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  • 1
    Publication Date: 2019-07-19
    Description: A main contributor of fractures in older adults is from a lateral fall. The decline in sensory systems results in difficulty maintaining balance stability. Head stabilization contributes to postural control by serving as a stable platform for the sensory systems. The purpose of this study was to characterize the head stabilization response to a lateral perturbation while walking. A total of 16 healthy older adults, aged 66-81 years, walked across a foam pathway 6 times. One piece of the foam pathway covered a movable platform that translated to the left when the subject stepped on the foam. Three trials were randomized in which the platform shifted. Angular rate sensors placed on the center of mass of the head and trunk collected head and trunk movement in all three planes of motion. The roll plane was analyzed to examine motion in the plane of the perturbation. Subjects stepped onto the platform with the right foot. Recovery step time and distance were recorded. The first trial was analyzed to capture the novelty of the perturbation. Results indicate a significant difference in footfall distance t=0.004, p〈0.05, as well as the speed of foot recovery t=0.001, p〈0.05, between natural and perturbed walking. Results indicate that the head t=0.005, p〈0.05, and trunk t=0.0001, p〈0.05, velocities increase during perturbed compared to natural walking. Older adults place their recovery foot down faster when perturbed to re-establish their base of support. Head and trunk segments are less stable and move with greater velocities to reestablish stability when perturbed.
    Keywords: Life Sciences (General)
    Type: JSC-CN-18151 , JSC-CN-19226 , 62nd Annual Scientific Meeting of the Gerontological Society of America; 18-122 Nov. 2009; Atlanta, GA; United States
    Format: text
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  • 2
    Publication Date: 2019-07-19
    Description: Research indicates a main contributor of injury in older adults is from falling. The decline in sensory systems limits information needed to successfully maneuver through the environment. The objective of this study was to determine if prolonged exposure to the realignment of perceptual-motor systems increases adaptability of balance, and if balance confidence improves after training. A total of 16 older adults between ages 65-85 were randomized to a control group (walking on a treadmill while viewing a static visual scene) and an experimental group (walking on a treadmill while viewing a rotating visual scene). Prior to visual exposure, participants completed six trials of walking through a soft foamed obstacle course. Participants came in twice a week for 4 weeks to complete training of walking on a treadmill and viewing the visual scene for 20 minutes each session. Participants completed the obstacle course after training and four weeks later. Average time, penalty, and Activity Balance Confidence Scale scores were computed for both groups across testing times. The older adults who trained, significantly improved their time through the obstacle course F (2, 28) = 9.41, p 〈 0.05, as well as reduced their penalty scores F (2, 28) = 21.03, p 〈 0.05, compared to those who did not train. There was no difference in balance confidence scores between groups across testing times F (2, 28) = 0.503, p 〉 0.05. Although the training group improved mobility through the obstacle course, there were no differences between the groups in balance confidence.
    Keywords: Life Sciences (General)
    Type: JSC-CN-20148 , Gerontological Society of America 63rd Annual Meeting; Nov 19, 2010 - Nov 23, 2010; New Orleans, LA; United States
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