- Original article
- Open Access
Effect of induced fatigue on dynamic postural balance in healthy young adults
Bulletin of Faculty of Physical Therapy volume 20, pages 161–167 (2015)
Fatigue may impair the proprioceptive and kinesthetic properties of joints and has been shown to have a negative effect on neuromuscular control, thus increasing the risk for injury.
This study aimed to determine the effect of induced whole-body fatigue on dynamic balance control in healthy young adults.
Participants and methods
Thirty healthy young participants of both sexes were included in this study; their ages ranged between 18 and 22 years. All of the participants were tested on the Biodex Stability System ( BSS) at a stability level 4, subjected to induced fatigue on a treadmill, and then retested directly on the BSS again to evaluate dynamic postural balance.
There was a significant decrease in the overall stability index, anteroposterior stability index, and mediolateral stability index of dynamic balance at stability level 4 of BSS in healthy young adults as P-values were 0.0001, 0.0001, and 0.0001, respectively.
Conclusion and implication
It was concluded that induced whole-body fatigue decreased the dynamic postural balance (overall stability index, anteroposterior stability index, and mediolateral stability index) in healthy young adults. This implies that muscles of a fatigued individual are at increased risk for musculoskeletal injury, and steps should be taken during conditioning and rehabilitation programs to prevent muscle fatigue through balance training and endurance exercises to avoid disturbed balance related to fatigue among young healthy adults.
Hrysomallis C. Relationship between balance ability, training, and sports injury risk. Sport Med 2007; 37: 547–556.
Salavati M, Moghadam M, Ebrahimi I Arab AM. Changes in postural stability with fatigue of lower extremity frontal and sagittal plane movers. Gait Posture 2007; 26: 214–218.
Clark B, Manini T, Thé D, Doldo N, Ploutz-Snyder L. Gender differences in skeletal muscle fatigability are related to contraction type and EMG spectral compression. J Appl Physiol 2003; 94:2263–2272.
Hirabayashi SIY. Developmental perspective of sensory organization on postural control. Brain Dev 1995; 2: 111–113.
Kellis E, Kouvelioti V. Agonist versus antagonist muscle fatigue effects on thigh muscle activity and vertical ground reaction during drop landing. J Electromyogr Kinesiol 2009; 19:55–64.
Gandevia SC. Spinal and supraspinal factors in human muscle fatigue. Physiol Rev 2001; 81:1725–1789.
Gribble PA, Robinson RH, Hertel J, Denegar CR. The effects of gender and fatigue on dynamic postural control. J Sport Rehabil 2009; 18: 240–257.
Carter ND, Kannus P, Khan KM. Exercise in the prevention of falls in older people: a systematic literature review examining the rationale and the evidence. Sports Med 2001; 31: 427–438.
Kinzey SJ, Armstrong CW. The reliability of the star excursion test in assessing dynamic balance. J Orthop Sports Phys Ther 1998; 27: 356–360.
Steib S, Zech A, Hentschke C, Pfeifer K. Fatigue-induced alterations of static and dynamic postural control in athletes with a history of ankle sprain. J Athl Train 2013; 48: 203–208.
Gribble PA, Hertel J. Effect of lower-extremity muscle fatigue on postural control. Arch Phys Med Rehabil 2004; 85: 589–592.
Gefen A, Megido-Ravid Y, Itzchak Arcan M. Analysis of muscular fatigue and foot stability during high-heeled gait. Gait Posture 2002; 15:56–63.
Chabran E, Maton B, Fourment A. Effects of postural muscle fatigue on the relation between segmental posture and movement. J Electromyogr Kinesiol 2002; 12:67–79.
Yaggie JA, McGregor SJ. Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits. Arch Phys Med Rehabil 2002; 83: 224–228.
Yaggie J, Armstrong WJ. Effects of lower extremity fatigue on indices of balance. J Sports Rehabil 2004; 13:21–28.
Letafatkar MK, Alizadeh MH, Kordi MR. The effect of exhausting exercise induced fatigue on the double-leg balance of elite male athletes. J Soc Sci 2009; 5: 445–451.
Pereira HM, Campos TF, Santos MB, Cardoso JR, Garcia M, Cohen M. Influence of knee position on the postural stability index registered by the Biodex Stability System. Gait Posture 2008; 28: 668–672.
Rozzi SL, Lephart SM, Fu FH. Effects of muscular fatigue on knee joint laxity and neuromuscular characteristics of male and female athletes. J Athl Train 1999; 34: 106–114.
Schmitz RJ, Arnold BL. Intertester and intratester reliability of dynamic balance protocol using the Biodex Stability System. J Sport Rehabil 1998; 7:95–101.
Aydog E, Bal A, Aydog ST, Caki A. Evaluation of dynamic postural balance using the Biodex Stability System in rheumatoid arthritis patients. Clin Rheumatol 2006; 25: 462–467.
Lepers R, Bigard AX, Diard JP. Posture control after prolonged exercise. Eur J Appl Physiol 1997; 76:55–61.
Bruce RA. Exercise testing of patients with coronary artery disease. Ann Clin Res 1971; 3: 323–330.
Wright KE, Lyons TS, Navalta JW. Effects of exercise –induced fatigue on postural balance: a comparison of treadmill versus cycle fatiguing protocols. Eur J Appl Physiol 2013; 113: 1303–1309.
Simoneau M, Bégin F, Teasdale N. The effects of moderate fatigue on dynamic balance control and attentional demands. J Neuroeng Rehabil 2006; 3:22.
Taylor JL, Bulter JE, Gandevia SC. Changes in muscle afferents, motoneurons and motor drive during muscle fatigue. Eur J Appl Physiol 2000; 83: 106–115.
Miura K, Ishibashi Y, Tsuda E, Okamura Y, Otsuka H, Toh S. The effect of local and general fatigue on knee proprioception. Arthroscopy 2004; 20: 414–418.
Lee HM, Liau JJ, Cheng CK, Tan CM, Shih JT. Evaluation of shoulder proprioception following muscle fatigue. Clin Biomech (Bristol, Avon) 2003; 18: 843–847.
Gribble PA, Hertel J, Denegar CR. Chronic ankle instability and fatigue create proximal joint alterations during performance of the Star Excursion Balance Test. Int J Sports Med 2007; 28: 236–242.
Ingram JG, Fields SK, Yard EE, Comstock RD. Epidemiology of knee injuries among male and female in US high school athletics. Am J Sports Med 2008; 36:1116–1122.
Wilkins JC, Valovich McLeod TC, Perrin DH, Gansneder BM. Performance on the balance error scoring system decreases after fatigue. J Athl Train 2004; 39: 156–161.
Harkins K, Mattacola C, Uhl T, Malone T, McCrory J. Effects of 2 ankle fatigue models on the duration of postural stability dysfunctions. J Athl Train 2005; 40: 191–194.
Marco K, Cawley PW, Losse GM. Effect of exhaustive exercises on postural control. Am J Sports Sci 2007; 1:19–28.
Dehnavi H, Khorramnezhad H, Hajibigloo M, Hassanpanah H. The effect of fatigue on functional stability in the basketball players with functional ankle instability. Am J Sports Sci 2013; 1:28–32.
Nardone A, Tarantola J, Giordano A, Schieppati M. Fatigue effects on body balance. Electroencephalogr Clin Neurophysiol 1997; 105: 309–320.
Pedersen J, Ljubislavlevic M, Bergenheim M, Johansson H. Alterations in information transmission in ensemble of primary muscle spindle afferents after muscle fatigue in heteronymous muscle. Neuroscience 1998; 84: 953–959.
Nelson DL, Hutton RS. Dynamic and static stretch responses in muscle spindle receptors in fatigued muscles. Med Sci Sports Exerc 1985; 17: 445–450.
Bigland-Ritchie B, Dawson NJ, Awson RS, Johansson OC, Lippold OC. Reflex origin for the slowing of motoneurone firing rates in fatigue of human voluntary contractions. J Physiol 1986; 379: 451–459.
Forestier N, Teasdale N, Nougier V. Alteration of the position sense at the ankle induced by muscular fatigue in humans. Med Sci Sports Exerc 2002; 34: 117–122.
Simoneau M, Bard C, Fleury M, Teasdale N, Boulay MR. The effect of metabolic activation on postural stability and shooting performance in elite and intermediate biathletes. 1996; 29–30:22–29.
Johnston RB, Howard ME, Cawley PW, Losse GM. Effect of lower extremity muscular fatigue on motor control performance. Med Sci Sports Exerc 1998; 30:1703–1707.
Vuillerme N, Danion F, Forestier N, Nougier V. Postural sway under muscle vibration and muscle fatigue in humans. Neurosci Lett 2002; 333: 131–135.
Shaw MY, Gribble PA, Frye JL. Ankle bracing, fatigue, and time to stabilization in collegiate volleyball athletes. J Athl Train 2008; 43: 164–171.
Wikstrom EA, Powers ME, Tillman MD. Dynamic stabilization time after isokinetic and functional fatigue. J Athl Train 2004; 39: 247–253.
Miller PK, Bird AM. Localized muscle fatigue and dynamic balance. Percept Mot Skills 1976; 42: 135–138.
Zech A, Steib S, Hentschke C, Eckhardt H, Pfeifer K. Effects of localized and general fatigue on static and dynamic postural control in male team handball athletes. J Strength Cond Res 2012; 26:1162–1168.
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Abutaleb, E.E., Mohamed, A.H. Effect of induced fatigue on dynamic postural balance in healthy young adults. Bull Fac Phys Ther 20, 161–167 (2015). https://doi.org/10.4103/1110-6611.174699
- postural stability