Kinesiology Commons^™

Difference Between Postural Sway, Functional Fitness, And Behavioral Measures In Older Adult Fallers & Non-Fallers, Olivia Maus, Rebecca Brandhorst, Andrea Geisenhof, Kyle Reason

InnovateHER Meeting 2026

BACKGROUND: Falls are among the leading causes of injury, hospitalization, and loss of independence among older adults. There is not enough research to determine how body composition, fitness, and postural sway affect balance.

METHODS: Participants completed surveys measuring behaviors around fall risk, assessment of body composition, postural sway, and functional fitness.

RESULTS: There was a significant difference between OF and ONF on the FES-I (p=0.05; d=-0.41) and the ABC-6 (p=0.008; d=0.57). There was significance on condition three of the mCTSIB (p=0.007; d=-.58), and composite score (p=0.04; d=-0.43).Significance between groups was approached on condition one of the mCTSIB (p=0.06; d=-0.39).

CONCLUSIONS: …

Physical And Mental Benefits Of Chair Yoga For Older Adults: A Case Series, Justin Smith, Anna Buessing, Carson Pierce, Payton Hybarger, Taylor Antonowich, Wyatt Akins, Barbara Smith

International Journal of Exercise Science

International Journal of Exercise Science 18(5): 1166-1174, 2025. https://doi.org/10.70252/COQS7170 Fitness and rehabilitation professionals commonly use yoga training for improving balance, flexibility, and mental health in populations of all ages. However, little is known about how chair yoga, a specific form of yoga, would impact physical and mental health in older adults. The purpose of this case series was to explore the feasibility and benefits of an 8-week chair yoga class for older adults in an independent living facility. Four participants (ages 77-92 years) performed chair yoga interventions once a week for 8 weeks. Interventions included, but were not limited to, …

A Case Series: Effectiveness Of Nintendo Ring Fit In Improving Balance And Stability Deficits After Recovery From Acl Reconstruction, Emma C. Lord, Melissa A. Tolbert, Whitley J. Stone

Topics in Exercise Science and Kinesiology

Topics in Exercise Science and Kinesiology Volume 6: Issue 1, Article 10, 2025. This study aimed to assess the effectiveness of a gaming system in improving balance, strength, and power after recovery from an anterior cruciate ligament reconstruction (ACLR). Existing bilateral deficits were also assessed among patients.

Four participants between the ages of 18-24 years were recruited for this case-control study. Participants must have had an ACLR in the last 2 years, been discharged from formal physical therapy, and have a continued history of participating in physical activity at least three times a week. Participants were assigned to either the …

Sternocleidomastoid Syndrome In A Collegiate Basketball Athlete: A Case Study, Sara Stiltner, Rob Whitehurst, Eric Avers

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

BACKGROUND
20-year-old male basketball athlete with recurring upper and lower extremity instability injuries presented fall 2021 with shoulder and ankle instability. A past medical history of thermal capsulorrhaphy from high school with surgical intervention May 2021 (college first year). October 2021 athlete began experiencing rotator cuff strains in both shoulders. November 2021, December 2021, January 2022 athlete experiences recurrent right ankle sprains. Each ankle sprain resulted in two weeks of lost participation, followed by one week of active participation. The third ankle sprain associated with increased swelling and pain over medial ankle. Upon referral and MRI a deltoid ligament sprain …

Effect Of Hearing Status On Modified Balance Error Scoring System Performance, Matthew Brancaleone, Claire Akard, Jaclyn Caccese

Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association

OBJECTIVE
Concussion assessments typically include evaluations of self-reported symptoms, neurocognitive function, and postural control. Specifically, postural control is often assessed using the modified Balance Error Scoring System (mBESS). Although normative mBESS data exist, they may not be appropriate for all athletes, such as those who are deaf or hard-of-hearing (D/HoH). Given the relationship between the cochlea and the vestibular system, athletes who are D/HoH may exhibit differences in postural control due to potential vestibular dysfunction. Therefore, the objective of this study was to compare mBESS performance between athletes who are D/HoH and athletes who are hearing.

Does Body Mass Index Affect Postural Control In Adults?, Taylor Kruse, Andrew Shim, Ian Bonder

International Journal of Exercise Science

International Journal of Exercise Science 18(7): 394-403, 2025. Obese adults are faced with greater challenges to maintaining balance compared to their healthy-weight counterparts. Due in part to the ongoing national and global obesity epidemic, it’s imperative to identify if body mass index (BMI) could negatively affect postural control and balance. The purpose of this study was to determine if CoP scores displayed a significant relationship with BMI in healthy adults. Cross-sectional, archival data from 225 adults (40 males; 185 females; age 29.6 + 14.25 years; weight 77.95 + 21.33 kilograms [kg]; height 168.43 + 0.66 centimeters [cm]; BMI 27.52 + …

Neural Efficiency Hypothesis In Motor Actions; Spectral Power Of Balancing Ballet Dancers, Carter G. Disantis

Senior Theses

Reduced activity observed during functional imaging of motor experts led to the Neural Efficiency Hypothesis (NEH) in motor skills, which posits that expert performers use fewer neural resources during motor execution than novices, reflecting greater neural efficiency.

This pilot study compared EEG recordings from five novices and four expert ballet dancers during standing and one-leg balance. Whole-brain theta (4–8 Hz) and alpha (8–12 Hz) power were quantified, and topographic maps were generated. In addition to testing the primary hypotheses, the experimental design was evaluated as a practical and scalable approach for investigating the NEH in motor skills. Novices showed significantly …

Proactive Use Of Perturbation Training On Balance And Posture Control In Geriatric Rehabilitation- An Experimental Study, Reema Joshi, Kinjal Shah

Chulalongkorn Medical Journal

Background:

Ageing is a complex process involving a range of variables that interact to cause deterioration of various physiological functions.

Objectives:

Study attempts to find effect of Perturbation training on postural control upon Centre of Gravity (COG) sway velocity in older individuals using modified-Clinical Test of Sensory Integration on Balance (mCTSIB) component on NeuroCom Balance master® and Timed up and go(TUG) test.

Methods:

An experimental study, employing a pre-post intervention model, involved 30 individuals aged 65-85 years with mild to moderate fall risk was conducted at Tertiary Hospital, Pune from August 2022 to January 2023. Perturbation Training was given …

Effects Of Simulated Equestrian Therapy In Improving Motor Proficiency Among Down Syndrome Children- A Randomized Controlled Trial, Maha Siddiqui, Sumaira Imran Farooqui Prof.Dr, Jaza Rizvi Ms., Bashir Ahmed Soomro Dr., Muhammad Usman Khan Mr

International Journal of Exercise Science

International Journal of Exercise Science 17(1): 1193-1207, 2024. The objective of this study was to investigate the effectiveness of Simulated Equestrian Therapy and Neuro-Motor Therapy in improving Motor Proficiency among Down syndrome children using a double-blinded Randomized Controlled Trial. This study was conducted at Dar-ul-Sukun Institute and Dr. Ziauddin Hospital from April to September 2023 by enrolling a total of 56 participants with Down syndrome (DS) after obtaining informed, voluntary assent from the guardians of the participants. Each participant was allocated randomly to the treatment group (n = 28) that received Simulated Equestrian Therapy (SET) and the control group …

Foam Rolling On The Whole Leg And Its Immediate Effects On Postural Control In Collegiate Female Athletes, Andrew Shim, Mackenzie Melton, Vanessa Fiaud, Monica Dial

International Journal of Exercise Science

International Journal of Exercise Science 17(1): 954-964, 2024. The maintenance of body posture relies on mechanoreceptors, suggesting myofascial release could assist postural control. The effects of this have not been well documented, providing room for this investigation. Twenty-one female athletes spent approximately 2.5 minutes foam rolling the calf and thigh muscles on one leg then repeated on opposite leg for a total of 5 minutes. Center of Pressure (CoP) and Limit of Stability (LoS) were assessed using a Bertec posturography plate before (pre-) and after (post-) foam rolling. CoP was measured with eyes open stable surface (EOSS), or eyes closed …

Effects Of Ankle Compression Garments On Fatigue And Single-Leg Balance In Collegiate Basketball Players, Lauren Debolt, Jeff Hamon, Justin Hu, Tyler Vickers, You-Jou Hung

International Journal of Exercise Science

International Journal of Exercise Science 17(1): 611-622, 2024. Basketball players are prone to ankle injuries. It is unclear if wearing ankle compression garments (CGs) can enhance balance control and time to fatigue in those athletes. The purpose of this study was to examine the impact of ankle CGs on both time to fatigue and single-leg balance. Sixteen Division II (D2) collegiate basketball players participated in the study. The Cumberland Ankle Instability Tool (CAIT) was used to assess ankle stability. Fatigue was induced through deficit heel raises, and single-leg balance was assessed with the Athletic Single Leg Stability Test (ASLST) of …

The Effect Of Vision On Lower Quarter Balance During Y-Balance Test Testing In College Students, Nathan Smith, Katelyn Mehr

Applied Health Sciences Student Works

Purpose: In order to maintain balance and stability, the body relies on the integration of information from the visual, vestibular, and proprioceptive systems. If an individual has an impairment or weakness in one or more systems, their ability to maintain balance may be impaired. Both postural stability and vision contribute to one’s ability to maintain balance in functions of everyday life. The Y-Balance Test (YBT) is a dynamic balance assessment. This study focuses on the visual system and its relation to postural balance, specifically if altered visual states affect one’s ability to maintain balance during a YBT via the use …

Acute Effects In Postural Sway As A Result Of Self-Myofascial Release On The Lower Extremities In Collegiate Female Athletes., Mackenzie Melton, Andrew Shim, Monica Dial, Guilherme M. Cesar

International Journal of Exercise Science

International Journal of Exercise Science 17(1): 274-284, 2024. Myofascial release is a popular therapy technique used to manipulate connective muscle tissue to become more pliable. The maintenance of body posture relies on mechanoreceptors located in connective tissue, thus manipulation of connective tissue should affect postural control. The effects of this phenomenon have not been well studied, leaving room for this investigation. PURPOSE: To observe if postural sway scores changed before and after foam rolling proximal (quadriceps and hamstrings) in comparison to distal (calves) muscles. METHODS: Thirty-six, college-aged female athletes (age 20.39 ± 0.25 years, mass 68.70 ± 1.97 kg, height …

Multifactorial Exercise Intervention Decreases Falls Risk In High-Risk And Low-Risk Older Adults, Amanda Estep, Steven Morrison, Shane V. Caswell, Jatin P. Ambegaonkar, João R. Vaz, Nelson Cortes

Rehabilitation Sciences Faculty Publications

Background: Each year, 1 in 4 people over the age of 65 years of age will experience a fall. It is important to identify and address modifiable risk factors that are associated with falls in adults at high and low risk for falls.

Hypothesis: Falls risk improves in both high-risk and low-risk participants with the implementation of Stay Active and Independent for Life (SAIL).

Study Design: Cohort study.

Level of Evidence: Level 3.

Methods: Seventy-eight older adults (age, 70.9 ± 5.1 years) were included in this study and categorized into high risk and low risk for falling based on the …

An Objective Assessment Of Neuromotor Control Using A Smartphone App After Repeated Subconcussive Blast Exposure, Charlend K. Howard, Masahiro Yamada, Marcia Dovel, Rie Leverett, Alexander Hill, Kenneth A. Manlapaz, David O. Keyser, Rene S. Hernandez, Sheilah S. Rowe, Walter S. Carr, Michael S. Roy, Christopher K. Rhea

Rehabilitation Sciences Faculty Publications

Subconcussive blast exposure has been shown to alter neurological functioning. However, the extent to which neurological dysfunction persists after blast exposure is unknown. This longitudinal study examined the potential short- and long-term effects of repeated subconcussive blast exposure on neuromotor performance from heavy weapons training in military personnel. A total of 214 participants were assessed; 137 were exposed to repeated subconcussive blasts and 77 were not exposed to blasts (controls). Participants completed a short stepping-in-place task while an Android smartphone app placed on their thigh recorded movement kinematics. We showed acute suppression of neuromotor variability 6 h after subconcussive blast …

Efforts To Increase Perisai Diri Athletes' Agility, Speed, Balance And Flexibility Components Through Shuttle Run, Zigzag Run, And Formation Of 8 Training Method, Carles Nyoman Wali, Martina Dewi Lengo, Lukas Dairo Bili, Wilhelmina Olok, Matheos Jerison Boru, Dixon E. M. Taek Bete

Jurnal Keolahragaan

The biomotor component is an important factor for an athlete, especially athletes from the Perisai Diri martial arts school, to achieve achievements in a competition. Agility, Speed, Flexibility and Balance are four biomotor components that are very dominantly used in the training process and are often used by martial art athletes in competitions. The aim of this research was to find out shuttle run, zigzag run, and formation of 8 training method influence agility, speed, flexibility, and balance in pencak silat athletes. This research is quantitative research, with a quasi-experimental design of three balanced treatments. The sample in this research …

Developing An Exercise Program To Improve The Biomotor Abilities Of Wushu Taolu Athletes As A Support For The Teng Kong Bai Lian (Tkbl) Movement, Kamilia Lituhayu, Ahmad Nasrulloh, Rina Yuniana, Roxana Dev Omar Dev

Jurnal Keolahragaan

The aim of this study was: (1) to develop an appropriate circuit training program for biomotor improvement that supports Teng Kong Bai Lian (TKBL), (2) to examine the feasibility of biomotor improvement that supports TKBL, and (3) to examine training program effectivity. This study is a kind of Research and Development through several procedures, such as observation and data collection, planning, program development, expert validation, initial program revision, small scale trial, large scale trial, operational program revision, effectivity test, and completion program, and training program implementation. Instrument of this study consist of observation, questionnaire for expert validation, test and measurement …

Postural Control Behavior In A Virtual Moving Room Paradigm, Hannah R. Freeman, Harish Chander, Sachini N.K. Kodithuwakku Arachchige, Alana J. Turner, J. Adam Jones, Zhujun Pan, Christopher Hudson, Adam C. Knight

Kinesiology

Background: Taking inspiration from the classical 1974, “moving room experiment” by Lee and Aronson, a “virtual moving room paradigm (Vroom)” was designed using virtual reality (VR) to assess postural control behavior. Methods: Thirty healthy adults (age: 21 ± 1 years; height: 166.5 ± 7.3 cm; mass: 71.7 ± 16.2 kg) were tested for postural stability in a virtual moving room paradigm (Vroom). The Vroom consisted of randomized virtual and visual perturbations of the virtual room moving toward and away from the individual, during both unexpected and expected trials. Objective postural sway variables and subjective experiences to VR using the simulator …

Physiological And Biomechanical Response To Indoor Cycling With And Without The Ability To Sway, Alina P. Swafford

UNLV Theses, Dissertations, Professional Papers, and Capstones

Introduction: Bicycles have been around since the early 19th century. Since the invention of the bicycle, it has taken on several purposes. People have used bicycles as a means of transportation, leisure, exercise, and sport. The number of individuals who participate in a cycling event per year has increased. With the increase in popularity, research related to cycling has also increased. Research related to the physiology and biomechanics of cycling are of particular areas of interest. Balance is a crucial component of understanding why we cycle a certain way. Some research has labeled balancing on a bicycle as cycling sway. …

Quantifying Balance: Computational And Learning Frameworks For The Characterization Of Balance In Bipedal Systems, Kubra Akbas

Dissertations

In clinical practice and general healthcare settings, the lack of reliable and objective balance and stability assessment metrics hinders the tracking of patient performance progression during rehabilitation; the assessment of bipedal balance plays a crucial role in understanding stability and falls in humans and other bipeds, while providing clinicians important information regarding rehabilitation outcomes. Bipedal balance has often been examined through kinematic or kinetic quantities, such as the Zero Moment Point and Center of Pressure; however, analyzing balance specifically through the body's Center of Mass (COM) state offers a holistic and easily comprehensible view of balance and stability.

Building upon …

The Effect Of Joint Versus Soft Tissue Flossing On Overall Performance In The Lower Extremities, Emily Bray

Graduate Dissertations and Theses

Effective warm-up routines result in a reduction in muscle soreness post-exercise, a lessened risk of injury, and an enhanced performance output ability. Existing research has shown promising effects of muscle tissue flossing, a novel method of warming up in which a latex band is used to apply pressure to a specific area in the body. The purpose of this study was to determine how active college students respond to flossing applied to both a joint as well as soft tissue in the lower extremities, focusing on the ankle joint and calf muscle. Floss bands were applied bilaterally for each of …

The Effect Of Joint Versus Soft Tissue Flossing On Overall Performance In The Lower Extremities, Emily Bray

Undergraduate Theses and Capstone Projects

Effective warm-up routines result in a reduction in muscle soreness post-exercise, a lessened risk of injury, and an enhanced performance output ability. Existing research has shown promising effects of muscle tissue flossing, a novel method of warming up in which a latex band is used to apply pressure to a specific area in the body. The purpose of this study was to determine how active college students respond to flossing applied to both a joint as well as soft tissue in the lower extremities, focusing on the ankle joint and calf muscle. Floss bands were applied bilaterally for each of …

Occupational Footwear Design Influences Biomechanics And Physiology Of Human Postural Control And Fall Risk, Hunter Derby, Harish Chander, Sachini N.K. Kodithuwakku Arachchige, Alana J. Turner, Adam C. Knight, Reuben Burch, Charles Freeman, Chip Wade, John C. Garner

Kinesiology

While design modifications present on work boots improve safety, they may not always provide optimal human performance during work tasks. Understanding the impact of these different design features on biomechanical and physiological postural control and locomotion variables can aid in better design modifications that can provide a safe and efficient human performance. This brief review focuses on a series of studies conducted by the current research team, that have tested three different work boots (SB: high-top steel-toed work boots; TB: high-top tactical work boots; SR: low-top slip-resistant work boots). The series of studies included testing of these work boots or …

Age‑Related Differences In Lower Limb Muscle Activation Patterns And Balance Control Strategies While Walking Over A Compliant Surface, Woohyoung Jeon, Ahmed Ramadan, Jill Whitall, Nesreen Alissa, Kelly Westlake

Health & Kinesiology Faculty Publications and Presentations

Substantial evidence demonstrates that falls in older adults are leading causes of fatal and nonfatal injuries and lead to negative impacts on the quality of life in the aging population. Most falls in older fallers result from unrecoverable limb collapse during falling momentum control in the single limb support (SLS) phase. To understand why older adults are more likely to fall than younger adults, we investigated age-related differences in knee extensor eccentric control, lower limb muscle activation patterns, and their relation to balance control. Ten older and ten younger healthy adults were compared during balance control while walking on a …

Advancing The Assessment And Treatment Of Signs And Symptoms Of Parkinson Disease, David Scott May

WUSM Theses and Dissertations – All Programs

People with PD often report signs and symptoms that negatively impact quality of life. Among these are balance difficulties, impaired gait, and FOG. New treatment and assessment strategies for these signs and symptoms are needed, as current techniques are limited. While new treatment and assessment strategies continue to emerge, gaps in knowledge persist. Deep brain stimulation (DBS) has been utilized in many people with PD throughout the 21st century, but it is unknown specifically how subthalamic nucleus deep brain stimulation (STN-DBS) affects balance. Alternative treatment strategies, such as a dental mouthpiece, have also been proposed. While dental mouthpieces have shown …

A Biomechanical Approach To Prevent Falls In Ergonomic Settings, Sachini Kodithuwakku Arachchige

Theses and Dissertations

Introduction: Fall-related injuries are exceptionally prevalent in occupational settings. While endangering the workers’ health, falls cause poor productivity and increased economic burden in the workplace. Hence, identifying these threats and training workers to achieve proper postural control is crucial. Purpose: Study 1: To investigate the ankle joint kinematics in unexpected and expected trip responses during single-tasking (ST), dual-tasking (DT), and triple-tasking (TT), before and after a physically fatiguing exercise. Study 2: To investigate the impact of virtual heights, DT, and training on static postural stability and cognitive processing. Methods: Study 1: Twenty collegiate volunteers (10 males and females, one left …

Virtual Reality And Postural Control: The Virtual Moving Room Paradigm, Hannah R. Freeman

Theses and Dissertations

Virtual reality (VR) is becoming increasingly important in balance training. However, the influence of VR generated visual perturbation, through the novel virtual moving room paradigm, is unknown. Thirty healthy individuals had their static balance assessed on a BTrackS balance plate under eight different conditions: baseline eyes open and eyes closed with and without VR, unexpected toward and away moving VR perturbation, and expected toward and away moving VR perturbation. Multiple statistical analyses were conducted, and the results revealed significantly higher postural sway variables in the unexpected moving toward trials compared to the other moving room conditions; significantly higher postural sway …

Description, Reliability And Validation Of A Novel Ground-Reaction-Force-Triggered Protocol For Simulation Of Tripping Perturbations During Gait, James Anderson, Samuel Hadley, Denise Ng, Catrina Fabian

UNLV Theses, Dissertations, Professional Papers, and Capstones

Tripping is a common cause of falls across different age populations particularly in older adults. Concerns regarding the validity of simulated-fall research protocols reside in the current literature. The purpose of this study was to develop a novel treadmill-based tripping protocol that allowed researchers to deliver unanticipated tripping perturbations during walking with a high level of timing precision. The protocol utilized a side-by-side split-belt treadmill instrumented with force platforms. Treadmill belt acceleration profiles (two levels of perturbation severity: small perturbation vs large perturbation) were delivered unilaterally when the tripped leg bore 20% of the body weight during early stance. Peak …

Identification Of Chronic Postural Stability Impairments Associated With History Of Concussion, Nicholas Reilly

Rehabilitation Sciences Theses & Dissertations

Concussion is the most common form of traumatic brain injury (TBI). However, there is a disproportionate level of understanding between the acute and chronic impairments associated with traumatic brain injury. Specifically, problems maintaining balance during standing and walking are cardinal signs of acute concussion, but the temporal extent to which postural control deficits remain following the initial injury are not well defined or understood. The purpose of the projects composing this dissertation was to examine the long-term effects of a prior history of concussion on static (i.e. standing) and dynamic (i.e. gait) postural control. To address this, healthy adults aged …

Practices Of Athletic Trainers Using Weight Charts To Determine Hydration Status And Fluid-Intervention Strategies, Jeremy M. Eith, Clint R. Haggard, Dawn M. Emerson, Susan Yeargin Ph.D., Atc

Faculty Publications

Context

Determining an athlete's hydration status allows hydration-related concerns to be identified before significant medical or performance concerns arise. Weight charts are an accurate measure of hydration status changes, yet their clinical use by athletic trainers (ATs) is unknown.

Objective

To investigate ATs' use of weight charts in athletic settings and describe their subsequent clinical decisions.

Design

Cross-sectional survey.

Setting

High schools and National Collegiate Athletic Association Divisions I, II, III and National Association Intercollegiate Athletics colleges.

Patients or Other Participants

A total of 354 ATs (men = 162, women = 175; 17 respondents did not answer the demographic questions) …