Postural control strategies with alterations in visual input conditions in a standing position.

Background: Mediated by balance systems, postural control relies heavily on visual input. However, the precise relationship between various visual conditions and postural strategies for balance remains unclear. This study investigated alterations in the center of pressure (COP) and ankle muscle activity during standing positions in healthy individuals under different visual conditions.

Method: Fifty-three healthy university students participated in the study. Stabilometry was conducted to evaluate the total path length and outer circumferential area for the COP. Further, surface electromyography was utilized to assess the activity of the bilateral tibialis anterior (TA) and lateral head of gastrocnemius muscles. Participants were instructed to maintain an upright posture under three visual conditions: binocular (eyes open) and monocular (either closing the dominant or nondominant eye). The three conditions were compared using a one-way analysis of variance.

Results: No significant differences were observed in the COP across visual conditions. However, in the TA of the nondominant leg, the mean values for the binocular, dominant eye, and nondominant eye conditions were 0.91, 1.08, and 1.14 times that of the resting standing position. Notably, the TA of the nondominant leg was significantly lower in the binocular condition than the dominant and nondominant eye conditions.

Conclusion: The study findings indicate that the COP remain consistent despite variations in external visual input. This stability is likely maintained through compensatory adjustments, such as increased TA muscle activity in the nondominant leg under the nondominant eye condition. These observations highlight the complex interplay between the visual perception and postural stability.