Effect of a perturbation-based balance training program on compensatory stepping and grasping reactions in older adults: A randomized controlled trial

Physical Therapy

Volumn 90, Issue 4, 2010, Pages 476-491

  Mansfield, Avril ^a,b   Peters, Amy L ^c   Liu, Barbara A ^d,e   Maki, Brian E ^a,d  

^a HEART AND STROKE FOUNDATION OF CANADA   (Canada)

^b TORONTO REHABILITATION INSTITUTE   (Canada)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

^d SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^e UNIVERSITY OF TORONTO   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; AGING; ARTICLE; BODY EQUILIBRIUM; BODY POSTURE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; FALLING; FEMALE; HUMAN; MALE; MIDDLE AGED; MOVEMENT (PHYSIOLOGY); PHYSIOLOGY; PHYSIOTHERAPY; RANDOMIZED CONTROLLED TRIAL;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; AGING; DOUBLE-BLIND METHOD; FEMALE; HUMANS; MALE; MIDDLE AGED; MOVEMENT; PHYSICAL THERAPY MODALITIES; POSTURAL BALANCE; POSTURE;

EID: 77950979657     PISSN: 00319023     EISSN: None     Source Type: Journal    
DOI: 10.2522/ptj.20090070     Document Type: Article

References (77)

1. Kenny RA, Rubenstein LZ, Martin FC, Tinetti ME; for the American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. Guideline for the prevention of falls in older persons. J Am Geriatr Soc. 2001;49:664-672.
2. Gillespie LD, Gillespie WJ, Robertson MC, et al. Interventions for preventing falls in elderly people. Cochrane Database Syst Rev. 2001;3:CD000340.
3. Province MA, Hadley EC, Hornbrook MC, et al. The effects of exercise on falls in elderly patients: a preplanned metaanalysis of the FICSIT trials. JAMA. 1995; 273:1341-1347.
4. Rubenstein LZ, Josephson KR, Trueblood PR, et al. Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men. J Gerontol A Biol Sci Med Sci. 2000;55:M317-M321.
5. Wolf SL, Sattin RW, Kutner M, et al. Intense Tai Chi exercise training and fall occurrences in older, transitionally frail adults: a randomized, controlled trial. JAm Geriatr Soc. 2003;51:1693-1701. (Pubitemid 37543354)
6. Lord SR, Castell S, Corcoran J, et al. The effect of group exercise on physical functioning and falls in frail older people living in retirement villages: a randomized, controlled trial. J Am Geriatr Soc. 2003;51: 1685-1692. (Pubitemid 37543353)
7. Mansfield A, Peters AL, Liu BA, Maki BE. A perturbation-based balance training program for older adults: study protocol for a randomised controlled trial. BMC Geriatr. 2007;7:12. (Pubitemid 47019832)
8. Maki BE, Cheng KC-C, Mansfield A, et al. Preventing falls in older adults: new interventions to promote more effective change-in-support balance reactions. J Electromyogr Kinesiol. 2008;18:243-254. (Pubitemid 351200057)
9. Maki BE, Mcuroy WE. Postural control in the older adult. Clin Geriatr Med. 1996; 12:635-658.
10. Maki BE, Mcuroy WE. Control of rapid limb movements for balance recovery: age-related changes and implications for fall prevention. Age Ageing. 2006;35 (suppl 2):ii12-ii18.
11. Shumway-Cook A, Woollacott MH. Motor Control: Theory and Practical Applications. Baltimore, MD: Williams & Wilkins; 1995.
12. Mcllroy WE, Maki BE. Task constraints on foot movement and the incidence of compensatory stepping following perturbation of upright stance. Brain Res. 1993;616: 30-38.
13. Jensen JJ, Brown LA, Woollacott MH. Compensatory stepping: The biomechanics of a preferred response among older adults. Exp Aging Res. 2001;27:361-376.
14. Wolfson LI, Whipple R, Amerman P, Kleinberg A. Stressing the postural response: a quantitative method for testing balance. JAm Geriatr Soc. 1986;34:845-850. (Pubitemid 17187332)
15. Chandler JM, Duncan PW, Studenski SA. Balance performance on the postural stress test: comparison of young adults, healthy elderly, and fallers. Phys Ther. 1990;70: 410-415.
16. Rogers MW, Hedman LD, Johnson ME, et al. Lateral stability during forwardinduced stepping for dynamic balance recovery in young and older adults. J Gerontol A Biol Sci Med Sci. 2001;56:M589-M594.
17. Maki BE, Edmondstone MA, Perry SD, et al. Control of rapid limb movements for balance recovery: do age-related changes predict falling risk? In: Duysens J, SmitsEngelsman BCM, Kingma H, eds. Control of Posture and Gait. Maastricht, the Netherlands: International Society for Posture and Gait Research; 2001:126-129.
18. Maki BE, Mcllroy WE. The role of limb movements in maintaining upright stance: The "change-in-support" strategy. Phys Ther. 1997;77:488-507.
19. Luchies CW, Wallace D, Pazdur R, et al. Effects of age on balance assessment using voluntary and involuntary step tasks. J Gerontol A Biol Sci Med Sci. 1999;54: M140-M144. (Pubitemid 29152950)
20. Maki BE, Mcllroy WE. Change-in-support balance reactions in older persons: an emerging research area of clinical importance. Neurol Clin. 2005;23:751-783.
21. Rogers MW, Johnson ME, Martinez KM, et al. Step training improves the speed of voluntary step initiation in aging. J Gerontol A Biol Sci Med Sci. 2003;58:46-51.
22. Jöbges M, Heuschkel G, Pretzel C, et al. Repetitive training of compensatory steps: a therapeutic approach for postural instability in Parkinson's disease. J Neurol Neurosurg Psychiatry. 2004;75:1682-1687. (Pubitemid 39611465)
23. Shimada H, Obuchi S, Furuna T, Suzuki T. New intervention program for preventing falls among frail elderly people: The effects of perturbed walking exercise using a bilateral separated treadmill. Am J Phys Med Rebabil. 2004;83:493-499. (Pubitemid 38802318)
24. Protas EJ, Mitchell K, Williams A, et al. Gait and step training to reduce falls in Parkinson's disease. Neurorebabilitatton. 2005; 20:183-190. (Pubitemid 43086576)
25. Thomas S, Reading J, Shephard RI. Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Can J Sport Sci. 1992;174:338-345.
26. Kernan WN, Viscoli CM, Makuch RW, et al. Stratified randomization for clinical trials. J Clin Epidemiol 1999;52:19-26.
27. Weerdesteyn V, Rijken H, Guerts ACH, et al. A five-week exercise program can reduce falls and improve obstacle avoidance in the elderly. Gerontology. 2006;52: 131-141. (Pubitemid 43800675)
28. Sihvonen S, Sipilä S, Taskinen S, Pertti E. Fall incidence in frail older women after individualized visual feedback-based balance training. Gerontology. 2004;50: 411-416. (Pubitemid 39370497)
29. Marigold DS, Eng JJ, Dawson AS, et al. Exercise leads to faster postural reflexes, improved balance and mobility, and fewer falls in older persons with chronic stroke. JAm Geriatr Soc. 2005;53:416-423.
30. Rose DJ, Clark S. Can the control of bodily orientation be significantly improved in a group of older adults with a history of falls? J Am Geriatr Soc. 2000;48:275-282. (Pubitemid 30164210)
31. Vickers JN, Livingston LF, Umeris-Bohnert S, Holden D. Decision training: The effects of complex instruction, variable practice and reduced delayed feedback on the acquisition and transfer of a motor skill. J Sports Sci. 1999;17:357-367. (Pubitemid 29250937)
32. Vickers JN, Reeves M-A, Chambers KL, Martell S. Decision training: cognitive strategies for enhancing motor performance. In: Williams AM, Hodges NJ, eds. Skill Acquisition in Sport: Research, Theory and Practice. London, United Kingdom: Routledge, Taylor & Francis Group; 2004:103-120.
33. Payne RA. Relaxation Techniques: A Practical Handbook for the Health Care Professional. 2nd ed. Edinburgh, Scotland: Churchill Livingstone; 2000.
34. Maki BE, Mcllroy WE, Perry SD. Influence of lateral destabilization on compensatory stepping responses. J Biomecb. 1996;29: 343-353. (Pubitemid 26010616)
35. Maki BE, Mcllroy WE, Fernie GR. Changein-support reactions for balance recovery: control mechanisms, age-related changes and implications for fall prevention. IEEE Eng Med Biol Mag. 2003;22:20-26.
36. Mansfield A, Maki BE. Are age-related impairments in change-in-support balance reactions dependent on the nature of the balance perturbation? J Biomech. 2009;42: 1023-1031.
37. Maki BE, Edmondstone MA, Mcllroy WE. Age-related differences in laterally directed compensatory stepping behavior. J Gerontol A Biol Sci Med Sci. 2000;55: M270-M277.
38. Mcllroy WE, Maki BE. Age-related changes in compensatory stepping in response to unpredictable perturbations. J Gerontol A Biol Sci Med Sci. 1996;51 :M289-M296.
39. Luchies CW, Alexander NB, Schultz AB, Ashton-Miller J. Stepping responses of young and old adults to postural disturbances: kinematics. J Am Geriatr Soc. 1994;42:506-512. (Pubitemid 24145302)
40. Maki BE. A Posture Control Model and Balance Test for the Prediction of Relative Postural Stability With Spedal Consideration to the Problem of Falling in the Elderly [PhD dissertation]. Glasgow, Scotland: Bioengineering Unit, University of Strathclyde; 1987.
41. Winter DA. Biomechanics and Motor Control of Human Movement. 2nd ed. Toronto, Ontario, Canada: John Wiley & Sons Canada Ltd; 1990.
42. Mcllroy WE, Maki BE. Changes in early "automatic" postural responses associated with the prior-planning and execution of a compensatory step. Brain Res. 1993;631: 203-211.
43. Chow S-C, Shao J, Wang H. Sample Size Calculations in Clinical Research. New York, NY: Marcel Dekker Inc; 2003.
44. Conover WJ, Iman RL. Rank transformations as a bridge between parametric and nonparametric statistics. Am Stat. 1981; 35:124-129.
45. Lord SR, Clark RD. Simple physiological and clinical tests for the accurate prediction of falling in older people. Gerontology. 1996;42:199-203.
46. Bhatt T, Pai Y-C. Generalization of gait adaptation for fall prevention: from moveable platform to slippery floor. J Neuropbysiol 2009;101:948-957.
47. Gatts SK, Woollacott MH. Neural mechanisms underlying balance improvement with short term Tai Chi training. Aging Clin Exp Res. 2006;18:7-19.
48. Burleigh-Jacobs A, Horak FB, Nutt JG, Obeso JA. Step initiation in Parkinson's disease: influence of levodopa and external sensory triggers. Mov Disord. 1997;12: 206-215. (Pubitemid 27152025)
49. Damiano NK, Mcllroy WE, Maki BE, Verrier MC. Compensatory stepping in Parkinson's disease: do PD patients use external cues to decrease postural instability? Soc Neurosd Abstr. 2000;26:164.
50. Holliday PJ, Fernie GR, Gryfe CI, Griggs GT. Video recording of spontaneous falls of the elderly. In: Gray BE, ed. Slips, Stumbles, and Falls: Pedestrian Footwear and Surfaces. Philadelphia, PA: American Society for Testing and Materials; 1990:7-16. [Video CD in mpg format available at: http://sunnybrook.ca/research/?page=sri-proj-csia-focus-afep.]
51. Robinovitch S, Feldman F, Wan D, et al. Video recording of real-life falls in long term care provides new insight on the cause and circumstances of falls in older adults. Paper presented at: International Society for Posture and Gait Research; 21-25 June, 2009; Bologna, Italy.
52. Maki BE, Mcllroy WE. The control of foot placement during compensatory stepping reactions: does speed of response take precedence over stability? IEEE Trans Rebabil Eng. 1999;7:80-90.
53. Pai Y-C, Rogers MW, Patton J, et al. Static versus dynamic predictions of protective stepping following waist-pull perturbations in young and older adults. J Biomecb. 1998;31:1111-1118. (Pubitemid 29005179)
54. Maki BE, Perry SD, Norrie RG, Mcllroy WE. Effect of facilitation of sensation from plantar foot-surface boundaries on postural stabilization in young and older adults. J Gerontol A Biol Sci Med Sci. 1999; 54:M281-M287.
55. WooUacott MH, Shumway-Cook A, Nashner LM. Aging and posture control: changes in sensory organization and muscular coordination. IntJ Aging Hum Dev. 1986;23:81-97.
56. Maki BE, Mcllroy WE. Control of compensatory stepping reactions: age-related impairment and the potential for remedial intervention. Phystotber Theory Pract. 1999;15:69-90.
57. Maki BE, Mcllroy WE. Cognitive demands and corticol control of human balancerecovery reactions. J Neural Transm. 2007; 114:1279-1296.
58. Woollacott MH, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16:1-14. (Pubitemid 34786352)
59. Zettel JL, Holbeche A, Mcllroy WE, Maki BE. Redirection of gaze and switching of attention during rapid stepping reactions evoked by unpredictable postural perturbation. Exp Brain Res. 2005;165:392-401. (Pubitemid 41206962)
60. Mille M-L, Johnson ME, Martinez KM, Rogers MW. Age-dependent differences in lateral balance recovery through protective stepping. Clin Biomecb. 2005;20:607-616.
61. Sveistrup H, Woollacott MH. Practice modifies the developing automatic postural response. Exp Brain Res. 1997;114:33-43. (Pubitemid 27153525)
62. Mcllroy WE, Maki BE. Adaptive changes to compensatory stepping responses. Gait Posture. 1995;3:43-50.
63. Horak FB. Adaptation of automatic postural responses. In: Bloedel J, Ebner TJ, Wise SP, eds. The Acquisition of Motor Behavior in Vertebrates. Cambridge, MA: MIT Press; 1996.
64. Bhatt T, Pai Y-C. Prevention of slip-related backward balance loss: The effect of session intensity and frequency on long-term retention. Arch Pbys Med Rehabil 2009; 90:34-42.
65. Perneger T. What's wrong with Bonferroni adjustments. Br Med J. 1998;316: 1236-1238.
66. Rose DJ. Fallproof!: A Comprehensive Balance and Mobility Training Program. Champaign, IL: Human Kinetics; 2003.
67. Horak FB, Wrisley DM, Frank J. The Balance Evaluation Systems Test (BESTest) to differentiate balance deficits. Phys Ther. 2009;89:484-498.
68. Podsiadlo D, Richardson S. The Timed "Up & Go": A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142-148.
69. Powell LE, Myers AM. The Activitiesspecific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci. 1995;50: M28-M34.
70. Lord SR, Menz HB, Tiedemann A. A physiological profile approach to falls risk assessment and prevention. Pbys Ther. 2003; 83:237-252. (Pubitemid 36348983)
71. Mcllroy WE, Maki BE. The "deceleration response" to transient perturbation of upright stance. Neurosci Lett. 1994;175:13-16.
72. Mcllroy WE, Maki BE. Preferred placement of the feet during quiet stance: development of a standardized foot placement for balance testing. Clin Biomecb. 1997;12: 66-70.
73. Hoeger WWK, Hopkins DR. A comparison of the sit and reach and the modified sit and reach in the measurement of flexibility in women. Res Q Exerc Sport. 1992;63: 191-195.
74. Holbein-Jenny MA, McDermott K, et al. Validity of functional stability limits as a measure of balance in adults aged 23-73 years. Ergonomics. 2007;50:631-646. (Pubitemid 46534150)
75. Brauer SG, Burns TR, Galley P. A prospective study of laboratory and clinical measures of postural stability to predict community-dwelling fallers. J Gerontol A Biol Sci Med Sci. 2000;55:M469-M476. (Pubitemid 32009027)
76. Row BS. Weight-Bearing Speed of Movement In Older Adults: The Effects of HighVelodty Resistance Training [PhD dissertation]. University Park, PA: Pennsylvania State University; 2003.
77. Endler NS, Edwards JM, Vitelli R, Parker JDA. Assessment of state and trait anxiety: Endler Multidimensional Anxiety Scales. Anxiety Research. 1989;2:1-14.