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Examining Sex Differences in Visual Reliance During Postural Control in Intercollegiate Athletes
Nicolette Ingel1, Victoria Vice1, Courtney Dommer1
1Duke University.
International Journal of Sports Physical Therapy
|October 11, 2021
Summary
Male athletes exhibit poorer static postural stability than females, particularly when visual input is removed. However, both sexes demonstrate similar reliance on vision for maintaining balance, suggesting inherent differences in stability rather than visual dependence.
Area of Science:
- Sports Medicine
- Biomechanics
- Human Movement Science
Background:
- Sports injuries present varying risk factors between sexes.
- Postural stability deficits are linked to lower extremity injuries.
- Understanding sex-based differences in postural control is crucial for injury prevention.
Purpose of the Study:
- To investigate sex-based differences in static postural stability among intercollegiate athletes.
- To assess the impact of visual information (eyes open vs. eyes closed) on postural stability in male and female athletes.
- To determine if visual reliance for postural control differs between sexes.
Main Methods:
- Cross-sectional study involving 135 male and 51 female intercollegiate athletes from football, soccer, basketball, and volleyball.
- Static postural stability assessed using single-limb stance on a force plate under eyes open (EO) and eyes closed (EC) conditions.
- Ground reaction force data quantified as a composite score (COMP); absolute and percentage changes between EO and EC calculated.
Main Results:
- Males demonstrated significantly poorer postural stability than females in both eyes open (EO COMP) and eyes closed (EC COMP) conditions.
- Males exhibited a significantly greater absolute decline in postural stability when transitioning from EO to EC compared to females.
- No significant difference was found in the percentage change in postural stability between sexes when visual input was removed.
Conclusions:
- Significant sex-based differences exist in static postural stability, with females generally exhibiting better stability.
- The similar percentage change in stability between sexes suggests that visual reliance is not the primary factor explaining these differences.
- Female athletes may possess inherently superior static postural stability compared to male athletes, though both sexes can adapt to visual deprivation.

