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Balance control in respond to an unexpected platform perturbration during standing and walking: comparison between individuals with chronic ankle instability and healthy individuals.
An unexpected postural perturbration is a major risk factor of falls and injuries during gait. A postural perturbration is a sudden change in conditions that displaces the body posture away from equilibrium. Reactive postural control response is an immediate ( 70-120 ms ) automatic "like reflex" response which is initiated by unexpected postural perturbration in order to maintain balance. Even among young healthy adults there could be a problem in balance performance which does not become evident untill a slip or a trip or any other sudden perturbration happens. Thus a simple test of pertubration while standing or walking can identify a problem .
This study is comparing the reactive postural control of physical education students who suffer from chronic ankle instability (CAI) to healthy students on a Perturbation Treadmill. The device consists of a treadmill mounted on a moving force plate platform. The platform moves in the medial/ lateral plains to simulate a slip and a trip in both the standing and walking phase. Their reactive postural control is tested in a few conditions: standing on both legs - eyes open and eyes closed, in tandem standing, standing on one leg and in walking. In each condition the perturbration is given every 5-15 seconds in different speed and in unexpected direction (right /left). Lost of balance control is any change in the original location of the foot in standing conditions or stepping out of the treadmill.
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| Measure | Description | Time Frame |
|---|---|---|
| static balance control in reaction to perturbration | The angle velocity at the ankle at the moment of loosing postural control while standing | 20 minutes |
| dynamic balance control un reaction to perturbration | the speed of perturbration at the moment of loosing balance while walking | 10 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Time to returning to original condition | How much time it takes to come back to the original step (Center of Pressure - COP) after the perturbration | 30 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| movement inside the foot during balance control. | The changes in center of pressure (COP) amplitude height | 30 minutes |
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Physical education students from Zinman College in Wingate
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alon Eliakim, MD | Contact | 972-9-7471596 | Eliakim.Alon@clalit.org.il | |
| Michal Pantanowitz, PhD | Contact | 972-9-7471596 | michal.pantanowitz@clalit.org.il |
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