Effect of the muscle coactivation during quiet standing on dynamic postural control in older adults

2013 ◽  
Vol 56 (1) ◽  
pp. 129-133 ◽  
Author(s):  
Koutatsu Nagai ◽  
Minoru Yamada ◽  
Shuhei Mori ◽  
Buichi Tanaka ◽  
Kazuki Uemura ◽  
...  
Keyword(s):  
Older Adults ◽  
Postural Control ◽  
Quiet Standing

scholarly journals Automatic Quantification of Tandem Walking Using a Wearable Device: New Insights Into Dynamic Balance and Mobility in Older Adults

2020 ◽  
Vol 76 (1) ◽  
pp. 101-107
Author(s):  
Natalie Ganz ◽  
Eran Gazit ◽  
Nir Giladi ◽  
Robert J Dawe ◽  
Anat Mirelman ◽  
...  
Keyword(s):  
Older Adults ◽  
Postural Control ◽  
Dynamic Balance ◽  
Principal Component ◽  
Adverse Outcomes ◽  
Community Dwelling ◽  
Sensor Data ◽  
Quiet Standing ◽  
Mobility Disability ◽  
Community Dwelling Older Adults

Abstract Background Wearable sensors are increasingly employed to quantify diverse aspects of mobility. We developed novel tandem walking (TW) metrics, validated these measures using data from community-dwelling older adults, and evaluated their association with mobility disability and measures of gait and postural control. Methods Six hundred ninety-three community-dwelling older adults (age: 78.69 ± 7.12 years) wore a 3D accelerometer on their lower back while performing 3 tasks: TW, usual-walking, and quiet standing. Six new measures of TW were extracted from the sensor data along with the clinician’s conventional assessment of TW missteps (ie, trip other loss of balance in which recovery occurred to prevent a fall) and duration. Principal component analysis transformed the 6 new TW measures into 2 summary TW composite factors. Logistic regression models evaluated whether these TW factors were independently associated with mobility disability. Results Both TW factors were moderately related to the TW conventional measures (r < 0.454, p < .001) and were mildly correlated with usual-walking (r < 0.195, p < .001) and standing, postural control (r < 0.119, p < .001). The TW frequency composite factor (p = .008), but not TW complexity composite factor (p = .246), was independently associated with mobility disability in a model controlling for age, sex, body mass index, race, conventional measures of TW, and other measures of gait and postural control. Conclusions Sensor-derived TW metrics expand the characterization of gait and postural control and suggest that they reflect a relatively independent domain of mobility. Further work is needed to determine if these metrics improve risk stratification for other adverse outcomes (eg, falls and incident disability) in older adults.

Impact of Attentional Loading and Task Constraints on Postural Control of Healthy Older Adults

2020 ◽  
Vol 2 (2) ◽  
pp. 12-25
Author(s):  
Eryk Przysucha ◽  
Brontë A. Vollebregt ◽  
Carlos Zerpa
Keyword(s):  
Older Adults ◽  
Postural Control ◽  
Cognitive Task ◽  
Quiet Standing ◽  
Support Surface ◽  
Task Constraints ◽  
Healthy Older Adults ◽  
Practical Standpoint ◽  
Support Surfaces ◽  
Attentional Tasks

Postural control is attention demanding, and it may be jeopardized when a secondary cognitive task is involved, particularly for older adults. The magnitude of this interference depends on different individual (perceptuo-motor status), task (single vs. dual tasking), and environmental constraints (support surface). The purpose of this research was to examine if older adults may be affected by various types of secondary cognitive tasks, while maintaining quiet standing on different support surfaces. In line with conceptual models, the results indicated that postural control of older adults was compromised when they were required to dual-task, especially when the support surface was challenging. This was a robust finding across all the measures of COP. In regards to the degree to which different attentional tasks affected postural control, the results remained equivocal. From a practical standpoint, the results indicated that older adults should exhibit caution when simultaneously performing a balance and a cognitive task involved particularly when the surface is unsteady.

scholarly journals Stiffness Control of Balance During Quiet Standing and Dual Task in Older Adults: The MOBILIZE Boston Study

2010 ◽  
Vol 104 (6) ◽  
pp. 3510-3517 ◽  
Author(s):  
Hyun Gu Kang ◽  
Lewis A. Lipsitz
Keyword(s):  
Older Adults ◽  
Postural Control ◽  
Dual Task ◽  
Postural Sway ◽  
Center Of Pressure ◽  
Muscle Tone ◽  
Community Dwelling ◽  
Quiet Standing ◽  
Study Cohort ◽  
Boston Study

Distractions affect postural control, but this mechanism is not well understood. Diversion of resources during cognitive stress may lead to decreased motor drive and postural muscle tone. This may appear as decreased postural stiffness and increased postural sway amplitude. We hypothesized that dual tasking leads to decreased stiffness and increased sway amplitude. Postural sway (center of pressure; COP) data were used from 724 participants aged 77.9 ± 5.3 yr, a representative sample of community-dwelling older adults, the MOBILIZE Boston Study cohort. Subjects stood barefoot with eyes open for 30 s per trial on a force plate. Five trials were performed each with and without a serial subtractions-by-3 task. Sway data were fit to a damped oscillator inverted pendulum model. Amplitudes (COP and center of mass), mechanical stiffness, and damping of the sway behavior were determined. Sway amplitudes and damping increased with the dual task ( P < 0.001); stiffness decreased only mediolaterally ( P < 0.001). Those with difficulty doing the dual task exhibited larger sway and less damping mediolaterally ( P ≤ 0.001) and an increased stiffness with dual task anteroposteriorly (interaction P = 0.004). Dual task could still independently explain increases in sway ( P < 0.001) after accounting for stiffness changes. Thus the hypothesis was supported only in mediolateral sway. The simple model helped to explain the dual task related increase of sway only mediolaterally. It also elucidated the differential influence of cognitive function on the mechanics of anteroposterior and mediolateral sway behaviors. Dual task may divert the resources necessary for mediolateral postural control, thus leading to falls.

Influence of Obesity and Impact of a Physical Activity Program on Postural Control and Functional and Physical Capacities in Institutionalized Older Adults: A Pilot Study

2020 ◽  
Vol 17 (2) ◽  
pp. 169-176 ◽  
Author(s):  
Wael Maktouf ◽  
Sylvain Durand ◽  
Bruno Beaune ◽  
Sébastien Boyas
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Postural Control ◽  
Body Mass ◽  
Normal Weight ◽  
Obese Group ◽  
Quiet Standing ◽  
6 Minute Walk Test ◽  
Physical Capacities ◽  
Minute Walk

Objective: To evaluate the role of obesity in the effects of physical activity (PA) on postural control and functional and physical capacities in the older adults and to assess the effectiveness of a PA program on these capacities. Methods: Six obese (age = 78.8 [3.7] y; body mass index > 30 kg/m2), 7 overweight (age = 80.9 [2.8] y; 25 < body mass index < 30 kg/m2), and 6 normal weight (age = 80.8 [5.7] y; body mass index < 25 kg/m2) older adults performed the time up and go test, the 6-minute walk test, and the Tinetti test. Static and dynamic (forward leaning) postural control tests were also assessed. All these tests were similarly assessed 4 months later, during which only the obese group and overweight group participated in a PA program. Results: Before PA, results of the time up and go test, 6-minute walk test, Tinetti test, quiet standing, and forward lean tests revealed that physical capacities and static and dynamic postural control were impaired in the obese group when compared to the normal weight group. After PA, results of quiet standing, physical and functional tests were improved for obese group. Conclusions: Obesity is an additional constraint to age-related postural control and functional and physical capacities deteriorations. Nevertheless, a PA program is effective in improving balance and functional capacities in obese older adults.

scholarly journals Stable and Unstable Load Carriage Effects on the Postural Control of Older Adults

2020 ◽  
Vol 36 (3) ◽  
pp. 178-185
Author(s):  
Gregory S. Walsh ◽  
Daniel C. Low ◽  
Marco Arkesteijn
Keyword(s):  
Older Adults ◽  
Postural Control ◽  
Postural Sway ◽  
Control Strategies ◽  
Rectus Femoris ◽  
Load Carriage ◽  
Quiet Standing ◽  
Leg Muscles ◽  
Main Effect ◽  
Backpack Load

The aim of this study was to investigate the effects of backpack load carriage on quiet standing postural control and limits of stability (LOS) of older adults. Fourteen older adults (65 [6] y) performed quiet standing and a forward, right, and left LOS test in 3 conditions, unloaded, stable, and unstable backpack loads while activity of 4 leg muscles was recorded. Stable and unstable loads decreased postural sway (main effect , stable P < .001, unstable P < .001), mediolateral (main effect , stable P = .002, unstable P = .018) and anterior–posterior (main effect , stable P < .001, unstable P = .001) fractal dimension, and LOS distance (main effect , stable P = .011, unstable P = .046) compared with unloaded. Rectus femoris (main effect , stable P = .001, unstable P = .010) and gastrocnemius (main effect , unstable P = .027) activity increased in loaded conditions during LOS and quiet standing. Gastrocnemius–tibialis anterior coactivation was greater in unstable load than stable loaded quiet standing (main effect , P = .040). These findings suggest older adults adopt conservative postural control strategies minimizing the need for postural corrections in loaded conditions. Reduced LOS may also increase fall risk when carrying a load. However, there was no difference between unstable and stable loads for postural control variables.

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