Request PDF on ResearchGate | Components of postural dyscontrol in the elderly: A review | The concept of a generalized aging effect on a generalized. Printed in the U.S.A. /89 $ + REVIEW Components of Postural Dyscontrol in the Elderly: A Review F A Y B. H O R A K, 1 C H A R L O T T E L. The effects of Parkinson’s disease, hemiplegia, cerebellar degeneration, peripheral vestibular loss, and other disorders on the components of postural control.

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Components of postural dyscontrol in the elderly: a review.

Posturally unstable patients with Parkinson’s disease show loss have also been reported to show longer response latencies to a pattern of muscle activation resembling a normal ankle and some types of perturbations, especially with eyes closed [ 57 ; but normal hip strategy, but activated simultaneously, instead of see also 85 and ].

For example, Horak et al. This may explain why these patients cannot ments of the center of gravity may require different postural maintain equilibrium on a narrow beam, in a tandem Romberg movements for effective recovery of balance.

Normal and pathological aspects.

Components of postural dyscontrol in the elderly: a review. – Semantic Scholar

The ankle strategy tje in Fig. Loss of ankle and foot joint and for the same direction of sway, the hip strategy Fig. Neural sensorimotor components of normal postural control mechanisms are identified and discussed. Models of structural- Lancet 2: Dysequilibrium of aging presbyastasis.

In contrast, some patients with other center of gravity displacement and the corrective postural strategy peripheral vestibular abnormalities, including posttraumatic peri- for two hypothetical subjects. If these signs are It appears unlikely that the long postural latencies observed in mild and not associated with distinct lesions on brain scans, the normal elderly can be completely accounted for by age-related cerebellar degeneration is not routinely diagnosed A longitudinal study of falls Neuroscience.

Also, the therefore the pattern of postural instability and the type of falls will majority of elderly individuals, who have at least occasional also be unique to each individual.

Further, a sensory disorder is posturall to control. Clinical tests revealed previously undiagnosed asymmetri- a given elderly individual with disequilibrium, many underlying cal vestibular function, loss of vibration sense at the ankles, loss of causes are most likely to be present.


Quantitative posturography is advocated to detect preclinical manifestation of multiple musculoskeletal and neuromus- cular pathologies and reduced compensatory abilities in posturally unstable elderly adults.

A hip central plot [adapted from 72 ] shows the incidence of falls as a function strategy, however, results in large movements of the trunk and of age in the general population. R Changes in the vestibular and somesthetic systems dency.

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The boundaries of the area over which the center correction when standing on a firm, flat surface, they appear of gravity may be safely moved can be thought of as stability limits unable to use a hip strategy when required to by the postural task 60, Abnormal degeneration Peripheral Neuropathy.

Peripheral nerve disorders in the elderly, in: In this approach, the postural response is broken down have an impact on a motor component and vice versa. Normal subjects Multisensory deficits involving peripheral neuropathy, cervical standing on a fixed platform sway only slightly more with eyes spondylosis, vestibular loss, and reduced vision, are thought to closed than with eyes open Condition 1 vs. In the following sections we will define each component of postural control, summarize studies of patients with pathologies which the body’s center of gravity over its base of support both during compromise each component, and cokponents the relevance of these quiet stance and during active movement, both in response to studies to postural stability in both the normal and the posturally externally imposed perturbations and compohents destabilizing forces result- unstable elderly.

Changing theories of postural development.

Because the signalled by the vertical semicircular canals and forward tilt with information provided by the peripheral sensory systems is partially respect to gravity signalled by the otoliths. Revised normative evaluation of joint motion sensation in an aging population. While the central to anticipate and account for these changes.

Components of postural dyscontrol in the elderly: a review.

Boxes at the feet or the head indicate that the support surface or the visual surround were moved in proportion to the subject’s 1 motion of the body with respect to the support surface and sway. In a three-way analysis of visual, posture, and age factors, path length, and envelopment area showed a significant interaction. Patients with vestibular ular function. Measures of postural control which characterize the pattern of postural abnor- malities unique to each elderly individual must be developed.


Vascular are both much te when the platform is also sway-referenced occlusions due to arteriosclerosis and strokes may have similar Conditions 5 and 6. The ankle strategy is normally used in response to could result from the destabilizing forces associated with self- slow, small perturbations on a firm, wide surface capable of initiated body movements 5, 15, 34, Prevention of falls in the elderly.

Some of the elderly who The elderly subject produced almost no center of gravity move- fall on the first presentation of a misleading sensory environment ment Fig. Newell Experimental Brain Research Elderly or a wet, tiled floor. As a a change in visual input would put this patient at risk for a result, older individuals are highly likely to have abnormalities in life-threatening fall, and permitted both the patient and her componenrs more than one component of postural revjew.

Sensory and neural degeneration with In normal subjects, the elderly population 59it is possible that disequilibrium and the amplitude of the initial phase of muscle activity is linearly gait ataxia in some elderly individuals are due to deficits in the scaled to the velocity of the perturbation over a wide range Postural responses to perturbations of hemiplegia due to stroke have also been reported both to move random size are not as efficient as those to predictable size more slowly and to have slower postural responses 43, However, these patients lose balance change, the central nervous system must be able to correctly and fall within a few seconds in Conditions 5 and 6, which require interpret the reason for the change, and alter postural strategies as vestibular information.

As a result, generalized balance information function with increasing age.