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Application of pressure in the form of taping and bracing has been shown to improve proprioception, and inducing localized muscle fatigue at various musculatures has been shown to adversely affect postural control. However, the potential for pressure application to mitigate the effects of localized muscle fatigue on postural control has not yet been determined. This study investigated specifically the effects of circumferential ankle pressure (CAP) and induced ankle fatigue on postural control. Fourteen young participants (seven males and seven females) performed fatiguing sub-maximal isotonic plantar flexion exercises on an isokinetic dynamometer, in the absence and presence of a pressure cuff (60 mm Hg) used to apply CAP. Proprioceptive acuity (PA) was determined using a passive-active joint position sense test, with categorical scores (low or high PA) used as a covariate. Postural sway during quiet standing was assessed using a force platform both pre- and post-fatigue as well as in the absence and presence of CAP. Application of CAP resulted in larger postural sway in individuals with low PA, and reduced postural sway in individuals with high PA. Fatigue effects on postural sway in individuals with low PA were more substantial as compared to individuals with high PA. CAP was found to be ineffective in mitigating the effects of fatigue on postural sway in individuals with lower PA. As a whole, the results suggest a potential for CAP as an ergonomic intervention in controlling fatigue-related fall incidents, though conclusive recommendations for use are not justified. / Master of Science

Thesis (MEng) -- Stellenbosch University, 2014. / ENGLISH ABSTRACT: The Dorsiflexometer is a device designed and built for the assessment of a patient’s balance capabilities. The birth of the Dorsiflexometer is due to a serious need for physiological balance assessment equipment, capable of conducting dynamic tests in the clinical setting. This is accomplished by recording and analysing the patient’s response to sagittal plane perturbations. The Dorsiflexometer is operated from a computer software interface program. It uses the measurements from a single force plate to calculate four balance metrics’ characterising a patient’s ability to maintain balance. These balance metrics include the sway index, equilibrium score, postural stability index and radius parameter. A single and a double inverted pendulum model of the human body is derived to calculate a patient’s centre of mass movement in the sagittal plane with the measured force plate data and body parameters. Three experiments, involving 48 subjects, were conducted. The experimental tests proved the competency of the machine, the accuracy of both inverted pendulum models and the balance response of seafarers aboard an Antarctic research and supply vessel during rough sea conditions. The tests concluded that the inverted pendulum models can be used to calculate the body centre of mass displacement. The double inverted pendulum model results are more accurate compared with the single inverted pendulum model. During rough sea conditions, the body movement and postural response of seafarers are increased in order to keep themselves upright. The body is furthermore exposed to a fluctuating ground reaction force which may lead to the progression of osteoarthritis and musculoskeletal injuries. The Dorsiflexometer proved to be capable of conducting repeatable assessments and yielding accurate results which can be used to distinguish between balance capabilities. / AFRIKKANSE OPSOMMING: Die Dorsiflexometer is ’n apparaat wat die balansvermoë van pasiënte analiseer. Die masjien is ontwerp en vervaardig weens die groot behoefte aan fisiologiese balans assesserings toerusting wat dinamiese toetse in die mediese sektor kan bepaal. Dit word bereik deur pasiënte se liggaamsreaksie in die sagittale vlak te meet en te assesseer. Die Dorsiflexometer is beheerbaar vanaf ’n rekenaar sagteware koppelvlak program. Die masjien maak gebruik van ’n enkele kragplaat om pasiënte se balans statistieke te meet. Hierdie balans statistieke wat die pasiënte se balans vermoë beskryf en karakteriseer behels die sogenaamde: swaai indeks, balans telling, posturale stabiliteit indeks en die radius parameter. ’n Enkel en dubbel inverse slinger model van die liggaam is afgelei. Hierdie modelle maak gebruik van ’n pasiënt se kragplaat metings en sy liggaamlike parameters om die swaartepunt tydens beweging te bereken. Drie eksperimente, waarin 48 persone betrokke was, is gedoen. Die eksperimente is gedoen om die apparaat se bevoegdheid te bewys, die akkuraatheid van altwee inverse slinger modelle te toets en verder die balans van seevaarders op die Antarktiese navorsings en toevoer skip tydens rowwe see toestande te analiseer. Die toetse het bewys dat die inverse modelle gebruik kan word om die liggaam se swaartepunt te bereken. Die dubbel inverse slinger model resultate is wel akkurater as die enkel slinger model. Daar is bevind dat seevaarders van meer liggaamsbeweging en posturale reaksies gebruik moet maak om orent te bly tydens rowwe seetoestande. Verder word hul liggame blootgestel aan ’n wisselende grond reaksie krag wat kan lei tot die ontwikkeling van osteoarthritis en muskuloskeletale beserings. Die Dorsiflexometer is bewys as ’n aparaat wat wat akurate resultate lewer vir herhaalbare assesserings. Dit kan gebruik word om te onderskei tussen verskillende balans vermoëns.

Human upright posture exhibits an everlasting oscillatory behavior of complex nature, called as human postural sway. Variations in the position of the Center-of-Pressure (CoP) were used to describe the human postural sway. In this study / CoP data, which has experimentally been collected from 28 different subjects (14 males and 14 females with their ages ranging from 6 to 84), who were divided into 4 groups according to their ages has been analyzed. The data collection from each of the subjects was performed in 5 successive trials, each of which has lasted for 180-seconds long. Linear analysis methods such as the variance/standard deviation, Fast Fouri&eacute / r Transformation, and Power Spectral Density estimates were applied to the detrended CoP signal of human postural sway. Also the Run test and Ensemble averages methods were used to search for stationarity and ergodicity of the CoP signal respectively. Furthermore, in order to reveal the nonlinear characteristics of the human postural sway, its dynamics were reconstructed in m-dimensional state space from the CoPx signals. Then, the correlation dimension (D2) estimates from the embedded dynamics were calculated. Additionally, the statistical and dynamical measures computed were checked against any significant changes, which may occur during aging. The results of the study suggested that human postural sway is a stationary process when 180-second long biped quiet stance data is considered. In addition, it exhibits variable dynamical structure complex in nature (112 deterministic chaos versus 28 stochastic time series of human postural sway) for five successive trials of 28 different subjects. Moreover, we found that groups were significantly different in the correlation dimension (D2) measure (p&amp / #8804 / 0.0003). Finally, the behavior of the experimental CoPx signals was checked against two types of linear processes by using surrogate data method. The shuffled CoPx signals (Surrogate I) suggested that temporal order of CoPx is important / however, phase-randomization (Surrogate II) did not change the behavioral characteristics of the CoPx signal.

Bakgrund: Nacksmärta är ett vanligt förekommande besvär och en av de främsta orsakerna till att söka vård hos fysioterapeut. Nackbesvär kan leda till förändringar i proprioception, både medveten och omedveten, vilket kan leda till en nedsatt balans. Undersökning av omedveten proprioception har gjorts genom att mäta posturalt svaj vid stimulering av muskelspolar via lokala muskelvibratorer i tidigare studier. Ingen studie har dock undersökt reliabiliteten vid stimulering av nack- och vadmuskler hos personer med respektive utan nacksmärta   Syfte: Studiens syfte var att utvärdera inter-day reliabilitet för posturalt svaj hos personer med eller utan nacksmärta genom att mäta CoP på WBB där deltagarna ges vibrationer på vader, nacke respektive underarmar.   Metod: 50 deltagare deltog i studien, 25 deltagare med nacksmärta och 25 friska kontroller. Deltagarnas CoP mättes på en WBB där deltagarnas förändring av CoP mättes innan, under och efter att vibrationer getts på vader, underarmar respektive nacken. Deltagarna testades vid två tillfällen med 7 dagars mellanrum. ICC2,1 användes för att beräknade relativ reliabilitet. Ett ICC-värde ≥ 0,75 bedöms som god reliabilitet. Absolut reliabilitet beräknades med SEM. Beroende t-test utfördes för att undersöka eventuell systematisk bias såsom adaptioner eller inlärningseffekter mellan testtillfälle 1och 2.   Resultat: Studiens resultat uppvisade en måttlig till utmärkt relativ reliabilitet (ICC = 0,69 - 0,89) för A/P amplituden för hela gruppen och SEM-värden var mellan 0,51 - 1,17 vilket utgör ca 20 - 30% av medelvärdet för de flesta svajvariablerna. En signifikant inlärningseffekt kunde ses för både A/P och M/L amplituden vid vibration av vadmuskulaturen (p = 0,015 - 0,017).   Slutsats: Studiens resultat visar på en acceptabel reliabilitet och testmetoden kan användas i såväl forskning som klinisk användning vid undersökning av posturalt svaj med eller utan vibration. / Background: Neck pain is a common occurrence and one of the main reasons for seeking care at a physiotherapist. Neck disorders can lead to changes in proprioception, both conscious and unconscious, which can lead to a reduced balance. Investigation of unconscious proprioception has been done by measuring postural sway in the stimulation of muscle spindles via local muscle vibrators in previous studies. However, no study has investigated the reliability of stimulation of neck and calf muscles in people with or without neck pain   Purpose: The purpose of the study was to evaluate inter-day reliability on postural sway in people with or without neck pain by measuring CoP on WBB where participants receive vibration on the calf, neck and forearms.   Method: 50 participants participated in the study, 25 participants with neck pain and 25 healthy controls. Participants change of CoP was measured before, during and after vibration was given to calf, forearm and neck. Participants were tested on two occasions at 7-day intervals. ICC2,1 was used to calculate relative reliability. An ICC value ≥ 0.75 is considered to be good reliability. Absolute reliability was calculated with SEM. Dependent t-test was performed to investigate any systematic bias such as adaptations or learning effects between test 1 and 2.   Results: The results of the study showed a moderate to excellent relative reliability (ICC = 0.69 - 0.89) for the A/P amplitude and SEM values ​​were between 0.51 - 1.17 which represents about 20-30% of the mean for most sway variables. A significant learning effect could be seen for both the A/P and M/L amplitude in vibration of the calf muscles (p = 0.015-0.017).   Conclusion: The results of the study demonstrate acceptable reliability and the test method can be used in research and clinical to investigate postural sway with or without vibration.

Diploma thesis "Effect of cognitive task in postural sway of patiens with phobic postural vertigo" in its theoretical part discusses physiology of balance system, its disorders and summarizes knowledge of phobic postural vertigo. In experimental section we analyzed postural stability of 5 patients with phobic postural vertigo, 5 patients with structural lesion of vestibular system and 5 healthy subjects with posturography during normal stence and while performing cognitive tasks - "Contact test", Verbal Fluency task and modified Stroop test. The goal of this study was to find out whether postural stability of subjects differs while performing cognitive tasks in comparison with normal stance. Powered by TCPDF (www.tcpdf.org)

The aim of the master’s thesis is design and assessment of multipurpose sport hall structure. located in Moravské Budějovice. The hall has rectangular ground plan and it is 40 m wide and 48 long. The proposal is developed in four variants according to ČSN EN. Structure is composed of rolling sections and tubes. The main bearing components are arched trusses. In both gable walls are designed steel truss columns. Structure has been accomplished by Scia Engineer 14 and hand computation

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Context: It has been suggested that muscle fatigue can lead to injury, however, research investigating this phenomenon in functional ankle instability (FAI) subjects is lacking. Aim: The purpose of this thesis was to research postural sway and muscular latency in FAI subjects and healthy controls, both before and immediately after localised and globalised fatigue protocols. Subjects: All subjects used in this project were males, between the ages of 18 and 25 years, and participated in regular (>2 x week) aerobic exercise. Subjects were categorised into healthy subjects, or subjects with a history of FAI using the FAI questionnaire. Methods: Neuromuscular control was analysed in FAI subjects and healthy controls through measures of muscular latency and postural sway. These measures were repeated both before and immediately after localised and globalised fatigue protocols. Results: The induction of localised and globalised fatigue had no effect on muscle latency in the FAI or healthy subjects. However, postural sway was significantly increased in the FAI subjects, following localised and globalised fatigue, with globalised fatigue also significantly increasing postural sway in the healthy subjects. The globalised football-specific fatigue protocol caused the greatest deficits in the FAI subjects, but also the healthy controls. Conclusions: In terms of muscle latency individuals that participate in sports, as well as sports clinicians and coaches, should not be concerned about the theorised relationship between the onset of fatigue and an increased injury risk at the ankle. However, in terms of postural sway the globalised football-specific fatigue protocol caused the greatest deficits. This highlights that the fatigued individual may be at greater risk of musculoskeletal injury during prolonged exercise that involves multiple joints, such as a football match.