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Related Experiment Video

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A Vibrotactile Feedback Device for Seated Balance Assessment and Training
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The effect of age on postural and cognitive task performance while using vibrotactile feedback.

Chia-Cheng Lin1, Susan L Whitney2, Patrick J Loughlin3

  • 1Department of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Physical Therapy, East Carolina University, Greenville, North Carolina; and linch14@ecu.edu.

Journal of Neurophysiology
|January 16, 2015
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Summary

Older adults experience greater attentional demands when using vibrotactile feedback (VTF) for balance, impacting cognitive performance. Age-related balance changes affect VTF efficacy, requiring tailored training protocols.

Keywords:
agingbalancedual taskpostural swayreaction timesensory substitutionvibrotactile feedback

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Area of Science:

  • Biomechanics
  • Neuroscience
  • Gerontology

Background:

  • Vibrotactile feedback (VTF) enhances balance in healthy individuals and those with vestibular disorders under single-task conditions.
  • The impact of aging on the ability to utilize VTF and its associated attentional demands remains unclear.

Purpose of the Study:

  • To investigate the effects of age on postural and cognitive performance when using VTF.
  • To determine if older and younger adults have different attentional requirements when integrating VTF.
  • To examine the influence of sensory conditions, cognitive load, and practice over two visits.

Main Methods:

  • Twenty younger and 20 older adults participated in a two-visit study.
  • Postural control was assessed using center of pressure (COP) and trunk tilt.
  • Cognitive performance was measured via reaction time (RT) in an auditory choice task.
  • Experiments involved varying sensory conditions and a secondary cognitive task.

Main Results:

  • Older adults showed increased COP on a fixed platform but improved on a sway-referenced platform with VTF.
  • Older adults exhibited a delayed benefit from VTF during the initial session.
  • VTF significantly increased cognitive task RTs in both age groups, with a more pronounced effect in older adults, indicating higher attentional load.

Conclusions:

  • Aging influences the effectiveness of VTF for balance, particularly on fixed surfaces.
  • Older adults require greater attentional resources to effectively use VTF, suggesting age-related differences in sensory integration and cognitive processing.
  • Future VTF training interventions should consider age-specific adaptations and attentional demands.