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postural-control
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Comparing lumbosacral orthosis to routine physical therapy on postural stability in patients with chronic low back pain: A randomized trial
, Article Medical Journal of the Islamic Republic of Iran ; Volume 31 , 2017 ; 10161430 (ISSN) ; Ebrahimi Takamjani, I ; Kamyab, M ; Parnianpour, M ; Asgari, M ; Sharif University of Technology
Tehran University of Medical Sciences
2017
Abstract
Background: Poor balance performance and impaired postural control have been frequently reported in patients with low back pain.However, postural control is rarely monitored during the course of treatment even though poor postural control may contribute tochronicity and recurrence of symptoms. Therefore, the present study aimed at investigating the effect of a nonextensible lumbosacralorthosis (LSO) versus routine physical therapy on postural stability of patients with nonspecific chronic low back pain.Methods: This was a randomized controlled trial conducted between November 2015 and May 2016 at the outpatient physical therapyclinic of the School of Rehabilitation Sciences. Patients with...
Distinction of non-specific low back pain patients with proprioceptive disorders from healthy individuals by linear discriminant analysis
, Article Frontiers in Bioengineering and Biotechnology ; Volume 10 , 2022 ; 22964185 (ISSN) ; Davoudi, M ; Hoviattalab, M ; Abedi, M ; Bervis, S ; Parnianpour, M ; Brumagne, S ; Khalaf, K ; Sharif University of Technology
Frontiers Media S.A
2022
Abstract
The central nervous system (CNS) dynamically employs a sophisticated weighting strategy of sensory input, including vision, vestibular and proprioception signals, towards attaining optimal postural control during different conditions. Non-specific low back pain (NSLBP) patients frequently demonstrate postural control deficiencies which are generally attributed to challenges in proprioceptive reweighting, where they often rely on an ankle strategy regardless of postural conditions. Such impairment could lead to potential loss of balance, increased risk of falling, and Low back pain recurrence. In this study, linear and non-linear indicators were extracted from center-of-pressure (COP) and...
Effect of Lumbar and Soleus Proprioception on Kinematic Variability and Dynamic Stability of the Trunk and Center of Pressure Parameter in Healthy Individuals and Low Back Pain Patients
, M.Sc. Thesis Sharif University of Technology ; Parnianpour, Mohammad (Supervisor) ; Hoviattalab, Maryam (Supervisor)
Abstract
Low Back Pain is one of the most problems in health domain which has a high treatment costs, also has high recurrence rates. Postural stability has been introduced as a health characteristic for musculoskeletal systems. Body stability is maintained with sensory feedback data such as Eyes, Vestibular and proprioception data which are sent to brain. Prior investigations have shown that proprioception data have many disorders in lumbar area of Low Back Pain patient and this data are not sent to brain encounters so many problems for muscle activation and stability of body. Researches have been indicated that Low Back Pain patients rely on Ankle proprioception more than healthy people and less...
Balance Assessment in Parkinson Disease based on a Combination of Posturographic Indices
, M.Sc. Thesis Sharif University of Technology ; Behzadipour, Saeed (Supervisor) ; Taghizadeh, Ghorban (Supervisor)
Abstract
Parkinson's disease is a progressive neurodegenerative disease in which balance disorders are a common symptom. Clinical and non-clinical methods have been developed to evaluate the quality of maintaining balance. Clinical methods include questionnaires and tests that are scored by the therapist and therefore depend on the examiner's skill. On the other hand, there are biomechanical methods that do not depend on the therapist's skill. Posturography -based methods are among the biomechanical tests used today to assess balance. In these methods, some indicators are extracted from the patient's foot center of pressure that can measure the quality of balance. These studies usually examine the...
The effects of a short-term memory task on postural control of stroke patients
, Article Topics in Stroke Rehabilitation ; Volume 22, Issue 5 , 2015 , Pages 335-341 ; 10749357 (ISSN) ; Taghizadeh, G ; Ghomashchi, H ; Parnianpour, M ; Khalaf, K ; Salehi, R ; Esteki, A ; Ebrahimi, I ; Sangelaji, B ; Sharif University of Technology
Taylor and Francis Ltd
2015
Abstract
Background: Many studies have been conducted on the changes in the balance capabilities of stroke patients. However, results regarding the effects of dual-task activities on postural control in these patients have been variable. Objective: To evaluate the effects of a short-term memory task on the sway characteristics of stroke patients. Method: Center of pressure (COP) fluctuations were measured in three levels of postural difficulty (rigid surface with closed and open eyes and foamsurface with closed eyes), aswell as two levels of cognitive difficulty (easy and difficult). COP parameters included mean velocity, standard deviation of velocity in both medial-lateral (M.L) and...
The Development of a Postural Control Model for People with Parkinson’s disease to Predict Rehabilitation Exercises Effects
, Ph.D. Dissertation Sharif University of Technology ; Behzadipour, Saeed (Supervisor) ; Firoozbakhsh, Keikhosrow (Supervisor) ; Taghizadeh, Ghorban (Co-Supervisor)
Abstract
Background: Parkinson’s disease (PD) patients seriously suffer from instability and impaired postural control. Rehabilitation exercises help them to recover their ability through long-term practical sessions. For designing optimal tasks in each session, and in agreement with each patient’s state, it is essential to employ computational models and approaches.Objective: The goal of this study is to develop a computational postural control model of Parkinson’s disease in order to provide new understanding of the postural control in PD, and to gain insight on the effect of balance trainings on PD (the learning dynamics), from the view of this model.Methods: In the first phase of this study, the...
Investigation on a developed wearable assistive device (WAD) in reduction lumbar muscles activity
, Article Biomedical Engineering - Applications, Basis and Communications ; Volume 25, Issue 3 , 2013 ; 10162372 (ISSN) ; Hoviattalab, M ; Azghani, M. R ; Ramezanzadehkoldeh, M ; Parnianpour, M ; Sharif University of Technology
2013
Abstract
A new wearable assistive device (WAD) was developed to decrease required force on the lumbar spine in static holding tasks. In order to obtain moments on lumbar spine in two conditions, with and without WAD, a biomechanical static model was used for estimation of external moments on lumbar spine. The results of biomechanical models indicated that there was a reduction in the lumbar moment ranging from 20% to 43% using WAD depending on the load and flexion angle. A total of 15 male healthy subjects were tested to experimentally verify the predicted reduction of external moments on the spine by wearing WAD. Normalized electromyography (EMG) of the right and left lumbar and thoracic erector...
Multijoint coordination during sit-to-stand task in people with non-specific chronic low back pain
, Article Biomedical Engineering - Applications, Basis and Communications ; Volume 25, Issue 1 , 2013 ; 10162372 (ISSN) ; Negahban, H ; Shaterzadeh, M. J ; Mehravar, M ; Salehi, R ; Narimani, R ; Parnianpour, M ; Sharif University of Technology
2013
Abstract
Sit-to-stand (STS) is an important functional task affected by low back pain (LBP). It requires fundamental coordination among all segments of the body to control important performance variables such as body's center of mass (CM) and head positions. This study was conducted to determine whether LBPs could coordinate their multiple joints to achieve the task stability to the same extent as healthy controls. About 11 non-specific chronic LBP and 12 healthy control subjects performed STS task at three postural difficulty levels: rigid surface - open eyes (RO), rigid surface - closed eyes (RC) and narrow surface - closed eyes (NC). Motion variability of seven body segments, CM and head positions...
Low back pain and postural sway during quiet standing with and without sensory manipulation: A systematic review
, Article Gait and Posture ; Volume 37, Issue 1 , 2013 , Pages 12-22 ; 09666362 (ISSN) ; Coenen, P ; Parnianpour, M ; Kiers, H ; van Dieen, J. H ; Sharif University of Technology
2013
Abstract
A previous review concluded that postural sway is increased in patients with low back pain (LBP). However, more detailed analysis of the literature shows that postural deficit may be dependent on experimental conditions in which patients with LBP have been assessed. The research question to be answered in this review was: " Is there any difference in postural sway between subjects with and without LBP across several sensory manipulation conditions?" A literature search in Pubmed, Scopus, Embase and PsychInfo was performed followed by hand search and contact with authors. Studies investigating postural sway during bipedal stance without applying external forces in patients with specific and...
Postural sway in low back pain: Effects of dual tasks
, Article Gait and Posture ; Volume 31, Issue 1 , 2010 , Pages 116-121 ; 09666362 (ISSN) ; Salavati, M ; Negahban, H ; Sanjari, M. A ; Parnianpour, M ; Sharif University of Technology
2010
Abstract
Recurrence quantification analysis (RQA), a nonlinear method of postural analysis, was used to explore the effects of dual-tasking on postural performance in people with nonspecific low back pain (LBP) compared with healthy participants. Postural performance was quantified by RQA % recurrence, % determinism, entropy and trend. People with nonspecific LBP (n = 22) and unimpaired individuals (n = 22) randomly performed quiet standing tasks with three levels of difficulty (rigid-surface eyes open, rigid-surface eyes closed and foam-surface eyes closed). These tasks were performed in isolation or concurrently with an easy or difficult cognitive task. Increasing postural difficulty was associated...
Effects of cognitive load on the amount and temporal structure of postural sway variability in stroke survivors
, Article Experimental Brain Research ; Volume 236, Issue 1 , 2018 , Pages 285-296 ; 00144819 (ISSN) ; Khalaf, K ; Ghomashchi, H ; Taghizadeh, G ; Ebrahimi, I ; Taghavi Azar Sharabiani, P ; Mousavi, S. J ; Parnianpour, M ; Sharif University of Technology
Springer Verlag
2018
Abstract
This study aimed to investigate the variability in postural sway patterns during quiet standing in stroke survivors. The postural sway was measured in 19 stroke survivors, as well as 19 healthy demographically matched participants, at 3 levels of postural difficulty (rigid surface with closed and open eyes, and foam surface with closed eyes), and 3 levels of cognitive difficulty (without a cognitive task, easy and difficult cognitive tasks). Both linear analyses (the amount of postural sway variability, including the standard deviation of the COP velocity in both the anteroposterior (AP) and mediolateral (ML) directions), as well as non-linear analyses [the temporal structure of the COP...
Effect of dual-tasking on postural control in subjects with nonspecific low back pain
, Article Spine ; Volume 34, Issue 13 , 2009 , Pages 1415-1421 ; 03622436 (ISSN) ; Mazaheri, M ; Negahban, H ; Ebrahimi, I ; Jafari, A. H ; Kazemnejad, A ; Parnianpour, M ; Sharif University of Technology
2009
Abstract
STUDY DESIGN. Three factors mixed-design with 1 between-subject and 2 within-subject factors. OBJECTIVE. To compare the main effects and interactions of postural and cognitive difficulty on quiet stance between subjects with and without nonspecific low back pain (LBP). SUMMARY OF BACKGROUND DATA. The interference between postural control and cognitive tasks depends on factors such as sensorimotor/cognitive integrity. Changes in peripheral sensory and muscular systems as well as cognitive processes have been observed in LBP patients. It was hypothesized that the effect of cognitive task on postural performance might be different in subjects with nonspecific LBP as compared with healthy...
Disentangling stability and flexibility degrees in Parkinson's disease using a computational postural control model
, Article Journal of NeuroEngineering and Rehabilitation ; Volume 16, Issue 1 , 2019 ; 17430003 (ISSN) ; Schouten, A. C ; Behzadipour, S ; Taghizadeh, G ; Firoozbakhsh, K ; Sharif University of Technology
BioMed Central Ltd
2019
Abstract
Background: Impaired postural control in Parkinson's disease (PD) seriously compromises life quality. Although balance training improves mobility and postural stability, lack of quantitative studies on the neurophysiological mechanisms of balance training in PD impedes the development of patient-specific therapies. We evaluated the effects of a balance-training program using functional balance and mobility tests, posturography, and a postural control model. Methods: Center-of-pressure (COP) data of 40 PD patients before and after a 12-session balance-training program, and 20 healthy control subjects were recorded in four conditions with two tasks on a rigid surface (R-tasks) and two on foam....
Time-course investigation of postural sway variability: Does anxiety exacerbate the sensory reweighting impairment in chronic stroke survivors?
, Article Neuropsychologia ; Volume 127 , 2019 , Pages 185-194 ; 00283932 (ISSN) ; Azad, A ; Mehdizadeh, H ; Doostdar, A ; Hoseinpour, F ; Mehdizadeh, M ; Niazi Khatoon, J ; Shokouhyan, M. R ; Parnianpour, M ; Taghizadeh, G ; Khalaf, K ; Sharif University of Technology
Elsevier Ltd
2019
Abstract
Although anxiety is one of the most prevalent psychological disorders in stroke survivors, its effect on sensory reweighting has not yet been fully studied. The aim of this work was to investigate how anticipation of collision avoidance events affects sensory reweighting in chronic stroke survivors with low and high levels of anxiety (LA-stroke and HA-stroke, respectively), as compared with healthy controls (HC), under the condition of perturbed proprioception. Eighteen LA-stroke and 18 HA-stroke survivors, as well as 18 gender- and age-matched HC, participated in this study. Postural sway variability (i.e. Root Mean Square (RMS) of the COP velocity) was measured for a duration of 180 s...
The amount and temporal structure of center of pressure fluctuations during quiet standing in patients with chronic low back pain
, Article Motor Control ; Volume 24, Issue 1 , 2020 , Pages 91-112 ; Ebrahimi Takamjani, I ; Kamyab, M ; Asgari, M ; Parnianpour, M ; Sharif University of Technology
Human Kinetics Publishers Inc
2020
Abstract
The characteristics of postural sway were assessed in quiet standing under three different postural task conditions in 14 patients with nonspecific chronic low back pain and 12 healthy subjects using linear and nonlinear center of pressure parameters. The linear parameters consisted of area, the mean total velocity, sway amplitude, the SD of velocity, and the phase plane portrait. The nonlinear parameters included the Lyapunov exponent, sample entropy, and the correlation dimension. The results showed that the amount of postural sway was higher in the patients with low back pain compared with the healthy subjects. Assessing the nonlinear parameters of the center of pressure showed a lower...
Linear and non-linear dynamic methods toward investigating proprioception impairment in non-specific low back pain patients
, Article Frontiers in Bioengineering and Biotechnology ; Volume 8 , 2020 ; Davoudi, M ; Hoviattalab, M ; Abedi, M ; Bervis, S ; Parnianpour, M ; Brumagne, S ; Khalaf, K ; Sharif University of Technology
Frontiers Media S.A
2020
Abstract
Central nervous system (CNS) uses vision, vestibular, and somatosensory information to maintain body stability. Research has shown that there is more lumbar proprioception error among low back pain (LBP) individuals as compared to healthy people. In this study, two groups of 20 healthy people and 20 non-specific low back pain (NSLBP) participants took part in this investigation. This investigation focused on somatosensory sensors and in order to alter proprioception, a vibrator (frequency of 70 Hz, amplitude of 0.5 mm) was placed on the soleus muscle area of each leg and two vibrators were placed bilaterally across the lower back muscles. Individuals, whose vision was occluded, were placed...
Test-retest reliability of postural stability measures during quiet standing in patients with a history of nonspecific low back pain
, Article Biomedical Engineering - Applications, Basis and Communications ; Volume 22, Issue 3 , 2010 , Pages 255-262 ; 10162372 (ISSN) ; Salavati, M ; Negahban, H ; Parnianpour, M ; Sharif University of Technology
2010
Abstract
As balance is the foundation for all voluntary motor skills, considerable research has been conducted to evaluate postural control in patients with low back pain (LBP). Although reliability is a population-specific property, to the authors' knowledge, there has been no study to determine the test-retest reliability of the center of pressure (COP) measures in the general population of LBP patients. As many as 11 patients with a history of nonspecific LBP randomly completed postural measurements with three levels of difficulty (rigid surface-eyes open, rigid surface-eyes closed, and foam surface-eyes closed) in two sessions. The COP data were used to calculate standard deviation of amplitude,...
A new postural stability-indicator to predict the level of fear of falling in Parkinson's disease patients
, Article BioMedical Engineering Online ; Volume 19, Issue 1 , 2020 ; Behzadipour, S ; Ramezani, M ; Joghataei, M. T ; Shahidi, G. A ; Sharif University of Technology
BioMed Central
2020
Abstract
Background: Fear of falling (FoF) is defined as a lasting concern about falling that causes a person to limit or even stop the daily activities that he/she is capable of. Seventy percent of Parkinson's disease (PD) patients report activity limitations due to FoF. Timely identification of FoF is critical to prevent its additional adverse effects on the quality of life. Self-report questionnaires are commonly used to evaluate the FoF, which may be prone to human error. Objectives: In this study, we attempted to identify a new postural stability-indicator to objectively predict the intensity of FoF and its related behavior(s) in PD patients. Methods: Thirty-eight PD patients participated in the...
Postural control learning dynamics in Parkinson's disease: Early improvement with plateau in stability, and continuous progression in flexibility and mobility
, Article BioMedical Engineering Online ; Volume 19, Issue 1 , 2020 ; Behzadipour, S ; Schouten, A. C ; Taghizadeh, G ; Firoozbakhsh, K ; Sharif University of Technology
BioMed Central Ltd
2020
Abstract
Background: Balance training improves postural control in Parkinson's disease (PD). However, a systematic approach for the development of individualized, optimal training programs is still lacking, as the learning dynamics of the postural control in PD, over a training program, are poorly understood. Objectives: We investigated the learning dynamics of the postural control in PD, during a balance-training program, in terms of the clinical, posturographic, and novel model-based measures. Methods: Twenty patients with PD participated in a balance-training program, 3 days a week, for 6 weeks. Clinical tests assessed functional balance and mobility pre-training, mid-training, and post-training....
Apathy exacerbates postural control impairments in stroke survivors: The potential effects of cognitive dual-task for improving postural control
, Article Neuropsychologia ; Volume 174 , 2022 ; 00283932 (ISSN) ; Mehdizadeh, H ; Azad, A ; Cheraghifard, M ; Jamali, S ; Davoudi, M ; Shokouhyan, S. M ; Taghizadeh, G ; Sharif University of Technology
Elsevier Ltd
2022
Abstract
Apathy is a stressor and debilitating common condition for both stroke survivors and their caregivers. However, its effects on the postural control of these patients have not yet been investigated. Improved postural stability through withdrawing attention from postural control by concurrent cognitive task (i.e. dual-task condition) has been reported previously, but the effect of apathy, as a confounding factor, remains unknown. This study aimed to examine the effects of apathy and dual-task condition on postural control of chronic stroke survivors from biomechanical and neurophysiological perspectives. Twenty non-apathetic stroke survivors, 20 apathetic stroke survivors, and 20 sex-, age-,...