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Postural Balance in Italian Air Force Pilots: Development of Specific Normative Values.

Vincenzo Fiorillo1, Barbara Martino1,2, Valeria Castelli3

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Military pilots exhibit superior balance control compared to civilians, highlighting the need for tailored balance assessments for aviators. Specific normative values are crucial for evaluating their return to duty after balance deficits.

Keywords:
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Area of Science:

  • Aerospace Medicine
  • Human Physiology
  • Neuroscience

Background:

  • Assessing balance in highly trained individuals like military pilots is challenging due to potential underestimation against general population norms.
  • Tailored reference values for specific populations are proposed to improve balance assessment accuracy.
  • This study investigates balance characteristics in active-duty Italian Air Force pilots.

Purpose of the Study:

  • To compare the balance characteristics of military pilots with those of a civilian control group.
  • To establish normative balance data specific to military aviators.
  • To inform rehabilitation and return-to-duty decisions for pilots with balance deficits.

Main Methods:

  • Retrospective analysis of 106 subjects: 53 Italian Air Force pilots and 53 civilians.
  • Standard ENT examinations and audiometric testing to exclude pathologies.
  • EquiTest protocol administered across six standard conditions to assess postural control.

Main Results:

  • Significant differences in balance performance were observed between military pilots and civilians.
  • Military pilots demonstrated superior performance in the PREF variable (p < 0.01).
  • Borderline significant differences noted in specific equilibrium scores and Centre of Gravity (COG) analyses under sensory conflict conditions.

Conclusions:

  • Military pilots possess enhanced postural control strategies, particularly under sensory conflict.
  • Normative balance values specific to military pilots are essential for accurate evaluation and rehabilitation.
  • Tailored benchmarks aid in determining fitness for duty and ensuring optimal performance in demanding aviation environments.