The correlation between physical and emotional stabilities: a cross-sectional observational preliminary study.

BACKGROUND: Postural stability and gait are affected by an individual's emotional state. Physical therapy practice does not usually include an explicit assessment of the individual's emotional status. In contrast, complementary movement therapies often include the assessment of "grounding quality", which refers to the individual's physical and emotional stabilities. This study examined the correlation between conventional physical stability measures and grounding quality. METHOD: A computerized balance board and an inertial sensor system measured the postural stability and gait parameters of 36 healthy volunteers (aged 19-35 years). Grounding was assessed using an observation-based assessment tool (Grounding Assessment Tool [GAT]). Spearman's correlation and Cohen's standard were used to assess correlation. RESULTS: No correlation was observed between gait parameters and GAT scores. However, significant negative moderate correlations were noted between postural sway measures and scores of several GAT items in the more demanding stance conditions. CONCLUSION: Although grounding quality and sway measures are somewhat correlated, they focus on different aspects of movement stability. A comprehensive assessment and holistic intervention strategies require incorporating multiple approaches to stability assessment. Further research is necessary to determine the contribution of combining these approaches among individuals with balance impairments.KEY MESSAGESGait stability measures were not correlated to "grounding quality" (a measure of emotional regulation and emotional awareness).Postural sway measures were found to be correlated to "grounding quality" items in the more demanding stance conditions.A comprehensive evaluation of an individual's stability may facilitate reliable and valid objective measurement instruments for both physical and emotional aspects of the movement.

Grounding the Connection Between Psyche and Soma: Creating a Reliable Observation Tool for Grounding Assessment in an Adult Population.

The concept of grounding is accepted and common among dance movement therapists and body psychotherapists. It expresses a stable physical and emotional presence - "supported by the ground." The assumption is that embodied emotional knowledge is expressed through the manner of physical holding and in the emotional experience in the world. However, along with the clinical use of the term, an empirical tool for examining grounding is lacking. The goal of the study was to examine the reliability and validity of an observation tool for assessing the quality of grounding, the Grounding Assessment Tool (GAT), which was created for the present study on the basis of theory, research, and clinical knowledge in the field. Forty three adult participants (age, M = 28.2 years, SD = 8.54) were recruited for an experimental and controlled session, the session included guided movement for approximately 10 min. The movement was recorded on video. The quality of the movement was rated by two raters and was scored using the GAT. The study findings indicated that the GAT is a reliable and valid tool - with good internal consistency (α = 0.850) and high interrater and intrarater reliability (Kendall's 'range from 0.789 to 0.973 and intraclass correlation coefficient range from 0.967 to 1.00, respectively). The exploratory factor analysis showed that four factors are involved in the assessment of grounding quality: fluid and rhythmic movement, emotional expression in movement, pattern of foot placement, and lack of stability and weightiness. The results of this study expand the theoretical understanding of the concept of grounding. They contribute to the understanding of the benefits of body focus, dance and movement in psychotherapy and to validating body psychotherapy and dance movement therapy (DMT). The existence of a reliable and valid tool is essential for assessment and diagnostic processes, for formulating therapeutic goals focused on the body, and for examining their effectiveness.