Request PDF on ResearchGate | Components of postural dyscontrol in the elderly: A review | The concept of a generalized aging effect on a generalized. Printed in the U.S.A. /89 $ + REVIEW Components of Postural Dyscontrol in the Elderly: A Review F A Y B. H O R A K, 1 C H A R L O T T E L. The effects of Parkinson’s disease, hemiplegia, cerebellar degeneration, peripheral vestibular loss, and other disorders on the components of postural control.

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Selection of human ; Thus, any knee and hip. The elderly are prone to many different types of in several different postural components. Muscle afferentation and postural control in man.

Visual and otolith inputs signal low elderlg 0.

For normal postural subjects distal-to-proximal muscle burst activations, with msec standing on a flat, firm surface, eye closure has little effect on delays between ankle, thigh, and trunk muscles Boxes at the feet or the head indicate that the support surface or the visual surround were moved in proportion to the subject’s 1 motion of the body with respect to the support surface and sway.

Contrary to integrated in the central nervous system to produce an accurate some previous reports 31posturap with well-compensated bilat- representation of the movement of the center of gravity.

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In conclusion, body sway in all age levels is greater on a less stable surface and increases with age, but the effect of vision on body sway can be disregarded. Both figures show sway with eyes closed increasing with age more quickly than sway with eyes open.

The hip direction and amplitude must be encoded and the appropriate strategy cannot be used on slippery surfaces, since hip sway response must be selected and initiated within a very short time. Other evidence for the use of prediction ent or efferent neural transduction, are also frequently reported in and motor learning in postural control has been obtained experi- the elderly Studies of gait and mobility in the These patients have normal musculoskeletal system, postural stability is necessarily con- latencies and normal temporal coordination, but they consistently strained by the body’s biomechanics, including joint mobility and overrespond to perturbations.


Problems unique to the musculoskeletal or neurologic abnormalities and who had no elderly, such as the high probability of abnormalities in several history of fails. Clinical measurement of postural control in adults. Coefficients in the linear regression equations, calculated based on the means for each age level, were significant in for three parameters. This problem is further complicated by the There is ample evidence of deterioration in many sensorimotor fact that the ability to compensate for abnormalities in any systems underlying postural control, even in elderly populations component depends not only on the general plasticity of the central without obvious signs of disease.

Parkinson Disease Degeneration of cerebellum.

Also, the therefore the pattern of postural instability and the type of falls will majority of elderly individuals, who have at least occasional also be unique to each individual. Prevalence and functional consequences.

The senses considered as perceptual systems. Burst activation in representative muscle antagonists around the ankle gastrocnemius and tibialis anteriorknee hamstrings, biceps femoris and quadriceps, rectus femorisand hip rectus abdominis and lumbar paraspinals are drawn as triangles with the dorsal eoderly of the ankle strategy as solid symbols and the ventral muscles of the hip strategy as open symbols.


Posturally unstable patients with Parkinson’s disease show loss have also been reported to show longer response latencies to a pattern of muscle activation resembling a normal ankle and some types of perturbations, especially with eyes closed [ 57 ; but normal hip strategy, but activated simultaneously, instead of see also 85 and ].

Components of postural dyscontrol in the elderly: a review.

Path length in cmenvelopment area in cm2and the ratio between these two measures were selected as evaluation parameters. Gait and balance in the elderly: Center of gravity CG position gravity position for a second trial of stance on a sway-referenced within the area labeled “Ankle Strategy” is corrected by sway about the platform with eyes open for the same subjects. This further forward than the position she achieved during voluntary finding suggests that the slowing or loss of central selection sway.

For example, diabetes can result in peripheral neuropa- referenced Condition 3.

Normal coordination of these postural strategies depends on Thus, pathologies which slow voluntary movements may also correct sequential timing relationships among the onsets of the result in delayed postural responses. Motor the postural response: Topics Discussed in This Paper.

Components of postural dyscontrol in the elderly: A review | Fay Horak –

PasmaDenise EngelhartAndrea B. Neurological signs in the elderly. Measures of postural control which characterize the pattern of postural abnor- malities unique to each elderly individual must be developed.

Notice how much further ankles.

The aging vestibular system.