Skip to main content
British Journal of Sports Medicine logoLink to British Journal of Sports Medicine
. 1999 Apr;33(2):121–126. doi: 10.1136/bjsm.33.2.121

Effects of physical and sporting activities on balance control in elderly people

P P Perrin, G C Gauchard, C Perrot, C Jeandel
PMCID: PMC1756147  PMID: 10205695

Abstract

OBJECTIVE: Balance disorders increase with aging and raise the risk of accidental falls in the elderly. It has been suggested that the practice of physical and sporting activities (PSA) efficiently counteracts these age related disorders, reducing the risk of falling significantly. METHODS: This study, principally based on a period during which the subjects were engaged in PSA, included 65 healthy subjects, aged over 60, who were living at home. Three series of posturographic tests (static, dynamic with a single and fast upward tilt, and dynamic with slow sinusoidal oscillations) analysing the centre of foot pressure displacements or electromyographic responses were conducted to determine the effects of PSA practice on balance control. RESULTS: The major variables of postural control were best in subjects who had always practised PSA (AA group). Those who did not take part in PSA at all (II group) had the worst postural performances, whatever the test. Subjects having lately begun PSA practice (IA group) had good postural performances, close to those of the AA group, whereas the subjects who had stopped the practice of PSA at an early age (AI group) did not perform as well. Overall, the postural control in the group studied decreased in the order AA > IA > AI > II. CONCLUSIONS: The period during which PSA are practised seems to be of major importance, having a positive bearing on postural control. It seems that recent periods of practice have greater beneficial effects on the subject's postural stability than PSA practice only at an early age. These data are compatible with the fact that PSA are extremely useful for elderly people even if it has not been a lifelong habit. 




Full Text

The Full Text of this article is available as a PDF (150.8 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Buchner D. M., Cress M. E., de Lateur B. J., Esselman P. C., Margherita A. J., Price R., Wagner E. H. A comparison of the effects of three types of endurance training on balance and other fall risk factors in older adults. Aging (Milano) 1997 Feb-Apr;9(1-2):112–119. doi: 10.1007/BF03340136. [DOI] [PubMed] [Google Scholar]
  2. Campbell A. J., Robertson M. C., Gardner M. M., Norton R. N., Tilyard M. W., Buchner D. M. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. BMJ. 1997 Oct 25;315(7115):1065–1069. doi: 10.1136/bmj.315.7115.1065. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Diener H. C., Bootz F., Dichgans J., Bruzek W. Variability of postural "reflexes" in humans. Exp Brain Res. 1983;52(3):423–428. doi: 10.1007/BF00238035. [DOI] [PubMed] [Google Scholar]
  4. Fiatarone M. A., O'Neill E. F., Ryan N. D., Clements K. M., Solares G. R., Nelson M. E., Roberts S. B., Kehayias J. J., Lipsitz L. A., Evans W. J. Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med. 1994 Jun 23;330(25):1769–1775. doi: 10.1056/NEJM199406233302501. [DOI] [PubMed] [Google Scholar]
  5. Haas G., Diener H. C., Bacher M., Dichgans J. Development of postural control in children: short-, medium-, and long latency EMG responses of leg muscles after perturbation of stance. Exp Brain Res. 1986;64(1):127–132. doi: 10.1007/BF00238208. [DOI] [PubMed] [Google Scholar]
  6. Hindmarsh J. J., Estes E. H., Jr Falls in older persons. Causes and interventions. Arch Intern Med. 1989 Oct;149(10):2217–2222. [PubMed] [Google Scholar]
  7. Horak F. B., Nashner L. M. Central programming of postural movements: adaptation to altered support-surface configurations. J Neurophysiol. 1986 Jun;55(6):1369–1381. doi: 10.1152/jn.1986.55.6.1369. [DOI] [PubMed] [Google Scholar]
  8. Hurley B. F. Age, gender, and muscular strength. J Gerontol A Biol Sci Med Sci. 1995 Nov;50(Spec No):41–44. doi: 10.1093/gerona/50a.special_issue.41. [DOI] [PubMed] [Google Scholar]
  9. Lord S. R., Clark R. D., Webster I. W. Postural stability and associated physiological factors in a population of aged persons. J Gerontol. 1991 May;46(3):M69–M76. doi: 10.1093/geronj/46.3.m69. [DOI] [PubMed] [Google Scholar]
  10. Lord S. R., Ward J. A., Williams P. Exercise effect on dynamic stability in older women: a randomized controlled trial. Arch Phys Med Rehabil. 1996 Mar;77(3):232–236. doi: 10.1016/s0003-9993(96)90103-3. [DOI] [PubMed] [Google Scholar]
  11. Maki B. E., Holliday P. J., Topper A. K. Fear of falling and postural performance in the elderly. J Gerontol. 1991 Jul;46(4):M123–M131. doi: 10.1093/geronj/46.4.m123. [DOI] [PubMed] [Google Scholar]
  12. Manchester D., Woollacott M., Zederbauer-Hylton N., Marin O. Visual, vestibular and somatosensory contributions to balance control in the older adult. J Gerontol. 1989 Jul;44(4):M118–M127. doi: 10.1093/geronj/44.4.m118. [DOI] [PubMed] [Google Scholar]
  13. Mesure S., Amblard B., Crémieux J. Effect of physical training on head-hip co-ordinated movements during unperturbed stance. Neuroreport. 1997 Nov 10;8(16):3507–3512. doi: 10.1097/00001756-199711100-00018. [DOI] [PubMed] [Google Scholar]
  14. Meusel H. Developing physical fitness for the elderly through sport and exercise. Br J Sports Med. 1984 Mar;18(1):4–12. doi: 10.1136/bjsm.18.1.4. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Morris J. N., Hardman A. E. Walking to health. Sports Med. 1997 May;23(5):306–332. doi: 10.2165/00007256-199723050-00004. [DOI] [PubMed] [Google Scholar]
  16. Nardone A., Giordano A., Corrà T., Schieppati M. Responses of leg muscles in humans displaced while standing. Effects of types of perturbation and of postural set. Brain. 1990 Feb;113(Pt 1):65–84. doi: 10.1093/brain/113.1.65. [DOI] [PubMed] [Google Scholar]
  17. Norré M. E. Posture in otoneurology. Volume II. Acta Otorhinolaryngol Belg. 1990;44(3):183–363. [PubMed] [Google Scholar]
  18. Overstall P. W., Johnson A. L., Exton-Smith A. N. Instability and falls in the elderly. Age Ageing. 1978;Suppl:92–96. doi: 10.1093/ageing/7.suppl.92. [DOI] [PubMed] [Google Scholar]
  19. Paris-Hamelin A. Syphilis serology in 1991. J Clin Neuroophthalmol. 1991 Sep;11(3):144–151. [PubMed] [Google Scholar]
  20. Perrin P. P., Béné M. C., Perrin C. A., Durupt D. Ankle trauma significantly impairs posture control--a study in basketball players and controls. Int J Sports Med. 1997 Jul;18(5):387–392. doi: 10.1055/s-2007-972651. [DOI] [PubMed] [Google Scholar]
  21. Perrin P. P., Jeandel C., Perrin C. A., Béné M. C. Influence of visual control, conduction, and central integration on static and dynamic balance in healthy older adults. Gerontology. 1997;43(4):223–231. doi: 10.1159/000213854. [DOI] [PubMed] [Google Scholar]
  22. Perrin P., Perrin C., Courant P., Béné M. C., Durupt D. Posture in basketball players. Acta Otorhinolaryngol Belg. 1991;45(3):341–347. [PubMed] [Google Scholar]
  23. Perrin P., Schneider D., Deviterne D., Perrot C., Constantinescu L. Training improves the adaptation to changing visual conditions in maintaining human posture control in a test of sinusoidal oscillation of the support. Neurosci Lett. 1998 Apr 10;245(3):155–158. doi: 10.1016/s0304-3940(98)00208-0. [DOI] [PubMed] [Google Scholar]
  24. Province M. A., Hadley E. C., Hornbrook M. C., Lipsitz L. A., Miller J. P., Mulrow C. D., Ory M. G., Sattin R. W., Tinetti M. E., Wolf S. L. The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Frailty and Injuries: Cooperative Studies of Intervention Techniques. JAMA. 1995 May 3;273(17):1341–1347. [PubMed] [Google Scholar]
  25. Skinner H. B., Barrack R. L., Cook S. D. Age-related decline in proprioception. Clin Orthop Relat Res. 1984 Apr;(184):208–211. [PubMed] [Google Scholar]
  26. Tropp H., Odenrick P., Sandlund B., Odkvist L. M. Stabilometry for studying postural control and compensation in vertigo of central and peripheral origin. Electromyogr Clin Neurophysiol. 1987 Mar;27(2):77–82. [PubMed] [Google Scholar]
  27. Whipple R. H., Wolfson L. I., Amerman P. M. The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J Am Geriatr Soc. 1987 Jan;35(1):13–20. doi: 10.1111/j.1532-5415.1987.tb01313.x. [DOI] [PubMed] [Google Scholar]
  28. Wolf S. L., Barnhart H. X., Kutner N. G., McNeely E., Coogler C., Xu T. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. Atlanta FICSIT Group. Frailty and Injuries: Cooperative Studies of Intervention Techniques. J Am Geriatr Soc. 1996 May;44(5):489–497. doi: 10.1111/j.1532-5415.1996.tb01432.x. [DOI] [PubMed] [Google Scholar]
  29. Wolfson L., Whipple R., Derby C., Judge J., King M., Amerman P., Schmidt J., Smyers D. Balance and strength training in older adults: intervention gains and Tai Chi maintenance. J Am Geriatr Soc. 1996 May;44(5):498–506. doi: 10.1111/j.1532-5415.1996.tb01433.x. [DOI] [PubMed] [Google Scholar]
  30. Woollacott M. H. Age-related changes in posture and movement. J Gerontol. 1993 Sep;48(Spec No):56–60. doi: 10.1093/geronj/48.special_issue.56. [DOI] [PubMed] [Google Scholar]
  31. Woollacott M. H., Shumway-Cook A., Nashner L. M. Aging and posture control: changes in sensory organization and muscular coordination. Int J Aging Hum Dev. 1986;23(2):97–114. doi: 10.2190/VXN3-N3RT-54JB-X16X. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Sports Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES