Older adults prioritize postural stability in the anterior–posterior direction to regain balance following volitional lateral step

2015 ◽  
Vol 41 (2) ◽  
pp. 666-669 ◽  
Author(s):  
Shaun Porter ◽  
Julie Nantel
Keyword(s):  
Older Adults ◽  
Postural Stability ◽  
Posterior Direction ◽  
Anterior Posterior

Acute Effects of Moderate Alcohol Consumption on Postural Stability in Older Adults

2017 ◽  
Vol 124 (5) ◽  
pp. 912-931 ◽  
Author(s):  
Helen Z. Wu ◽  
Lisa C. Barry ◽  
Yinghui Duan ◽  
Richard W. Bohannon ◽  
Jonathan M. Covault ◽  
...  
Keyword(s):  
Older Adults ◽  
Alcohol Consumption ◽  
Postural Stability ◽  
Alcohol Concentration ◽  
Moderate Alcohol Consumption ◽  
Good Balance ◽  
The Poor ◽  
Breath Alcohol ◽  
Breath Alcohol Concentration ◽  
Anterior Posterior

This study involved healthy community-living older adults in an investigation of the association between moderate alcohol consumption (AC) and acute changes in postural stability and whether the association differed according to pre-AC balance skills. Thirty-nine moderate drinkers aged ≥ 65 years (62% women; mean age: 73.9 ± 6.1 years) consumed a moderate dose of alcohol (0.4 g/kg; administered as two drinks). Breath alcohol concentration and postural stability were measured at five time points (pre-AC and 40, 80, 120, and 160 minutes post-AC) using unipedal stance time (UPST) and center of pressure (CoP) displacement. Pre-AC UPST was used to categorize participants into good-balance (≥30 seconds) and poor-balance (<30 seconds) groups. Peak breath alcohol concentration was 30 mg/dL at 40 minutes post-AC. For all participants, postural stability declined significantly at 80 minutes post-AC (UPST, p = .005; anterior–posterior CoP displacement, p = .029). While the poor-balance group did not show a significant decrease in UPST duration over the course of the study, the good-balance group experienced significant decline at 80 minutes compared with baseline ( p < .001) and remained above the 30-second UPST cutoff. Both groups experienced similar worsening in anterior–posterior CoP displacement at 80 minutes post-AC. Thus, moderate AC was associated with acute decline in postural stability in older adults. The worsened anterior–posterior CoP displacement post-AC in the poor-balance group was of particular concern because these participants were already at lower balance functioning pre-AC. Larger, more representative studies of varying groups of participants are needed to further explore how this change relates to fall incidents and fall risk.

scholarly journals Postural Instability after Stepping on a Stair in Older Adults: A Pilot Study

2021 ◽  
Vol 11 (24) ◽  
pp. 11885
Author(s):  
Hyokeun Lee ◽  
Kyungseok Byun
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Postural Stability ◽  
Center Of Pressure ◽  
Force Plate ◽  
Motion Data ◽  
Significant Difference ◽  
Reaction Forces ◽  
Posterior Direction ◽  
Study Participants

This study aimed to examine how older adults (OA) control their postural stability after stepping on a stair in comparison to young adults (YA). Ten OA and 10 YA participated in this study. Participants ascended a single stair (15 cm high by 30 cm wide) which was secured atop one of the force plates. Ground reaction forces (GRFs) and center of pressure (COP) motion data were obtained from the force plate under the stair. After standing on the stair with both feet, GRFs and COP data for a 3 s duration were analyzed to assess postural variables, including time to stabilization (TTS), COP velocity (COPVEL), and COP sway area (COPSWAY). A significant difference in TTS in the anterior–posterior direction between OA and YA (p = 0.032) was observed, indicating that OA had difficulty stabilizing their body posture after the stair ascent compared to YA. For COP postural variables, no significant differences in COPVEL (p = 0.455) and COPSWAY (p = 0.176) were observed between OA and YA. Study findings indicate that older adults have less capacity to regain postural stability compared to young adults following a challenging dynamic movement.

A novel balance exercise program for postural stability in older adults: A pilot study

2007 ◽  
Vol 11 (1) ◽  
pp. 37-43 ◽  
Author(s):  
D.S. Kaesler ◽  
R.B. Mellifont ◽  
P. Swete Kelly ◽  
D.R. Taaffe
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Postural Stability ◽  
Exercise Program ◽  
Balance Exercise

Effects of assistive devices on postural control following a balance disturbance along the anterior-posterior direction

2021 ◽  
Vol 90 ◽  
pp. 239-244
Author(s):  
Yunju Lee ◽  
Rachel Badr ◽  
Brianna Bove ◽  
Patrick Jewett ◽  
Meri Goehring
Keyword(s):  
Postural Control ◽  
Assistive Devices ◽  
Posterior Direction ◽  
Anterior Posterior

scholarly journals Losing touch: age-related changes in plantar skin sensitivity, lower limb cutaneous reflex strength, and postural stability in older adults

2016 ◽  
Vol 116 (4) ◽  
pp. 1848-1858 ◽  
Author(s):  
Ryan M. Peters ◽  
Monica D. McKeown ◽  
Mark G. Carpenter ◽  
J. Timothy Inglis
Keyword(s):  
Older Adults ◽  
Lower Limb ◽  
Postural Stability ◽  
Tibialis Anterior ◽  
Tibialis Anterior Muscle ◽  
Quiet Standing ◽  
Detection Thresholds ◽  
Cutaneous Reflex ◽  
Age Related ◽  
Age Related Changes

Age-related changes in the density, morphology, and physiology of plantar cutaneous receptors negatively impact the quality and quantity of balance-relevant information arising from the foot soles. Plantar perceptual sensitivity declines with age and may predict postural instability; however, alteration in lower limb cutaneous reflex strength may also explain greater instability in older adults and has yet to be investigated. We replicated the age-related decline in sensitivity by assessing monofilament and vibrotactile (30 and 250 Hz) detection thresholds near the first metatarsal head bilaterally in healthy young and older adults. We additionally applied continuous 30- and 250-Hz vibration to drive mechanically evoked reflex responses in the tibialis anterior muscle, measured via surface electromyography. To investigate potential relationships between plantar sensitivity, cutaneous reflex strength, and postural stability, we performed posturography in subjects during quiet standing without vision. Anteroposterior and mediolateral postural stability decreased with age, and increases in postural sway amplitude and frequency were significantly correlated with increases in plantar detection thresholds. With 30-Hz vibration, cutaneous reflexes were observed in 95% of young adults but in only 53% of older adults, and reflex gain, coherence, and cumulant density at 30 Hz were lower in older adults. Reflexes were not observed with 250-Hz vibration, suggesting this high-frequency cutaneous input is filtered out by motoneurons innervating tibialis anterior. Our findings have important implications for assessing the risk of balance impairment in older adults.

Using mastoid vibration can detect the uni/bilateral vestibular deterioration by aging during standing

2021 ◽  
pp. 1-10
Author(s):  
Yufeng Lin ◽  
Mukul Mukherjee ◽  
Nicholas Stergiou ◽  
Jung Hung Chien
Keyword(s):  
Balance Control ◽  
Short Axis ◽  
Confidence Ellipse ◽  
Old Adults ◽  
Dependent Variables ◽  
Posterior Direction ◽  
Control Patterns ◽  
Main Effects ◽  
Ellipse Area ◽  
Anterior Posterior

BACKGROUND: The mastoid vibration (MV) has been used to investigate unilateral vestibular dysfunction by inducing nystagmus. Additionally, this MV can be used to quantify the effect of deterioration by aging on the vestibular system during walking. Could such MV be used to assess the uni/bilateral vestibular deterioration by aging during standing? OBJECTIVE: This study attempted to determine the feasibility of using MV for identifying the uni/bilateral vestibular deterioration by aging during standing. METHODS: Fifteen young and ten old adults’ balance control patterns were assessed by three random MV conditions: 1) No MV; 2) Unilateral MV; 3) Bilateral MV. The dependent variables were the 95% confidence ellipse areas and the sample entropy values, which were calculated based on the center of gravity displacement within each condition. RESULTS: Significant main effects of MV and aging were found on all outcome variables. A significant interaction between aging and different MV types was observed in the 95% confidence ellipse area (p = 0.002) and the length of the short axis (anterior-posterior direction, p = 0.001). CONCLUSIONS: We concluded that the MV could be used to identify different vestibular dysfunctions, specifically in old adults.

scholarly journals WHAT IS THE ROLE BODY SWAY DEVIATION AND BODY SWAY VELOCITY PLAY IN POSTURAL STABILITY IN OLDER ADULTS?

2013 ◽  
Vol 56 (3) ◽  
pp. 117-123 ◽  
Author(s):  
Jitka Jančová Všetečková ◽  
Nicholas Drey
Keyword(s):  
Older Adults ◽  
Postural Stability ◽  
Care Home ◽  
Cross Sectional Study ◽  
Body Sway ◽  
Centre Of Pressure ◽  
Cross Sectional ◽  
Physically Active ◽  
Surface Test ◽  
The University

This cross sectional study focused on how Postural Stability (PS) indicators: body sway deviation (BSD) and body sway velocity (BSV), change with age and their association with levels of social and physical activity. Observational study: 80 older adults (aged: 60–96) were purposefully recruited from two sources: the University of the Third Age (TAU) (n = 35) and a residential care home (CH) (n = 45). Differences in the indicators of PS, approximated through Centre of Pressure (COP) measurements, were assessed by the Romberg Stance Test (Test A) subsequently repeated on 10 cm foam surface (Test B), using a Kistler® Dynamometric Platform. The RCH Group was older, had higher BMI and was less socially and physically active, showed more body sway in all indicators compared to TAU group. For all participants body sway velocity (BSV) was significantly correlated with age. The strength of correlation of body sway deviation (BSD) with age was also significant but not as strong. The findings indicate in line with previous studies that deterioration in BSV is associated with poor PS more than deterioration in BSD.

scholarly journals Derivation of a finite-element model of lingual deformation during swallowing from the mechanics of mesoscale myofiber tracts obtained by MRI

2010 ◽  
Vol 109 (5) ◽  
pp. 1500-1514 ◽  
Author(s):  
Srboljub M. Mijailovich ◽  
Boban Stojanovic ◽  
Milos Kojic ◽  
Alvin Liang ◽  
Van J. Wedeen ◽  
...  
Keyword(s):  
Finite Element ◽  
Connective Tissue ◽  
Diffusion Tensor ◽  
Element Model ◽  
Out Of Plane ◽  
Posterior Direction ◽  
Elastic Constraints ◽  
The Relationship ◽  
Passive Muscle ◽  
Anterior Posterior

To demonstrate the relationship between lingual myoarchitecture and mechanics during swallowing, we performed a finite-element (FE) simulation of lingual deformation employing mesh aligned with the vector coordinates of myofiber tracts obtained by diffusion tensor imaging with tractography in humans. Material properties of individual elements were depicted in terms of Hill's three-component phenomenological model, assuming that the FE mesh was composed of anisotropic muscle and isotropic connective tissue. Moreover, the mechanical model accounted for elastic constraints by passive and active elements from the superior and inferior directions and the effect of out-of-plane muscles and connective tissue. Passive bolus effects were negligible. Myofiber tract activation was simulated over 500 ms in 1-ms steps following lingual tip association with the hard palate and incorporated specifically the accommodative and propulsive phases of the swallow. Examining the displacement field, active and passive muscle stress, elemental stretch, and strain rate relative to changes of global shape, we demonstrate that lingual reconfiguration during these swallow phases is characterized by (in sequence) the following: 1) lingual tip elevation and shortening in the anterior-posterior direction; 2) inferior displacement related to hyoglossus contraction at its inferior-most position; and 3) dominant clockwise rotation related to regional contraction of the genioglossus and contraction of the hyoglossus following anterior displacement. These simulations demonstrate that lingual deformation during the indicated phases of swallowing requires temporally patterned activation of intrinsic and extrinsic muscles and delineate a method to ascertain the mechanics of normal and pathological swallowing.

Kinematic Analysis of Dance-Based Exergaming: A Cross-Sectional Study

2021 ◽  
Author(s):  
Ernest K. Ofori ◽  
Savitha Subramaniam ◽  
Shuaijie Wang ◽  
Tanvi Bhatt
Keyword(s):  
Older Adults ◽  
Young Adults ◽  
Postural Stability ◽  
Center Of Mass ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Healthy Older Adults ◽  
Age Related ◽  
Aging Populations ◽  
Cortical Pathology

Background: Recent studies demonstrate improvements in both postural stability and mobility among aging populations and those with stroke who are exposed to dance-based exergaming (DBExG). However, age-related deficits and aging with cortical pathology may lead to distinct movement adaptation patterns during DBExG, which could impact therapeutic outcomes.Aim: The aim of this study was to examine the movement kinematics (postural stability and mobility) of healthy older adults, older adults with stroke, and young adults for different paces of dance during DBExG. Method: The study included 33 particpants (11 participant from each group of healthy older adults, older adults with chronic stroke, and healthy young adults) who performed the DBExG using slow- (SP), medium- (MP), and fast-paced (FP) songs with movements in the anteroposterior (AP) and mediolateral (ML) directions. Center of mass (CoM) sway area, excursion (Ex), and peaks as well as hip, knee, and ankle joint excursions were computed. Results: Results of the study revealed that CoM sway areas and Exs were greater for healthy young adults than for older adults with stroke for the SP dance (p < 0.05) and that there were significantly more AP CoM peaks for young adults than for healthy older adults and those with stroke for the FP dance (p < 0.05). Young adults also exhibited greater hip and ankle Exs than older adults with stroke (p < 0.05) for all song paces. Similarly, knee and ankle Exs were greater for healthy older adults than for older adults with stroke for all song paces (p < 0.05). Conclusion: The quantitative evaluation and comparison of the movement patterns presented for the three groups could provide a foundation for both assessing and designing therapeutic DBExG protocols for these populations.

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