Static balance has a relevant influence on athletic performance as well as on reducing the risk of injury. The main goal of this study was to assess soccer athlete versus non-athlete balance performance via displacement and velocity parameters extracted from the center-of-pressure (COP) position time series. In order to accomplish our goal, we investigated standing balance in two male groups with unimpaired balance: non-athletes (n = 12) and collegiate varsity soccer athletes (n = 12). In order to make the standing balancing task more or less difficult, we altered participant base-of-support, as well as vision, yielding static (quiet stance) test conditions increasing in difficulty. From the COP position time series, displacement and velocity parameters were computed and plotted as a function of increasing test condition difficulty level. COP parameters showed steeper increases with increased test difficulty in non-athletes compared to athletes; this demonstrated athletes’ better ability to control their balance. We concluded that balance performance could be characterized via COP displacement and velocity response curves. This study lends new insights into how COP parameters can be utilized to determine and characterize improvements in balance between un-impaired subject populations (athletes versus non-athletes).

Increasing balance confidence in older individuals is important towards improving their quality of life and reducing activity avoidance. Here, we investigated if balance confidence (perceived ability) and balance performance (ability) in older adults were related to one another and would improve after balance training. The relationship of balance confidence in conjunction with balance performance for varied conditions (such as limiting vision, modifying somatosensory cues, and also base of support) was explored. We sought to determine if balance confidence and ability, as well as their relationship, could change after several weeks of training. Twenty-seven healthy participants were trained for several weeks during standing and walking exercises. In addition, seven participants with a higher risk of imbalance leading to falls (survivors of stroke) were also trained. Prior to and after training, balance ability and confidence were assessed via the Balance Error Scoring System (BESS) and Activities Specific Balance Confidence (ABC) Scale, respectively. Both groups showed improvements in balance abilities (i.e., BESS errors significantly decreased after training). Balance confidence was significantly higher in the healthy group than in the stroke group; however, ABC results reflected that balance confidence did not significantly increase after training for each. The correlations between balance ability and balance confidence were explored. Encouragingly, healthy participants displayed a negative correlation between BESS errors and ABC (i.e., enhancements in balance confidence (increases in ABC Scale results) were related to improvements in balance ability (decreases in BESS errors)). For the stroke participants, despite improvements in balance ability, our results showed that there was no relation to balance confidence (i.e., no correlation between BESS errors and ABC) in this group.

The purpose of this study was to investigate the effects of utilizing sensory (i.e., vision and touch), as well as static and dynamic base of support training on the balance of senior participants aged 60–80 years old. For each participant, there were several weeks of training, two sessions per week and assessments every two weeks. Training included walking and standing exercises on a hard surface, compliant and stiffer foam walking and standing balance training, and navigating obstacles. Within each session, to modify vision, all training included eyes-open and closed. Further, there were increases in training difficulty as the sessions progressed. It was observed that training over several weeks resulted in increases in stability, as observed by the decreases in Balance Error Scoring System (BESS) assessment results. However, increases in balance confidence, as observed by the Activities-Specific Balance Confidence (ABC) scale were less certain in this healthy elderly (or senior) population. It is an interesting and positive finding that, in doing relatively simple, but targeted exercises and training, senior individuals can have moderate improvements in their balance and, perhaps ultimately, reduce their fall-risk.

For the rapidly growing aging demographic worldwide, robotic training methods could be impactful towards improving balance critical for everyday life. Here, we investigated the hypothesis that non-bodyweight supportive (nBWS) overground robotic balance training would lead to improvements in balance performance and balance confidence in older adults. Sixteen healthy older participants (69.7 ± 6.7 years old) were trained while donning a harness from a distinctive NaviGAITor robotic system. A control group of 11 healthy participants (68.7 ± 5.0 years old) underwent the same training but without the robotic system. Training included 6 weeks of standing and walking tasks while modifying: (1) sensory information (i.e., with and without vision (eyes-open/closed), with more and fewer support surface cues (hard or foam surfaces)) and (2) base-of-support (wide, tandem and single-leg standing exercises). Prior to and post-training, balance ability and balance confidence were assessed via the balance error scoring system (BESS) and the Activities specific Balance Confidence (ABC) scale, respectively. Encouragingly, results showed that balance ability improved (i.e., BESS errors significantly decreased), particularly in the nBWS group, across nearly all test conditions. This result serves as an indication that robotic training has an impact on improving balance for healthy aging individuals.

A realization of how specific exercises relate to balance performance is important for a wide demographic of individuals. Maintaining active and healthy living is particularly important for balance-impaired individuals (e.g., otherwise healthy individuals recovering from injury, fall-prone elderly, and stroke survivors) whom are interested in improving their balance for function in daily life. However, balance performance is also important for persons that are unimpaired (e.g., athletes). How balance performance may be improved as a result of, and in relation to, various athletic activities and exercises is a common question. Further, how certain activities can be used to prevent injury is an ultimate goal. Our objective was to compare standing balance in 3 unimpaired groups (i.e., female track & female tennis collegiate athletes and female non-athletes). To assess static balance, participants performed stance variations increasing in difficulty-level, utilizing a wide or tandem stance (increasing or decreasing support base) and eyes-open or eyes-closed (limiting or providing visual cues), while standing on a forceplate walkway. Through the recorded ground reaction forceplate-based, center-of-pressure (COP) position time series, we extracted velocity and displacement parameters that aided in identifying differences between the above groups. Our general findings were that anterior-posterior (AP, or front-to-back) COP displacement and velocity measures for female track athletes were unchanged relative to the (baseline) female non-athletes. However, mediolateral (ML, or side-to-side) measures, which have previously been shown to be associated with fall-risk, showed observable differences in displacement and velocity parameters, particularly for the female track athletes. Specifically, the female track athletes were better able to control their ML COP velocity in eyes-closed, wide, and eyes-open tandem conditions compared to non-athletes. However, tennis athletes had difficulty balancing in situations where eyes were closed (vision eliminated) and feet were tandem (base-of-support decreased) which was made apparent by the increases in all AP and ML COP-derived parameters. We interpreted this finding as the female tennis athletes were trained to rely heavily on visual cues (e.g., hand-eye or eye-body coordination), and also their balance may be more focused on maintaining their center-of-mass stability and body orientation, as opposed to COP per se. Our study lends new insights as to how various types of athletic activities, and reliance on vision in athletes, impacts balance performance in un-impaired females.