Approximate entropy detects the effect of a secondary cognitive task on postural control in healthy young adults: a methodological report Public Deposited

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  • Stergiou, Nicholas
    • Other Affiliation: HPER Biomechanics Laboratory, University of Nebraska at Omaha, Omaha, NE, USA
  • Cavanaugh, James T
    • Other Affiliation: Department of Physical Therapy, University of New England, Portland, ME, USA
  • Mercer, Vicki S.
    • Affiliation: School of Medicine, Department of Allied Health Sciences
  • Abstract Background Biomechanical measures of postural stability, while generally useful in neuroscience and physical rehabilitation research, may be limited in their ability to detect more subtle influences of attention on postural control. Approximate entropy (ApEn), a regularity statistic from nonlinear dynamics, recently has demonstrated relatively good measurement precision and shown promise for detecting subtle change in postural control after cerebral concussion. Our purpose was to further explore the responsiveness of ApEn by using it to evaluate the immediate, short-term effect of secondary cognitive task performance on postural control in healthy, young adults. Methods Thirty healthy, young adults performed a modified version of the Sensory Organization Test featuring single (posture only) and dual (posture plus cognitive) task trials. ApEn values, root mean square (RMS) displacement, and equilibrium scores (ES) were calculated from anterior-posterior (AP) and medial-lateral (ML) center of pressure (COP) component time series. For each sensory condition, we compared the ability of the postural control parameters to detect an effect of cognitive task performance. Results COP AP time series generally became more random (higher ApEn value) during dual task performance, resulting in a main effect of cognitive task (p = 0.004). In contrast, there was no significant effect of cognitive task for ApEn values of COP ML time series, RMS displacement (AP or ML) or ES. Conclusion During dual task performance, ApEn revealed a change in the randomness of COP oscillations that occurred in a variety of sensory conditions, independent of changes in the amplitude of COP oscillations. The finding expands current support for the potential of ApEn to detect subtle changes in postural control. Implications for future studies of attention in neuroscience and physical rehabilitation are discussed.
Date of publication
  • 17971209
  • doi:10.1186/1743-0003-4-42
Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • James T Cavanaugh et al.; licensee BioMed Central Ltd.
Journal title
  • Journal of NeuroEngineering and Rehabilitation
Journal volume
  • 4
Journal issue
  • 1
Page start
  • 42
  • English
Is the article or chapter peer-reviewed?
  • Yes
  • 1743-0003
Bibliographic citation
  • Journal of NeuroEngineering and Rehabilitation. 2007 Oct 30;4(1):42
  • Open Access
  • BioMed Central Ltd

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