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Changes in postural stability induced by a ball-and-board game designed from a systems perspective.

作者信息

Cheillan Anaëlle, Milho João, Passos Pedro

机构信息

Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal.

Instituto Superior de Engenharia de Lisboa, IDMEC, Instituto Politécnico de Lisboa, Lisboa, Portugal.

出版信息

BMC Sports Sci Med Rehabil. 2025 May 14;17(1):123. doi: 10.1186/s13102-025-01110-9.


DOI:10.1186/s13102-025-01110-9
PMID:40369646
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12080265/
Abstract

BACKGROUND: Postural behavior can be understood from a systems perspective, emerging from complex interactions within the agent's body system and the agent-environment system, where inherent variability enables adaptive and functional solutions to balance perturbations. Recent studies have recommended that lower limbs rehabilitation programs should be addressed from a systems perspective for both clinical assessment and intervention. In this context, we designed a ball-and-board game that fosters interactions between the lower limbs and between the agents through informational and mechanical couplings. The present paper aims to investigate whether such a game - designed from a systems perspective - has an impact on an agent's postural stability - using variability measures - also derived from a systems perspective. METHODS: Twenty-four novice participants were randomly assigned to twelve dyads to perform our game, which consists in a joint-action task where two participants stand on an unstable surface (BOSU) while jointly manipulating a board on which a ball rolls along a circular target. Body and ball's three-dimensional movements were obtained using an 8-camera motion capture system. Postural stability was assessed using both linear and nonlinear measures, which respectively capture the amount and structure of variability in the center of mass' kinematics. Additional between-subject analyses were conducted to study relationships between postural stability and task performance. RESULTS: Despite the heterogeneous postural pathway of the participants, significant postural changes occurred with practice (i.e., decreased standard deviation and increased sample entropy of postural oscillation variability) in the anteroposterior plane, which is also the plane of motion where the knee joint is predominantly engaged through flexion-extension movements. Participants with higher performance were characterized by a greater complexity in their postural oscillations (i.e., greater sample entropy), allowing an increased ability to resist to perturbations that threaten postural stability. CONCLUSIONS: The amount of variability in postural oscillations evolved heterogeneously across participants, which suggests a broad exploration of different postural solutions and therefore an enhanced adaptability to balance perturbations. This adaptability was particularly evident in participants with higher performance, whose postural oscillations exhibited a less periodic, and thus more complex, variability structure. In conclusion, our game led to a postural reorganization that encourages us to test it in clinical settings.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a3c/12080265/a280ca54f7be/13102_2025_1110_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a3c/12080265/9438575ef7c4/13102_2025_1110_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a3c/12080265/8d3ee4355b57/13102_2025_1110_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a3c/12080265/a280ca54f7be/13102_2025_1110_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a3c/12080265/9438575ef7c4/13102_2025_1110_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a3c/12080265/8d3ee4355b57/13102_2025_1110_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a3c/12080265/a280ca54f7be/13102_2025_1110_Fig3_HTML.jpg

相似文献

[1]
Changes in postural stability induced by a ball-and-board game designed from a systems perspective.

BMC Sports Sci Med Rehabil. 2025-5-14

[2]
Inter-limb and inter-agent coordination in an original joint-action game: exploring novel approaches for clinical practice.

Front Psychol. 2025-3-24

[3]
Postural Control and Adaptation Strategy of Young Adults on Unstable Surface.

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[4]
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[6]
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[7]
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[8]
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[9]
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[10]
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J Neurodev Disord. 2020-1-6

本文引用的文献

[1]
Using nonlinear measures to evaluate postural control in healthy adults during bipedal standing on an unstable surface.

Acta Bioeng Biomech. 2022

[2]
Effects of Motor Task Difficulty on Postural Control Complexity during Dual Tasks in Young Adults: A Nonlinear Approach.

Sensors (Basel). 2023-1-5

[3]
Rehabilitation following surgical reconstruction for anterior cruciate ligament insufficiency: What has changed since the 1960s?-State of the art.

J ISAKOS. 2023-6

[4]
Decreased Postural Complexity in Overweight to Obese Children and Adolescents: A Cross-Sectional Study.

Front Hum Neurosci. 2022-4-28

[5]
A Multi-Systems Approach to Human Movement after ACL Reconstruction: The Musculoskeletal System.

Int J Sports Phys Ther. 2021-12-1

[6]
Characteristics of Complex Systems in Sports Injury Rehabilitation: Examples and Implications for Practice.

Sports Med Open. 2022-2-22

[7]
Changes in postural control strategy during quiet standing in individuals with knee osteoarthritis.

J Back Musculoskelet Rehabil. 2022

[8]
Evaluation of proprioception in patients who underwent ACL reconstruction: measurement in functional position.

Turk J Med Sci. 2021-8-30

[9]
Proprioceptive Dialogue - Interpersonal Synergies During a Cooperative Slackline Task.

Nonlinear Dynamics Psychol Life Sci. 2021-4

[10]
Quantifying Coordination and Variability in the Lower Extremities after Anterior Cruciate Ligament Reconstruction.

Sensors (Basel). 2021-1-19

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