Biomechanical Study of Tandem Stance in Healthy Young Adults: Effects of Weight-Bearing and Limb Dominance.

Postural strategies of healthy young adults to control tandem stance were investigated through the calculation of the relative contribution of the two loading-unloading (LU) and pressure-distribution (PD) mechanisms and the two legs for controlling the resultant center-of-pressure (CPRes) displacements. Weight-bearing asymmetry and limb dominance were also studied. For antero-posterior and medio-lateral CPRes displacements, LU and PD mechanisms mainly contribute, respectively. A significant LU contribution is nonetheless observed for medio-lateral control, due to a lateral gap between the CP positions under each foot despite a strict sagittal alignment for the two feet. Moreover, for medio-lateral control, the respective involvement of the two legs is related to the level of weight-bearing asymmetry, whereas the front leg mainly controls the antero-posterior sway. By specifying potential effects of body-weight asymmetry and limb dominance, to a better testing of patients with deficiencies in lateral sway control.