RESUMEN

BACKGROUND: Balance dysfunction related to lateral instability has been associated with falls and fall-related injuries among older individuals. Protective stepping for dynamic balance recovery requires the effective control of lateral body motion. This study investigated the relationship between aging, falls, and lateral stability during forward-induced stepping for dynamic balance recovery. METHODS: Forward steps were induced by a motor-driven waist-pull system in 12 younger adults, 20 healthy community-dwelling older adult nonfallers, and 18 older adults who had reported falls. Group differences in kinetic and kinematic stepping characteristics for a range of postural disturbance magnitudes were evaluated. RESULTS: Despite group similarities in anticipatory postural adjustments for minimizing lateral instability, the older fallers demonstrated significantly greater sideways body motion toward the stepping side at first-step foot contact and a more laterally directed foot placement. During the first step, forward-stepping characteristics were generally comparable between the groups, but the older fallers had an earlier liftoff time and longer step duration. CONCLUSIONS: During forward-induced protective stepping, otherwise healthy older adults who had experienced falls showed particular differences in their control of lateral body motion that were not attributable to changes in anticipatory postural mechanisms. Aging changes in controlling lateral body motion during protective stepping appear to involve factors that intervene between the first-step liftoff and foot contact and/or adaptations in stepping patterns related to prior planning.

Asunto(s)

RESUMEN

OBJECTIVES: To investigate the influence of different reaction stimulus cues on the characteristics of ground reaction forces during the initiation of rapid forward stepping, and to determine whether age-related differences in step initiation are influenced by the type of stimulus cue used to trigger stepping. DESIGN: Case-control study. SETTING: University-based research laboratory. PARTICIPANTS: Fifteen healthy younger adults and 35 community-dwelling older adult volunteers. MAIN OUTCOME MEASURES: Subjects performed forward step initiation in response to 3 different reaction stimulus cues (light, sound, electrocutaneous) during simple reaction-time conditions. Ground reaction force data were collected and used to characterize the timing and magnitude features of the postural (weight-transfer) and step components. RESULTS: In comparison with the light and sound stimuli, the nonnoxious electrocutaneous trigger cue was associated with an increase in the magnitude of the initial displacement of the center of pressure (COP) in the mediolateral direction. Overall, older subjects were slower to initiate the postural and step components, and displayed a reduction in the initial posterior displacement of the COP. CONCLUSIONS: The postural component for lateral weight transfer was augmented by the electrocutaneous trigger cue, suggesting its potential to enhance step initiation among clinical populations. Age-related changes in stepping were unaffected by the type of stimulus cue, but the older group had a slower response initiation time and less forward propulsion. The abilities of many older persons may be compromised in situations where rapid adjustments in the base of support through stepping are triggered by environmental stimuli.

Asunto(s)

RESUMEN

The purposes of this study were: (1) to determine the frequency of protective stepping for balance recovery in subjects of different ages and fall-status, and (2) to compare predicted stepping based on a dynamic model (Pai and Patton, 1997. Journal of Biomechanics 30, 347 354) involving displacement and velocity combinations of the center of mass (COM) versus a static model based on displacement alone against experimentally induced stepping. Responses to three different magnitudes of forward waist pulls were recorded for 13 young, 18 older-non-fallers and 18 older-fallers. The COM phase plane trajectories derived from motion analysis were compared with the model-predicted threshold values for stepping. We found that the older fallers had the highest percentage of stepping trials (52%), followed by older-non-fallers (17.3%), and young (2.7%) at the lowest perturbation level. Younger subjects stepped less often than the elderly at the middle level. Everyone consistently stepped at the highest level of perturbation. Overall, the dynamic model showed better predictive capacity (65%) than the static model (5%) for estimating the initiation of stepping. Furthermore, the threshold for step initiation derived from the dynamic model could consistently predict when a step must occur. However, it was limited, especially among older fallers at the low perturbation level, in that it considered some steps 'unnecessary' that were presumably triggered by fear of falling or other factors.

Asunto(s)

Asunto(s)

Asunto(s)

RESUMEN

Skin test reactivity and in vitro lymphocyte stimulation responses to varicella-zoster (VZ) were examined in a large normal population ranging in age from 6 months to 93 years. Warning of cellular immunity, as examined by skin delayed hypersensitivity, began at age 40 years. Skin test responses to phytohemagglutinin, however, remained positive into the eighth decade of life. In vitro lymphocyte stimulation responses to VZ were usually positive (stimulation index greater than or equal to 2.5) until age 60 years, after which time levels, as observed with nonimmune individuals, were often demonstrated. Antibody levels, as measured by fluorescent antibody to membrane antigen, remained positive into the ninth and tenth decades of life. This was especially so with a history of reactivation (zoster) VZ infections, while skin test and in vitro responses were rarely positive in those individuals. This cellular, as contrasted with humoral, immunity decreases with advancing age, which may account for a propensity to reactivation of VZ virus.

Asunto(s)

Asunto(s)