Evidence map›Paper›PMID 39780141›Full record

ArticleJournal of neuroengineering and rehabilitation2025

The trunk segmental motion complexity and balance performance in challenging seated perturbation among individuals with spinal cord injury.

Mianjia Shan, Chenhao Li, Jiayi Sun, Haixia Xie, Yan Qi, Wenxin Niu, Ming Zhang

Abstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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0cells of the map it votes in
8citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Mianjia ShanShanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, 201619, China.
Chenhao LiShanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, 201619, China.
Jiayi SunShanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, 201619, China.
Haixia XieShanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, 201619, China.
Yan QiShanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, 201619, China.
Wenxin NiuShanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, 201619, China. niu@tongji.edu.cn.
Ming ZhangDepartment of Biomedical Engineering, Faculty of Engineering, The Hong Kong Polytechnic University, Hong Kong, China.

Funding

National Natural Science Foundation of China 32071308/82072552Shanghai Rehabilitation Medical Research Center (Top Priority Research Center of shanghai) 2023Z202027
6 · The paper itself

Abstract

backgroundMotion complexity is necessary for adapting to external changes, but little is known about trunk motion complexity during seated perturbation in individuals with spinal cord injury (SCI). We aimed to investigate changes following SCI in trunk segmental motion complexity across different perturbation directions and how they affect postural control ability in individuals with SCI.

methodsA total of 17 individuals with SCI and 18 healthy controls participated in challenging sagittal-seated perturbations with hand protection. Upper arm activation was measured using surface electromyography for trial consistency. Motion complexity parameters, quantified across three degrees of freedom, was assessed using relative angular acceleration from six trunk segments obtained through motion capturing system. Motion performance parameters were assessed using center of pressure (CoP) measurements from a force plate, including settling time, maximum CoP displacement (MD) variability, and steady-state error. Statistical analyses examined group and direction differences, while complexity-performance relationships were evaluated using multiple response least partial squares regression.

resultsCompared to healthy controls, individuals with SCI showed significantly lower motion complexity in the lumbar and upper thoracic segments (approximately10% - 20%), with identical settling time and higher MD variability. Backward perturbations, as opposed to forward perturbations, resulted in reduced complexity in the aforementioned segments and increased steady-state error. Lower lumbar rotation complexity negatively correlated with MD variability (β = -0.240) and steady-state error (β = -0.485) in individuals with SCI, while showing a minor positive correlation with settling time (β = 0.152) during backward perturbation.

conclusionSimplified motion control in individuals with SCI may arise from uncoordinated lumbar and overactive thoracic neuromuscular control, compromising stability despite maintaining speed. Increasing lumbar motion complexity could enhance postural stability and accuracy during backward perturbation, representing a potential target for developing seated balance rehabilitation strategies and promoting more adaptive trunk control.

Indexed as

Postural BalanceSitting PositionSpinal Cord InjuriesTorsoAdultBiomechanical PhenomenaElectromyographyFemaleHumansMaleMiddle AgedMovementYoung AdultMotion complexityPerturbation responseRehabilitation strategy optimizationSeated balanceSpinal cord injury

Identifiers

PMID39780141
PMCPMC11708067

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.