Background: Lumbar Joint Mobilization (LJM) applies rhythmic forces to lumbar joints to improve mechanics and pain. Recent evidence suggests potential benefits for somatosensory input and postural control, though direction-specific effects remain unclear. Objectives: To investigate short-term effects of LJM on standing stability and trunk control through pre-post intervention comparison. Design: Quasi-experimental study. Methods: Twenty-five participants were randomized to experimental (n=13) or control (n=12) groups. Single-leg balance was assessed using force platform measurement with eyes open/closed conditions. The experimental group received Maitland-technique LJM including spinal compression, lateral compression, transverse process mobilization, rotational oscillation, and traction. Balance parameters included medio-lateral standard deviation (ML-SD), anteroposterior standard deviation (AP-SD), sway area, and path length. Results: The experimental group demonstrated significant medio-lateral stability enhancement (64% ML-SD reduction, P =0.003) with significant group×time interaction (F=4.20, P=0.043, η²p=0.044). Sway area decreased by 67% and path length showed large effect size (d=1.19, P<0.001). Improvements occurred in both visual conditions without increased visual dependence (stable Romberg Quotient), indicating somatosensory-driven enhancement. Machine learning classification achieved near-perfect accuracy (AUC=1.000). Conclusion: LJM produces immediate, direction-specific improvements in lateral trunk control through enhanced somatosensory feedback. Larger trials with long-term follow-up are needed to confirm sustained benefits.

This study was designed to examine the effects of temporary immobilization of the ankle and knee joints on standing in healthy young adults with the use of a postural control mechanism. The subjects were twenty-four college students (12 males and 12 females, aged between 20 and 28). A Biodex balance system SD 950-302 and its software were used to measure indirect balance parameters in standing. Each subject underwent postural stability tests in 4-different joint conditions: free joints, ankle immobilization only, knee immobilization only, and ankle and knee immobilization. In addition, the postural stability test was conducted once with the subject's eyes open and once with the eyes closed conditions. For data analysis of the postural stability tests, the overall stability index, antero-posterior stability index, and medio-lateral stability index were recorded. The overall stability index (p=.000) and medial-lateral index (p=.003) were significantly greater different conditions with eyes closed in postural stability. Therefore, the eyes closed condition is expected to be used as an effective postural stability training for treatment planning in patients with unstable postures. In addition, training based on the dynamic multi-segment model can improve postural stability and is available to therapeutic programs, helping people with unstable balance to reduce their risk of falling.

Human balance is maintained through a complex process involving sensory detection of body motions, integration of sensorimotor information within the central nervous system, and execution of appropriate musculoskeletal responses. The basic task of balance is to position the body center of gravity (COG) over some portion of the support base. When the COG extends beyond the base of support, the person has exceeded the limits of stability (LOS). At this point, a step or stumble is required to prevent a fall. Automatic postural responses operate to keep the COG over the base of support. They are a set of functionally organized, long-loop responses that act to keep the body in a state of equilibrium. There are four commonly identified automatic postural responses, or strategies. These are ankle strategy, hip strategy, suspensory (knee) strategy, and stepping strategy. Thus, the purpose of this study was to evaluate the LOS using various knee strategies. Forty subjects participated in this study. The subjects were comprised of 20 males and 20 females who were without neurologic, orthopaedic or balance performance impairments. The LOS was measured with a Balance Performance Monitor (BPM) Dataprint Software Version 5.3. The results of this study were as follows: 1) Knee joint angle which is to increase stability of standing balance with using knee strategy was at mid-range. 2) There were statistically significant differences in anteroposterior LOSs according to the knee strategy. 3) There were no statistically significant differences in mediolateral LOSs according to the knee strategy. 4) There were statistically significant differences of anteroposterior LOSs with using knee strategy according to gender. 5) There were no statistically significant differences in mediolateral LOSs with using knee strategy according to gender.