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Updated: Jul 4, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
Predicting dynamic postural instability using center of mass time-to-contact information
Christopher J Hasson1, Richard E A Van Emmerik, Graham E Caldwell
1Biomechanics and Motor Control Laboratories, Department of Kinesiology, University of Massachusetts Amherst, 110 Totman Building, 30 Eastman Lane, Amherst, MA 01003-9258, USA. cjhasson@kin.umass.edu
Spatiotemporal measures of center of mass motion relative to base of support predict stepping strategies. Including center of mass acceleration in time-to-contact (TtC) calculations improves prediction accuracy and warning time for postural perturbations.
Area of Science:
- Biomechanics
- Human postural control
Background:
- Postural stability relies on complex sensorimotor integration.
- Predicting stepping strategies during perturbations is crucial for fall prevention.
Purpose of the Study:
- To determine if spatiotemporal measures of center of mass (CoM) motion relative to the base of support boundary can predict human stepping strategies after upper-body postural perturbations.
- To assess if including CoM acceleration in time-to-contact (TtC) calculations improves prediction accuracy and warning time.
Main Methods:
- Ten young adults received sequential upper-body perturbations via a pendulum, with motion constrained to sagittal-plane ankle rotation.
- Center of mass (CoM) and center of pressure (CoP) velocity and acceleration were measured.
- Boundary-relevant time-to-contact (TtC) measures were compared with traditional postural variables and an inverted pendulum model.
Main Results:
- Peak CoM and CoP velocity and acceleration increased linearly with perturbation severity.
- Boundary-relevant minimum TtC values decreased nonlinearly, predicting stepping responses with quadratic equations.
- Incorporating CoM acceleration into TtC calculations improved prediction accuracy and provided earlier warning of perturbation severity.
Conclusions:
- Spatiotemporal CoM motion relative to the base of support boundary effectively predicts stepping strategies.
- Time-to-contact (TtC) incorporating CoM acceleration may serve as a critical control parameter for transitioning to stepping.
- These findings align with dynamic stability models and offer insights into postural control mechanisms.
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