Postural control and balance in a cohort of healthy people living in Europe: posturography-derived normative data

ISRCTN ISRCTN14957074
DOI https://doi.org/10.1186/ISRCTN14957074
Secondary identifying numbers N/A
Submission date
15/01/2018
Registration date
23/01/2018
Last edited
27/02/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
In the last 20 years, posturography (techniques that measure posture and stance) has been widely used in the medical field. The aim of this study is to collect data from posturography of a wide set of healthy volunteers from various European countries using a force platform and a standardized method of measurement.

Who can participate?
Healthy volunteers aged between 7 and 86

What does the study involve?
Participants are assessed using the Romberg test with a force platform. In the Romberg test the standing participant is asked to close their eyes and their swaying is measured with a force platform, an instrument that measures the ground reaction forces to quantify balance and gait.

What are the possible benefits and risks of participating?
These results could be used as normal values for posturography assessments in similar populations. Because the force platform method in itself is biased and may interfere with a correct diagnosis of a good or bad posture, percentile values are presented that would be more helpful to professionals in understanding posturography recordings. Ultimately, participants can have an assessment of their stability by comparing it with a representative sample.

Where is the study run from?
University of Palermo (Italy)

When is the study starting and how long is it expected to run for?
September 2014 to December 2016

Who is funding the study?
Investigator initiated and funded

Who is the main contact?
Dr Antonino Patti
antonino.patti01@unipa.it

Contact information

Dr Antonino Patti
Scientific

Via Giovanni Pascoli 6
Palermo
90144
Italy

ORCiD logoORCID ID 0000-0003-3753-5191
Phone +39 (0)9123896910
Email antonino.patti01@unipa.it

Study information

Study designObservational cross sectional study
Primary study designObservational
Secondary study designCross sectional study
Study setting(s)Other
Study typeOther
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titlePostural control and balance in a cohort of healthy people living in Europe: posturography-derived normative data
Study objectivesThe main aim of this study was to identify values of normality threshold common to all subjects and independent of anthropometric parameters and sex in the sway patterns of healthy subjects during quiet standing.
Ethics approval(s)Ethics Committee of the University of Palermo - Consiglio di Dipartimento SPPF Prot. n. 290/2014; punto all’ordine del giorno numero 10; approval number: 290-2014/MEDF-02/11
Health condition(s) or problem(s) studiedThe subjects did not have to be professional sportsmen
InterventionData were collected from 2014 to 2016. Detailed descriptions of the study sampling and recruitment approaches, standardization, data collection, analysis strategies, quality control activities, and inclusion criteria were approved by all operators who participated in the research. A random cluster sampling of 914 healthy subjects aged between 7.0 and 85.99 years, stratified by age, was carried out. The subjects did not have to be professional sportsmen.

Posturography values were measured using the FreeMed posturography system, including the FreeMed baropodometric platform and FreeStep v.1.0.3 software. The system had been calibrated to sample postural sway at 25  Hz, in real time. The sensors, coated with 24 K gold, guaranteed repeatability and reliability of the instrument (Sensor Medica, Guidonia Montecelio, Roma, Italy). Participants were asked to take the standardized Romberg test position on the baropodometric platform for 51,2 sec. Data from the platform were converted in accordance with instructions provided by the manufacturer and transformed into coordinates of CoP. The following parameters of the statokinesigram were considered in open eyes conditions: length of sway path of the CoP (SP); ellipse surface area (ES); coordinates of the CoP along the frontal (X; right-left; x-mean) and sagittal (Y; forward-backward; y-mean) planes.

To provide percentile values of our cohort, data were processed to obtain five curves corresponding to the following percentiles: 10th, 25th, 50th, 75th, and 90th. Distance-weighted least squares was used to represent the percentile on appropriate graphs. The measurements were obtained, providing age-specific percentile values related to each posturography component considered.
Intervention typeOther
Primary outcome measurePostural sway at 25  Hz measured using the FreeMed posturography system during quiet standing
Secondary outcome measuresN/A
Overall study start date19/09/2014
Completion date31/12/2016

Eligibility

Participant type(s)Healthy volunteer
Age groupMixed
SexBoth
Target number of participants914
Total final enrolment914
Key inclusion criteria1. A random cluster sampling of 914 healthy subjects aged between 7.0 and 85.99 years, stratified by age, was carried out
2. The subjects did not have to be professional sportsmen
Key exclusion criteriaDoes not meet inclusion criteria
Date of first enrolment19/09/2014
Date of final enrolment31/12/2016

Locations

Countries of recruitment

  • Italy
  • Spain
  • Türkiye

Study participating centre

University of Palermo
Department of Psychology and Educational Science
90144
Italy

Sponsor information

University of Palermo
University/education

Department of Psychology and Educational Science
Via Giovanni Pascoli 6
Palermo
90144
Italy

Phone +39 (0)9123896910
Email antonino.patti01@unipa.it
Website www.unipa.it
ROR logo "ROR" https://ror.org/044k9ta02

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date23/01/2018
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planAll the data collected during the research will be shared by presenting the results of the study in national and international conferences and then by publishing in peer reviewed journals.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Dr Antonino Patti (antonino.patti01@unipa.it). Datasets: Raw data, not processed and anonymous. Personal data of participants will be kept confidential. Anthropometric measurements of participants will be provided anonymously. Data will be available after completion of analysis and it will be disposed of in 5 years as per university policy. The data will be shared anonymously upon request from the researchers with journals and the working research groups. Consent from the guardians while assents from the children (participants) have been taken before the trial. Each participant will be given a proper trial registration no. at the beginning of trial. All the data will be linked anonymized. Ethical approval has been acquired from the research ethics committee of University of Palermo.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/12/2018 27/02/2023 Yes No

Editorial Notes

27/02/2023: Publication reference and total final enrolment added.