Analysis of postural perturbation responses

IEEE Trans Neural Syst Rehabil Eng. 2001 Mar;9(1):76-80. doi: 10.1109/7333.918279.

Abstract

People with cerebellar ataxia lack lower limb coordination and dissipate sway motion slowly and inefficiently after a posture perturbation. We report a practical and low-cost "human resonance frequency test" for both laboratory and clinical use to quantify progress in balance and cerebellar rehabilitation. We assumed that the center-of-pressure (COP) oscillation rate of decay following a standing posture perturbation is directly related to resonance frequency; a more rapidly dissipating COP oscillation about the position of equilibrium indicates, by definition, more efficient postural control. We hypothesized that following successful physical rehabilitation, people with cerebellar degeneration will have a faster rate of decay of the COP response to an external perturbation. Because the COP is modulated by a synergy of trunk and lower limb motion strategies, COP decay rate may be a useful measure of lower limb coordination in people with cerebellar ataxia. The method was applied to three subjects with cerebellar ataxia before and after rehabilitation; there was good agreement between the calculated COP decay rate and conventionally used gait stability parameters providing pilot data for this simple approach.

Publication types

  • Clinical Trial
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adaptation, Physiological / physiology
  • Cerebellar Ataxia / physiopathology*
  • Cerebellar Ataxia / rehabilitation*
  • Gait / physiology
  • Humans
  • Outcome Assessment, Health Care / methods*
  • Physical Stimulation
  • Postural Balance / physiology
  • Posture / physiology*
  • Signal Processing, Computer-Assisted