Age-related differences in postural adjustments in connection with different tasks involving weight transfer while standing.

摘要

Weight transfer designed to change the area of the supportive base during the performance of three different motor tasks (one-leg stance, tandem stance and gait initiation) was examined both in healthy, physically active elderly people and younger adults. The former two tasks are balance tests used clinically. Our hypothesis was that the elderly subjects would demonstrate age-related changes in their postural adjustments that could be detected by analysis of the ground reaction forces. While 24 healthy elderly adults (65-77 years of age) and 26 younger adults (24-40 years of age) performed these three tasks, the ground reaction forces were recorded from two force plates. Prior to the onset of all three tasks, the elderly placed significantly more weight on the leg that was to provide support (the stance leg), than did the younger individuals. The analyses revealed two distinct phases of weight transfer, i.e., an initial thrust and a subsequent unloading phase. The elderly individuals exhibited a significantly longer unloading phase, as well as a higher frequency of peaks of vertical and lateral forces during this phase. Moreover, the maximal force rate during this phase was achieved at an earlier time point by the elderly. However, both groups generated forces of similar magnitudes and force rates. In conclusion, our findings indicate the presence of age-related differences in the temporal phasing of the ground reaction forces in all three of these tasks involving weight transfer, whereas the magnitude and rates of change of these forces are independent of age.