Abstract
Literature is lacking information about postural control performance of typically developing children during a transition task from double-leg stance to single-leg stance. The purpose of the present study was therefore to evaluate the clinical feasibility of a transition task in typical developing age groups as well as to study the correlation between associated balance measures and age.
Thirty-three typically developing boys aged 6–20 years performed a standard transition task from DLS to SLS with eyes open (EO) and eyes closed (EC). Balance features derived from the center of pressure displacement captured by a single force platform were correlated with age on the one hand and considered for differences in the perspective of limb dominance on the other hand.
All TDB (typically developing boys) were able to perform the transition task with EO. With respect to EC condition, all TDB from the age group 6–7 years and the youngest of the age group 8–12 years (N = 4) were unable to perform the task. No significant differences were observed between the balance measures of the dominant and non-dominant limbs.
With respect to EO condition, correlation analyses indicated that time to new stability point (TNSP) as well as the sway measure after this TNSP were correlated with age (p < 0.0001). For the EC condition, only the anthropometrically scaled sway measure was found to be correlated (p = 0.03).
Conclusion: The results provide additional insight into balance development in childhood and may serve as a useful basis for assessing balance impairments in higher functioning children with musculoskeletal problems.
What is Known: • Reference data regarding postural balance of typically developing children during walking, running, sit-to-stand, and bipodal and unipodal stance has been well documented in the literature. • These reference data provided not only insight into the maturation process of the postural control system, but also served in diagnosing and managing functional repercussions of neurological and orthopedic pathologies. |
What is New: • Objective data regarding postural balance of typical developing children during a transition task from double-leg stance to single-leg stance. • Insight into the role of maturation on the postural control system. |
Abbreviations
- BA:
-
Balance area
- cm:
-
Centimeter
- CoP:
-
Center of pressure
- CP:
-
Crossing point
- DLS:
-
Double-leg stance
- df:
-
Degrees of freedom
- EC:
-
Eyes closed
- EO:
-
Eyes open
- ESA:
-
Ellipse sway area
- Kg:
-
Kilogram
- M/L:
-
Medial-lateral
- SLS:
-
Single-leg stance
- TAT:
-
Time after time to new stability point
- TDB:
-
Typically developing boys
- TDC:
-
Typically developing children
- TNSP:
-
Time to the new stability point
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Acknowledgements
The authors are grateful to Dr. Bart Dingenen, Ir. Luc Janssens, and Ir. Dirk Desmet for the helpful comments during the data analysis. This study was supported by the ASPIRE 2013 (Pfizer) research grant (KD), by the World Federation of Hemophilia Clinical Research Grant Program (KD, SL) as well as by the Bayer Hemophilia Awards Program (Early Career Investigator Award 2012) (SL).
Contribution of each author
K. Deschamps has made the major contribution to all of the following: 1) study design, 2) literature search, 3) recruitement and measurement of participants, 4) summarizing and analyzing collected information, 5) drafting the article and revising it critically for important intellectual content, and 6) the final approval of the version to be submitted.
F. Staes has made the major contribution to all of the following: 1) study design, 2) summarizing and analyzing collected information, 3) drafting the article and revising it critically for important intellectual content, and 4) the final approval of the version to be submitted.
K. Peerlinck has made the major contribution to all of the following: 1) study design, 2) recruitement and measurement of participants, 3) drafting the article and revising it critically for important intellectual content, and 4) the final approval of the version to be submitted.
C. Van Geet has made the major contribution to all of the following: 1) study design, 2) recruitement and measurement of participants, 3) drafting the article and revising it critically for important intellectual content, and 4) the final approval of the version to be submitted.
C. Hermans has made the major contribution to all of the following: 1) study design, 2) recruitement and measurement of participants, 3) drafting the article and revising it critically for important intellectual content, and 4) final approval of the version to be submitted.
S. Lobet has made the major contribution to all of the following: 1) study design, 2) literature search, 3) recruitement and measurement of participants, 4) summarizing and analyzing collected information, 5) drafting the article and revising it critically for important intellectual content, and 6) the final approval of the version to be submitted.
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Funding
This study was supported by the ASPIRE 2013 (Pfizer) research grant (KD), by the World Federation of Hemophilia Clinical Research Grant Program (KD, SL) as well as by the Bayer Hemophilia Awards Program (Early Career Investigator Award 2012) (SL).
(In case of Funding) Funding: This study was funded by X (grant number X).
Conflict of interest
Kevin Deschamps was supported by the ASPIRE 2013 (Pfizer) research grant (KD), by the World Federation of Hemophilia Clinical Research Grant Program (KD, SL) whereas Sebastien Lobet was supported by the Bayer Hemophilia Awards Program (Early Career Investigator Award 2012) (SL). Filip Staes, Cedric Hermans, Kathelijne Peerlinck, and Kristel Van Geet have no conflict of interest to declare.
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All procedures performed in the studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all the individual participants included in the study.
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Communicated by Mario Bianchetti
An erratum to this article is available at http://dx.doi.org/10.1007/s00431-017-2863-6.
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Kevin, D., Filip, S., Kathelijne, P. et al. Postural control of typical developing boys during the transition from double-leg stance to single-leg stance. Eur J Pediatr 176, 273–278 (2017). https://doi.org/10.1007/s00431-016-2829-0
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DOI: https://doi.org/10.1007/s00431-016-2829-0