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Biomechanical assessment of quiet standing and changes associated with aging
Abstract
The kinematics of standing balance were analyzed in 24 normal subjects, aged 21 to 78 years, to examine differences attributable to age, visual input, and sex. Movements of individual body segments, displacement of the center of gravity (COG), and position of the center of pressure (COP) were measured, and total path length and variability about the mean position were derived from the resulting values. Aging was associated with an increase in variability of the COG, head, and hip, but not in path length. The changes, which may be clinically interpreted as excess postural sway, do not show stability deficits as a consequence of aging. On the contrary, older subjects seem to adopt a postural control strategy that achieves comparable stability during quiet standing. Eye closure increased the anterior-posterior COP path length without corresponding changes in the COG, indicating an increase in small accelerations without associated instability. There was more medial-lateral movement in women than in men. Quantitative electromyographic measures showed that, in general, quiet standing requires very little muscular activity. We conclude that the task of quiet standing produces no evidence of postural instability concurrent with aging. The altered postural control strategy may be less effective when balance is suddenly or severely compromised.
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“In other words, asymmetry does not necessarily imply decreased postural control and higher risks of falls.73,74”
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Metadata
- Authors
- Panzer, V. P., Bandinelli, S., & Hallett, M.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Hallett, Mark
- ORCID
- Hallett, Mark
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 1995-02
- Volume
- 76
- Issue
- 2
- Pages
- 151-157
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W1985850859
- Semantic Scholar
- 5f2ba017d66b8698c2e0b9bd9d39ca982a1c78d9
- Cited by
- 212
- References
- 34
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 4 · 2022: 13 · 2021: 9 · 2020: 3 · 2019: 13 · 2018: 5 · 2017: 8 · 2016: 3 · 2015: 6 · 2014: 13 · 2013: 5 · 2012: 12
- FWCI
- 16.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
- Social Sciences › Human Factors and Ergonomics › Ergonomics and Musculoskeletal Disorders
- Keywords
- quiet standing, aging, postural control, postural sway, center of pressure, center of gravity, visual input, sex differences, electromyography, postural stability
- MeSH terms
- Adult, Aged, Aging, Biomechanical Phenomena, Electromyography, Postural Balance, Female, Humans, Male, Middle Aged, Posture, Muscle, Skeletal
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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