Validating a low-cost, consumer force-measuring platform as an accessible alternative for measuring postural sway.

The Zibrio SmartScale is a low-cost, portable force platform designed to perform an objective assessment of postural stability. The purpose of the present study was to validate the center of pressure (COP) measurements in the Zibrio SmartScale. Simultaneous COP data was collected by a Zibrio SmartScale and a laboratory-grade force platform (LFP) under the dynamic motion of an inverted pendulum device intended to mimic the sway of a standing human. The inverted pendulum was placed on the Zibrio SmartScale which was placed on the LFP. The pendulum was then displaced to angles of 3° and 5° in both the anterior-posterior (AP) and medial-lateral (ML) directions. The findings of this study show low mean average error (MAE) among the measures taken simultaneously upon the LFP and Zibrio SmartScale with no appreciable difference in error in either AP or ML COP directions. Averaged over repeated trials, the MAE did not surpass 0.5 mm. This represented 0.4% of the total range (±50 to 60 mm in 5° displacement trials) of simulated COP. The results of this study strongly indicate that the Zibrio SmartScale can perform adequately as a light-weight and low-cost alternative method of COP measurement in comparison to a traditional LFP.

Temporal Gait Measures Associated With Overground and Treadmill Walking in Rett Syndrome.

Rett syndrome is a severe neurodevelopmental disorder leading to intellectual impairment and global developmental delays, including difficulty or inability to walk. Assessing differences in temporal parameters and associated variability between overground and treadmill walking is important if gait training is to be incorporated into intervention protocols. Fourteen female patients with Rett syndrome (mean age 10.4 years ± SD 5.1) were evaluated during overground and treadmill walking. Stride, stance, swing, and double support times, and the variance of these measures, were obtained. Wilcoxon signed-rank tests were used to assess for potential differences between overground and treadmill measures. Treadmill gait resulted in decreases in swing and double support times. When normalized to stride time, treadmill gait displayed an increase in stance time with decreases in swing and double support times. Excepting stance time, treadmill gait resulted in decreased variability, indicating a more regularized gait while walking on the treadmill. These results suggest that treadmill walking can be beneficial for ambulatory patients with Rett syndrome and could be incorporated into a therapeutic protocol designed to maintain the maximum degree of mobility and overall general health as part of a comprehensive health management approach.

Background muscle activity enhances the neuromuscular response to mechanical foot stimulation.

OBJECTIVE: The aim of the present study was to determine the modulating effect of background muscle activity on enhanced neuromuscular responses to mechanical foot stimulation. DESIGN: A small solenoid embedded within a platform provided nonnoxious stimulation to the lateral portion of the sole for 100 msecs at a 3-mm protrusion. The stimulation was applied during different contraction levels of the homonymous muscle and of remote, Jendrassik-like contractions. Peak amplitudes of the neuromuscular responses were measured from the soleus and lateral gastrocnemius muscles using root mean square electromyography. RESULTS: Homonymous muscle contraction linearly increased peak amplitudes of the neuromuscular response induced by foot stimulation. Remote muscle contractions did not modulate the response. In all conditions, peak amplitudes of the reflex response reached 80-100% of maximal contraction levels. There was also a prolonged inhibition of homonymous contractions that lasted approximately 55 msecs after the excitatory neuromuscular response. CONCLUSIONS: An application of mechanical foot stimulation enhanced neuromuscular activity of the triceps surae muscles; this enhancement was dependent on homonyomous background contraction levels.