Analysis of the impact of a cognitive task on the posture of elderly subjects with depression compared with healthy elderly subjects

Casteran, Matthieu; Putot, Alain; Pfitzenmeyer, François; Thomas, Elizabeth; Manckoundia, Patrick

doi:10.1016/j.clinph.2016.09.007

Cited by 18 publications

(9 citation statements)

References 52 publications

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“…On the other hand, Casteran et al. (2016) compared the ability of healthy and depressive elderly subjects to maintain static postural equilibrium. Depressive elderly subjects presented higher CoP areas during single‐ and dual‐task conditions (recalling items from memory and counting backward).…”

Section: Discussionmentioning

confidence: 99%

“…Casteran et al. (2016) evaluated postural sway for 30 s without randomizing tasks in elderly subjects aged over 80 years without orthopedic problems. In conditions requiring additional cognitive costs, postural control could be affected by individual factors, such as injuries (Geurts et al., 1961) and the aging process (Teasdale, Stelmach, & Breunig, 1991).…”

Section: Discussionmentioning

confidence: 99%

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Could emotional and sensitization status affect postural sway in adults with knee osteoarthritis?

Soares

Foppa

Dionisio

2021

Physiotherapy Res Intl

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Background and Purpose The manipulation of sensory conditions and attentional demand affect the postural sway in older adults with knee osteoarthritis (KOA). However, it is not known if emotional and sensitization status affects postural sway in this population. This study aimed to test if older adults with mild and moderate knee osteoarthritis with symptoms of depression and high sensitization would change the profile of postural sway. Methods Design: A cross‐sectional study was undertaken. Participants: The center of pressure parameters of 30 older adults with mild and moderate knee osteoarthritis and 15 healthy controls were evaluated under different conditions manipulating the visual and attentional demand. We used the pressure pain threshold to measure the sensitization status. Furthermore, we applied the Beck Depression Inventory index to assess emotional status. Results Manipulating the visual demand affected the center of pressure parameters for both groups, without differences between them. Compared to the healthy control group, the knee osteoarthritis group presented with worse scores on the Beck Depression Inventory, lower pressure pain threshold scores, and the correlations between the symptoms of depression and sensitization status ranged from weak to moderate. Finally, in the knee osteoarthritis group, we observed few and weak significant associations between the center of pressure parameters and the Beck Depression Inventory and the pressure pain threshold scores. Discussion Emotional and sensitization status seem not to be more associated with the center of pressure of older adults with mild to moderate KOA than healthy adults. Thus, it suggests that this population can safely maintain postural sway, irrespective of depression symptoms and high sensitization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Could emotional and sensitization status affect postural sway in adults with knee osteoarthritis?

Soares

Foppa

Dionisio

2021

Physiotherapy Res Intl

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“…In addition to impaired balance function, depression may increase the risk of falls, especially in the elderly population 33 34. Last, an unhealthy lifestyle in depressed patients may increase the risk of spine fracture or aggravate comorbid physical conditions, such as metabolic diseases, stroke and cardiovascular disorders 35…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the increased risk of spine fracture in patients with mood disorder compared with matched controls: a longitudinal follow-up study using a national sample cohort in Korea

et al. 2019

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ObjectiveTo evaluate the risk of spine fracture in patients with mood disorder using a nationwide cohort.DesignA longitudinal follow-up study.SettingClaims data for the population ≥20 years of age were collected from 2002 to 2013 for the Korean National Health Insurance Service-National Sample Cohort.ParticipantsA total of 60 140 individuals with mood disorder were matched with 240 560 individuals (control group) for age, sex, income, region of residence and osteoporosis.InterventionsIn both the mood disorder and control groups, the history of spine fracture was evaluated. The International Classification of Diseases 10th Revision codes for mood disorder (F31–F39) and spine fracture (S220 and S320) were included.Primary and secondary outcome measuresThe univariable and multivariable HRs and 95% CIs of spine fracture for patients with mood disorder were analysed using a stratified Cox proportional hazards model. Subgroup analyses were conducted according to the history of osteoporosis, age and sex.ResultsApproximately 3.3% (2011/60 140) of patients in the mood disorder group and 2.8% (6795/240 560) of individuals in the control group had spine fracture (p<0.001). The mood disorder group demonstrated a higher adjusted HR for spine fracture than the control group (multivariable HR=1.10, 95% CI 1.04 to 1.15, p<0.001). The participants without osteoporosis showed a higher HR of mood disorder for spine fracture than the control participants (multivariable HR=1.25, 95% CI 1.14 to 1.37, p<0.001). According to age and sex, this result was consistent in subgroups of women aged 20–39 and 40–59 years and men aged ≥60 years.ConclusionThe risk of spine fracture was increased in patients with mood disorder. The potential risk of spine fracture needs to be evaluated when managing patients with mood disorder.

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“…The literature developed numerous researches that showed significant roles of the cognitive interference in different sensory and postural conditions of standing. Majority of them examined quiet or perturbed standing with cognitive loads (Casteran et al 2016, Melzer et al 2011, Schmid et al 2007. It seemed that standing on an unstable platform is per se a difficult task for the CNS so that addition of the cognitive interference may be underrated by the other difficulties.…”

Section: Discussionmentioning

confidence: 99%

Effects of postural and cognitive difficulty levels on the standing of healthy young males on an unstable platform

Oliaei¹,

Ashtiani²,

Azma³

et al. 2018

Acta Neurobiologiae Experimentalis

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Standing on an unstable platform requires continuous effort of the neuro-musculoskeletal system. The aim of the present study is to evaluate the ability to remain standing on an unstable platform at different levels of postural and cognitive difficulty. Healthy young males stood in the sagittal plane on an unstable platform supported by a pair of springs with modifiable stiffness. The balance test also assessed different levels of vision and cognitive function. Linear and nonlinear metrics of standing, based on motion captured kinematic data, were assessed to analyze the stability of standing. Results showed that vision plays a significant role in maintaining balance in terms of linear metrics. Elimination of visual feedback changed the direction of body sway and increased standing instability. Placement of low stiffness springs led to unstable standing. The cognitive dual task, however, had no effect on the stability metrics and merely could be revealed in the simplest test condition. Standing on an unstable platform was closely related to visual feedback and decreasing the spring stiffness significantly reduced stability. The roles of cognitive involvement were subdued by increasing the postural difficulty in standing on an unstable platform.

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Analysis of the impact of a cognitive task on the posture of elderly subjects with depression compared with healthy elderly subjects

Cited by 18 publications

References 52 publications

Could emotional and sensitization status affect postural sway in adults with knee osteoarthritis?

Could emotional and sensitization status affect postural sway in adults with knee osteoarthritis?

Evaluation of the increased risk of spine fracture in patients with mood disorder compared with matched controls: a longitudinal follow-up study using a national sample cohort in Korea

Effects of postural and cognitive difficulty levels on the standing of healthy young males on an unstable platform

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