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Subtle Differences During Posturography Testing Can Influence Postural Sway Results: The Effects of Talking, Time
Melissa R Taylor1, Erin E Sutton, Wiebke S Diestelkamp
1Department of Mechanical and Aerospace Engineering, University of Dayton, Dayton, OH.
Journal of Applied Biomechanics
|June 3, 2015
Summary
Standardizing posturography testing is crucial, as acclimation time and visual fixation significantly impact balance measures. Brief talking during testing did not affect results in young or older adults.
Area of Science:
- Biomechanics
- Human Movement Science
- Gerontology
Background:
- Posturography is a key tool for assessing balance and postural control.
- Variations in testing protocols may introduce variability in posturography results.
- Understanding factors influencing postural stability is essential for accurate clinical assessment.
Purpose of the Study:
- To investigate the impact of acclimation period, visual fixation, and participant talking on posturography measures.
- To determine if these factors interact with each other or with age.
- To highlight the need for standardized posturography methodologies.
Main Methods:
- Evaluated postural stability in 60 adults (30 young, 30 older) using force platform posturography.
- Employed Analysis of Variance (ANOVA) to assess the effects of three factors and their interactions.
- Tested the influence of pre-test acclimation, visual fixation availability, and verbalization during testing.
Main Results:
- Both acclimation time on the force platform and the presence of a visual fixation point significantly affected postural control.
- Brief participant talking during testing did not yield significant effects on postural stability.
- No significant interactions were found between the tested factors, nor were age-related confounds observed.
Conclusions:
- Acclimation period and visual fixation are critical variables in posturography that require standardization.
- The lack of interaction effects suggests factors influence postural control independently.
- Inconsistent posturography methods can significantly alter outcomes, emphasizing the need for standardized protocols in clinical practice.

