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PHYS THER
Vol. 77, No. 4, April 1997, pp. 382-383

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Invited Commentary

Fay B Horak

FB Horak, PhD, PT, is Senior Scientist, RS Dow Neurological Sciences Institute, 1120 NW 20th Ave, Portland, OR 97209-1595

This excerpt was created in the absence of an abstract.

This study on the effects of tai chi quan and computerized balance training on postural stability raises several important issues for physical therapists who are interested in improving balance in their patients: (1) Sway in stance is not a direct measure of functional postural stability, (2) fear of falling can affect postural strategies, and (3) balance training must be specific for the specific balance problem.

Unfortunately, the authors equate "postural stability" with a measure of sway involving excursion of forces (center of pressure) measured at the surface in stance. Measures of sway, either from surface forces or from body motion, should not be generalized into statements characterizing an individual's postural stability. Postural stability refers to the ability to maintain equilibrium by controlling the body's center of mass and to prevent unintentional falls.1...


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Related Articles

The Effect of Tai Chi Quan and Computerized Balance Training on Postural Stability in Older Subjects
Steven L Wolf, Huiman X Barnhart, Gary L Ellison, Carol E Coogler, and Atlanta FICSIT Group
Physical Therapy 1997 77: 371-381. [Abstract] [PDF]

Author Response
Steven L Wolf, Huiman X Barnhart, Gary L Ellison, and Carol E Coogler
Physical Therapy 1997 77: 383-384. [Abstract] [PDF]



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An experimental controlled study on postural sway and therapeutic exercise in subjects with low back pain
Clinical Rehabilitation, February 1, 2000; 14(2): 192 - 202.
[Abstract] [PDF]




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Copyright © 1997 by the American Physical Therapy Association.