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Development and validation of a two-dimensional pseudorandom balance perturbation test.

Andrew R Wagner1,2, Sophia G Chirumbole3, Jaclyn B Caccese4

  • 1Department of Physical Therapy, School of Pharmacy and Health Professions, Creighton University, Omaha, NE, United States.

Frontiers in Human Neuroscience
|December 23, 2024
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Summary

This study introduces a new two-dimensional (2D) balance perturbation test using sum of sinusoids (SoS) signals. The test effectively measures reactive postural control in both anterior-posterior (AP) and medial-lateral (ML) directions simultaneously.

Keywords:
balancemultidimensionalperturbationpostural controlvestibular

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Area of Science:

  • Biomechanics
  • Human Motor Control
  • Neuroscience

Background:

  • Pseudorandom balance perturbations are used to assess reactive postural control.
  • Quantifying responses to multidirectional balance perturbations in two dimensions (AP and ML) remains under-investigated.

Purpose of the Study:

  • To develop and validate a novel two-dimensional (2D) balance perturbation paradigm.
  • To investigate the ability to quantify postural responses to continuous, multidirectional perturbations.

Main Methods:

  • Developed a 2D balance perturbation using two spectrally independent sum of sinusoids (SoS) signals for orthogonal tilt dimensions (roll and pitch).
  • Measured postural sway in 10 healthy adults during 2D perturbations and individual 1D components.

Main Results:

  • 2D perturbations elicited larger sway response spectral peaks at perturbed frequencies compared to non-perturbed frequencies or orthogonal signals.
  • Sway response magnitude and timing during 1D and 2D conditions were similar for each respective SoS signal.

Conclusions:

  • The novel 2D SoS perturbation test successfully evoked specific and comparable AP and ML postural responses.
  • This method provides a validated approach for assessing reactive postural control in multiple dimensions.