Human Postural Control: Assessment of Two Alternative Interpretations of Center of Pressure Sample Entropy through a Principal Component Factorization of Whole-Body Kinematics.

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Sample entropy (SaEn), calculated for center of pressure (COP) trajectories, is often distinct for compromised postural control, e.g., in Parkinson, stroke, or concussion patients, but the interpretation of COP-SaEn remains subject to debate. The purpose of this paper is to test the hypotheses that COP-SaEn is related (Hypothesis 1; H1) to the complexity of the postural movement structures, i.e., to the utilization and coordination of the mechanical degrees of freedom; or (Hypothesis 2; H2) to the irregularity of the individual postural movement strategies, i.e., to the neuromuscular control of these movements. Twenty-one healthy volunteers (age 26.4 ± 2.4; 10 females), equipped with 27 reflective markers, stood on a force plate and performed 2-min quiet stances. Principal movement strategies (PMs) were obtained from a principal component analysis (PCA) of the kinematic data. Then SaEn was calculated for the COP and PM time-series. H1 was tested by correlating COP-SaEn to the relative contribution of the PMs to the subject specific overall movement and H2 by correlating COP-SaEn and PM-SaEn. Both hypotheses were supported. This suggests that in a healthy population the COP-SaEn is linked to the complexity of the coordinative structure of postural movements, as well as to the irregularity of the neuromuscular control of specific movement components.

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