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Age related changes in balance performance during self-selected and narrow stance testing.

Identifieur interne : 000457 ( Main/Curation ); précédent : 000456; suivant : 000458

Age related changes in balance performance during self-selected and narrow stance testing.

Auteurs : Bryan L. Riemann [États-Unis] ; Monica Lininger [États-Unis] ; Mary K. Kirkland [États-Unis] ; John Petrizzo [États-Unis]

Source :

RBID : pubmed:29190546

Descripteurs français

English descriptors

Abstract

BACKGROUND

Various balance tests have been considered as fall risk screening tools however there is a lot of variability in the methods and outcome measures reported. Based on previous research examining age-related changes in balance and differences between fallers and nonfallers, the purpose of this investigation was to examine age-related balance changes, as reflected in medial-lateral center of pressure (CP) velocity, in community-dwelling/independently living adults (≥60years) during self-selected and narrow stance testing with eyes opened and closed.

METHODS

Two hundred and thirty adults aged 60yrs or older completed one 45s trial under two stances (self-selected, narrow) and two visual conditions (eyes opened, eyes closed). Average medial-lateral CP velocity was computed from the CP data, with preliminary analysis demonstrating positive skewness and association with body height. A sway velocity index (SVI) was created by a natural logarithm transformation and dividing by body height. Multiple linear regression was used to determine the association between age, visual condition, stance, and sex with SVI.

RESULTS

Age, visual condition, stance and sex were all demonstrated to be significant predictors of SVI, with the combination of the predictors explaining 25% of the variance in the SVI.

CONCLUSIONS

These results confirm the balance testing protocol and SVI to be sensitive to age-related changes in balance performance. The results of this study should help future research aimed towards establishing a quick, easy to administer, and readily interpretable instrumented test for assisting with identifying potential balance impairments in older adults who have yet to demonstrate outward deficits.


DOI: 10.1016/j.archger.2017.11.012
PubMed: 29190546

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<term>Accidental Falls (prevention & control)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Aging (physiology)</term>
<term>Body Height (physiology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Independent Living (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mass Screening (methods)</term>
<term>Middle Aged (MeSH)</term>
<term>Postural Balance (physiology)</term>
<term>Pressure (MeSH)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Chutes accidentelles (prévention et contrôle)</term>
<term>Dépistage de masse (méthodes)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Pression (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Taille (physiologie)</term>
<term>Vie autonome (MeSH)</term>
<term>Vieillissement (physiologie)</term>
<term>Équilibre postural (physiologie)</term>
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<term>Mass Screening</term>
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<term>Vieillissement</term>
<term>Équilibre postural</term>
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<term>Aging</term>
<term>Body Height</term>
<term>Postural Balance</term>
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<term>Accidental Falls</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Humans</term>
<term>Independent Living</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Pression</term>
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<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>Various balance tests have been considered as fall risk screening tools however there is a lot of variability in the methods and outcome measures reported. Based on previous research examining age-related changes in balance and differences between fallers and nonfallers, the purpose of this investigation was to examine age-related balance changes, as reflected in medial-lateral center of pressure (CP) velocity, in community-dwelling/independently living adults (≥60years) during self-selected and narrow stance testing with eyes opened and closed.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Two hundred and thirty adults aged 60yrs or older completed one 45s trial under two stances (self-selected, narrow) and two visual conditions (eyes opened, eyes closed). Average medial-lateral CP velocity was computed from the CP data, with preliminary analysis demonstrating positive skewness and association with body height. A sway velocity index (SVI) was created by a natural logarithm transformation and dividing by body height. Multiple linear regression was used to determine the association between age, visual condition, stance, and sex with SVI.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Age, visual condition, stance and sex were all demonstrated to be significant predictors of SVI, with the combination of the predictors explaining 25% of the variance in the SVI.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>These results confirm the balance testing protocol and SVI to be sensitive to age-related changes in balance performance. The results of this study should help future research aimed towards establishing a quick, easy to administer, and readily interpretable instrumented test for assisting with identifying potential balance impairments in older adults who have yet to demonstrate outward deficits.</p>
</div>
</front>
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<AbstractText Label="METHODS">Two hundred and thirty adults aged 60yrs or older completed one 45s trial under two stances (self-selected, narrow) and two visual conditions (eyes opened, eyes closed). Average medial-lateral CP velocity was computed from the CP data, with preliminary analysis demonstrating positive skewness and association with body height. A sway velocity index (SVI) was created by a natural logarithm transformation and dividing by body height. Multiple linear regression was used to determine the association between age, visual condition, stance, and sex with SVI.</AbstractText>
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