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Changes in balance performance in physically active elderly people aged 73-80
A S Gustafson1, L Noaksson, A C Kronhed
1Department of Otorhinolaryngology, University Hospital, Linköping, Sweden. anngu@inr.liu.se
Physical training improved balance in healthy elderly individuals. However, long-term follow-up revealed significant balance impairments and slower walking speeds seven years later, despite continued training.
Area of Science:
- Gerontology
- Exercise Physiology
- Biomechanics
Background:
- Healthy elderly individuals participated in a 1989 study on physical training and balance.
- Most participants continued some form of balance training after the initial study.
Purpose of the Study:
- To evaluate the long-term effects of continued physical activity on balance in elderly individuals.
- To compare current balance performance with baseline measurements from seven years prior.
Main Methods:
- Follow-up study of 17 participants (mean age 80.5 years) from an original cohort of 30.
- Assessment of static balance, walking speed, subjective balance/vertigo, and dynamic posturography.
- Analysis included comparison of performance metrics between 1989 and the follow-up period.
Main Results:
- Significant impairment in four of six static balance tests compared to 1989.
- Increased time to complete a 30-meter walk.
- No significant change in subjective ratings of vertigo or balance issues.
- Improved postural control in one dynamic posturography condition (sway-referenced visual cues).
- Increased latencies in force response to sudden backward platform translations.
Conclusions:
- Despite continued physical activity, elderly individuals experienced significant declines in certain aspects of static balance and walking performance over seven years.
- Dynamic balance showed mixed results, with improvements in specific sensory conditions but not others.
- The findings suggest that continued physical activity may not fully mitigate age-related balance decline in the long term.
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