Postural stability and risk of falls per decade of adult life – a pilot study
DOI:
https://doi.org/10.2478/anre-2018-0008Keywords:
proprioception (balance) training, postural stability, risk of fallAbstract
A gradual loss of function in the balance system may begin in the fourth decade of life. The effects of this process become visible in old age, when problems with postural stability contribute to falls, making it an important social problem. Early detection of this dysfunction is essential for minimizing the risk of age-related falls, one of the main causes of hospitalization or even death in older adults.
The aim of this study was to evaluate somatic factors that may result in the deterioration in postural stability and determine the age range in which the first changes in stability occur. The study included healthy non-sporting adults aged from 20 to 70 years. Four tests based on the Biodex Balance System were used to determine static postural stability, dynamic postural stability, risk of falling and stability limits.
The obtained results showed that dysfunctions of dynamic balance appeared significantly earlier than static balance dysfunctions, i.e. as early as at 50 years of age, and then gradually increased. Higher BMI and the percentage and absolute fat content significantly increased the risk of falls and also adversely affected the results of dynamic stability tests.
Downloads
References
Abrahamova D, Hlavacka F. 2008. Age-related changes of human balance during quiet stance. Physiol Res 57(6):957–64.
View in Google Scholar
Błaszczyk JW, Lowe DL, Hansen PD. 1993. Age-related changes in the perception of support surface inclination during quiet stance. Gait & Posture 1(3):161-5.
View in Google Scholar
Błaszczyk JW, Hansen PD, Lowe DL. 1993a. Evaluation of the postural stability in man: Movement and posture interaction. Acta Neurobiol Exp 53(1):155-60.
View in Google Scholar
Błaszczyk JW, Lowe DL, Hansen PD. 1994. Ranges of postural stability and their changes in the elderly. Gait & Posture 2(1):11-7.
View in Google Scholar
Błaszczyk JW, Prince F, Raiche M, Heber R. 2000. Effect of ageing and vision on limb load asymmetry during quiet stance. J Biomech 33(10):1243-8.
View in Google Scholar
Błaszczyk JW, Czerwosz L. 2005. Postural stability in the process of aging. Gerontology Poland. 13(1): 25-36.
View in Google Scholar
Błaszczyk JW, Michalski A. 2006. Ageing and postural stability. Studies in Physical Culture & Tourism. 13(Suppl):11-14.
View in Google Scholar
Błaszczyk JW, Cieślinska-Świder J, Plewa M, Zahorska-Markiewicz B, Markiewicz A. 2009. Effects of excessive body weight on postural control. J Biomech 42(9):1295-300.
View in Google Scholar
Błaszczyk JW, Beck M. Sadowska D. 2014. Assessment of postural stability in young healthy subjects based on directional posturographic data: vision and gender effects. Acta Neurobiol Exp 74(4):433-42.
View in Google Scholar
Błaszczyk JW. 2016. The use of force-plate posturography in the assessment of postural instability. Gait & Posture 44: 1-6, doi: 10.1016/j.gaitpost.2015.10.014.
View in Google Scholar
Czwalik A. 2017. Wpływ wieku i wybranych komponentów składu masy ciała na stabilność posturalną ocenianą metodą komputerowej posturografii dynamicznej. Doctoral thesis. Medical University in Lublin .
View in Google Scholar
Davlin-Pater C. 2010. The Effects of Visual Information and Perceptual Style on Static and Dynamic Balance. Motor Control 14(3):362-70.
View in Google Scholar
Fey-Kiss A, Barnai M, Domjan-Preszner A, Angyan L, Horvath G. 2007. Postural control in elderly subjects in training. Eur J Appl Physiol. 100(1): 97-104.
View in Google Scholar
Greenwald BD, Cifu DX, Marwitz JH, Enders LJ, Brown AW, Englander JS et al. 2005. Factors associated with balance deficits on admission to rehabilitation after traumatic brain injury: a multicenter analysis. J Head Trauma Rehabil. 16(3):238-52.
View in Google Scholar
Greve JM, Cuğ M, Dülgeroğlu D, Brech GC, Alonso AC. 2013. Relationship between anthropometric factors, gender, and balance under unstable conditions in young adults. Biomed Res Int 2013:850424.
View in Google Scholar
Held-Ziółkowska M. 2006. Organizacja zmysłowa i biomechanika układu równowagi. Mag Otolaryngol 5:39-46.
View in Google Scholar
Horak FB, Nashner LM. 1986. Central programming of postural movements: adaptation to altered support-surface configurations. J Neurophysiol. 55:1369-138.
View in Google Scholar
Horak FB. 2006. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age and Ageing. 35(Suppl. 2):7-11.
View in Google Scholar
Hsieh RL, Lee WC, Lo MT, Liao WC. 2013. Postural stability in patients with knee osteoarthritis: Comparison with controls and evaluation of relationships between postural stability scores and international classification of functioning, disability and health components. Arch Phys Med Rehab 94:340-6.
View in Google Scholar
Khalaj N, Abu Osman NA, Mokhtar AH, George J, Abas WA. 2014. Effect of intra articular hyaluronic injection on postural stability and risk of fall in patients with bilateral knee osteoarthritis. Sci World J 2014:815184.
View in Google Scholar
Massion J. 1992. Movement, posture and equilibrium: Interaction and coordination. Prog Neurobiol (38): 35-56.
View in Google Scholar
Nowicki J. 2004. Rola narządu przedsionkowego w układzie równowagi fizycznej ciała. Pol Przegl Med Lot 10:121-34.
View in Google Scholar
Parraca JA, Olivares PR, Carbonell-Baeza A, Aparicio VA, Adsuar JC, Gusi N. 2001. Test-Retest reliability of Biodex Balance SD on physically active old people. JHSE 6(2):444-51.
View in Google Scholar
Paterno MV, Myer GD, Ford KR, Hewett TE. 2004. Neuromuscular training improves single-limb stability in young female athletes. JOSPT 34(6):305-1.
View in Google Scholar
Prado JM, Stoffregen TA, Duarte M. 2007. Postural sway during dual tasks in young and elderly adults. Gerontology. 53(5):274-81.
View in Google Scholar
Skalska A, Ocetkiewicz T, Żak M, Grodzicki T. 2004. The influence of age on the parameters of the postural control measured by the computer balance platform. New Medicine 7:12-19.
View in Google Scholar
Stolarczyk A, Śmigielski R, Adamczyk G. 2000. Proprioception in the aspect of sports medicine. Sports Med 6(107):23.
View in Google Scholar
Styczeński T, Gasik R, Pysklo B. 2007. Clinical significance of proprioceptive dysfunction for motor organs.Proprioception’s clinical validity for the motor system. Rheumatology 45(6):404-6.
View in Google Scholar
Swanenburg J, de Bruin ED, Favero K, Uebelhart D, Mulder T. 2008. The reliability of postural balance measures in single and dual tasking in elderly fallers and non-fallers. BMC Musculoskeletal Disord 9:162.
View in Google Scholar
Wiszomirska I, Kaczmarczyk K, Zdrodowska A, Błażkiewicz M, Ilnicka L, T. Marciniak 2013. Assessment of static and dynamic balance of younger and older women, and women with eye dysfunctions. Postępy Rehabilitacji (3):33-9.
View in Google Scholar
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.