Changes in postural sway during upright stance after short-term lower limb physical inactivity: A prospective study

Abstract

Previous studies have reported that motor behavior is affected by short-term physical inactivity using cast immobilization; however, the effects of inactivity on postural sway are not well-understood. This study aimed to investigate the effects of short-term lower limb disuse on postural sway in the upright position after cast removal. Twenty-two healthy young adults were enrolled, and each participant's lower limb on one side was fixed with a soft bandage and medical splint made from metal and soft urethane for 10 h. Fluctuations in the center of pressure (COP) were measured before and after immobilization; the total trajectory length, mean velocity, COP root mean square (RMS) area, mean medial-lateral (M-L) COP, and mean anterior-posterior (A-P) COP were selected as evaluation parameters. Compared with the postural sway before cast application, we noted an increase and shift (from the fixed to the nonfixed side) in the postural sway after cast removal. Our results therefore suggest that short-term disuse may cause acute changes in COP movements during quiet standing. Moreover, patients may maintain their standing posture by adopting a compensatory strategy involving lateral control, similar to individuals with stroke and patients who have undergone total knee arthroplasty.

Fig 1. Total path followed by the center of pressure during the trials in one participant.

EO: Eyes-open condition, EC: Eyes-closed condition.

Fig 2. Changes in postural sway during quiet standing after 10 h lower limb immobilization.

White: Before, Gray: After 10 h. *p < 0.05. A-P: Anterior-posterior, COP: Center of pressure, EO: Eyes-open condition, EC: Eyes-closed condition, M-L: Medial-lateral, RMS: Root mean square.