Method and apparatus for analyzing the human postural control system

• US 5,388,591 A
• Filed: 12/09/1992
• Issued: 02/14/1995
• Est. Priority Date: 12/09/1992
• Status: Expired due to Term

• Current Assignee: Trustees of Boston University
• Original Assignee: Trustees of Boston University
• Inventors: De Luca, Carlo J., Collins, James J.
• Primary Examiner(s): HINDENBURG, MAX F
• Application Number:
  US07/987,715
• Time in Patent Office: 797 Days
• Field of Search: 128/774, 128/779, 128/782
• US Class Current: 600/592
• CPC Class Codes: A61B 5/1036 Measuring load distribution, e.g. podologic studies
• CPC Class Codes: A61B 5/4023 Evaluating sense of balance

Abstract

A method and an apparatus for analyzing the human postural control system includes computing the mean square displacement of the center of pressure beneath a subject'"'"'s feet vs. the time interval. The result is plotted as a stabilogram diffusion plot. The stabilogram diffusion plot, since reproducible, provides physiologically meaningful information from which an assessment of the subject'"'"'s postural control system can be made. A Brownian diffusion coefficient, which is indicative of the level of stochastic activity of the center of pressure, can be calculated from the slope of the stabilogram diffusion plot. Also, from the slope of the log-log stabilogram diffusion plot, a determination can be made as to whether the system is moving closer to or away from a state of relative equilibrium. Finally, a short term open-loop postural control scheme, which operates before a long term closed-loop feedback postural control scheme activates, can be studied from the stabilogram diffusion plot. Also, from the stabilogram diffusion plot, a determination can be made as to when the postural control system switches from open-loop control to closed-loop control.

Claims

1. A method for analyzing the movement of the center of pressure beneath a subject'"'"'s feet comprising the steps of:

a. providing a force plate having a plurality of pressure sensors;

b. positioning the subject on said force plate;

c. utilizing said pressure sensors to generate signals indicative of the pressure applied by said subject'"'"'s feet;

d. storing data representing the movement of the center of pressure beneath the subject'"'"'s feet by using said signals; and

e. generating, by statistical mechanical models, a stabilogram diffusion plot describing the movement of the center of pressure.

2. The method according to claim 1, further comprising the step of comparing the generated plot with plots in a normative database to determine whether differences exist between the generated plot and the plots in the normative database.

3. The method according to claim 1, wherein step c. further comprises the step of calculating the mean square displacement of the center of pressure for a plurality of predetermined time intervals.

4. The method according to claim 3, further comprising the step of plotting the mean square displacement of the center of pressure versus a plurality of said predetermined time intervals.

5. The method according to claim 1, further comprising the step of employing the statistical mechanical model of Brownian motion to describe the movement of the center of pressure.

6. The method according to claim 5, further comprising the step of calculating the mean square displacement of the center of pressure during a first time interval according to the equation ##EQU2## wherein:

m represents a predetermined number of data intervals separated by a predetermined time;

(Δ

r_i)² represents the square of the distance traveled by the center of pressure during the time interval; and

N represents the total number of data intervals.

7. The method according to claim 6, further comprising the step of plotting the mean square displacement of the center of pressure during said first time interval as a point on said plot.

8. The method according to claim 7, further comprising the steps of calculating, using equation (4), the mean square displacement of the center of pressure for a plurality of further time intervals and plotting the results of said calculations versus the time interval.

9. The method according to claim 8, further comprising the step of comparing said generated plot with plots in a normative database to determine whether differences exist between the generated plot and the plots in the normative database.

10. The method according to claim 1, wherein said stabilogram diffusion plot is used to diagnose an amount of postural instability in the subject.

11. The method according to claim 1, wherein said plot has at least a first slope, said slope of said plot indicating a level of stochastic activity of the center of pressure.

12. The method according to claim 1, wherein said plot has at least a first slope, said first slope of said plot indicating a tendency of the center of pressure to move away from a first equilibrium point.

13. The method according to claim 12, wherein said plot has a second slope, said second slope of said plot indicating a tendency of the center of pressure to move toward a second equilibrium point.

14. The method according to claim 13, wherein the first slope and the second slope intersect defining a critical point which is characteristic of the subject being analyzed.

15. The method according to claim 1, further comprising the step of removing the subject'"'"'s visual input by having the subject close his or her eyes and/or by blindfolding the subject.

16. The method according to claim 1, further comprising the step of directing the subject to stand on said force plate with his or her eyes open thereby maintaining the subject'"'"'s visual input.

17. The method of claim 1 further comprising the steps of:

repeating steps b-d wherein said subject assumed a different posture; and

training said subject a posture to minimize said movement of the center of pressure through comparison of plots from various postures.

18. A method of analyzing the movement of the center of pressure beneath a subject'"'"'s feet comprising the steps of:

a. providing a force plate having a plurality of pressure sensors;

b. positioning the subject on said force plate during a first session;

c. utilizing said pressure sensors to generate a first set of signals indicative of the amount of pressure applied by said subject'"'"'s feet;

d. storing data representing the movement of the center of pressure beneath the subject'"'"'s feet during the first session by using said first set of signals;

e. generating, by statistical mechanical models, a first characteristic plot describing the movement of the center of pressure during the first session;

f. positioning the subject on the force plate during a second session;

g. utilizing said pressure sensors to generate a second set of signals indicative of the amount of pressure applied by said subject'"'"'s feet;

h. storing data representing the movement of the center of pressure beneath the subject'"'"'s feet during the second session by using said second set of signals;

i. generating, by the statistical mechanical models, a second characteristic plot describing the movement of the center of pressure during the second session; and

j. comparing the first and second plots to determine whether differences exist therebetween.

19. The method according to claim 18, said plots comprising stabilogram diffusion plots.

20. The method according to claim 19, wherein said stabilogram diffusion plots are used to study the difference in balance of a subject between the first session and the second session.

21. The method according to claim 18, further comprising the step of employing the statistical mechanical model of Brownian motion to describe the movement of the center of pressure.

22. The method according to claim 21, further comprising the step of calculating the mean square displacement of the center of pressure during a first time interval according to the equation ##EQU3## wherein:

m represents a predetermined number of data intervals separated by a predetermined time;

(Δ

r_i)² represents the square of the distance traveled by the center of pressure during the time interval; and

N represents the total number of data intervals.

23. The method according to claim 22, further comprising the step of plotting the mean square displacement of the center of pressure during said first time interval as a point on said plot.

24. The method according to claim 23, further comprising the steps of calculating, using equation (4), the mean square displacement of the center of pressure for a plurality of further time intervals and plotting the results of said calculations versus the time interval.

25. The method according to claim 18, further comprising the step of removing the subject'"'"'s visual input by having the subject close his or her eyes and/or by blindfolding the subject.

26. The method according to claim 18, further comprising the step of directing the subject to stand on said force plate with his or her eyes open thereby maintaining the subject'"'"'s visual input.

27. A method of analyzing a subject'"'"'s postural stability as described by the movement of the center of pressure beneath the subject'"'"'s feet, said method comprising the steps of:

a. providing a force plate having a plurality of pressure sensors;

b. collecting data from said pressure sensors on said force plate indicative of the time varying movement of the center of pressure beneath the feet of the subject;

c. plotting the mean square displacement of the center of pressure versus a predetermined time interval;

d. calculating the slope of the line representing the mean square displacement of the center of pressure versus the time interval; and

e. comparing the slope of said line with slopes taken from a normative database.

28. The method according to claim 27, wherein the subject'"'"'s postural stability is separately analyzed in plurality of sessions before, during and/or after a course of therapy.

29. The method of claim 27 wherein said normative database includes slopes from said subject having a prosthetic limb, each entry in said normative database corresponding to results taken from said subject having a different competing prosthetic design, wherein said subject has yet another competing prosthetic design, and further comprising the step of selecting a prosthetic design for said subject based upon said comparing step.

30. A method of analyzing postural stability of a subject comprising the steps of:

a. providing a force plate having a plurality of pressure sensors thereon;

b. placing a person on said force plate wherein said person'"'"'s feet are both placed upon said force plate and wherein said sensors detect pressure exerted by said persons'"'"'s feet upon said force plate;

c. determining the coordinate locations of the center of pressure beneath said person'"'"'s feet during a first time interval using data collected from said sensors;

d. determining the square of the distance between pairs of the plurality of coordinate locations;

e. plotting a point corresponding to the average of said square of the distances versus the time interval; and

f. repeating steps c. through e. for at least a second time interval to obtain a plurality of plotted points.

31. The method according to claim 30, wherein the subject'"'"'s postural stability is separately analyzed in a plurality of sessions before, during, and/or after a course of therapy.

32. An apparatus for analyzing the movement of the center of pressure beneath the feet of a subject wherein said subject is positioned on a force plate, said apparatus comprising:

a. a force plate for providing data representing the movement of the center of pressure beneath the subject'"'"'s feet;

b. means for storing said data; and

c. generating means responsive to said force plate for generating a stabilogram diffusion plot describing the movement of the center of pressure.

33. The apparatus according to claim 32, wherein said generating means comprises means for comparing said characteristic plot with one or more stored plots to determine whether differences exist between said characteristic plot and the one or more stored plots.

34. The apparatus according to claim 33, wherein said generating means further comprises a means for calculating the mean square displacement of the center of pressure for a plurality of predetermined time intervals.

35. The apparatus according to claim 34, further comprising means for plotting the mean square displacement of the center of pressure for a plurality of said predetermined time intervals.

36. The apparatus according to claim 34, wherein said generating means further comprises means for calculating a mean square displacement of the center of pressure during at least a first time interval according to the equation ##EQU4## wherein:

m represents a predetermined number of data intervals separated by a predetermined time;

(Δ

r_i)² represents the square of the distance traveled by the center of pressure during the time interval; and

N represents the total number of data intervals.

37. The apparatus according to claim 36, wherein said generating means further comprises means for comparing said characteristic plot with one or more stored plots to determine whether differences exist between the generated plot and the one or more stored plots.

38. An apparatus for analyzing the postural stability of a subject based on the movement of the center of pressure beneath the feet of the subject, comprising:

a force plate for providing data indicative of the time varying movement of the center of pressure beneath the feet of the subject;

means for plotting the means square displacement of the center of pressure versus a predetermined time interval;

means for calculating the slope of a line representing the means square displacement of the center of pressure versus the time interval; and

means for comparing the slope of said line with at least one stored slope.

39. An apparatus for analyzing the movement of the center of pressure of the feet of a subject comprising:

a force plate having a plurality of sensors for receiving the feet of said subject and for producing data representing pressure applied by said subject to said force plate;

a processor for receiving said force plate data, compiling said data, determining information regarding the movement of the center of pressure of the feet of said subject and comparing said determined information with determined information from a normative database; and

a display for displaying the results of said processor.