Evidence map›Paper›PMID 27965561›Full record

ArticleFrontiers in human neuroscience2016

Elderly Fallers Enhance Dynamic Stability Through Anticipatory Postural Adjustments during a Choice Stepping Reaction Time.

Romain Tisserand, Thomas Robert, Pascal Chabaud, Marc Bonnefoy, Laurence Chèze

Open access · goldAbstract read
In one paragraph

Article in Frontiers in human neuroscience, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
7.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Effects of Clenching Strength on Step Reaction Time.Journal of functional morphology and kinesiology · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Movement patterns during gait initiation in older adults with various stages of frailty: a biomechanical analysis.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024
    Article
  7. Article
  8. Aquatic Therapy after Incomplete Spinal Cord Injury: Gait Initiation Analysis Using Inertial Sensors.International journal of environmental research and public health · 2022
    Article
  9. Article
  10. Abnormal Gait Movements Prior to a Near Fall in Individuals After Stroke.Archives of rehabilitation research and clinical translation · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Article
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  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Romain TisserandIFSTTAR, UMR_T9406, Laboratoire de Biomécanique et Mécanique des Chocs (LBMC), Université de Lyon, Université Claude Bernard Lyon 1 Lyon, France.
Thomas RobertIFSTTAR, UMR_T9406, Laboratoire de Biomécanique et Mécanique des Chocs (LBMC), Université de Lyon, Université Claude Bernard Lyon 1 Lyon, France.
Pascal ChabaudLaboratoire Interuniversitaire de Biologie de la Motricité (LIBM), Université de Lyon, Université Claude Bernard Lyon 1 Villeurbanne, France.
Marc BonnefoyService de Médecine Gériatrique, Centre Hospitalier Lyon Sud Pierre-Bénite, France.
Laurence ChèzeIFSTTAR, UMR_T9406, Laboratoire de Biomécanique et Mécanique des Chocs (LBMC), Université de Lyon, Université Claude Bernard Lyon 1 Lyon, France.
Laboratoire de Biomécanique et Mécanique des Chocs · FRLaboratoire Interuniversitaire de Biologie de la Motricité · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the case of disequilibrium, the capacity to step quickly is critical to avoid falling in elderly. This capacity can be simply assessed through the choice stepping reaction time test (CSRT), where elderly fallers (F) take longer to step than elderly non-fallers (NF). However, the reasons why elderly F elongate their stepping time remain unclear. The purpose of this study is to assess the characteristics of anticipated postural adjustments (APA) that elderly F develop in a stepping context and their consequences on the dynamic stability. Forty-four community-dwelling elderly subjects (20 F and 24 NF) performed a CSRT where kinematics and ground reaction forces were collected. Variables were analyzed using two-way repeated measures ANOVAs. Results for F compared to NF showed that stepping time is elongated, due to a longer APA phase. During APA, they seem to use two distinct balance strategies, depending on the axis: in the anteroposterior direction, we measured a smaller backward movement and slower peak velocity of the center of pressure (CoP); in the mediolateral direction, the CoP movement was similar in amplitude and peak velocity between groups but lasted longer. The biomechanical consequence of both strategies was an increased margin of stability (MoS) at foot-off, in the respective direction. By elongating their APA, elderly F use a safer balance strategy that prioritizes dynamic stability conditions instead of the objective of the task. Such a choice in balance strategy probably comes from muscular limitations and/or a higher fear of falling and paradoxically indicates an increased risk of fall.

Indexed as

anticipatory postural adjustmentsbalancedynamic stabilityelderlyfallstep initiation

Identifiers

PMID27965561
PMCPMC5126045
OpenAlexW2557365428

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.