Undisturbed Upright Stance Control in the Elderly: Part 2. Postural-Control Impairments of Elderly Fallers

Abstract

A common way of predicting falling risks in elderly people can be to study center of pressure (CP) trajectories during undisturbed upright stance maintenance. By estimating the difference between CP and center of gravity (CG) motions (CP - CG_v), one can estimate the neuromuscular activity. The results of this study, which included 34 sedentary elderly persons aged over 75 years (21 fallers and 13 nonfallers), demonstrated significantly increased CG_h and CP - CG_v motions in both axes for the fallers. In addition, the fallers presented larger CG_h motions in the mediolateral axis, suggesting an enlarged loading—unloading mechanism, which could have reflected the adoption of a step-initiating strategy. As highlighted by fractional Brownian motion modeling, the distance covered by the CP - CG_v motions before the successive control mechanisms switched was enhanced for the fallers in both axes, therefore increasing the risk that the CG would be outside of the base of support.

Keywords:

• center of gravity
• center of pressure
• elderly
• fallers
• postural control
• sedentary