The effect of mobilization of the foot on the postural sway in one legged stance

Item

Title
The effect of mobilization of the foot on the postural sway in one legged stance
Author(s)
Elvbakken, K
Abstract
Objective: The study objective is to investigate whether a mobilisation of the foot improves the body's central point of balance when standing on one leg. The hypothesis: Mobilisation of the foot reduces postural sway in one-legged The nun hypothesis: Mobilisation of the foot does not reduce postural sway in one-legged stance. Design: 32 subjects were studied in an open randomized and stratified parallel group design. These were subdivided into two stratification groups, age and sex. The age intervals were 18-39 and 40-60. The sexes were divided into male and female. Semng: The study population sampled was adult male and females living in Kent. All the data gathering was performed in the experiment laboratory in the European School of Osteopathy Subjects: All subjects were volunteers with no history of acute (48hrs) injury/trauma to their foot, fracture in the lower limb during last six months, drop foot or paralysis of leg. Subjects with more/less amount of toes than five on each foot, upper motor lesion, vertigo, consumed Alcohol within last 12 hours or unable to stand on one leg for any reason were excluded Intervention: 16 experimental group subjects (Group A) received treatment. The treatment consisted of articulation, trigger point work, stretching and/or manipulation on joints in the foot. Estimated time for treatment was 5 minutes on each foot, a total I O minutes. 16 control group subjects (Group B) was lying supine on a bench the equivalent time it took to perform the treatment of experimental group. Estimated time for Group B to rest was 10 minutes. Main outcome measure: All the subjects had both their COP's measured while standing on one leg before the interventions, using a Kistler force plate for 20 seconds. Finally all the subjects had their one-legged standing stability re-measured after the intervention. Group A was also asked to complete a subjective questionnaire after the experiment was performed. Results: The results showed that there was an increase of sway in the experimental group after the intervention in both left p=O.21 and right foot p=O. I O, but not shown statistically significant different. There was a tendency that the postural sway increased on the right foot p=O.03 with a significant difference compared to the control group and was getting towards statistical significance on the left foot p=O.07. There was a reduction of sway in the subjects receiving a manipulation, but not significant statistical correlation were seen between those who received manipulation and those who did not, p=O.66. No significant correlation was seen before and after intervention in between different activity groups. The tendency shown; was that sway increased with more activity hours a week p=O.69.Conclusion: The hypothesis was rejected, but no conclusion could be made, due to the limitations of this investigation. Future studies with bigger participant number and eliminations of limitations are needed in order to determine a potential pattern regards to this treatment approach on postural sway.
Date Accepted
2012
Date Submitted
22.1.2013 16:23:35
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
15216
Inst-Identifier
1229
Keywords
Postural sway, Force platform, Foot, Mobilization technique, One-legged stance
Recommended
0
Item sets
Thesis

Elvbakken, K, “The effect of mobilization of the foot on the postural sway in one legged stance”, Osteopathic Research Web, accessed May 2, 2024, https://www.osteopathicresearch.com/s/orw/item/849