Better Functioning of the somatosensory system in Postural Control of Blind Athletes Compared to Non-Athletes

Document Type : Original article

Authors

1 Assistant Professor, Department of Sport Injuries and Corrective Exercises, Sports Medicine Research Center, Sport Sciences Research Institute, Tehran, Iran.

2 Assistant Professor, Department of Exercise Physiology, Sports Medicine Research Center, Sport Sciences Research Institute, Tehran, Iran.

3 PhD of Corrective Exercise, Department of Sport Medicine and Health, Faculty of Physical Education & Sport Sciences, University of Tehran, Tehran, Iran.

Abstract

Background and Aims: The somatosensory system is one of the most important sensory sources involved in postural control. The purpose of the present study was to compare function of the somatosensory system in postural control of blind athletes compared to blind and the sighted non-athletes.
Materials and Methods: A total of 30 men were purposefully selected and categorized into three groups of blind athletes of Goalball B1 class (n=10), absolute blind non-athletes (n=10), and the sighted non-athletes (n=10). In vitro, body sensory information was predominant in posture control, and then participant's performance of the posture control system was evaluated based on the center of gravity displacement in the internal-external, anterior-posterior direction, and total using the balance measurement instrument Biodex. The comparison of variables among the groups was done using Kruskal-Wallis and Mann-Whitney tests at a significance level of PResults: The results of Kruskal Wallis test indicated that when the visual information is removed and the head is in the hyperactivity state, the differences in the center of gravity displacement in the internal-external direction (PML=0.006) and total (PTotal=0.041) among the three groups of the blind athletes, the blind non-athletes, and the sighted non-athletes were observed to be significant. According to the results of Uhnu-Whitney test, the center of gravity displacement in the internal-external direction and total in the blind athletes group was significantly less than that of the two blind non- athletes (PML=0.011, PTotal=0.049) and the sighted non-athletes (PML=0.003, PTotal=0.025) groups.
Conclusion: In situations where the somatosensory system data is predominant, the postural control of Goalball's athletes was better than that of the blind non-athletes and even the sighted non-athletes. It seems that the activities of sport or the nature of the Goalball are effective in improving the somatosensory and postural control.

Keywords


1.   Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. The British journal of ophthalmology. 2012;96(5):614-8.##
2.   Joghatai M, Mohammad K, Rahgozar M, Siadati S. A national survey of visual disturbances in Iran. Journal of Medical Council of Islamic Republic of Iran. 2001;19(3):203-9. ##
3.   Jazi SD, Purrajabi F, Movahedi A, Jalali S. Effect of selected balance exercises on the dynamic balance of children with visual impairments. Journal of Visual Impairment & Blindness. 2012;106(8):466. ##
4.   Giagazoglou P, Amiridis IG, Zafeiridis A, Thimara M, Kouvelioti V, Kellis E. Static balance control and lower limb strength in blind and sighted women. European journal of applied physiology. 2009;107(5):571-9. ##
5.   Dakin CJ, Heroux ME, Luu BL, Inglis JT, Blouin JS. Vestibular contribution to balance control in the medial gastrocnemius and soleus. Journal of neurophysiology. 2016;115(3):1289-97. ##
6.   Eysel-Gosepath K, McCrum C, Epro G, Bruggemann GP, Karamanidis K. Visual and proprioceptive contributions to postural control of upright stance in unilateral vestibulopathy. Somatosensory & motor research. 2016:1-7. ##
7.   Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction of balance. Suggestion from the field. Physical therapy. 1986;66(10):1548-50. ##
8.   Peterka RJ. Sensorimotor integration in human postural control. Journal of neurophysiology. 2002;88(3):1097-118. ##
9.   Bent LR, McFadyen BJ, Inglis JT. Visual-vestibular interactions in postural control during the execution of a dynamic task. Experimental Brain Research. 2002;146(4):490-500. ##
10. Davlin-Pater C. The effects of visual information and perceptual style on static and dynamic balance. Motor control. 2010;14(3):362-70. ##
11. Hall JE. Guyton and Hall Textbook of Medical Physiology E-Book: with Student Consult Online Access: Elsevier Health Sciences; 2010. ##
12. Aras D, Güler Ö, Gülü M, Akça F, Arslan E, Akalan C. Comparison of balance skills of visually impaired and non-impaired judo athletes and goalball/futsal players. Physical education of students. 2018;22(6):292-7. ##
13. Aslan CS, Karakollukçu M, Ürgüp S. Effects of Body Composition on Achievement in Goalball. Journal of Physical Fitness, Medicine & Treatment in Sports. 2018;3:1-4. ##
14. Mohammadi F. Assessment of CNS function on postural control with and without somatosensensory and vestibular perturbation in goalball players in comparison with nonathlete blind and sighted subjects. Tehran: Faculty of Physical Education & Sport Sciences, University of Tehran; 2008. [In Persian]. ##
15. Karakaya IC, Aki E, Ergun N. Physical fitness of visually impaired adolescent goalball players. Perceptual and motor skills. 2009;108(1):129-36. ##
16. Çolak T, Bamaç B, Aydin M, Meriç B, Özbek A. Physical fitness levels of blind and visually impaired goalball team players. Isokinetics and exercise science. 2004;12(4):247-52. ##
17. Akinoglu B, Kocahan T. Comparison of muscular strength and balance in athletes with visual impairment and hearing impairment. Journal of exercise rehabilitation. 2018;14(5):765-70. ##
18. Bednarczuk G, Molik B, Morgulec-Adamowicz N, Kosmol A, Wiszomirska I, Rutkowska I, et al. Static balance of visually impaired paralympic goalball players. International Journal of Sports Science & Coaching. 2017;12(5):611-7. ##
19. Wiszomirska I, Kaczmarczyk K, Blazkiewicz M, Wit A. The Impact of a Vestibular-Stimulating Exercise Regime on Postural Stability in People with Visual Impairment. BioMed research international. 2015;2015:136969. ##
20. Kiyani P, Farahpoor N. Evaluation of performance of the vestibular proprioception and vision systems on postural control of old men. Iranian Journal of Ageing. 2015;10(3):44-53. [In Persian]. ##
21. Jeter PE, Haaz Moonaz S, Bittner AK, Dagnelie G. Ashtanga-Based Yoga Therapy Increases the Sensory Contribution to Postural Stability in Visually-Impaired Persons at Risk for Falls as Measured by the Wii Balance Board: A Pilot Randomized Controlled Trial. PLoS One. 2015;10(6):e0129646. ##
22. Haran FJ, Keshner EA. Sensory reweighting as a method of balance training for labyrinthine loss. Journal of neurologic physical therapy : JNPT. 2008;32(4):186-91. ##
23. Lee SJ, Ren Y, Chang AH, Geiger F, Zhang LQ. Effects of pivoting neuromuscular training on pivoting control and proprioception. Medicine and science in sports and exercise. 2014;46(7):1400-9. ##
24. Dohm-Acker M, Spitzenpfeil P, Hartmann U. [Effect of propriocetiv trainings tools for the muscles in stance stability]. Sportverletzung Sportschaden. 2008;22(1):52-7. ##
25. Aydin T, Yildiz Y, Yildiz C, Atesalp S, Kalyon TA. Proprioception of the ankle: a comparison between female teenaged gymnasts and controls. Foot & ankle international. 2002;23(2):123-9. ##
26. Lephart SM, Giraldo JL, Borsa PA, Fu FH. Knee joint proprioception: a comparison between female intercollegiate gymnasts and controls. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA. 1996;4(2):121-4. ##
27. Sundstrup E, Jakobsen MD, Andersen JL, Randers MB, Petersen J, Suetta C, et al. Muscle function and postural balance in lifelong trained male footballers compared with sedentary elderly men and youngsters. Scandinavian journal of medicine & science in sports. 2010;20 Suppl 1:90-7. ##
28. Santos CdN, Carvalho TLd, Felício LR, Mainenti MRM, Vigário PdS. Postural control in athletes with different degrees of visual impairment. Journal of Physical Education. 2018;29. ##
29. Aydog E, Aydog ST, Cakci A, Doral MN. Dynamic postural stability in blind athletes using the biodex stability system. International journal of sports medicine. 2006;27(5):415-8. ##
30. Çakci A, Doral MN. Reproducibility of postural stability scores in blind athletes. Isokinetics and exercise science. 2004;12(4):229-32. ##
31. Seyedi M, Seidi F, Minoonejad H. An Investigation of the Efficiency of Sensory Systems Involved in Postural Control in Deaf Athletes and Non-Athletes. Journal of Sport Medicine. 2015;7(1):111-27. [In Persian]. ##
32. Ghotbi N, Hassanpour A. Effect of somatosensory impairments on balance control. Audiology. 2012;21(3):1-8. ##
33. Pandian T, Ukamath S, Jetley N. Clinical test of sensory interaction in balance (CTSIB): Concurrent validity study in healthy Indian children. Journal of Pediatric Neurology. 2011;9(3):311-8. ##
34. Bressel E, Yonker JC, Kras J, Heath EM. Comparison of static and dynamic balance in female collegiate soccer, basketball, and gymnastics athletes. Journal of athletic training. 2007;42(1):42-6. ##
35. Cheng HS, Law CL, Pan HF, Hsiao YP, Hu JH, Chuang FK, et al. Preliminary results of dancing exercise on postural stability in adolescent females. The Kaohsiung journal of medical sciences. 2011;27(12):566-72. ##
36. Asadi Ghaleni M, Taheri H, Sohrabi M. The effect of somatosensory intervention training on balance in healthy elderly. Daneshvar Medicine. 2014;21(109):71-6. [In Persian]. ##
37. Rezaeipour M. Comparison of two methods of restoring somatosensory and motor function of the paretic upper limb after stroke. Urmia Medical Journal. 2018;29(6):428-36. [In Persian]. ##
Volume 8, Issue 3
October 2019
Pages 179-187
  • Receive Date: 11 November 2018
  • Revise Date: 13 February 2019
  • Accept Date: 21 April 2019
  • First Publish Date: 23 September 2019