Test-Retest Reliability of Low-Cost Posturography for Assessing Postural Stability Control Performance during Standing

Postural stability control performance assessment is necessary in providing important information for individuals who are at risk of falling or who have balance impairment. Instrumented assessment is suggested as a valid and reliable test, but the cost and the difficulty of setup are significant lim...

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Main Authors: Sumet Heamawatanachai, Witawit Wiriyasakunphan, Kanokwan Srisupornkornkool, Chaiyong Jorrakate
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Aging Research
Online Access:http://dx.doi.org/10.1155/2021/9233453
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author Sumet Heamawatanachai
Witawit Wiriyasakunphan
Kanokwan Srisupornkornkool
Chaiyong Jorrakate
author_facet Sumet Heamawatanachai
Witawit Wiriyasakunphan
Kanokwan Srisupornkornkool
Chaiyong Jorrakate
author_sort Sumet Heamawatanachai
collection DOAJ
description Postural stability control performance assessment is necessary in providing important information for individuals who are at risk of falling or who have balance impairment. Instrumented assessment is suggested as a valid and reliable test, but the cost and the difficulty of setup are significant limitations. The aim of this cross-sectional (test-retest reliability) study was to develop and determine the reliability of a low-cost posturography for assessing postural stability control performance during standing. The low-cost posturography was developed with four load cells and an acrylic platform. The center of pressure (COP) displacement and velocity were analyzed using written software. Test-retest reliability was performed with six different standing postural stability tests in twenty healthy volunteers on two different days. Intraclass correlation coefficient (ICC), standard error of measurement (SEM), coefficient of variation (CV), and Bland–Altman plot and limits of agreements (LOA) were used for analyses. The low-cost posturography was accurate (ICC = 0.99, p<0.001; SEM = 0.003 cm) when compared to the true with calculated X and Y coordinates, with a moderate to excellent test-retest reliability for both COP displacement (ICCs ranged 0.62–0.91, p<0.05; SEMs ranged 17.92–25.77%) and COP velocity (ICCs ranged 0.62–0.91, p<0.05; SEMs ranged 18.09–27.69%) in all standing postural stability tests. Bland–Altman plots and LOAs suggested good agreement of tested parameters from the developed low-cost posturography between different days. In conclusion, the developed low-cost posturography had adequate reliability for assessing COP displacement and velocity during standing postural control stability performance tests.
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2090-2212
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publishDate 2021-01-01
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spelling doaj-art-19a31df6d33946119a69b34f2d87a5ef2025-02-03T01:25:13ZengWileyJournal of Aging Research2090-22042090-22122021-01-01202110.1155/2021/92334539233453Test-Retest Reliability of Low-Cost Posturography for Assessing Postural Stability Control Performance during StandingSumet Heamawatanachai0Witawit Wiriyasakunphan1Kanokwan Srisupornkornkool2Chaiyong Jorrakate3Faculty of Engineering, Naresuan University, Phitsanulok 65000, ThailandFaculty of Allied Health Sciences, Naresuan University, Phitsanulok 65000, ThailandFaculty of Allied Health Sciences, Naresuan University, Phitsanulok 65000, ThailandFaculty of Allied Health Sciences, Naresuan University, Phitsanulok 65000, ThailandPostural stability control performance assessment is necessary in providing important information for individuals who are at risk of falling or who have balance impairment. Instrumented assessment is suggested as a valid and reliable test, but the cost and the difficulty of setup are significant limitations. The aim of this cross-sectional (test-retest reliability) study was to develop and determine the reliability of a low-cost posturography for assessing postural stability control performance during standing. The low-cost posturography was developed with four load cells and an acrylic platform. The center of pressure (COP) displacement and velocity were analyzed using written software. Test-retest reliability was performed with six different standing postural stability tests in twenty healthy volunteers on two different days. Intraclass correlation coefficient (ICC), standard error of measurement (SEM), coefficient of variation (CV), and Bland–Altman plot and limits of agreements (LOA) were used for analyses. The low-cost posturography was accurate (ICC = 0.99, p<0.001; SEM = 0.003 cm) when compared to the true with calculated X and Y coordinates, with a moderate to excellent test-retest reliability for both COP displacement (ICCs ranged 0.62–0.91, p<0.05; SEMs ranged 17.92–25.77%) and COP velocity (ICCs ranged 0.62–0.91, p<0.05; SEMs ranged 18.09–27.69%) in all standing postural stability tests. Bland–Altman plots and LOAs suggested good agreement of tested parameters from the developed low-cost posturography between different days. In conclusion, the developed low-cost posturography had adequate reliability for assessing COP displacement and velocity during standing postural control stability performance tests.http://dx.doi.org/10.1155/2021/9233453
spellingShingle Sumet Heamawatanachai
Witawit Wiriyasakunphan
Kanokwan Srisupornkornkool
Chaiyong Jorrakate
Test-Retest Reliability of Low-Cost Posturography for Assessing Postural Stability Control Performance during Standing
Journal of Aging Research
title Test-Retest Reliability of Low-Cost Posturography for Assessing Postural Stability Control Performance during Standing
title_full Test-Retest Reliability of Low-Cost Posturography for Assessing Postural Stability Control Performance during Standing
title_fullStr Test-Retest Reliability of Low-Cost Posturography for Assessing Postural Stability Control Performance during Standing
title_full_unstemmed Test-Retest Reliability of Low-Cost Posturography for Assessing Postural Stability Control Performance during Standing
title_short Test-Retest Reliability of Low-Cost Posturography for Assessing Postural Stability Control Performance during Standing
title_sort test retest reliability of low cost posturography for assessing postural stability control performance during standing
url http://dx.doi.org/10.1155/2021/9233453
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AT kanokwansrisupornkornkool testretestreliabilityoflowcostposturographyforassessingposturalstabilitycontrolperformanceduringstanding
AT chaiyongjorrakate testretestreliabilityoflowcostposturographyforassessingposturalstabilitycontrolperformanceduringstanding