Abstract
The purpose was to examine age differences and varying levels of step response inhibition on the performance of a voluntary lateral step initiation task. Seventy older adults (70–94 years) and twenty younger adults (21–58 years) performed visually cued step initiation conditions based on direction and spatial location of arrows, ranging from a simple choice reaction time task to a perceptual inhibition task that included incongruous cues about which direction to step (e.g., a left pointing arrow appearing on the right side of a monitor). Evidence of postural adjustment errors and step latencies were recorded from vertical ground reaction forces exerted by the stepping leg. Compared with younger adults, older adults demonstrated greater variability in step behavior, generated more postural adjustment errors during conditions requiring inhibition, and had greater step initiation latencies that increased more than younger adults as the inhibition requirements of the condition became greater. Step task performance was related to clinical balance test performance more than executive function task performance.
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References
Anstey KJ, Wood J, Kerr G, Caldwell H, Lord SR (2009) Different cognitive profiles for single compared with recurrent fallers without dementia. Neuropsychology 23:500–508
Atkinson HH, Rosano C, Simonsick EM et al (2007) Cognitive function, gait speed decline, and comorbidities: the health, aging and body composition study. J Gerontol Ser A Biol Sci Med Sci 62:844–850
Bohannon RW (1995) Sit-to-stand test for measuring performance of lower extremity muscles. Percept Mot Skills 80:163–166
Brauer SG, Woollacott M, Shumway-Cook A (2002) The influence of a concurrent cognitive task on the compensatory stepping response to a perturbation in balance-impaired and healthy elders. Gait Posture 15:83–93
Brown M, Sinacore DR, Host HH (1995) The relationship of strength to function in the older adult. J Gerontol A Biol Sci Med Sci 50:55–59
Brown LA, Shumway-Cook A, Woollacott MH (1999) Attentional demands and postural recovery: the effects of aging. J Gerontol Ser A Biol Sci Med Sci 54:M165–M171
CDC (2012) United States unintentional fall deaths and rates per 100,000. http://webappa.cdc.gov/sasweb/ncipc/mortrate10_us.html. Accessed 19 Dec 2012
Cohen RG, Nutt JG, Horak FB (2011) Errors in postural preparation lead to increased choice reaction times for step initiation in older adults. J Gerontol Ser A Biol Sci Med Sci 66:705–713
Csuka M, McCarty DJ (1985) Simple method for measurement of lower extremity muscle strength. Am J Med 78:77–81
Delis DC, Kaplan E, Kramer JH (2001) Delis–Kaplan executive function system (D-KEFS). The Psychological Corporation. San Antonio, TX
Dite W, Temple VA (2002) A clinical test of stepping and change of direction to identify multiple falling older adults. Arch Phys Med Rehabil 83:1566–1571
Germain S, Collette F (2008) Dissociation of perceptual and motor inhibitory processes in young and elderly participants using the Simon task. J Int Neuropsychol Soc 14:1014–1021
Guralnik JM, Simonsick EM, Ferrucci L et al (1994) A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol 49:M85–M94
Hasher L, Zacks R (1988) Working memory, comprehension, and aging: A review and new view. In: Bower GK (ed) The psychology of learning and motivation. Academic Press, San Diego, pp 193–225
Hasher L, Stoltzfus ER, Zacks RT, Rypma B (1991) Age and inhibition. J Exp Psychol Learn Mem Cogn 17:163–169
Hass CJ, Waddell DE, Wolf SL, Juncos JL, Gregor RJ (2008) Gait initiation in older adults with postural instability. Clin Biomech 23:743–753. doi:10.1016/j.clinbiomech.2008.02.012
Herman T, Mirelman A, Giladi N, Schweiger A, Hausdorff JM (2010) Executive control deficits as a prodrome to falls in healthy older adults: a prospective study linking thinking, walking, and falling. J Gerontol Ser A Biol Sci Med Sci 65:1086–1092
Jacobs JV, Horak FB (2007) External postural perturbations induce multiple anticipatory postural adjustments when subjects cannot pre-select their stepping foot. Exp Brain Res 179:29–42
Jennings JR, Mendelson DN, Redfern MS, Nebes RD (2011) Detecting age differences in resistance to perceptual and motor interference. Exp Aging Res 37:179–197
Logan GD, Zbrodoff NJ (1979) When it helps to be misled: facilitative effects of increasing the frequency of conflicting stimuli in a Stroop-like task. Mem Cogn 7:166–174
Lord SR, Fitzpatrick RC (2001) Choice stepping reaction time: a composite measure of falls risk in older people. J Gerontol Ser A Biol Sci Med Sci 56:M627–M632
Lord SR, Murray SM, Chapman K, Munro B, Tiedemann A (2002) Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol Ser A Biol Sci Med Sci 57:M539–M543
Luchies CW, Schiffman J, Richards LG, Thompson MR, Bazuin D, DeYoung AJ (2002) Effects of age, step direction, and reaction condition on the ability to step quickly. J Gerontol Ser A Biol Sci Med Sci 57:M246–M249
Lustig C, Hasher L, Zacks R (2007) Inhibitory deficit theory: recent developments in a “new view”. In: Gorfein DS, McLeod CM (eds) Inhibition in Cognition. American Psychological Association, Washington, pp 145–162
MacLeod CM (1991) Half a century of research on the Stroop effect: an integrative review. Psychol Bull 109:163–203
Maki BE, Holliday PJ, Topper AK (1994) A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population. J Gerontol 49:M72–M84
Maki BE, Edmondstone MA, McIlroy WE (2000) Age-related differences in laterally directed compensatory stepping behavior. J Gerontol Ser A Biol Sci Med Sci 55:M270–M277
Medell JL, Alexander NB (2000) A clinical measure of maximal and rapid stepping in older women. J Gerontol Se A Biol Sci Med Sci 55:M429–M433
Melzer I, Oddsson LI (2004) The effect of a cognitive task on voluntary step execution in healthy elderly and young individuals. J Am Geriatr Soc 52:1255–1262
Melzer I, Kurz I, Shahar D, Levi M, Oddsson L (2007) Application of the voluntary step execution test to identify elderly fallers. Age Ageing 36:532–537. doi:10.1093/ageing/afm068
Melzer I, Kurz I, Shahar D, Oddsson LI (2009) Predicting injury from falls in older adults: comparison of voluntary step reaction times in injured and noninjured fallers—a prospective study. J Am Geriatr Soc 57:743–745. doi:10.1111/j.1532-5415.2009.02198.x
Melzer I, Kurz I, Shahar D, Oddsson LI (2010) Do voluntary step reactions in dual task conditions have an added value over single task for fall prediction? A prospective study. Aging Clin Exp Res 22:360–366
Mille ML, Johnson ME, Martinez KM, Rogers MW (2005) Age-dependent differences in lateral balance recovery through protective stepping. Clin Biomech 20:607–616
Mille ML, Johnson-Hilliard M, Martinez KM, Zhang Y, Edwards BJ, Rogers MW (2013) One step, two steps, three steps more… Directional vulnerability to falls in community-dwelling older people. J Gerontol A Biol Sci Med Sci 68:1540–1548. doi:10.1093/gerona/glt062
Mirelman A, Herman T, Brozgol M et al (2012) Executive function and falls in older adults: new findings from a five-year prospective study link fall risk to cognition. PLoS One 7:e40297
Miyake A, Friedman NP (2012) The nature and organization of individual differences in executive functions: four general conclusions. Curr Dir Psychol Sci 21:8–14. doi:10.1177/0963721411429458
Miyake A, Friedman NP, Emerson MJ, Witzki AH, Howerter A, Wager TD (2000) The unity and diversity of executive functions and their contributions to complex “Frontal Lobe” tasks: a latent variable analysis. Cogn Psychol 41:49–100. doi:10.1006/cogp.1999.0734
Nassauer KW, Halperin JM (2003) Dissociation of perceptual and motor inhibition processes through the use of novel computerized conflict tasks. J Int Neuropsychol Soc 9:25–30
Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society (2011) Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc 59:148–157
Patla AE, Frank JS, Winter DA, Rietdyk S, Prentice S, Prasad S (1993) Age-related changes in balance control system: initiation of stepping. Clin Biomech 8:179–184
Persad CC, Jones JL, Ashton-Miller JA, Alexander NB, Giordani B (2008) Executive function and gait in older adults with cognitive impairment. J Gerontol Ser A Biol Sci Med Sci 63:1350–1355
Randolph C, Tierney MC, Mohr E, Chase TN (1998) The Repeatable Battery for the Assessment of Neuropsychological Status (RBANS): preliminary clinical validity. J Clin Exp Neuropsychol 20:310–319
Rapport LJ, Hanks RA, Millis SR, Deshpande SA (1998) Executive functioning and predictors of falls in the rehabilitation setting. Arch Phys Med Rehabil 79:629–633
Redfern MS, Jennings JR, Martin C, Furman JM (2001) Attention influences sensory integration for postural control in older adults. Gait Posture 14:211–216
Robinovitch SN, Feldman F, Yang Y et al (2013) Video capture of the circumstances of falls in elderly people residing in long-term care: an observational study. Lancet 381:47–54
Rogers MW, Kukulka CG, Brunt D, Cain TD, Hanke TA (2001) The influence of stimulus cue on the initiation of stepping in young and older adults. Arch Phys Med Rehabil 82:619–624
Rogers MW, Hedman LD, Johnson ME, Martinez KM, Mille ML (2003a) Triggering of protective stepping for the control of human balance: age and contextual dependence. Cogn Brain Res 16:192–198
Rogers MW, Johnson ME, Martinez KM, Mille ML, Hedman LD (2003b) Step training improves the speed of voluntary step initiation in aging. J Gerontol Ser A Biol Sci Med Sci 58:46–51
Rosano C, Simonsick EM, Harris TB et al (2005) Association between physical and cognitive function in healthy elderly: the health, aging and body composition study. Neuroepidemiology 24:8–14
Schoene D, Lord SR, Delbaere K, Severino C, Davies TA, Smith ST (2013) A randomized controlled pilot study of home-based step training in older people using videogame technology. PLoS One 8:e57734. doi:10.1371/journal.pone.0057734
Schoene D, Smith ST, Davies TA, Delbaere K, Lord SR (2014) A Stroop Stepping Test (SST) using low-cost computer game technology discriminates between older fallers and non-fallers. Age Ageing 43:285–289. doi:10.1093/ageing/aft157
Shumway-Cook A, Woollacott A (1995) Motor control theory and practical applications. Williams and Wilkins, Baltimore
Shumway-Cook A, Woollacott M, Kerns KA, Baldwin M (1997) The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. J Gerontol Ser A Biol Sci Med Sci 52:M232–M240
Simon JR (1969) Reactions toward the source of stimulation. J Exp Psychol 81:174–176
Sparto PJ, Fuhrman SI, Redfern MS, Jennings JR, Perera S, Nebes RD, Furman JM (2013) Postural adjustment errors reveal deficits in inhibition during lateral step initiation in older adults. J Neurophysiol 109:415–428. doi:10.1152/jn.00682.2012
Sparto PJ, Jennings JR, Furman JM, Redfern MS (2014) Lateral step initiation behavior in older adults. Gait Posture 39:799–803. doi:10.1016/j.gaitpost.2013.10.021
St. George RJ, Fitzpatrick RC, Rogers MW, Lord SR (2007) Choice stepping response and transfer times: effects of age, fall risk, and secondary tasks. J Gerontol Ser A Biol Sci Med Sci 62:537–542
Stelmach GE, Teasdale N, Di Fabio RP, Phillips J (1989) Age related decline in postural control mechanisms. Int J Aging Hum Dev 29:205–223
Sternberg S (2013) The meaning of additive reaction-time effects: some misconceptions. Front Psychol 4:744. doi:10.3389/fpsyg.2013.00744
Tiedemann A, Shimada H, Sherrington C, Murray S, Lord S (2008) The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing 37:430–435. doi:10.1093/ageing/afn100
Tseng SC, Stanhope SJ, Morton SM (2009) Impaired reactive stepping adjustments in older adults. J Gerontol A Biol Sci Med Sci 64:807–815. doi:10.1093/gerona/glp027
Uemura K, Oya T, Uchiyama Y (2013a) Effects of speed and accuracy strategy on choice step execution in response to the flanker interference task. Hum Mov Sci. doi:10.1016/j.humov.2013.07.007
Uemura K, Oya T, Uchiyama Y (2013b) Effects of visual interference on initial motor program errors and execution times in the choice step reaction. Gait Posture 38:68–72. doi:10.1016/j.gaitpost.2012.10.016
van den Bogert AJ, Pavol MJ, Grabiner MD (2002) Response time is more important than walking speed for the ability of older adults to avoid a fall after a trip. J Biomech 35:199–205
Acknowledgments
The authors thank Susan Strelinski, James Cook, Rob Cavanaugh and Michelle Lin for their instrumental work in conducting the experiment. This research was supported by funding from the National Institutes of Health (R01 AG031118, P30 AG024827, P30 DC005205), including the Pittsburgh Claude D. Pepper Older Americans Independence Center (P30 AG024827), and the Eye and Ear Foundation.
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No conflicts of interest, financial or otherwise, are declared by the author(s).
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Sparto, P.J., Fuhrman, S.I., Redfern, M.S. et al. Postural adjustment errors during lateral step initiation in older and younger adults. Exp Brain Res 232, 3977–3989 (2014). https://doi.org/10.1007/s00221-014-4081-z
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DOI: https://doi.org/10.1007/s00221-014-4081-z