Maturation of the postural control in adolescent girls: A 3-year follow-up study.

BACKGROUND: Stable posture is a manifestation of the appropriate functioning of the neuromuscular system that is essential for proper motor development and control. Balance and stability of the erect posture are shaped during the entire childhood to culminate in its full efficiency in adolescent subjects. METHODS: In this 3-year follow-up study, the process of the postural control maturation has been assessed in a group of 18 girls at the transition period between childhood to adolescence. Their balance and postural stability control were assessed using standard static posturography supplemented by two postural stability tests: the rising-on-toes (ROT), and the maximum forward lean (MFL), all performed with (EO) and without vision (EC). Balance control was analyzed with the sway vector (SV) and sway directional indices, whereas the anteroposterior trajectories of the center-of- pressure (COP) during forward-leaning and the raise-on-toes tests were used to determine changes in postural stability control. RESULTS: The study documented that stability control in girls aged 11-13 is shaped according to their own pace of development. Their postural sway was characterized by the lower COP velocity but very sensitive to visual input. The directional sway measures remained at the same level for the entire period of observation. MFL and ROT tests provided similar information on postural stability and its dependence on visual input. These tests allow for more thorough assessment of postural stability to compare with quiet stance testing. SIGNIFICANCE: Subtle changes in postural control in adolescents could be assessed based on the results of combined static and dynamic tests. In particular, the ROT test can be recommended for the assessment of postural stability.

Postural sway during single-legged standing is dependent on the preceding and subsequent action and supports the stability and mobility trade-off hypothesis in classical dancers.

The details on how the position of balance examination is achieved (preceding movement) and what is happening after (subsequent movement) is scarce. We hypothesised that the postural sway in quiet standing can differ due to demanded stability or mobility associated with the preceding and subsequent action. The body sway will be lower with high stability demand task than a condition with high mobility task. Thirteen female ballet students were examined (aged 15.1 ± 0.95 years). Participants were examined in the single-legged standing position as a part of gait initiation (G-I, high mobility) and termination (G-T, high stability) task with the use of force plate. The following Centre of Pressure (COP) variables were analysed: range and standard deviation of COP position, mean COP velocity for AP (anterio-posterior) and ML (medio-lateral) planes. The results showed that for ML plane, body sway was larger for G-I than G-T task. The lowest values of all variables in AP plane (except the COP range) were for G-T task. This difference, confirm our hypothesis, where this difference is not caused by the skills of the participants, but due to the measuring procedure and motor behaviour before and after achieving the measurement position. Our conclusion is limited to the specific posture and homogenous participants.

Transition from double-leg to single-leg stance in the assessment of postural stability.

Kinematic characteristics of the double-leg stance (DLS) to a single-leg stance (SLS) transition were analyzed in a group of young adolescent girls to assess their postural stability control. Twenty volunteers participated in a single experimental session during which their postural stability was assessed based upon the center of pressure (COP) trajectories during the transitions in two typical sensory conditions: with eyes open (EO) and with eyes closed (EC). To quantify the postural control we applied Fitts' model treating the postural sway as the noise at the initial and the target setpoint control. Results showed that in young healthy subjects characteristics of the transition to either left or right single-leg stance were quite symmetrical. The postural sway at the target posture was characterized by the double increase of postural sway when tested with EO and by the almost quadrupled amount of sway in EC trials. The sway at the target resulted in the decline of the COP mean and peak velocity proportionally to the movement index of difficulty (ID). The estimated ID value increased by 74% in EC trials while the probability of instability increased to 70%. The DLS-SLS test can be recommended for clinical and laboratory assessment of postural stability.

Step Response of Human Motor System as a Measure of Postural Stability in Children.

Postural sway is a product of the neuromuscular system that is commonly used in contemporary labs and clinics for the assessment of postural stability. In this study, we analyzed the transient responses of the neuromuscular system during the rise-on-toes (ROT) movement in eighteen 11 yrs old girls. Their center of pressure (COP) trajectories were recorded with standard force-platform during the transition from quiet stance to standing on toes. To assess the robustness of children's postural stability, we compared the ROT trajectories while the movement was performed with and without vision. Our results confirmed that the dynamic characteristics of the COP step response were significantly modified by visual feedback. In particular, the ROT test performed with eyes closed (EC) was characterized by a four-fold increase of COP chaotic oscillations at the target (tiptoe) position. This resulted in a substantial increase in the movement's index of difficulty (ID) thus to achieve adequate accuracy of the target-oriented movement the COP velocity was decreased accordingly. This inherent strategy of the brain controller allowed for precise positioning of the COP within the reduced size of the target. In conclusion, the dynamics of the ROT movement is always precisely adjusted to the stability of the upright posture, and thus, the dynamic characteristics of the COP step response are also sensitive measures of postural stability and the ROT can be recommended as a useful test for this assessment in the general population.

Effect of expertise in ballet dance on static and functional balance.

RESEARCH QUESTION: The purpose of this study was to examine the postural sway characteristics of the ballet dance experts in quiet standing and at their limits of stability with an approach not used before in dancers. METHODS: The study was conducted on thirteen female ballet dancers and thirteen non-training females. The data were collected with a use of a force plate. To gain a better insight into the postural control processes, we used the rambling-trembling and sample entropy analyses in the COP data processing. RESULTS: The main findings of the study showed professional dancers to have higher values of postural sway characteristics in comparison to the non-trainees while performing simple motor tasks. Also, higher values of the trembling component in the group of dancers during quiet standing and the inclined positions were observed. This might be a sign of higher capacity of the postural system to deal with postural instability in dancers. IMPORTANCE: Our results confirmed that the visual information is important in the process of postural control of dancers', which is proven by increased dislocations of the COP without visual feedback. The sample entropy results indicated more irregular characteristics of postural sway in ballet dancers representing more automated postural control. The data analysis methods showed high sensitivity to the subtle changes in postural control due to the dance training.

Effects of Regular Recreational Exercise Training on Serum ANGPTL3-Like Protein and Lipid Profile in Young Healthy Adults.

Evidence of the role of ANGPTL3, a liver-secreted glycoprotein, in serum lipid turnover, led us to hypothesize that this protein may be involved in modification of the lipid profile induced by exercise-training. Given the lack of data regarding this issue, the main goal of the present study was to investigate the effects of regular participation in a recreational physical activity program on serum ANGPTL3 and selected lipid profile measures in young, apparently healthy female and male adults. We compared serum ANGPTL3, lipid profile measures, common lipid ratios, the Atherogenic Index of Plasma (AIP) and glucose in fasting blood samples derived from 22 active physical education students including active females (AF, N=6) and males (AM, N=16) with samples from 28 relatively sedentary age-matched peers, including female (SF, N=9) and male (SM, N=19) individuals not involved in any regular physical conditioning program. Despite high inter-individual variability of serum ANGPTL3, there was a general tendency toward higher serum ANGPTL3 and HDL-C in women compared to men, but without significant differences related to their physical activity status. Based on both routine lipid profile measures and lipid ratios, all participants had normal lipid profiles, normal glycemia, as well as favorable anthropometric indices not suggesting increased cardiometabolic risk. However, lower levels of the TG/HDL-C ratio and AIP in physically active compared to relatively sedentary participants, reflecting the predominance of large, buoyant LDL particles, strongly support the view of beneficial health-promoting effects of regular participation in recreational sport activities.

Supplementary low-intensity aerobic training improves aerobic capacity and does not affect psychomotor performance in professional female ballet dancers.

We investigated whether 6-week low-intensity aerobic training program used as a supplement to regular dance practice might improve both the aerobic capacity and psychomotor performance in female ballet dancers. To assess their maximal oxygen uptake (VO2max) and anaerobic threshold (AT), the dancers performed a standard graded bicycle ergometer exercise test until volitional exhaustion prior to and after the supplementary training. At both these occasions, the psychomotor performance (assessed as multiple choice reaction time) and number of correct responses to audio-visual stimuli was assessed at rest and immediately after cessation of maximal intensity exercise. The supplementary low-intensity exercise training increased VO2max and markedly shifted AT toward higher absolute workload. Immediately after completion of the graded exercise to volitional exhaustion, the ballerinas' psychomotor performance remained at the pre-exercise (resting) level. Neither the resting nor the maximal multiple choice reaction time and accuracy of responses were affected by the supplementary aerobic training. The results of this study indicate that addition of low-intensity aerobic training to regular dance practice increases aerobic capacity of ballerinas with no loss of speed and accuracy of their psychomotor reaction.