Postural stability and risk of falls per decade of adult life – a pilot study

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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.

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  • Abrahamova D Hlavacka F. 2008. Age-related changes of human balance during quiet stance. Physiol Res 57(6):957–64.

  • 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.

  • 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.

  • Błaszczyk JW Lowe DL Hansen PD. 1994. Ranges of postural stability and their changes in the elderly. Gait & Posture 2(1):11-7.

  • 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.

  • Błaszczyk JW Czerwosz L. 2005. Postural stability in the process of aging. Gerontology Poland. 13(1): 25-36.

  • Błaszczyk JW Michalski A. 2006. Ageing and postural stability. Studies in Physical Culture & Tourism. 13(Suppl):11-14.

  • 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.

  • 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.

  • 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.

  • 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.

  • Davlin-Pater C. 2010. The Effects of Visual Information and Perceptual Style on Static and Dynamic Balance. Motor Control 14(3):362-70.

  • 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.

  • 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.

  • 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.

  • Held-Ziółkowska M. 2006. Organizacja zmysłowa i biomechanika układu równowagi. Mag Otolaryngol 5:39-46.

  • Horak FB Nashner LM. 1986. Central programming of postural movements: adaptation to altered support-surface configurations. J Neurophysiol. 55:1369-138.

  • 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.

  • 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.

  • 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.

  • Massion J. 1992. Movement posture and equilibrium: Interaction and coordination. Prog Neurobiol (38): 35-56.

  • Nowicki J. 2004. Rola narządu przedsionkowego w układzie równowagi fizycznej ciała. Pol Przegl Med Lot 10:121-34.

  • 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.

  • Paterno MV Myer GD Ford KR Hewett TE. 2004. Neuromuscular training improves single-limb stability in young female athletes. JOSPT 34(6):305-1.

  • Prado JM Stoffregen TA Duarte M. 2007. Postural sway during dual tasks in young and elderly adults. Gerontology. 53(5):274-81.

  • 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.

  • Stolarczyk A Śmigielski R Adamczyk G. 2000. Proprioception in the aspect of sports medicine. Sports Med 6(107):23.

  • 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.

  • 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.

  • 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.

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