Abstract
Background and aims: With research demonstrating that older adults are more likely to sustain a loss of balance than younger adults, the need for an account of age- related differences in postural control is apparent. Several measures of balance reported in the literature have assessed balance using an average or summative measure over the course of a trial, typically lasting several seconds. One limitation related to these measures is the inability to assess the time- course of postural control occurring throughout the trial. To this end, the current investigation assessed the temporal changes in balance both as a function of age and sensory environment. Methods: Postural control was assessed from 10 older adults (69.3± 4.7 years) and 10 younger adults (22.1±1.7 years) over the course of fifteen seconds in three different sensory environments. The sensory manipulations involved sway- referenced rotation of the floor and/or the visual surround. Results: Significant differences (p=0.001) in overall postural stability were observed between the two groups on all three sensory conditions. Additionally, time- course changes were observed between the two groups when the environment did not cause sensory conflict (sway-referenced floor or room only). However, when the environment created a situation of sensory conflict (sway-referenced floor and room) both groups followed the same time-course of postural changes. Conclusions: Interestingly, the time course of postural control for the older adults on the easiest condition was mimicked by the younger adults on a more challenging condition. However, when faced with sensory conflict there were no group differences in the time course of postural control. The findings suggest an age-related decline in the temporal control of posture in altered sensory environments.
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References
Baker SP, Harvey AH. Fall injuries in the elderly. Clin Geriatr Med 1985; 1: 501–12.
Morris JC, Rubin EH, Morris EJ, Mandel SA. Senile dementia of the Alzheimer’s type: an important risk factor for serious falls. J Gerontol 1987; 42: 412–7.
Sattin RW, Lambert Huber DA, DeVito CA, et al. The incidence of fall injury events among the elderly in a defined population. Am J Epidemiol 1990; 131: 1028–37.
Lord SR, Ward JA, Williams P, Anstey KJ. Physiological factors associated with falls in older community-dwelling women. J Am Geriatr Soc 1994; 42: 1110–7.
Means KM, O’Sullivan PS, Rodell DE. Balance, mobility, and falls among elderly African American women. Am J Phys Med Rehabil 2000; 79: 30–9.
Woollacott MH, Shumway-Cook A, Nashner LM. Aging and posture control: changes in sensory organization and muscular coordination. Int J Aging Hum Dev 1986; 23: 97–114.
Choy NL, Brauer S, Nitz J. Changes in postural stability in women aged 20 to 80 years. J Gerontol 2003; 58: 525–30.
Tinetti ME, Baker DI, McAvay G, et al. A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Engl J Med 1994; 331: 821–7.
Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol 1991; 46: M69–76.
Hill K, Kerse N, Lentini F, et al. Falls: a comparison of trends in community, hospital and mortality data in older Australians. Aging Clin Exp Res 2002; 14: 18–27.
Lord SR, Ward JA. Age-associated differences in sensori-motor function and balance in community dwelling women. Age Ageing 1994; 23: 452–60.
Peterka RJ, Black FO. Age-related changes in human posture control: sensory organization tests. J Vestib Res 1990; 1: 73–85.
Allison A, Jeka JJ. Multisensory integration: Resolving ambiguities for human postural control. In Calvert GA, Spence C, Stein BE, eds. The Handbook of Multisensory Processes. Boston, MA: Massachusetts Institute of Technology, 2004: 785–97.
Teasdale N, Stelmach GE, Breunig A. Postural sway characteristics of the elderly under normal and altered visual and support surface conditions. J Gerontol 1991; 46: B238–44.
NeuroCom International I. SMART Balance Master Operator’s Manual. [Version 6]. 10-29-2001. Clackamas, OR.
Speers RA, Shepard NT, Kuo AD. EquiTest modification with shank and hip angle measurements: differences with age among normal subjects. J Vestib Res 1999; 9: 435–44.
Camicioli R, Panzer VP, Kaye J. Balance in the healthy elderly: posturography and clinical assessment. Arch Neurol 1997; 54: 976–81.
Speers RA, Kuo AD, Horak FB. Contributions of altered sensation and feedback responses to changes in coordination of postural control due to aging. Gait Posture 2002; 16: 20–30.
Duncan PW, ed. Sensory, neuromuscular, and mechanical contributions to human balance. Alexandria, VA: American Physical Therapy Association, 1990.
Baloh RW, Fife TD, Zwerling L, et al. Comparison of static and dynamic posturography in young and older normal people. J Am Geriatr Soc 1994; 42: 405–12.
Dickin DC, Rose DJ. Sensory organization abilities during upright stance in late-onset Alzheimer’s-type dementia. Exp Aging Res 2004; 30: 373–90.
Cohen H, Heaton LG, Congdon SL, Jenkins HA. Changes in sensory organization test scores with age. Age Ageing 1996; 25: 39–44.
Nashner L. Practical biomechanics and physiology of balance. In Jacobson G, Newman C, Kartush J, eds. Handbook of Balance Function and Testing. St. Louis: Mosby Year Book, 1993: 261–79.
Hageman PA, Leibowitz JM, Blanke D. Age and gender effects on postural control measures. Arch Phys Med Rehabil 1995; 76: 961–5.
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Dickin, D.C., Brown, L.A. & Doan, J.B. Age-dependent differences in the time course of postural control during sensory perturbations. Aging Clin Exp Res 18, 94–99 (2006). https://doi.org/10.1007/BF03327423
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DOI: https://doi.org/10.1007/BF03327423