Validation of the Equidyn protocol for evaluation of dynamic balance in older adults through a smartphone application.

BACKGROUND: Different tasks and proxy measurements have been employed to evaluate dynamic balance in older individuals. However, due to inherent limitations, results from most evaluations could hardly be taken as valid measurements of dynamic balance. RESEARCH QUESTION: Is the Equidyn smartphone application-based protocol valid and sensitive for assessment of dynamic balance in older adults? METHODS: Dynamic balance was evaluated in 52 physically active individuals, age range 60-80 years (M = 69.36). The dynamic tasks were one-leg sway either in the mediolateral (ML) or anteroposterior (AP) direction while supported on the contralateral leg, and cyclic sit-to-stand with a narrow support base. These tasks were performed under standardized movement amplitude and rhythm. Outcomes were correlated with unipedal quiet standing. A smartphone was attached to the trunk backside, and a custom-made application (Equidyn) was employed to provide guidance throughout evaluation, timed beeps to pace the movements, and three-dimensional trunk acceleration measurement for balance evaluation. RESULTS: Our data showed (a) that both ML and AP leg sway tasks were sensitive to aging and to direction of leg sway movements; (b) referenced to quiet unipedal stance, moderate/strong correlations for the ML/AP leg sway tasks and moderate correlations for the sit-to-stand task; and (c) moderate/strong correlations between the ML and AP leg sway tasks, and moderate correlations between the sit-to-stand and the two unipedal dynamic tasks in the ML acceleration direction. SIGNIFICANCE: The current results support the conclusion that the Equidyn protocol is a sensitive and valid tool to evaluate dynamic balance in healthy older individuals. The protocol tasks standardized in amplitude and rhythm favor their reproducibility and trunk acceleration data interpretation. As the whole assessment is made through a smartphone application, this dynamic balance evaluation could be made in a low-cost simple way both in the laboratory and clinical settings.

The development of hand, foot, trunk, hearing, and visual lateral preference throughout the lifespan.

This research investigated the developmental process of five lateral preference dimensions (hand, foot, trunk, hearing, and visual preference). A total of 1236 volunteers participated in this study, divided into five age groups: 07-12 (n = 247); 13-17 (n = 234); 18-30 (n = 227); 31-60 (n = 225); and 61-90 years old (n = 303). Lateral preference was assessed via questionnaire with the Global Lateral Preference Inventory. By assessing the degree and direction of lateral preference in different ages, our results revealed a pattern of lateralization strengthening with aging in all the analyzed dimensions. We also verified significant correlation between hand preference and the other dimensions for all age groups, but correlation was stronger in the 7-12 group for all correlation pairs. Our results lead to the suggestion of an underlying general lateralization process in early ages (7-12 years old) followed by specific developmental trajectories of each preference dimension (13 years forward), likely startled by hemisphere and functional specialization related to innate developmental patterns of neural structures and social/environmental influences.

Penalty feet positioning rule modification and laterality effect on soccer goalkeepers' diving kinematics.

In 2019, a new rule was applied in soccer. It allows the goalkeeper to have only one foot or part of it on the goal line when the kicker hits the ball, unlike the previous rule that determined the goalkeeper should have both feet on the line. The purpose of the present study was to analyze how the change in the rule and the lower limbs laterality influences on the diving save kinematic performance in penalties. Six goalkeepers, two professionals and four amateurs, performed a total of 20 dives in the laboratory and had their force and impulse exerted by the lower limb and displacement/velocity data from the center of body mass collected through force plates and kinematic analysis. The side preference was collected through an inventory. The results showed that goalkeepers dive further (p < 0.001) and faster (p < 0.001) when diving according to the new rule. Dives for the non-dominant side presented higher values than the trials for the dominant side in mediolateral (p = 0.02) and resultant (p = 0.03) displacements. Concluding, the goalkeepers performed better with the new rule in the analyzed variables and the lower limb preference has influenced only the mediolateral and resultant displacement.

Cultural and environmental aspects influence lateral preferences.

Transcultural approaches comparing the distribution of lateral preference between countries focused primarily on handedness. However, other laterality dimensions may also be susceptible to cultural variations. The present study compared lateral preference in five dimensions (hand, foot, trunk, hearing, and visual) of young adults from Brazil and Mozambique. Two hundred and two undergraduate students participated in the study, of which 101 were Brazilian (21.7 ± 1.66 years old) and 101 Mozambican (25.6 ± 6.2 years old). The participants' lateral preference direction and degree were assessed using the global lateral preference inventory. Most Brazilians were classified in the moderate preference category, while Mozambicans had a higher frequency of individuals with strong preferences. Hence, Mozambicans presented a higher lateralization degree for all dimensions. A subsequent analysis considering only preference direction (right, left or indifferent), and not degree, did not show the same outcomes, revealing similarities in preference distribution between the two groups. This finding highlights the necessity to incorporate preference degrees in future analysis to not overlook potential differences. We also conclude lateral preference investigations with transcultural approaches should analyse beyond handedness, as other dimensions can also be modulated by cultural characteristics.

How Positional Constraints Affect Footedness in Football: A Notational Analysis of Five Leagues in Europe.

In elite-level soccer, the ability to take shots with both limbs from different positions in the pitch may be key to success. This research aimed to: 1) analyze footedness of elite-football players in European leagues during shooting by computing frequency of right- and left-foot use and accuracy; and 2) investigate whether an athlete's distance from the target (goal, penalty, and outside penalty area) and pitch zone (center, left, or right from the goal) can constrain foot selection during shooting. We analyzed 1826 games from the 2017/18 season, divided between: Spanish LaLiga (380 matches); Italian Serie A (380 matches); English Premier League (380 matches); German Bundesliga (306 matches); and French Ligue 1 (380 matches). Results revealed asymmetrical proportions of foot selection, favoring the preferred foot for right- and left-footed athletes. Frequency of preferred foot selection increased as a function of distance from the target (i.e., the farther the athlete, higher the percentage of preferred foot selection). Shots taken from the left side were more often performed with the right foot and vice-versa, for both left- and right-footed athletes. Interestingly, asymmetries were observed only in foot selection, but not in performance, as success rate did not vary between limbs in any position.

Changing handedness: What can we learn from preference shift studies?

Handedness is a dynamic and complex aspect of human behavior. Changing it through practice, either willingly or obliged by some reason, requires a considerable amount of effort. Analyzing studies that presented handedness shifts may expand our comprehension of this phenomenon, since knowing how to change it might provide insights into how it develops. Therefore, we reviewed the outcomes of handedness shifts. The results suggest that neural asymmetries related to handedness are likely a consequence of lateralized practice since they correlate with modifications in the behavioral patterns. Clearly, practice is not the only factor influencing handedness development, but it seems to play a significant role in the formation and consolidation of neural and behavioral asymmetries. Another key finding of our review is the suggestion of a ceiling effect for the capacity to change handedness direction and degree, considering none of the reviewed studies reported complete shifts in behavioral measures and brain activation patterns.