Assessing Standing Balance using MIMO Closed Loop System Identification Techniques

Jantsje H. Pasma, Denise Engelhart, Andrea B. Maier, Carel G M Meskers, Ronald G K M Aarts, Alfred C. Schouten, Herman van der Kooij

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Scopus)


Human standing balance is a complex of systems, like the muscles, nervous system and sensory systems, interacting with each other in a closed loop to maintain upright stance. With age, disease and medication use these systems deteriorate, which could result in impaired balance. In this paper, it is demonstrated that multi-input-multi-output closed loop system identification techniques (MIMO-CLSIT) can be used to assess the underlying systems involved in standing balance and guide possible therapeutic options. In this study, mechanical and sensory perturbations were combined and applied simultaneously using a Balance test Room. The results demonstrate the value of MIMO-CLSIT to assess the underlying systems involved in standing balance and therefore to improve diagnosis of impaired standing balance.

Original languageEnglish
Pages (from-to)1381-1385
Number of pages5
Issue number28
Publication statusPublished - 2015


  • Closed-loops
  • Diagnosis
  • MIMO
  • Perturbation
  • System identification

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