Effects of different lower-limb sensory stimulation strategies on postural regulation – A systematic review and meta-analysis

WOO, Mei Teng, DAVIDS, Keith, LIUKKONEN, Jarmo, ORTH, Dominic, CHOW, Jiayi and JAAKKOLA, Timo (2017). Effects of different lower-limb sensory stimulation strategies on postural regulation – A systematic review and meta-analysis. PLOS ONE, 12 (3).

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Link to published version:: 10.1371/journal.pone.0174522

Abstract

Systematic reviews of balance control have tended to only focus on the effects of single lower-limb stimulation strategies, and a current limitation is the lack of comparison between different relevant stimulation strategies. The aim of this systematic review and meta-analysis was to examine evidence of effects of different lower-limb sensory stimulation strategies on postural regulation and stability. Moderate- to high- pooled effect sizes (Unbiased (Hedges’ g) standardized mean differences (SMD) = 0.31 – 0.66) were observed with the addition of noise in a Stochastic Resonance Stimulation Strategy (SRSS), in three populations (i.e., healthy young adults, older adults, and individuals with lower-limb injuries), and under different task constraints (i.e., unipedal, bipedal, and eyes open). A Textured Material Stimulation Strategy (TMSS) enhanced postural control in the most challenging condition – eyes-closed on a stable surface (SMD = 0.61), and in older adults (SMD = 0.30). The Wearable Garments Stimulation Strategy (WGSS) showed no or adverse effects (SMD = -0.68 – 0.05) under all task constraints and in all populations, except in individuals with lower-limb injuries (SMD = 0.20). Results of our systematic review and meta-analysis revealed that future research could consider combining two or more stimulation strategies in intervention treatments for postural regulation and balance problems, depending on individual needs

Item Type: Article
Research Institute, Centre or Group: Centre for Sports Engineering Research
Identification Number: 10.1371/journal.pone.0174522
Related URLs:
Depositing User: Jill Hazard
Date Deposited: 20 Mar 2017 14:48
Last Modified: 22 Apr 2017 17:25
URI: http://shura.shu.ac.uk/id/eprint/15414

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