The Relationship between Balance Confidence and Center of Pressure in Lower-Limb Prosthesis Users

Background: Agreement between the activities-specific balance confidence scale (ABC) and center of pressure (CoP) in prosthesis users is still very much unknown. The purpose of this study was to investigate the agreement between ABC and CoP in lower-limb prosthesis users. Methods: Twenty-one individ...

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Main Authors: Gary Guerra, John D. Smith, Eun-Jung Yoon
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Biomechanics
Subjects:
Online Access:https://www.mdpi.com/2673-7078/3/4/45
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author Gary Guerra
John D. Smith
Eun-Jung Yoon
author_facet Gary Guerra
John D. Smith
Eun-Jung Yoon
author_sort Gary Guerra
collection DOAJ
description Background: Agreement between the activities-specific balance confidence scale (ABC) and center of pressure (CoP) in prosthesis users is still very much unknown. The purpose of this study was to investigate the agreement between ABC and CoP in lower-limb prosthesis users. Methods: Twenty-one individuals with lower-limb prostheses were recruited. Participants were provided with the ABC scale and performed static balance tasks during eyes opened (EO) and eyes closed (EC) conditions whilst standing on a force platform. Pearson product moment coefficients between CoP displacements and ABC scores were performed. Participants were also stratified by those who had better (≥80 on ABC scale) and less (<80 on ABC scale) perceived balance confidence. Displacement was compared using an independent <i>t</i>-test with Cohen’s d to estimate effect size with alpha set at 0.05 for these tests. Results: There was a significant inverse moderate relationship between eyes opened displacement (EOD) (18.3 ± 12.5 cm) and ABC (75.1 ± 18.3%), <i>r</i> = <sub>(19)</sub>−0.58, <i>p</i> = 0.006, as well as eyes closed displacement (ECD) (37.7 ± 22.1 cm) and ABC, <i>r</i> = <sub>(19)</sub>−0.56, <i>p</i> = 0.008. No significant difference in EOD (<i>t</i><sub>(19)</sub> = 1.36, <i>p</i> = 0.189, <i>d</i> = 0.61) and ECD (<i>t</i><sub>(19)</sub> = 1.47, <i>p</i> = 0.156, <i>d</i> = 0.66) was seen between those with greater and less balance confidence. Conclusions: Self-report and performance-based balance outcome measures are recommended when assessing lower-limb prostheses users.
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spelling doaj.art-b30e4460b80847f0b4b545812e6c419c2023-12-22T13:54:38ZengMDPI AGBiomechanics2673-70782023-12-013456157010.3390/biomechanics3040045The Relationship between Balance Confidence and Center of Pressure in Lower-Limb Prosthesis UsersGary Guerra0John D. Smith1Eun-Jung Yoon2Exercise and Sport Science Department, St. Mary’s University, San Antonio, TX 78228, USADepartment of Counseling, Health & Kinesiology, Texas A&M University-San Antonio, 1 University Way, San Antonio, TX 78224, USAExercise and Sport Science Department, St. Mary’s University, San Antonio, TX 78228, USABackground: Agreement between the activities-specific balance confidence scale (ABC) and center of pressure (CoP) in prosthesis users is still very much unknown. The purpose of this study was to investigate the agreement between ABC and CoP in lower-limb prosthesis users. Methods: Twenty-one individuals with lower-limb prostheses were recruited. Participants were provided with the ABC scale and performed static balance tasks during eyes opened (EO) and eyes closed (EC) conditions whilst standing on a force platform. Pearson product moment coefficients between CoP displacements and ABC scores were performed. Participants were also stratified by those who had better (≥80 on ABC scale) and less (<80 on ABC scale) perceived balance confidence. Displacement was compared using an independent <i>t</i>-test with Cohen’s d to estimate effect size with alpha set at 0.05 for these tests. Results: There was a significant inverse moderate relationship between eyes opened displacement (EOD) (18.3 ± 12.5 cm) and ABC (75.1 ± 18.3%), <i>r</i> = <sub>(19)</sub>−0.58, <i>p</i> = 0.006, as well as eyes closed displacement (ECD) (37.7 ± 22.1 cm) and ABC, <i>r</i> = <sub>(19)</sub>−0.56, <i>p</i> = 0.008. No significant difference in EOD (<i>t</i><sub>(19)</sub> = 1.36, <i>p</i> = 0.189, <i>d</i> = 0.61) and ECD (<i>t</i><sub>(19)</sub> = 1.47, <i>p</i> = 0.156, <i>d</i> = 0.66) was seen between those with greater and less balance confidence. Conclusions: Self-report and performance-based balance outcome measures are recommended when assessing lower-limb prostheses users.https://www.mdpi.com/2673-7078/3/4/45prostheticsbalanceconfidenceABCcenter of pressureCoP
spellingShingle Gary Guerra
John D. Smith
Eun-Jung Yoon
The Relationship between Balance Confidence and Center of Pressure in Lower-Limb Prosthesis Users
Biomechanics
prosthetics
balance
confidence
ABC
center of pressure
CoP
title The Relationship between Balance Confidence and Center of Pressure in Lower-Limb Prosthesis Users
title_full The Relationship between Balance Confidence and Center of Pressure in Lower-Limb Prosthesis Users
title_fullStr The Relationship between Balance Confidence and Center of Pressure in Lower-Limb Prosthesis Users
title_full_unstemmed The Relationship between Balance Confidence and Center of Pressure in Lower-Limb Prosthesis Users
title_short The Relationship between Balance Confidence and Center of Pressure in Lower-Limb Prosthesis Users
title_sort relationship between balance confidence and center of pressure in lower limb prosthesis users
topic prosthetics
balance
confidence
ABC
center of pressure
CoP
url https://www.mdpi.com/2673-7078/3/4/45
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