Rapid Assessment of Age-Related Differences in Standing Balance

Kalisch, Tobias; Kattenstroth, Jan-Christoph; Noth, Sebastian; Tegenthoff, Martin; Dinse, Hubert R.

doi:10.4061/2011/160490

Cited by 18 publications

(12 citation statements)

References 23 publications

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“…Posture and balance were analyzed using a force platform (Kalisch et al, 2011a). Static stance and controlled displacement of the subject's center of pressure (COP) were assessed in 7 subtests, each lasting for 30s.…”

Section: Methodsmentioning

confidence: 99%

Six months of dance intervention enhances postural, sensorimotor, and cognitive performance in elderly without affecting cardio-respiratory functions

Kattenstroth¹,

Kalisch²,

Holt³

et al. 2013

Front. Aging Neurosci.

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274

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During aging, sensorimotor, cognitive and physical performance decline, but can improve by training and exercise indicating that age-related changes are treatable. Dancing is increasingly used as an intervention because it combines many diverse features making it a promising neuroplasticity-inducing tool. We here investigated the effects of a 6-month dance class (1 h/week) on a group of healthy elderly individuals compared to a matched control group (CG). We performed a broad assessment covering cognition, intelligence, attention, reaction time, motor, tactile, and postural performance, as well as subjective well-being and cardio-respiratory performance. After 6 months, in the CG no changes, or further degradation of performance was found. In the dance group, beneficial effects were found for dance-related parameters such as posture and reaction times, but also for cognitive, tactile, motor performance, and subjective well-being. These effects developed without alterations in the cardio-respiratory performance. Correlation of baseline performance with the improvement following intervention revealed that those individuals, who benefitted most from the intervention, were those who showed the lowest performance prior to the intervention. Our findings corroborate previous observations that dancing evokes widespread positive effects. The pre-post design used in the present study implies that the efficacy of dance is most likely not based on a selection bias of particularly gifted individuals. The lack of changes of cardio-respiratory fitness indicates that even moderate levels of physical activity can in combination with rich sensorimotor, cognitive, social, and emotional challenges act to ameliorate a wide spectrum of age-related decline.

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Section: Methodsmentioning

confidence: 99%

Six months of dance intervention enhances postural, sensorimotor, and cognitive performance in elderly without affecting cardio-respiratory functions

Kattenstroth¹,

Kalisch²,

Holt³

et al. 2013

Front. Aging Neurosci.

Self Cite

274

237

View full text Add to dashboard Cite

show abstract

“…During a double leg stance, the WBB was validated and tested for reliability with a normal, younger population (mean age = 24), and was found to have a test-retest intraclass correlation coefficient (ICC) of 0.66–0.94 and a between-device ICC of 0.77–0.89 when compared to a laboratory-grade, computerized force plate, and consistent concurrent validity (ICC = 0.77–0.89)[8]. Use of the WBB as a standalone posturography device has also been validated in clinical populations with Parkinson’s disease[9] and musculoskeletal disorders[10], and was found to be sensitive to age differences[11] and different visual tasks[12]. This is evidence of the emerging use of the WBB as a reliable and inexpensive clinical alternative to the research grade force plate and may be important for rehabilitation specialists while evaluating fall risk in the home.…”

Section: Introductionmentioning

confidence: 99%

Intra-session test-retest reliability of magnitude and structure of center of pressure from the Nintendo Wii Balance Board™ for a visually impaired and normally sighted population

Jeter¹,

Wang²,

Gu³

et al. 2015

Gait & Posture

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Individuals with visual impairment (VI) have irreparable damage to one of the input streams contributing to postural stability. Here, we evaluated the intra-session test-retest reliability of the Wii Balance Board (WBB) for measuring Center of Pressure (COP) magnitude and structure, i.e. approximate entropy (ApEn) in fourteen legally blind participants and 21 participants with corrected-to-normal vision. Participants completed a validated balance protocol which included four sensory conditions: double-leg standing on a firm surface with eyes open (EO-firm); a firm surface with eyes closed (EC-firm); a foam surface with EO (EO-foam); and a foam surface with EC (EC-foam). Participants performed the full balance protocol twice during the session, separated by a period of 15 minutes, to determine the intraclass correlation coefficient (ICC). Absolute reliability was determined by the standard of measurement (SEM). The minimal difference (MD) was estimated to determine clinical significance for future studies. COP measures were derived from data sent by the WBB to a laptop via Bluetooth. COP scores increased with the difficulty of sensory condition indicating WBB sensitivity (all p < 0.01). ICCs in the VI group ranged from 0.73 to 0.95, indicating high to very high correlations, and the normal group showed moderate to very high ICCs (0.62–0.94). The SEM was comparable between groups regardless of between-subject variability. The reliability of the WBB makes it practical to screen for balance impairment among VI persons.

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“…In contrast, when both memory and interhemispheric transfer are necessary for a given task, the increased proprioceptive processing demands significantly affected acuity in the elderly 15. Further evidence for diminished proprioceptive abilities in the elderly comes from studies investigating postural stability 58. When older adults are faced with dual-task situations (eg, upright stance and a concurrent cognitive task), postural sway increases 59.…”

Section: Discussionmentioning

confidence: 99%

Age-related changes in the joint position sense of the human hand

Kalisch¹,

Kattenstroth²,

Kowalewski³

et al. 2012

CIA

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Age-related changes in lower limb joint position sense and their contributions to postural stability are well documented. In contrast, only a few studies have investigated the effect of age on proprioceptive hand function. Here, we introduce a novel test for measuring joint position sense in the fingers of the human hand. In a concurrent matching task, subjects had to detect volume differences between polystyrene balls grasped with their dominant (seven test stimuli: 126–505 cm3) and their nondominant hand (three reference stimuli: 210, 294, and 505 cm3). A total of 21 comparisons were performed to assess the number of errors, the weight of errors (ie, the volume difference between test and reference stimuli), and the direction of errors (ie, over- or underestimation of test stimulus). The test was applied to 45 healthy subjects aged 21 to 79 years. Our results revealed that all variables changed significantly with age, with the number of errors showing the strongest increase. We also assessed tactile acuity (two-point discrimination thresholds) and sensorimotor performance (pegboard performance) in a subset of subjects, but these scores did not correlate with joint position sense performance, indicating that the test reveals specific information about joint position sense that is not captured with pure sensory or motor tests. The average test–retest reliability assessed on 3 consecutive days was 0.8 (Cronbach’s alpha). Our results demonstrate that this novel test reveals age-related decline in joint position sense acuity that is independent from sensorimotor performance.

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Rapid Assessment of Age-Related Differences in Standing Balance

Cited by 18 publications

References 23 publications

Six months of dance intervention enhances postural, sensorimotor, and cognitive performance in elderly without affecting cardio-respiratory functions

Six months of dance intervention enhances postural, sensorimotor, and cognitive performance in elderly without affecting cardio-respiratory functions

Intra-session test-retest reliability of magnitude and structure of center of pressure from the Nintendo Wii Balance Board™ for a visually impaired and normally sighted population

Age-related changes in the joint position sense of the human hand

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