Type of Article:  Original Research

Volume 5; Issue 4 (July 2017)

Page No.: 2178-2186

DOI: https://dx.doi.org/10.16965/ijpr.2017.167


Nami Shida *, Yumi Ikeda, Yorimitsu Furukawa, Hironobu Kuruma.

Division of Physical Therapy, Faculty of Health Sciences, Tokyo Metropolitan University, 7-2-10 Higashiogu, Arakawa, Tokyo, Japan

Address for Correspondence: Nami Shida, Division of Physical Therapy, Faculty of Health Sciences, Tokyo Metropolitan University, 7-2-10 Higashiogu, Arakawa, Tokyo, Japan. E-Mail: shida@tmu.ac.jp


Background: Information from other sensory organs may become more important for the visually impaired individuals. However, very few reports on this type of sensory compensation have been published.

Objectives: This study aimed to investigate the impact of visual information and plantar sensory information on standing postural control by comparing visually impaired and sighted individuals.

Materials and Methods: The study included 22 adult men with no visual impairment (sighted group) and 13 adult men with visual impairment (visually impaired group). We performed Equitest measurements under conditions with 12 possible factors, including visual information (eyes closed, eyes open, and dynamic visual environment), plantar sensory information (with or without a textured sheet placed under the feet), and platform stability (stable or unstable). A three-way analysis of variance was performed.

Results: Significantly higher balance strategy scores were observed in the sighted group than in the visually impaired group, indicating better balance without a textured sheet and on an unstable platform. Latency was significantly shorter in the sighted group than in the visually impaired group. Relative response strength scores were higher in the visually impaired group with the textured sheet and backward shifting platform than in the sighted group, indicating a superior stability.

Conclusion: In postural control without visual information while standing on a surface in motion, plantar information that originated from textured sheets was more effective in assisting balance in visually impaired individuals than in sighted individuals.

Key words: Postural control, visual impairment, plantar sensations, eyes closed.


  1. Hosoda M, Matsuda M, Isozaki H, Miyajima S, Yanagisawa K, Takayamagi K. Plantar perception and Balance function. J Phys Ther 2006;23:1246-1253.
  2. Cook AS, Woollacott MH, eds. Motor Control: Theory and Practical Applications. Lippincott Williams & Wilkins; 2001.
  3. Dietz V, Trippel M, Horstmann GA. Significance of proprioceptive and vestibule-spinal reflexes in the control of stance and gait. Adaptability of Human Gait. (Patla AE ed). Elsevier; 1991:37-52.
  4. Ihara H. Emphasizing Plantar Functions: Joint training revision 2nd Edition. Neuromotor coordinated training. Kyodo-isho-shuppansha, 1996;89-107.
  5. Okubo J, Watanabe I, Tokeya J, Baron JB. Influence of the plantar mechanoreceptor on body sway. Practica Otologica. 1979;72:1553-1562.
  6. Sakita M, Kumagai S, Kawano I, Takasugi S. Standing postural control after cooling of sole and crural muscles -Comparisons of muscle activities and lengths of center of gravity sway on static and dynamic postural control with eyes closed. Rigakuryoho Kagaku 2006;21:341-347.
  7. Bronstein AM. Suppression of visually evoked postural responses. Exp Brain Res 1986;63:655-658.
  8. Diener HC, Dichgans J, Guschlbauer B, Bacher M. Role of visual and static vestibular influences on posture control. Hum Neurobiol 1986;5:105-113.
  9. Redfern MS, Furman JM. Postural sway of patients with vestibular disorders during optic flow. J Vestib Res 1994;4:221-230.
  10. Redfern MS, Yardley L, Bronstein AM. Visual influences on balance. J Anxiety Disord 2001;15:81-94.
  11. Peterka RJ. Sensorimotor integration in human postural control. J Neurophysiol 2002;88:1097-1118.
  12. Duarte M, Zatsiorsky VM: Effects of body lean and visual information on the equilibrium maintenance during stance. Exp Brain Res 2002;146:60-69.
  13. Marigold DS, Eng JJ, Tokuno CD, Donnelly CA. Contribution of muscle strength and integration of afferent input to postural instability in persons with stroke. Neurorehabil Neural Repair 2004;18:222-229.
  14. Soechting JF, Berthoz A. Dynamic role of vision in the control of posture in man. Exp Brain Res 1979;36:551-561.
  15. Dobie TG, May JG, Flanagan MB. The influence of visual reference on stance and walking on a moving surface. Aviat Space Environ Med 2003;74:838-845.
  16. Sakata H. Influence of plantar stimulus on standing postural control. Kyushu Rehabilitation University Graduation Thesis Collection 1993;37-40.
  17. Nakata H, Yokoyama C, Nambu Y, Yabe K. Erect posture holding ability and compensation function of blind people. Meeting Abstract of Biomechanism 1996;17:233-234.
  18. Lee DN, Lishman JR. Visual proprioceptive control of stance. J Human Movement Studies 1975;1:87-95.
  19. Foudriat BA RP Di Fabio, JH Anderson. Sensory organization of balance responses in children 3-6 years of age: a normative study with diagnostic implications. Int J Pediatr Otorhinolaryngol 1993;27:255-271.
  20. Prechtl HF, Cioni G, Einspieler C, Bos AF, Ferrari F. Role of vision on early motor development: lessons from the blind. Dev Med Child Neurol 2001;43:198-201.
  21. Kumagai A. Aerobic work capacity in visually handicapped.Tsukuba University Physical Education Research Center Collection 1979;1:279-287.
  22. Nakata H, Tanimura Y, Sato Y. Characteristics of motor development of visually handicapped children. Education and psychology of the visually handicapped 1980;2:1-10.
  23. Winnick JP. The performance of visually impaired youngsters in physical education activities: implications for mainstreaming. Adapt Phys Activ Q 1985;2:292-299.
  24. Nakata H. Development of auditory reaction times, using fine and gross motor movements in visually impaired children. Fitness for the aged, disabled, and industrial worker. Human Kinetics1990;148-153.
  25. Choy NL, Brauer S, Nitz J. Changes in postural stability in women aged 20 to 80 years. J Gerontol A Biol Sci Med Sci 2003;58:525-530.
  26. Kenshalo DR. Somesthetic sensitivity in young and elderly humans. J Gerontol 1986;41:732-742.

Cite this article: Nami Shida, Yumi Ikeda, Yorimitsu Furukawa, Hironobu Kuruma. INFLUENCES OF VISUAL AND PLANTAR SENSORY INFORMATION ON STANDING POSTURAL CONTROL: A COMPARISON BETWEEN VISUALLY IMPAIRED AND SIGHTED INDIVIDUALS. Int J Physiother Res 2017;5(4):2178-2186. DOI: 10.16965/ijpr.2017.167