We quantified the effect of vision, pressoreceptor function and proprioception on the postural stability at different ages. Altogether 212 healthy volunteers (ages from 6 to 90 years) were examined by using a computerised force platform. The sway velocity (SV) was measured with eyes open and eyes closed during quiet stance on a bare platform and a foam plastic covered surface. In addition, to study the proprioceptive system, pseudorandom vibration perturbation was applied on the calf muscles. The SV showed a U-shaped curve: the children and the oldest swayed most. Equilibrium was most stable around 50 years. The visual system was of most importance for balance control in the old. The children were sensitive of pressoreceptor and proprioceptive perturbation, indicating the importance of these systems for their postural control.

These data suggest that interictal neurotologic dysfunction in MA and MO share similar features and that the defective oculomotor function is mostly of vestibulocerebellar origin.

The postural stability of 23 subjects aged 85 years or over was studied with a force platform. The sensory function of the lower limbs was disturbed with small vibrators placed on both calf muscles and/or by placing the subjects on a platform covered with foam plastic. When compared with a group (n = 100) of 50-60-year-old subjects, the elderly subjects had significantly higher sway velocities even during nonperturbed conditions. The perturbation of muscle spindles with vibration and/or pressoreceptor function with foam plastic did not increase the postural instability of the elderly subjects. Visual deprivation had a significant effect on postural stability, and the visual influx contributed about 50% of the postural stability. Postural control is reduced as a result of loss of sensory cues of pressoreceptors and also deterioration in function of stretch reflexes initiated from muscle spindles. The very elderly seem to rely on visual control of posture; this is slow, which can be one reason for susceptibility to falls.

Impaired postural stability seems to be one factor in multidimensional symptomatology of patients with chronic low back trouble. Postural stability is easily disturbed in case of impairment in strength, coordination, or effective coupling of muscles in the lumbar and pelvic area. Patients with chronic low back pain seem to experience impairment in these functions, which should be taken into consideration when back rehabilitation programs are planned.

Ten competition shooters were tested during simulated race using the force platform technique to investigate the effect of training on postural stability. The shooters were tested at 30-min intervals during a race simulating actual race conditions. Sway velocity was calculated during 27-second periods. The postural stability was evaluated with and without competition clothing. The shooters had significantly better stability than untrained control subjects, when tested without supportive clothing. The competition clothing reduced the sway velocity further both in visual and nonvisual conditions. The Romberg quotient was higher in shooters than in normal controls, indicating that the shooters used to an increased amount proprioceptive and vestibular cues to stabilize their posture. The good postural stability of the shooters apparently results from assiduous training aimed to improve postural stability.