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Computerized Dynamic Posturography: The Influence of Platform Stability on Postural Control

Palm, Hans-Georg MD, MBA; Lang, Patricia MD; Strobel, Johannes MD; Riesner, Hans-Joachim MD; Friemert, Benedikt MD

American Journal of Physical Medicine & Rehabilitation: January 2014 - Volume 93 - Issue 1 - p 49–55
doi: 10.1097/PHM.0b013e3182a39019
Original Research Articles

Objective Postural stability can be quantified using posturography systems, which allow different foot platform stability settings to be selected. It is unclear, however, how platform stability and postural control are mathematically correlated.

Design Twenty subjects performed tests on the Biodex Stability System at all 13 stability levels. Overall stability index, medial-lateral stability index, and anterior-posterior stability index scores were calculated, and data were analyzed using analysis of variance and linear regression analysis.

Results A decrease in platform stability from the static level to the second least stable level was associated with a linear decrease in postural control. The overall stability index scores were 1.5 ± 0.8 degrees (static), 2.2 ± 0.9 degrees (level 8), and 3.6 ± 1.7 degrees (level 2). The slope of the regression lines was 0.17 for the men and 0.10 for the women.

Conclusions A linear correlation was demonstrated between platform stability and postural control. The influence of stability levels seems to be almost twice as high in men as in women.

From the Trauma Research Group, Department of Orthopedics and Trauma Surgery, German Armed Forces Hospital of Ulm, Ulm, Germany.

All correspondence and requests for reprints should be addressed to Hans-Georg Palm, MD, MBA, Trauma Research Group, Department of Orthopedics and Trauma Surgery, German Armed Forces Hospital of Ulm, Oberer Eselsberg 40, D-89081 Ulm, Germany.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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