The relationship between anthropometric factors and body-balancing movements in postural balance.

OBJECTIVE To evaluate the relationship between anthropometric characteristics and body-balancing movements when standing on 2 legs with eyes open and eyes closed. DESIGN Cross-sectional. SETTING A university physiatry laboratory. PARTICIPANTS One hundred randomly selected subjects (50 men, 50 women; age range, 31-80y). INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Anthropomorphic: body height, weight, lower-extremity distances, foot lengths, and widest widths of the forefeet and heels. Body movements: 2-legged stance with eyes open and eyes closed, measured with the MacReflex Motion Capture System and calculated as maximal and total movements in 3 dimensions. The relation between the measured anthropometric characteristics and body-balancing movements was calculated by using regression analysis. RESULTS In the eyes-open condition, maximal lateral knee movement was related to body height and foot length (R(2)=.065, P<.05). Both anteroposterior (AP) head movement (R(2)=.068, P<.05) and AP navel movement (R(2)=.083, P<.05) were related to heel width. AP knee movement was related to foot length and heel width (R(2)=.089, P<.05). Body mass index was related to AP ankle movement (R(2)=.074, P<.05) and to vertical ankle movement (R(2)=.063, P<.05). In the eyes-closed condition, body mass index was related to the vertical navel movement (R(2)=.059, P<.05) and body height to AP knee movement (R(2)=.041, P<.05). CONCLUSION The levels of significance are not high but warrant attention. It seems that there was no single anthropometric factor that explained the variations in body-balancing movements during standing.

[1]  G. Jarnlo,et al.  Balance training in 70-year-old women , 1991 .

[2]  P. Cavanagh,et al.  The arch index: a useful measure from footprints. , 1987, Journal of biomechanics.

[3]  K. Kauranen,et al.  Reliability and Validity of Standing Balance Measurements with a Motion Analysis System , 2002 .

[4]  M. Schroll,et al.  Postural balance and its sensory-motor correlates in 75-year-old men and women: a cross-national comparative study. , 1996, The journals of gerontology. Series A, Biological sciences and medical sciences.

[5]  Risk factors for fractured neck of femur in the elderly. , 1982, Age and ageing.

[6]  S. Lord,et al.  Postural stability, falls and fractures in the elderly: results from the Dubbo Osteoporosis Epidemiology Study , 1994 .

[7]  J. Rothwell Control of Human Voluntary Movement , 1994, Springer Netherlands.

[8]  M Rabuffetti,et al.  Kinematic characteristics of standing disequilibrium: reliability and validity of a posturographic protocol. , 1999, Archives of physical medicine and rehabilitation.

[9]  Benno M. Nigg,et al.  Footprint Parameters as a Measure of Arch Height , 1992, Foot & ankle.

[10]  D. Koceja,et al.  Age differences in postural sway during volitional head movement. , 1999, Archives of physical medicine and rehabilitation.

[11]  B. E. Maki,et al.  Effect of facilitation of sensation from plantar foot-surface boundaries on postural stabilization in young and older adults. , 1999, The journals of gerontology. Series A, Biological sciences and medical sciences.

[12]  H. Menz,et al.  Footwear and postural stability in older people. , 1999, Journal of the American Podiatric Medical Association.

[13]  M. Nevitt,et al.  Risk Factors for Falls and for Serious Injuries on Falling Among Older Japanese Women In Hawaii , 1999, Journal of the American Geriatrics Society.

[14]  Lewis M. Nashner,et al.  Strategies for Organization of Human Posture , 1985 .

[15]  M. Woollacott,et al.  Changes in posture control across the life span--a systems approach. , 1990, Physical therapy.

[16]  W. Hutton,et al.  The mechanics of normal and hallux valgus feet--a quantitative study. , 1981, Clinical orthopaedics and related research.

[17]  D M Koceja,et al.  Postural sway patterns of normal men and women and men with mental retardation during a two-legged stance test. , 1994, Archives of physical medicine and rehabilitation.