Associations Between Bipedal Stance Stability and Locomotor Stability Following a Trip in Unilateral Vestibulopathy

作者：McCrunn Christopher; Eysel Gosepath Katrin; Epro Gaspar; Meijer Kenneth; Savelberg Hans H C M; Brueggemann Gert Peter; Karamanidis Kiros^*

来源：Journal of Applied Biomechanics, 2017, 33(2): 112-117.

DOI：10.1123/jab.2016-0004

• vestibular
• dynamic gait stability
• falls
• balance
• locomotion

Posturography is used to assess balance in clinical settings, but its relationship to gait stability is unclear. We assessed if dynamic gait stability is associated with standing balance in 12 patients with unilateral vestibulopathy. Participants were unexpectedly tripped during treadmill walking and the change in the margin of stability (MoSchange) and base of support (BoS(change)) relative to nonperturbed walking was calculated for the perturbed and first recovery steps. The center of pressure (COP) path during 30-s stance with eyes open and closed, and the distance between the most anterior point of the COP and the anterior BoS boundary during forward leaning (A(Dist)), were assessed using a force plate. Pearson correlations were conducted between the static and dynamic variables. The perturbation caused a large decrease in the BoS, leading to a decrease in MoS. One of 12 correlations was significant (MoSchange at the perturbed step and A(Dist); r = -.595, P = .041; nonsignificant correlations:.068 <= P <= .995). The results suggest that different control mechanisms may be involved in stance and gait stability, as a consistent relationship was not found. Therefore, posturography may be of limited use in predicting stability in dynamic situations.

• 出版日期2017-4