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Updated: Jan 29, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
Recurrence dynamics reveals differential control strategies to maintain balance on sloped surfaces
Aviroop Dutt-Mazumder1, Adam C King2, Karl M Newell3
1Department of Physical Medicine & Rehabilitation, University of Michigan, United States.
Background:
Studies on postural control have primarily focused on the maintenance of balance in quiet upright standing on flat horizontal support surfaces that can reveal only a subset of the potential postural stability/instability configurations in everyday contexts.
Objectives:
Here we investigated the nature of dynamical properties of postural coordination in an upright standing task as a function of the systematic scaling of seven support surface angles, +20°, +10° dorsiflexion (+), 0 °Flat, -10°, -20°, -30°, -35° plantarflexion (-), mounted on a force plate.
Methods:
The center of pressure (CoP) and virtual time-to-contact (VTC) were analyzed to examine the spatial and spatio-temporal aspects of postural coordination dynamics, respectively. Recurrence quantification analysis (RQA) was used to characterize the dynamic postural control strategies as a function of slope surface angle.
Results:
The recurrence findings showed that on a flat surface the postural CoP dynamic are recurrent with a largely deterministic process and higher Shannon entropy compared to elevated slope angles in dorsiflexion and plantarflexion. There were asymmetrical patterns between similar slope angles for dorsiflexion and plantarflexion postures. The recurrence measures revealed that VTC operates on a higher embedding dimension than that of CoP.
Significance:
VTC showed an enhanced sensitivity to detection of postural instability in relation to the stability boundary that was magnified on the flat surface but progressively reduced over larger surface angles for both the dorsiflexion and plantarflexion postures.
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