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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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 |
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Research Institute, Centre or Group - Does NOT include content added after October 2018: | Centre for Sports Engineering Research |
Identification Number: | https://doi.org/10.1371/journal.pone.0174522 |
Depositing User: | Jill Hazard |
Date Deposited: | 20 Mar 2017 14:48 |
Last Modified: | 18 Mar 2021 04:19 |
URI: | https://shura.shu.ac.uk/id/eprint/15414 |
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