Evidence map›Paper›PMID 38364509›Full record

ArticleGait & posture2024

The influence of fear of falling on the control of upright stance across the lifespan.

M Hill, L Brayne, E Hosseini, M Duncan, T Muehlbauer, S R Lord, T J Ellmers

Open access · hybridAbstract read
In one paragraph

Article in Gait & posture, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 2% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
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

7 authors at 4 institutions in 3 countries.

M HillCentre for Physical Activity, Sport and Exercise Sciences, Coventry University, Coventry, United Kingdom. Electronic address: matt.hill@coventry.ac.uk.
L BrayneCentre for Physical Activity, Sport and Exercise Sciences, Coventry University, Coventry, United Kingdom.
E HosseiniCentre for Physical Activity, Sport and Exercise Sciences, Coventry University, Coventry, United Kingdom.
M DuncanCentre for Physical Activity, Sport and Exercise Sciences, Coventry University, Coventry, United Kingdom.
T MuehlbauerDivision of Movement and Training Sciences/Biomechanics of Sport, University of Duisburg-Essen, Essen, Germany.
S R LordFalls, Balance and Injury Research Centre, Neuroscience Research Australia, University of New South Wales, Sydney, New South Wales, Australia.
T J EllmersDepartment of Brain Sciences, Imperial College London, London, United Kingdom.
Coventry University · GBImperial College London · GBNeuroscience Research Australia · AUUniversity of Duisburg-Essen · DE

Funding

Wellcome Trust 222747/Z/21/Z
6 · The paper itself

Abstract

backgroundStanding at height, and subsequent changes in emotional state (e.g., fear of falling), lead to robust alterations in balance in adults. However, little is known about how height-induced postural threat affects balance performance in children. Children may lack the cognitive capability necessary to inhibit the processing of threat and fear-related stimuli, and as a result, may show more marked (and perhaps detrimental) changes in postural control compared to adults. This work explored the emotional and balance responses to standing at height in children, and compared responses to young and older adults.

methodsChildren (age: 9.7 ± 0.8 years, n = 38), young adults (age: 21.8 ± 4.0 years, n = 45) and older adults (age: 73.3 ± 5.0 years, n = 15) stood in bipedal stance in two conditions: at ground level and 80 cm above ground. Centre of pressure (COP) amplitude (RMS), frequency (MPF) and complexity (sample entropy) were calculated to infer postural performance and strategy. Emotional responses were quantified by assessing balance confidence, fear of falling and perceived instability.

resultsYoung and older adults demonstrated a postural adaptation characterised by increased frequency and decreased amplitude of the COP, in conjunction with increased COP complexity (sample entropy). In contrast, children demonstrated opposite patterns of changes: they exhibited an increase in COP amplitude and decrease in both frequency and complexity when standing at height. SIGNIFICANCE: Children and adults adopted different postural control strategies when standing at height. Whilst young and older adults exhibited a potentially protective "stiffening" response to a height-induced threat, children demonstrated a potentially maladaptive and ineffective postural adaptation strategy. These observations expand upon existing postural threat related research in adults, providing important new insight into understanding how children respond to standing in a hazardous situation.

Indexed as

FearLongevityAdolescentAdultAgedChildHumansPostural BalanceStanding PositionYoung AdultAgeAnxietyBalanceChildrenConcernFearHeightPostural controlThreat

Identifiers

PMID38364509
PMCPMC7619513
OpenAlexW4391311597

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.