Skip to main content

Postural Responses of the Elderly: Comparisons with Vestibular-Deficit Subjects

  • Chapter
Book cover Sensorimotor Impairment in the Elderly

Part of the book series: NATO ASI Series ((ASID,volume 75))

Summary

Balance corrections elicited in response to a dorsi-flexion rotation of the support-surface were compared between elderly and young normal subjects using surface EMG records from the soleus, tibialis anterior, and neck extensor muscles, and measurements of ankle torque. Three fundamental differences were observed. First, EMG response latencies were significantly longer in the elderly. Second, the ankle torque exerted on the support surface by the elderly subjects was diminished with respect to young normals. Third, the magnitude of extensor neck muscle activation was increased in elderly subjects, indicating an increased compensation at the head for trunk forward pitching. These findings, when compared to observations on the postural control of vestibularloss subjects, suggest that sensory integration changes may impact postural corrections in elderly subjects. One way elderly subjects appear to compensate for their weaker ankle torque when pitched backwards is an increased reliance on hip flexion to prevent falling.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Allum JHJ, Mauritz KH. (1984) Compensation for intrinsic muscle stiffness by short-latency reflexes in human triceps surae muscles. J Neurophysiol, 52:797–818.

    Google Scholar 

  • Allum JHJ, Keshner EA, Honegger F, Pfaltz CR. (1988) Indicators of the influence a peripheral vestibular deficit has on vestibulo-spinal reflex responses controlling postural stability. Acta Otolaryngol (Stockh), 106:252–263.

    Article  Google Scholar 

  • Allum JHJ and Honegger F. (1992) A postural model of balance correcting movement strategies J Vest Res, (in press).

    Google Scholar 

  • Allum JHJ, Honegger F, and Schicks H. (1993) The influence of a bilateral peripheral vestibular deficit on postural synergies. J Vest Res, (submitted).

    Google Scholar 

  • Chandler JM, Duncan PW, Studenski SA. (1990) Balance performance on the postural stress test: Comparison of young adults, healthy elderly, and fallers. Phys Ther, 70:410–415.

    Google Scholar 

  • Diener HC, Bootz F, Dichgans J, Bruzek W. Variability of postural ’reflexes’ in humans. Exp Br Res 1983; 52:423–428.

    Article  Google Scholar 

  • Horak FB, Nashner LM. (1986) Central program of postural movements: Adaptation to altered support-surface configurations. J Neurophysiol, 55:1369–1381.

    Google Scholar 

  • Keshner EA, Allum JHJ, Honegger F. (1993) Predictors of less stable postural responses to support-surface rotations in healthy human elderly. J Vest Res, (in press).

    Google Scholar 

  • Keshner EA, Allum JHJ, Pfaltz CR. (1987) Postural coactivation and adaptation in the sway stabilizing responses of normals and patients with bilateral vestibular deficit. Exp Br Res, 69:77–92.

    Article  Google Scholar 

  • Overstall PW, Exton-Smith AN, Imms FJ, Johnson AL. (1977) Falls in the elderly related to postural ???balance. British Med J, 1:261–264.

    Article  Google Scholar 

  • Peterka RJ, Black FO. (1990) Age-related changes in human posture control: Motor coordination tests. J Vestib Res, 1:87–96.

    Google Scholar 

  • Rosenhall U. (1973) Degenerative changes in the aging human vestibular geriatric neuroepithelia. Acta Otolaryngol, 76:208–220.

    Article  Google Scholar 

  • Skinner HB, Barrack RL, Cook SD. (1984) Age-related declines in proprioception. Clin Orthop, 184:208–211.

    Google Scholar 

  • Sloane PD, Baloh RW, Honrubia V. (1 989) The vestibular system in the elderly: Clinical implications. Am J Otolaryngol, 10:422–429.

    Article  Google Scholar 

  • Stelmach GE, Teasdale N, Di Fabio RP, Phillips J. (1989) Age related decline in postural control mechanisms. Int J Aging Hum Develop, 29:205–223.

    Article  Google Scholar 

  • Studenski S, Duncan P, Weiner D, Chandler J. (1990) The role of instability in falls among older persons. In Duncan PW (ed.), Balance, VA: American Physical Therapy Association, pp. 57–60.

    Google Scholar 

  • Whipple RH, Wolfson LI and Amerman PM. (1987) The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J Am Geriatr Soc, 35:13–20.

    Google Scholar 

  • Woollacott MH, Shumway-Cook A, Nashner LM. (1986) Aging and posture control: changes in sensory organization and muscular coordination. Int J Aging Hum Develop, 23:97–114.

    Article  Google Scholar 

  • Vlahov D, Meyers AH, Al-lbrahim MS. (1990) Epidemiology of falls among patients in a rehabilitation hospital.Arch Phys Med Rehabil, 71:8–12.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer Science+Business Media Dordrecht

About this chapter

Cite this chapter

Allum, J.H.J., Honegger, F., Keshner, E.A. (1993). Postural Responses of the Elderly: Comparisons with Vestibular-Deficit Subjects. In: Stelmach, G.E., Hömberg, V. (eds) Sensorimotor Impairment in the Elderly. NATO ASI Series, vol 75. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-1976-4_14

Download citation

  • DOI: https://doi.org/10.1007/978-94-011-1976-4_14

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4872-9

  • Online ISBN: 978-94-011-1976-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics