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Experimental Methods to Study Human Postural Control
Published on: September 11, 2019
Effects of different segmental spinal stabilization exercise protocols on postural stability in asymptomatic
Derya Ozer Kaya1, Nevin Ergun, Mutlu Hayran
1Ahi Evran University, School of Physiotherapy and Rehabilitation, Kirşehir, Turkey. deryaozer2000@yahoo.com
Journal of Back and Musculoskeletal Rehabilitation
|June 12, 2012
Summary
Targeting the thoracic spine with stabilization exercises significantly improves postural stability. This research highlights the thoracic region
Area of Science:
- Biomechanics
- Exercise Physiology
- Rehabilitation Science
Background:
- Postural stability is crucial for daily activities and injury prevention.
- The role of different spinal segments in overall postural control remains incompletely understood.
- Progressive Dynamic Spine Stabilization Exercise Protocols (PDSSEP) offer targeted interventions.
Purpose of the Study:
- To evaluate and compare the effects of PDSSEP on postural stability across different spinal segments (cervical, lumbar, thoracic, and combined).
- To determine if specific spinal regions are more influential in enhancing balance.
Main Methods:
- A prospective randomized controlled trial involving 104 asymptomatic, sedentary female volunteers.
- Participants were assigned to Cervical, Lumbar, Thoracic, Combined, or Control groups.
- Postural stability, weight distribution, and somatosensory reactions were assessed using the Tetrax Interactive Posturography and Balance System at baseline, 6 weeks, and 12 weeks.
- Statistical analysis included Kruskal Wallis and Mann-Whitney U tests.
Main Results:
- Significant improvements in eyes-closed postural stability (SI) and weight distribution (WDI) were observed post-intervention, particularly in the head-right rotated position.
- The Thoracic group showed statistically significant improvements in eyes-closed SI on a solid surface compared to controls.
- Further enhancements in SI on soft surfaces, head-left rotated positions, and somatosensory reactions (head flexed) were noted in the Thoracic group at 12 weeks.
- The Cervical group demonstrated significant improvements in WDI.
Conclusions:
- The thoracic spine plays a significant, often overlooked, role in enhancing overall postural stability.
- Targeted PDSSEP focusing on the thoracic region can effectively improve balance and kinetic chain function.
- Clinical recommendations should consider thoracic spine focus for rehabilitation and training programs aimed at improving postural control.
