ArticleAge (Dordrecht, Netherlands)2013
Exercise of mechanisms of dynamic stability improves the stability state after an unexpected gait perturbation in elderly.
Article in Age (Dordrecht, Netherlands), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effects of Balance Training on Balance Performance in Healthy Older Adults: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2015Pooled it
- Predictive and Reactive Locomotor Adaptability in Healthy Elderly: A Systematic Review and Meta-Analysis.Sports medicine (Auckland, N.Z.) · 2015Pooled it
- Effects of Jaques-Dalcroze eurhythmics program on postural stability in elderly women.Scientific reports · 2022Trial
- Unexpected perturbations training improves balance control and voluntary stepping times in older adults - a double blind randomized control trial.BMC geriatrics · 2016Trial
- Enhanced joint energy transfer potential by the biarticular gastrocnemii muscles during perturbed walking.European journal of applied physiology · 2025Article
- Multimodal training protocols on unstable rather than stable surfaces better improve dynamic balance ability in older adults.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024Article
- Effectiveness of a sensorimotor exercise program on proprioception, balance, muscle strength, functional mobility and risk of falls in older people.Frontiers in physiology · 2024Article
- Effects of exercise habituation and aging on the intersegmental coordination of lower limbs during walking with sinusoidal speed change.Journal of physiological anthropology · 2022Article
- Postural Balance Ability and the Effect of Visual Restriction on Older Dancers and Non-Dancers.Frontiers in sports and active living · 2021Article
- Adaptations in Reactive Balance Strategies in Healthy Older Adults After a 3-Week Perturbation Training Program and After a 12-Week Resistance Training Program.Frontiers in sports and active living · 2021Article
- Exercise of Dynamic Stability in the Presence of Perturbations Elicit Fast Improvements of Simulated Fall Recovery and Strength in Older Adults: A Randomized Controlled Trial.Frontiers in sports and active living · 2020Article
- Neuromechanics of Dynamic Balance Tasks in the Presence of Perturbations.Frontiers in human neuroscience · 2020Article
- Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis.Sports medicine - open · 2018Review
- Neuromuscular and Kinematic Adaptation in Response to Reactive Balance Training - a Randomized Controlled Study Regarding Fall Prevention.Frontiers in physiology · 2018Article
- Gait Implications of Visual Field Damage from Glaucoma.Translational vision science & technology · 2017Article
- A systematic review of gait perturbation paradigms for improving reactive stepping responses and falls risk among healthy older adults.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2017Review
- The effect of crossed reflex responses on dynamic stability during locomotion.Journal of neurophysiology · 2015Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Unexpected changes during gait challenge elderly individuals to a greater degree than young adults. However, the adaptive potential of elderly seems to be retained, and therefore, the training of the mechanisms of dynamic stability as well as muscle strength training may improve the dynamic stability after unexpected perturbations. Thirty-eight subjects (65-75 years) participated in the study, divided into two experimental groups (stability training group, ST, n = 14 and mixed training group, MT, n = 14) and a control group (CG, n = 10). Both experimental groups performed exercises which focused on the mechanisms of dynamic stability. Additionally, the MT group executed a training to improve muscle strength. Session volume and duration were equal for both groups (14 weeks, twice a week, ~1.5 h per session). Pre- and post-intervention, subjects performed a gait protocol with an induced unexpected perturbation. Post-intervention, the margin of stability was significantly increased after the unexpected perturbation in the ST group, indicating an improvement in stability state (pre, -30.3 ± 5.9 cm; post, -24.1 ± 5.2 cm). Further, both intervention groups increased their base of support after the intervention to regain balance after gait perturbation, whereas only the ST group showed a statistically significant improvement (STpre, 90.9 ± 6.6 cm, STpost, 98.2 ± 8.5 cm; MTpre, 91.4 ± 6.2 cm; MTpost, 97.9 ± 12.7 cm). The CG showed no differences between pre- and post-measurements. The exercise of the mechanisms of dynamic stability led to a better application of these mechanisms after an unexpected perturbation during gait. We suggest that the repeated exercise of the mechanisms of dynamic stability contributes to significant improvements in postural stability. Additional strength training for healthy elderly individuals, however, shows no further effect on the ability to recover balance after unexpected perturbations during gait.
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