Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Reliability and Validity of the Postural Balance Application Program Using the Movement Accelerometer Principles in Healthy Young Adults

  • Park, Seong-Doo (Dept. of Physical Therapy, Woosuk University Oriental Hospital) ;
  • Kim, Ji-Seon (Dept. of Physical Therapy, Yuseong Hanjajok Rehabilitation Hospital) ;
  • Kim, Suhn-Yeop (Dept. of Physical Therapy, College of Natural Science, Daejeon University)
  • Received : 2013.02.11
  • Accepted : 2013.03.11
  • Published : 2013.05.21
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Abstract

The purpose of this study was to determine the reliability and validity of the postural balance program which uses the movement accelerating field principles of posture balance training and evaluation equipment and smartphone movement accelerometer program (SMAP) in healthy young adults. A total of 34 people were appointed as the subject among the healthy young adults. By using Biodex stability system (BSS) and SMAP on the subject, the posture balance capability was evaluated. For the test-retest reliability, SMAP showed the intra-class correlation (ICC: .62~.91) and standard error measurement (SEM: .01~.08). BSS showed the moderate to high reliability of ICC (.88~.93) and SEM (.02~.20). In the reliability of inter-rater, ICC (.59~.73) as to SMAP, showed the reliability of moderate in eyes open stability all (EOSA), eyes open stability anterior posterior (EOSAP), eyes open stability medial lateral (EOSML) and eyes open dinamic all (EODA), eyes open danamic anterior posterior (EODAP), and eyes open danamic medial lateral (EODML). However, ICC showed reliability which was as low as .59 less than in other movements. In addition, BSS showed the reliability of high as ICC (.70~.75). It showed reliability which was as low as ICC (.59 less than) in other movements. In correlation to the balance by attitudes between SMAP and BSS, EOSML (r=.62), EODA (r=.75), EODML (r=.72), ECDAP (r=.64), and ECDML (r=.69) shown differ significantly (p<.05). However, the correlation noted in other movements did not differ significantly. Therefore, SMAP and BSS can be usefully used in the posture balance assessment of the static and dynamic condition with eyes opened and closed.

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References

  1. Arnold BL, Schmitz RJ. Examination of balance measures produced by the biodex stability system. J Athl Train. 1998;33(4):323-327.
  2. Baker CP, Newstead AH, Mossberg KA, et al. Reliability of static standing balance in nondisabled children: Comparison of two methods of measurement. Pediatr Rehabil. 1998;2(1):15-20. https://doi.org/10.3109/17518429809078611
  3. Barnett A, Smith B, Lord SR, et al. Communitybased group exercise improves balance and reduces falls in at-risk older people: A randomised controlled trial. Age Ageing. 2003;32(4):407-414. https://doi.org/10.1093/ageing/32.4.407
  4. Boucher P, Teasdale N, Courtemanche R, et al. Postural stability in diabetic polyneuropathy. Diabetes Care. 1995;18(5):638-645. https://doi.org/10.2337/diacare.18.5.638
  5. Cachupe WJC, Shifflett B, Kahanov L, et al. Reliability of Biodex balance system measures. Meas Phys Educ Exerc Sci. 2001;5(2):97-108. https://doi.org/10.1207/S15327841MPEE0502_3
  6. Domholdt E. Rehabilitation Research: Principles and applications. 3rd ed. Edinburgh, Elsevier Saunders, 2005.
  7. Gardner MM, Robertson MC, Campbell AJ. Exercise in preventing falls and fall related injuries in older people: A review of randomised controlled trials. Br J Sports Med. 2000;34(1):7-17. https://doi.org/10.1136/bjsm.34.1.7
  8. Goldie PA, Bach TM, Evans OM. Force platform measures for evaluating postural control: Reliability and validity. Arch Phys Med Rehabil. 1989;70(7):510-517.
  9. Goldie PA, Evans OM, Bach TM. Steadiness in one-legged stance: Development of a reliable force-platform testing procedure. Arch Phys Med Rehabil. 1992;73(4):348-354. https://doi.org/10.1016/0003-9993(92)90008-K
  10. Hamman RG, Mekjavic I, Mllison AI, et al. Training effects during repeated therapy sessions of balance training using visual feedback. Arch Phys Med Rehabil. 1992;73(8):738-744.
  11. Hinman MR. Factors affecting reliability of the Biodex balance system; A summary of four studies. J Sports Rehabil. 2000;9:240-252. https://doi.org/10.1123/jsr.9.3.240
  12. Hocherman S, Dickstein R, Pillar T. Platform training and postural stability in hemiplegia. Arch Phys Med Rehabil. 1984;65(10):588-592.
  13. Jakicic JM, Winters C, Lagally K, et al. The accuracy of the TriTrac-R3D accelerometer to estimate energy expenditure. Med Sci Sports Exerc. 1999;31(5):747-754. https://doi.org/10.1097/00005768-199905000-00020
  14. Ku PX, Abu Osman NA, Yusof A, et al. The effect on human balance of standing with toe-extension. PLoS One. 2012;7(7):e41539. https://doi.org/10.1371/journal.pone.0041539
  15. Levine JA, Baukol PA, Westerterp KR. Validation of the Tracmor triaxial accelerometer system for walking. Med Sci Sports Exerc. 2001;33(9):1593-1597. https://doi.org/10.1097/00005768-200109000-00024
  16. Montoye HJ, Washburn R, Servais S, et al. Estimation of energy expenditure by a portable accelerometer. Med Sci Sports Exerc. 1983;15(5): 403-407.
  17. Najafi B, Aminian K, Paraschiv-Ionescu A, et al. Ambulatory system for human motion analysis using a kinematic sensor: Monitoring of daily physical activity in the elderly. IEEE Trans Biomed Eng. 2003;50(6):711-723. https://doi.org/10.1109/TBME.2003.812189
  18. Nichols DS, Glenn TM, Hutchinson KJ. Changes in the mean center of balance during balance testing in young adults. Phys Ther. 1995;75(8):699-706. https://doi.org/10.1093/ptj/75.8.699
  19. Nitz JC, Choy NL. The efficacy of a specific balance-strategy training programme for preventing falls among older people: A pilot randomised controlled trial. Age Ageing. 2004;33(1):52-58. https://doi.org/10.1093/ageing/afh029
  20. Pambianco G, Wing RR, Robertson R. Accuracy and reliability of the Caltrac accelerometer for estimating energy expenditure. Med Sci Sports Exerc. 1990;22(6):858-862. https://doi.org/10.1249/00005768-199012000-00020
  21. Pereira HM, de Campos TF, Santos MB, et al. Influence of knee position on the postural stability index registered by the Biodex Stability System. Gait Posture. 2008;28(4):668-672. https://doi.org/10.1016/j.gaitpost.2008.05.003
  22. Pincivero DM, Lephart SM, Karunakara RA. Reliability and precision of isokinetic strength and muscular endurance for quadriceps and hamstrings. Int J Sports Med. 1997;18(2):113-117. https://doi.org/10.1055/s-2007-972605
  23. Schmitz RJ, Arnold BL. Intertester and intratester reliability of a dynamic balance protocol using the Biodex Stability System. J Sport Rehabil. 1998;7:95-101. https://doi.org/10.1123/jsr.7.2.95
  24. Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction on balance. Suggestion from the field. Phys Ther. 1986;66(10):1548-1550. https://doi.org/10.1093/ptj/66.10.1548
  25. Testerman C, Vander Griend R. Evaluation of ankle instability using the Biodex stability system. Foot Ankle Int. 1999;20(5):317-321. https://doi.org/10.1177/107110079902000510
  26. Welk GJ, Differding JA, Thompson RW, et al. The utility of the Digi-walker step counter to assess daily physical activity patterns. Med Sci Sports Exerc. 2000;32(9):481-488. https://doi.org/10.1097/00005768-200009001-00007

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