Predictors of less stable postural responses to support surface rotations in healthy human elderly

Balance corrections elicited in response to a rotation of the support-surface were compared between healthy elderly and young normal subjects using surface EMG records from the soleus, tibialis anterior, and neck extensor muscles, and measurements of trunk angular acceleration and ankle torque. Three differences were observed. First, EMG response latencies were significantly longer in the elderly. Second, the normal linear correlation between stabilizing ankle muscle activity and ankle torque was disturbed. These two differences were presumably responsible for the diminished ankle torque exerted on the support surface by the elderly subjects. Third, the magnitude of neck muscle activation was increased in elderly subjects, indicating an increased compensation at the head for trunk angular acceleration. The findings suggest that there are both neural and mechanical changes that may impact on postural corrections in elderly subjects, and that more than one factor needs to be identified when predicting an individual's risk for falling.