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Differences in Postural Control Associated With Aging and Executive Function
Kensuke Matsuda1, Issei Murai2, Ryota Okoba3
1Department of Physical Therapy, School of Health Sciences at Fukuoka, International University of Health and Welfare, Okawa, JPN.
Cureus
|May 7, 2025
Summary
Older adults exhibit greater postural sway and altered lower limb joint control compared to young adults, especially under unstable conditions. This highlights age-related changes in balance and executive function impacting stability.
Area of Science:
- Gerontology
- Biomechanics
- Human Movement Science
Background:
- Postural instability is a key indicator of age-related functional decline and increases fall risk.
- Understanding age-related differences in postural control is crucial for developing targeted interventions.
Purpose of the Study:
- To investigate postural control in young, older, and at-risk older adults during stationary standing.
- To analyze postural sway and cumulative lower limb angles under varying stability and cognitive load conditions.
Main Methods:
- Participants (young, older, at-risk older adults) stood in stable, unstable, and cognitively demanding unstable conditions.
- Postural control was measured using center-of-gravity sway and lower limb angular velocity sensors.
Main Results:
- Older adults demonstrated reduced executive function and increased postural sway compared to young adults.
- Increased cumulative ankle, knee, and hip joint angles were observed in older adults under unstable conditions.
- Similar deficits in postural control were noted under unstable and attention-dispersing conditions.
Conclusions:
- Older adults and those at risk of falls exhibit significant postural instability.
- Age-related postural control strategies differ from those of younger individuals, particularly when balance is challenged.
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