMID: 29652596 DOI: 10.1080/00222895.2018.1454397] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
The purpose was to find better augmented visual feedback frequency (100% or 67%) for learning a balance task in adolescents. Thirty subjects were divided randomly into a control group, and 100% and 67% feedback groups. The three groups performed pretest (3 trials), practice (12 trials), posttest (3 trials) and retention (3 trials, 24 hours later). The reduced feedback group showed lower RMS in the posttest than in the pretest (p = 0.04). The control and reduced feedback groups showed significant lower median frequency in the posttest than in the pretest (p < 0.05). Both feedback groups showed lower values in retention than in the pretest (p < 0.05). Even when the effect of feedback frequency could not be detected in motor learning, 67% of the feedback was recommended for motor adaptation.
Collapse
Affiliation(s)
- Adrià Marco-Ahulló
- a Departamento de Didáctica de la Expresión Musical, Plástica y Corporal , Universidad de Valencia , Valencia , España.,c Human Movement Analysis Group, Universidad de Valencia , Valencia , España
| | - Alexis Sánchez-Tormo
- a Departamento de Didáctica de la Expresión Musical, Plástica y Corporal , Universidad de Valencia , Valencia , España
| | - José A García-Pérez
- a Departamento de Didáctica de la Expresión Musical, Plástica y Corporal , Universidad de Valencia , Valencia , España
| | - Israel Villarrasa-Sapiña
- b Departamento de Educación Física y Deportiva , Universidad de Valencia , Valencia , España.,c Human Movement Analysis Group, Universidad de Valencia , Valencia , España
| | - Luis M González
- b Departamento de Educación Física y Deportiva , Universidad de Valencia , Valencia , España.,c Human Movement Analysis Group, Universidad de Valencia , Valencia , España
| | - Xavier García-Massó
- a Departamento de Didáctica de la Expresión Musical, Plástica y Corporal , Universidad de Valencia , Valencia , España.,c Human Movement Analysis Group, Universidad de Valencia , Valencia , España
| |
Collapse
|