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Test–retest reliabty of center of pressure measures of postural stability during quiet standing in a group with musculoskeletal disorders consisting of low back pain, anterior cruciate ligament injury and functional ankle instability

Department of Physical Therapy, University of Social Welfare and Rehabilitation, Tehran, Iran.
Gait & posture (Impact Factor: 2.3). 02/2009; 29(3):460-4. DOI: 10.1016/j.gaitpost.2008.11.016
Source: PubMed

ABSTRACT Reliability is a population-specific property, but to the authors' knowledge there has been no study to determine the test-retest reliability of the postural stability measures such as center of pressure (COP) measures in the population of patients with musculoskeletal disorders (MSDs), while their clinical applications have been presented in literature. So, 33 patients with low back pain (LBP), anterior cruciate ligament (ACL) injury and functional ankle instability (FAI) randomly completed postural measurements with three levels of difficulty (rigid surface-eyes open, rigid surface-eyes closed, and foam surface-eyes closed) in two sessions. COP data were used to calculate standard deviation of amplitude, standard deviation of velocity, phase plane portrait, mean total velocity and area (95% confidence ellipse). Relative reliability of these measures was assessed using intraclass correlation coefficient (ICC) and absolute reliability using standard error of measurement (SEM) and coefficient of variation (CV). Also, minimal metrically detectable change (MMDC) was calculated to quantify intervention effects. Among different COP parameters, mean total velocity in all conditions of postural difficulty showed high to very high reliability, with ICC range of 0.74-0.91, SEM range of 0.09-0.40cm/s, CV range of 5.31-8.29% and MMDC range of 0.19-0.79cm/s. Phase plane portrait in anteroposterior-mediolateral (AP-ML) and ML direction were other best parameters with respect to the level of reliability. Mean total velocity and phase plane portrait parameters are suggested as good candidates to use for quantification and assessment of balance performance and identifying those with MSDs.

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    • "ICCs depend on between-subject variability [14] and ''only have meaning when applied to specific populations'', according to Streiner and Norman [15]. The level of reliability is populationspecific [13] and has not yet been evaluated for VI individuals. Accepted measures of postural stability in standing balance characterize the variability of human movement [16]. "
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    • "The first and last 5 seconds of each measurement are trimmed in order to discard any transient effects, resulting in measurements of 30 seconds . The trimmed data is then filtered using an 8th order Butterworth filter with a cut-off frequency of 10 Hz to remove any high frequency noise, which (Salavati et al., 2009 "
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    International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC), Lisbon, Portugal; 01/2015
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    • "Postural stability was assessed through three reliable and discriminative outcome measures for DJ (5–20 s after landing) and for SLS (15 s): (1) The mean COP speed ('COP speed'), which is the total COP path length divided by trial time (Doyle et al., 2007; Huurnink et al., 2014b; Kiers et al., 2012; Paillard et al., 2006; Salavati et al., 2009). (2) The mean COP sway ('COP sway'), which is the mean absolute distance of the COP trajectory to the average COP position (Clark et al., 2010; Jakobsen et al., 2011). "
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