Acute Effects of a Perturbation-Based Balance Training on Cognitive Performance in Healthy Older Adults: A Pilot Study.
adaptation
aging
balance
cognition
gait
perturbations
Journal
Frontiers in sports and active living
ISSN: 2624-9367
Titre abrégé: Front Sports Act Living
Pays: Switzerland
ID NLM: 101765780
Informations de publication
Date de publication:
2021
2021
Historique:
received:
31
03
2021
accepted:
22
07
2021
entrez:
6
9
2021
pubmed:
7
9
2021
medline:
7
9
2021
Statut:
epublish
Résumé
Aging is accompanied by an alteration in the capacity to ambulate, react to external balance perturbations, and resolve cognitive tasks. Perturbation-based balance training has been used to induce adaptations of gait stability and reduce fall risk. The compensatory reactions generated in response to external perturbations depend on the activation of specific neural structures. This suggests that training balance recovery reactions should show acute cognitive training effects. This study aims to investigate whether exposure to repeated balance perturbations while walking can produce acute aftereffects that improve proactive and reactive strategies to control gait stability and cognitive performance in healthy older adults. It is expected that an adaptation of the recovery reactions would be associated with increased selective attention and information processing speed. Twenty-eight healthy older adults were assigned to either an Experimental (EG) or a Control Group (CG). The protocol was divided in 2 days. During the first visit, all participants completed the Symbol Digit Modalities Test (SDMT) and the Trail Making Test (TMT). During the second visit, a cable-driven robot was used to apply waist-pull perturbations while walking on a treadmill. The EG was trained with multidirectional perturbations of increasing intensity. The CG walked for a comparable amount of time with cables on, but without experiencing perturbations. Before and after the training, all participants were exposed to diagonal waist-pull perturbations. Changes in gait stability were evaluated by comparing the distance between the heel of the leading leg and the extrapolated Center of Mass (Heel-XCoM Distance-HXD) at perturbation onset (PON) and first compensatory heel strike (CHS). Finally, the cables were removed, and participants completed the SDMT and the TMT again. Results showed that only the EG adapted the gait stability (
Identifiants
pubmed: 34485902
doi: 10.3389/fspor.2021.688519
pmc: PMC8415786
doi:
Types de publication
Journal Article
Langues
eng
Pagination
688519Informations de copyright
Copyright © 2021 Martelli, Kang, Aprigliano, Staudinger and Agrawal.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
Phys Ther. 2015 May;95(5):700-9
pubmed: 25524873
J Neural Transm (Vienna). 2007;114(10):1339-48
pubmed: 17393068
IEEE Int Conf Rehabil Robot. 2017 Jul;2017:479-484
pubmed: 28813866
J Gerontol A Biol Sci Med Sci. 2017 Sep 1;72(9):1257-1263
pubmed: 27573810
J Gerontol A Biol Sci Med Sci. 2006 Nov;61(11):1166-70
pubmed: 17167157
IEEE Eng Med Biol Mag. 2003 Mar-Apr;22(2):48-52
pubmed: 12733458
Clin Biomech (Bristol, Avon). 1998 Sep;13(6):434-440
pubmed: 11415818
Age Ageing. 1997 Jul;26(4):261-8
pubmed: 9271288
Rejuvenation Res. 2014 Jun;17(3):276-84
pubmed: 24387140
Alzheimers Dement (Amst). 2015 Mar 29;1(1):103-11
pubmed: 27239497
Arch Clin Neuropsychol. 2006 Jan;21(1):23-8
pubmed: 16139470
Int J Epidemiol. 2001 Oct;30(5):1184-92
pubmed: 11689543
Gait Posture. 2017 Mar;53:207-214
pubmed: 28208109
Front Hum Neurosci. 2017 Apr 10;11:170
pubmed: 28443007
Exerc Sport Sci Rev. 2005 Jan;33(1):24-31
pubmed: 15640717
J Int Neuropsychol Soc. 2009 May;15(3):438-50
pubmed: 19402930
Geroscience. 2017 Feb;39(1):93-102
pubmed: 28299643
J Biomech. 2010 Aug 26;43(12):2362-8
pubmed: 20472240
Neurosci Biobehav Rev. 2015 Oct;57:142-55
pubmed: 26321589
Cochrane Database Syst Rev. 2008 Jul 16;(3):CD005381
pubmed: 18646126
Front Behav Neurosci. 2015 Oct 14;9:272
pubmed: 26528154
Psychosom Med. 2010 Apr;72(3):239-52
pubmed: 20223924
Biochim Biophys Acta. 2012 Mar;1822(3):474-81
pubmed: 21810472
Exerc Sport Sci Rev. 2014 Oct;42(4):161-8
pubmed: 25062002
Exp Brain Res. 2006 Mar;170(1):61-73
pubmed: 16344930
J Sport Exerc Psychol. 2012 Dec;34(6):766-86
pubmed: 23204358
IEEE Trans Neural Syst Rehabil Eng. 2015 Sep 11;24(8):872-881
pubmed: 26372427
J Gerontol A Biol Sci Med Sci. 2014 Dec;69(12):1586-94
pubmed: 24966227
Exp Gerontol. 2018 Oct 1;111:45-52
pubmed: 29981399
Brain Cogn. 2013 Jul;82(2):152-60
pubmed: 23660436
Sports Med. 2015 Dec;45(12):1759-77
pubmed: 26487633
Brain Res. 2012 May 9;1453:87-101
pubmed: 22480735
Brain Res. 2010 Jun 23;1341:12-24
pubmed: 20381468
Neurosci Biobehav Rev. 2017 Dec;83:267-280
pubmed: 29107828
Front Neurol. 2019 Jan 23;9:1181
pubmed: 30728803
Phys Ther. 2007 Nov;87(11):1478-91
pubmed: 17712033
J Biomech. 2005 Jan;38(1):1-8
pubmed: 15519333
J Gerontol. 1994 Mar;49(2):M85-94
pubmed: 8126356
Gait Posture. 2012 Jul;36(3):356-60
pubmed: 22739050
Can J Public Health. 1992 Jul-Aug;83 Suppl 2:S7-11
pubmed: 1468055
Sports Med. 2002;32(9):555-66
pubmed: 12096929
Age Ageing. 2005 Nov;34(6):614-9
pubmed: 16267188
Sci Rep. 2017 Dec 19;7(1):17875
pubmed: 29259237
Front Hum Neurosci. 2011 Mar 17;5:26
pubmed: 21441997
Age Ageing. 2006 Sep;35 Suppl 2:ii12-ii18
pubmed: 16926197
Phys Ther. 1996 Jun;76(6):576-83; discussion 584-5
pubmed: 8650273
Gait Posture. 2002 Aug;16(1):1-14
pubmed: 12127181
Lancet Neurol. 2007 Jan;6(1):63-74
pubmed: 17166803
Br J Sports Med. 2017 Apr;51(7):586-593
pubmed: 26746905
Hum Mov Sci. 2008 Feb;27(1):112-25
pubmed: 17935808
Front Hum Neurosci. 2014 Aug 04;8:589
pubmed: 25136311
IEEE Trans Neural Syst Rehabil Eng. 2016 Dec;24(12):1304-1313
pubmed: 26625418
Neurosci Biobehav Rev. 2016 May;64:326-45
pubmed: 26915926
Arch Clin Neuropsychol. 2004 Mar;19(2):203-14
pubmed: 15010086
Nat Rev Neurosci. 2008 Jan;9(1):58-65
pubmed: 18094706
J Mot Behav. 2015;47(3):201-10
pubmed: 25559427
Exp Gerontol. 2016 Jul;80:12-6
pubmed: 27086065
Gait Posture. 2011 Mar;33(3):406-11
pubmed: 21211977
Neuropsychology. 2007 Sep;21(5):540-8
pubmed: 17784802
J Neural Transm (Vienna). 2007;114(10):1279-96
pubmed: 17557125
Eur Rev Aging Phys Act. 2019 Jul 10;16:10
pubmed: 31333805
Geriatr Gerontol Int. 2017 Dec;17(12):2294-2303
pubmed: 28621015
Age Ageing. 2006 Sep;35 Suppl 2:ii7-ii11
pubmed: 16926210
Front Med (Lausanne). 2019 Mar 29;6:57
pubmed: 30984760
Eur Rev Aging Phys Act. 2017 Mar 2;14:3
pubmed: 28270866
Gait Posture. 2014;39(1):513-7
pubmed: 24119777