The AMTI Accusway system for balance and postural sway measurement (Advanced Mechanical Technology, Inc., Watertown, Massachusetts) was used for collecting the data. The Accusway system consists of a portable force platform and SWAYWIN software for data acquisition and analysis. The system measures ground reacting force and moments in 3 orthogonal directions with a sampling frequency of 50 Hz. These provide the COP coordinates, which enables the calculation of the maximum displacement in the anterior-posterior and medial-lateral direction (Max-AP; Max-ML), the root-mean-square amplitude in anterior-posterior and medial-lateral direction from the centroid in x- and y-axis (RMS-AP; RMS-ML), the mean velocity (MV) and the area of the 95th percentile ellipse (AoE).
Before the measurements took place, the balance platform was strapped with an anti-slip plastic cover (1 mm). The participant then took a comfortable barefooted, double-legged stance on the platform. Because changes in the Base of Support (BOS) have a substantial effect on postural control [14 (link)]; the outlines of both feet were marked on the plastic cover with a permanent marker in order to obtain standardised individual foot positions for the repeated measurements. After leaving the platform, the individual's BOS was entered in the Accusway Plus system [31 (link)]. Maximal BOS width and hip width, measured at the major trochanter femoris, were recorded with an anthropometric calliper (Lafayette Instrument Company, Lafayette, IN).
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