Can the Control of Bodily Orientation Be Significantly Improved in a Group of Older Adults with a History of Falls?

Rose, Debra J.; Clark, Sean

doi:10.1111/j.1532-5415.2000.tb02646.x

Cited by 80 publications

(66 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Concurrent augmented visual feedback has also been applied to re-learning balancing tasks among individuals with impaired balance due to neurologic injury (Shumway-Cook et al 1988;Winstein et al 1989;Sackley and Lincoln 1997;Walker et al 2000;Ioffe et al 2010;Sayenko et al 2010;Tsaklis et al 2012) or aging (Wolf et al 1997;Rose and Clark 2000;Lajoie 2004;Sihvonen et al 2004b;Hatzitaki et al 2009). Typically, this is done by asking the participant to stand on one or two force platforms and providing visual feedback regarding weight distribution between the two limbs (Winstein et al 1989;Sackley and Lincoln 1997;Hatzitaki et al 2009), or the location of the centre of gravity (COG; Rose and Clark 2000;Walker et al 2000) or centre of pressure (COP; Shumway-Cook et al 1988;Lajoie 2004;Sihvonen et al 2004b;Ioffe et al 2010;Sayenko et al 2010;Tsaklis et al 2012). With the goal of improving quiet standing balance control when provided with feedback of the COG or COP, participants are asked to minimize movement of the COG or COP (Shumway-Cook et al 1988;Lajoie 2004;Sayenko et al 2010;Tsaklis et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Can augmented feedback facilitate learning a reactive balance task among older adults?

et al. 2016

View full text Add to dashboard Cite

While concurrent augmented visual feedback of the centre of pressure (COP) or centre of gravity (COG) can improve quiet standing balance control, it is not known if such feedback improves reactive balance control. Additionally, it is not known if feedback of the COP or COG is superior. This study aimed to determine if: 1) concurrent augmented feedback can improve reactive balance control; and 2) feedback of the COP or COG is more effective. Forty-eight healthy older adults (60-75 years old) were randomly allocated to one of 3 groups: feedback of the COP, feedback of the COG, or No Feedback. The task was to maintain standing while experiencing 30 seconds of continuous pseudo-random perturbations delivered by a moving platform. Participants completed 25 trials with or without feedback (acquisition), immediately followed by 5 trials without feedback (immediate transfer); 5 trials without feedback were completed after a 24-hour delay (delayed transfer). The root mean square error (RMSE) of COP-COG, electrodermal level, and cocontraction index were compared between the groups and over time. All three groups reduced RMSE and co-contraction index from the start of the acquisition to the transfer tests, and there were no significant between-group differences in RMSE or co-contraction on the transfer tests. Therefore, all three groups learned the task equally well and improved balance was achieved with practice via a more efficient control strategy. The two feedback groups reduced electrodermal level with practice, but the No Feedback group did not, suggesting that feedback may help to reduce anxiety.

show abstract

Section: Introductionmentioning

confidence: 99%

Can augmented feedback facilitate learning a reactive balance task among older adults?

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Rose and Clark implemented an 8-week balance intervention with computerized biofeedback training for older fallers and measured the dynamic postural control and sensory organization before and after balance training [26]. The dynamic balance and sensory integration capabilities of the intervention group improved significantly, indicating that rehabilitation programs could concurrently and significantly improve the control of bodily orientation of older adults with a previous history of falls in both static and dynamic action environments [26]. Sihvonen et al examined the effects of 4-week visual-feedback-based balance training on the fall incidence during a 1-year follow-up among frail older women living in residential care [27][28].…”

Section: Discussionmentioning

confidence: 99%

“…Some studies, however, have reported on the correlation between balance training and visual external feedback. This training was used to improve the dynamic balance and sensory integration capabilities of elderly adults with a history of falls [26] and was helpful for frail older women [27] and elderly women living in residential care [28]. It also has been preferred to home-based balance training [29].…”

Section: Introductionmentioning

confidence: 99%

“…For instance, training with respect to sensory, ankle, and hip strategies appears to be useful for improving patients with DN impaired somatosensory subclinical constraints. In this way, the Biodex stability system (BSS) (Biodex 945-302, Biodex Medical Systems Inc; Shirley, New York) presents a system that can provide specific ankle and hip postural strategy training with external visual biofeedback as a guide to improve the impaired subclinical constraints of patients with DN [26].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Dynamic stability training improves standing balance control in neuropathic patients with type 2 diabetes

Salsabili

Bahrpeyma²,

Forogh³

et al. 2011

JRRD

View full text Add to dashboard Cite

Abstract-Patients with type 2 diabetic neuropathy (DN) are at an increased risk of falls due to the decreased accurate proprioceptive feedbacks. Effective balance training should treat context-specific instabilities of postural control of patients with DN. For this purpose, evaluations and balance training were designed with a 3-week baseline with evaluation after 3 weeks, followed by training over 3 weeks with reevaluation. We acquired control scores for standing balance from the Biodex stability system and fluctuations of the center of pressure. We performed repeated measure analysis of variance to test mean differences in three sessions of assessments. In addition, we compared mean differences of each pair of sessions with the least significant difference test. We used the paired t-test to compare the pure effects of trainings. Our investigation showed that the results of Biodex stability scores and force platform medial-lateral sway measurements improved statistically. Significant higher open-eyes median and mean frequency values of postural sway in the medial-lateral direction indicated that balance training allowed patients to develop control over the degree of freedom at the hip joint. In conclusion, training that compensates for disordered balance indicated by subclinical constraints with respect to the guidance effect of external visual feedback improves standing postural control in patients with type 2 DN.Clinical Trial Registration: Clinical Trial Registration: UMIN-CTR Search Clinical Trials, UMIN000004485, "Dynamic stability training can promote quiet standing control in neuropathic patients with type 2 diabetes"; http:// www.umin.ac.jp/ctr/index.htm.

show abstract

“…Our approach differs from existing educational interventions for the elderly which are either more reactive in their approach and/or focus on specific types of problems the elderly may already experience; for example, reducing loneliness, depression and physical limitations (e.g. [9,10]), improving physical activation and mobility of sedentary older adults or addressing risk behaviours such as high risk driving, decreasing communication skills, overweight and poor nutrition (e.g. [11][12][13]).…”

Section: Introductionmentioning

confidence: 99%

Preparing for aging: Development, feasibility and preliminary results of an educational program for midlife and older based on proactive coping theory

Bode

Ridder

Bensing

2006

Patient Education and Counseling

View full text Add to dashboard Cite

Objectives: This article describes the development, content, feasibility and first results of a short educational program for preparing for aging, based on the process model of proactive coping [Aspinwall LG, Taylor SE. A stitch in time: self regulation and proactive coping. Psychol Bull 1997; 121: 417-36]. The aim of the program is to increase proactive competencies and improve proactive orientations and behaviour. The program consists of four-weekly meetings with 8-10 participants and is given by trainers of about the same age as the participants. Methods: Sixty-eight persons (M = 61.4 years) participated in the program. Feasibility included attendance, participants evaluations of the meetings and the applicability of the used techniques. Proactive coping was measured as proactive orientation, behaviour and competencies. Results: The program received positive evaluations, the attendance rate was very satisfying, and the applicability of the used techniques have been shown. Regarding the technique of mental simulation, improvements were suggested. We found gender differences concerning feasibility: women evaluated the program to be easier and reported to have profited more from mental simulation. Preliminary results of proximal outcome variables showed significant changes in proactive competencies, but no changes in proactive behaviour and proactive orientation. Conclusions: The educational program ''In anticipation of the golden years'' is a theoretical based minimal intervention which is highly feasible and effective in improving proactive competencies. #

show abstract

Can the Control of Bodily Orientation Be Significantly Improved in a Group of Older Adults with a History of Falls?

Cited by 80 publications

References 22 publications

Can augmented feedback facilitate learning a reactive balance task among older adults?

Can augmented feedback facilitate learning a reactive balance task among older adults?

Dynamic stability training improves standing balance control in neuropathic patients with type 2 diabetes

Preparing for aging: Development, feasibility and preliminary results of an educational program for midlife and older based on proactive coping theory

Contact Info

Product

Resources

About