Standing Balance Control Across the Lifespan (BaCoMech)
2 augustus 2022 bijgewerkt door: Pieter Meyns, Hasselt University
Balance Control Mechanisms During Perturbed Standing Across the Lifespan
Falls are the leading cause of nonfatal injuries in children and elderly. To understand the causes of falling in these populations, fundamental knowledge of how ageing affects balance control is of utmost importance.
In general, two biomechanical mechanisms allow people to control balance; 1.moving the center of pressure within the base of support using ankle muscle activation; 2.counter-rotating segments around the center of mass. To understand how balance is controlled differently across the lifespan, 4 age groups (each N=20) will be compared to each other; i.e. prepubertal children (6-9y), postpubertal children (15-17y), young adults (18-24y), healthy non-falling older adults (65-80y). .
A force plate platform combined with 3D movement registration will be used to determine the biomechanical balance control strategy across the lifespan during unperturbed and perturbed standing. The innovative but focused scope of this study could provide a breakthrough in our biomechanical understanding of balance control and, in particular, the changes in limitations of balance control in childhood and an ageing (fall-prone) population. The gained fundamental knowledge could lead to unprecedented insights in the causes of falling across the lifespan and in possible targets for intervention.
Studie Overzicht
Studietype
Ingrijpend
Inschrijving (Werkelijk)
41
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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Hasselt, België, 3500
- Hasselt University
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
6 jaar tot 80 jaar (Kind, Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- prepubertal children (6-9y)
- postpubertal children (15-18y)
- young adults (18-24y)
- healthy non-falling older adults (65-80y) will be included if they 1) did not experience two or more falls during normal daily activities in the preceding year and 2) have no cognitive impairment (tested with Mini-Mental state examination).
Exclusion Criteria:
- inability to speak and understand Dutch;
- inability to maintain independent unsupported stance for 60 seconds;
- current diagnosis of neurological or sensory disorders;
- recurrent dizziness;
- obesity ;
- a history of orthopaedic disorders;
- surgical operation of the lower extremity during last two years;
- use of drugs affecting the CNS or known to affect balance control.
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Fundamentele wetenschap
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: Age group 1
6-9 years old
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The unstable surface will be created with a balance board consisting of a wooden board mounted on a section of a cylinder, creating an unstable support in the sagittal plane or in the frontal plane.
The participants will stand on three balance boards, varying the height of the surface of the board above the point of contact (15, 17 and 19 cm respectively).
The radius of the cylinder will kept constant at 24 cm.
The standing surface will be 48cm x 48 cm
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Experimenteel: Age group 2
15-17 years old
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The unstable surface will be created with a balance board consisting of a wooden board mounted on a section of a cylinder, creating an unstable support in the sagittal plane or in the frontal plane.
The participants will stand on three balance boards, varying the height of the surface of the board above the point of contact (15, 17 and 19 cm respectively).
The radius of the cylinder will kept constant at 24 cm.
The standing surface will be 48cm x 48 cm
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Experimenteel: Age group 3
18 - 24 years old
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The unstable surface will be created with a balance board consisting of a wooden board mounted on a section of a cylinder, creating an unstable support in the sagittal plane or in the frontal plane.
The participants will stand on three balance boards, varying the height of the surface of the board above the point of contact (15, 17 and 19 cm respectively).
The radius of the cylinder will kept constant at 24 cm.
The standing surface will be 48cm x 48 cm
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Experimenteel: Age group 4
65-80 years old
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The unstable surface will be created with a balance board consisting of a wooden board mounted on a section of a cylinder, creating an unstable support in the sagittal plane or in the frontal plane.
The participants will stand on three balance boards, varying the height of the surface of the board above the point of contact (15, 17 and 19 cm respectively).
The radius of the cylinder will kept constant at 24 cm.
The standing surface will be 48cm x 48 cm
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Balance Control; centre of mass acceleration based on 3D movement registration and ground reaction forces
Tijdsspanne: day 1
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Centre of mass acceleration (in kg.m2/s2) (calculations based on; van Dieen JH, van Leeuwen M, Faber GS.
Learning to balance on one leg: motor strategy and sensory weighting.
J Neurophysiol.
2015;114(5):2967-82.)
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day 1
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Contribution of the ankle strategy to centre of mass acceleration based on 3D movement registration and ground reaction forces
Tijdsspanne: day 1
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The contribution of the ankle strategy (difference between the centre of pressure and the centre of mass (in kg.m2/s2)) to centre of mass acceleration in the sagittal and frontal plane will be calculated based on total body kinematics (SIMI motion - 3D movement registration) and kinetics (AMTI force plate) (calculations based on; van Dieen JH, van Leeuwen M, Faber GS.
Learning to balance on one leg: motor strategy and sensory weighting.
J Neurophysiol.
2015;114(5):2967-82.)
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day 1
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Contribution of the counter-rotation mechanism to centre of mass acceleration based on 3D movement registration and ground reaction forces
Tijdsspanne: day 1
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The contribution of the counter-rotation mechanism (change in angular momentum (in kg.m2/s2)) to centre of mass acceleration in the sagittal and frontal plane will be calculated based on total body kinematics (SIMI motion - 3D movement registration) and kinetics (AMTI force plate) (calculations based on; van Dieen JH, van Leeuwen M, Faber GS.
Learning to balance on one leg: motor strategy and sensory weighting.
J Neurophysiol.
2015;114(5):2967-82.))
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day 1
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Medewerkers
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Werkelijk)
21 november 2018
Primaire voltooiing (Werkelijk)
1 april 2021
Studie voltooiing (Werkelijk)
1 april 2021
Studieregistratiedata
Eerst ingediend
5 augustus 2019
Eerst ingediend dat voldeed aan de QC-criteria
7 augustus 2019
Eerst geplaatst (Werkelijk)
8 augustus 2019
Updates van studierecords
Laatste update geplaatst (Werkelijk)
3 augustus 2022
Laatste update ingediend die voldeed aan QC-criteria
2 augustus 2022
Laatst geverifieerd
1 augustus 2022
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- Projectlifespanbalance2018-001
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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