A dynamic posturography study of balance in healthy elderly

Leslie Wolfson, R. Whipple, Carol A. Derby, P. Amerman, T. Murphy, J. N. Tobin, L. Nashner

Research output: Contribution to journalArticle

174 Citations (Scopus)

Abstract

Article abstract Using dynamic posturography, we studied the balance of 234 community–dwelling elderly subjects (mean age, 76 ± 5 years) as well as 34 young controls (mean age, 34 ± 12 years). Almost all measures of balance were worse in elderly subjects compared with young controls. The decrements in older persons indicate a diminished capacity to process conflicting sensory input as well as a possible narrowing of the limit of stability (or, alternatively, an increase in sway). We propose that this occurs most likely as a result of biomechanical or central processing changes as opposed to diminished sensory or vestibular input. Furthermore, with difficult tasks sequentially presented, the performance of the older subjects improved, suggesting that balance, at least in the short term, adapts to stressful conditions. In these elderly subjects screened for age–related diseases affecting balance, only small decrements of balance occurred between the ages of 70 and 85 years. This nominal decrease over a 15–year span suggests that clinically significant balance impairment is the result of age–related disease rather than an inevitable consequence of aging and is therefore potentially treatable.

Original languageEnglish (US)
Pages (from-to)2069-2075
Number of pages7
JournalNeurology
Volume42
Issue number11
StatePublished - 1992
Externally publishedYes

Fingerprint

Person
Impairment

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology
  • Neuroscience(all)

Cite this

Wolfson, L., Whipple, R., Derby, C. A., Amerman, P., Murphy, T., Tobin, J. N., & Nashner, L. (1992). A dynamic posturography study of balance in healthy elderly. Neurology, 42(11), 2069-2075.

A dynamic posturography study of balance in healthy elderly. / Wolfson, Leslie; Whipple, R.; Derby, Carol A.; Amerman, P.; Murphy, T.; Tobin, J. N.; Nashner, L.

In: Neurology, Vol. 42, No. 11, 1992, p. 2069-2075.

Research output: Contribution to journalArticle

Wolfson, L, Whipple, R, Derby, CA, Amerman, P, Murphy, T, Tobin, JN & Nashner, L 1992, 'A dynamic posturography study of balance in healthy elderly', Neurology, vol. 42, no. 11, pp. 2069-2075.
Wolfson L, Whipple R, Derby CA, Amerman P, Murphy T, Tobin JN et al. A dynamic posturography study of balance in healthy elderly. Neurology. 1992;42(11):2069-2075.
Wolfson, Leslie ; Whipple, R. ; Derby, Carol A. ; Amerman, P. ; Murphy, T. ; Tobin, J. N. ; Nashner, L. / A dynamic posturography study of balance in healthy elderly. In: Neurology. 1992 ; Vol. 42, No. 11. pp. 2069-2075.
@article{4dad1911b56746c589079bf16c61cde4,
title = "A dynamic posturography study of balance in healthy elderly",
abstract = "Article abstract Using dynamic posturography, we studied the balance of 234 community–dwelling elderly subjects (mean age, 76 ± 5 years) as well as 34 young controls (mean age, 34 ± 12 years). Almost all measures of balance were worse in elderly subjects compared with young controls. The decrements in older persons indicate a diminished capacity to process conflicting sensory input as well as a possible narrowing of the limit of stability (or, alternatively, an increase in sway). We propose that this occurs most likely as a result of biomechanical or central processing changes as opposed to diminished sensory or vestibular input. Furthermore, with difficult tasks sequentially presented, the performance of the older subjects improved, suggesting that balance, at least in the short term, adapts to stressful conditions. In these elderly subjects screened for age–related diseases affecting balance, only small decrements of balance occurred between the ages of 70 and 85 years. This nominal decrease over a 15–year span suggests that clinically significant balance impairment is the result of age–related disease rather than an inevitable consequence of aging and is therefore potentially treatable.",
author = "Leslie Wolfson and R. Whipple and Derby, {Carol A.} and P. Amerman and T. Murphy and Tobin, {J. N.} and L. Nashner",
year = "1992",
language = "English (US)",
volume = "42",
pages = "2069--2075",
journal = "Neurology",
issn = "0028-3878",
publisher = "Lippincott Williams and Wilkins",
number = "11",

}

TY - JOUR

T1 - A dynamic posturography study of balance in healthy elderly

AU - Wolfson, Leslie

AU - Whipple, R.

AU - Derby, Carol A.

AU - Amerman, P.

AU - Murphy, T.

AU - Tobin, J. N.

AU - Nashner, L.

PY - 1992

Y1 - 1992

N2 - Article abstract Using dynamic posturography, we studied the balance of 234 community–dwelling elderly subjects (mean age, 76 ± 5 years) as well as 34 young controls (mean age, 34 ± 12 years). Almost all measures of balance were worse in elderly subjects compared with young controls. The decrements in older persons indicate a diminished capacity to process conflicting sensory input as well as a possible narrowing of the limit of stability (or, alternatively, an increase in sway). We propose that this occurs most likely as a result of biomechanical or central processing changes as opposed to diminished sensory or vestibular input. Furthermore, with difficult tasks sequentially presented, the performance of the older subjects improved, suggesting that balance, at least in the short term, adapts to stressful conditions. In these elderly subjects screened for age–related diseases affecting balance, only small decrements of balance occurred between the ages of 70 and 85 years. This nominal decrease over a 15–year span suggests that clinically significant balance impairment is the result of age–related disease rather than an inevitable consequence of aging and is therefore potentially treatable.

AB - Article abstract Using dynamic posturography, we studied the balance of 234 community–dwelling elderly subjects (mean age, 76 ± 5 years) as well as 34 young controls (mean age, 34 ± 12 years). Almost all measures of balance were worse in elderly subjects compared with young controls. The decrements in older persons indicate a diminished capacity to process conflicting sensory input as well as a possible narrowing of the limit of stability (or, alternatively, an increase in sway). We propose that this occurs most likely as a result of biomechanical or central processing changes as opposed to diminished sensory or vestibular input. Furthermore, with difficult tasks sequentially presented, the performance of the older subjects improved, suggesting that balance, at least in the short term, adapts to stressful conditions. In these elderly subjects screened for age–related diseases affecting balance, only small decrements of balance occurred between the ages of 70 and 85 years. This nominal decrease over a 15–year span suggests that clinically significant balance impairment is the result of age–related disease rather than an inevitable consequence of aging and is therefore potentially treatable.

UR - http://www.scopus.com/inward/record.url?scp=0026476599&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026476599&partnerID=8YFLogxK

M3 - Article

C2 - 1436514

AN - SCOPUS:0026476599

VL - 42

SP - 2069

EP - 2075

JO - Neurology

JF - Neurology

SN - 0028-3878

IS - 11

ER -