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Related Experiment Video

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Normative data for instrumented posturography: a systematic review and meta-analysis.

Angela Julienne1, Evi Verbecque2, Stéphane Besnard1

  • 1[UR 7480 VERTEX (Vertige Extrême)], University of Caen Normandy, Caen, France.

Frontiers in Human Neuroscience
|January 2, 2025
PubMed
Summary

This study synthesized data on computerized posturography, finding significant differences in balance control between sexes and age groups. More research is needed to establish standardized methods for accurate postural control assessment.

Keywords:
Posturography testmeta-analysisnormative datapostural controlsystematic review

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Area of Science:

  • Biomechanics and Motor Control
  • Human Movement Science
  • Neuroscience

Background:

  • Postural control is a complex, multisensory system essential for maintaining balance.
  • Computerized posturography is a key tool for evaluating balance, but normative data are lacking for clinical interpretation.
  • Existing studies show significant heterogeneity in methods and insufficient risk of bias mitigation.

Purpose of the Study:

  • To systematically review and meta-analyze existing literature to synthesize normative data for computerized posturography.
  • To identify age- and sex-related differences in postural sway.
  • To highlight methodological limitations and suggest improvements for future research.

Main Methods:

  • A combined mixed-method approach involving systematic review and meta-analyses.
  • Literature search across PubMed, Web of Science, and Science Direct, retrieving 1,244 articles.
  • Inclusion of 44 studies for systematic review and 17 for meta-analyses after rigorous screening.

Main Results:

  • Females demonstrated significantly better postural control than males in eyes-closed conditions.
  • Younger children exhibited greater postural sway than older children (8-14 years) in both eyes-open and eyes-closed conditions.
  • Older adults (50-79 years) showed significantly more postural instability compared to younger individuals.

Conclusions:

  • Significant age- and sex-related differences exist in postural sway, necessitating age- and sex-specific normative data.
  • Methodological heterogeneity and lack of standardized parameters hinder high-quality assessment.
  • Standardization of experimental conditions and sway parameters is crucial for reliable clinical applications of posturography.