Identification of factors associated with risk of fall using a force platform and power spectrum analysis technique

The purpose of this retrospective study was to investigate some parameters of neuromuscular performance of the lower limbs in a population cross-section and their relationship to the risk of falls, using a force platform (FP). Individuals from the Lower Franconia population were invited by public advertisement. Out of a total of 1720 invited subjects 50-90 years of age, the successful completion of all tests were achieved by 807 women, age 66.4±9.3, and 442 men, age 64.0±9.2. A novel FP measured the time series of vertical forces over 10 s during 3 kinds of tests: tandem stand with eyes closed, knee bends, and chair rise. Proprietary software captured the peak force and calculated the power density distribution (PSD), intended to characterize balance and power through the FP. Grip strength as a common geriatric force test was dynamometrically measured for comparison. The parameters were related to the number of falls in the past 12 months in both genders. Mean PSD showed little age dependency and was not related to falls in tandem stance. Peak forces and power over 10 s knee bends showed a larger age-related decrease in men than in women and these parameters were related to falls (p<0.001), whereas they were not related to falls in the chair rise test. Chair rise time and grip strength was related to falls in women (p<0.01). The PSD obtained from the tandem test with eyes closed did not provide a sensitive parameter associated with falls. Knee bends may be a meaningful FP screening test that justifies further studies of physical performance related to the risk of falls, whereas chair rise and grip measurements provided inferior information in this study.