Skip to main content
Erschienen in: European Journal of Applied Physiology 12/2013

01.12.2013 | Original Article

The effects of aging on postural control and selective attention when stepping down while performing a concurrent auditory response task

verfasst von: William W. N. Tsang, Nazca K. Y. Lam, Kit N. L. Lau, Harry C. H. Leung, Crystal M. S. Tsang, Xi Lu

Erschienen in: European Journal of Applied Physiology | Ausgabe 12/2013

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To investigate the effects of aging on postural control and cognitive performance in single- and dual-tasking.

Methods

A cross-sectional comparative design was conducted in a university motion analysis laboratory. Young adults (n = 30; age 21.9 ± 2.4 years) and older adults (n = 30; age 71.9 ± 6.4 years) were recruited. Postural control after stepping down was measured with and without performing a concurrent auditory response task. Measurement included: (1) reaction time and (2) error rate in performing the cognitive task; (3) total sway path and (4) total sway area after stepping down.

Results

Our findings showed that the older adults had significantly longer reaction times and higher error rates than the younger subjects in both the single-tasking and dual-tasking conditions. The older adults had significantly longer reaction times and higher error rates when dual-tasking compared with single-tasking, but the younger adults did not. The older adults demonstrated significantly less total sway path, but larger total sway area in single-leg stance after stepping down than the young adults. The older adults showed no significant change in total sway path and area between the dual-tasking and when compared with single-tasking conditions, while the younger adults showed significant decreases in sway.

Conclusion

Older adults prioritize postural control by sacrificing cognitive performance when faced with dual-tasking.
Literatur
Zurück zum Zitat Bench CJ, Frith CD, Grasby PM, Friston KJ, Paulesu E, Frackowiak RS, Dolan RJ (1993) Investigations of the functional anatomy of attention using the Stroop test. Neuropsychologia 31(9):907–922PubMedCrossRef Bench CJ, Frith CD, Grasby PM, Friston KJ, Paulesu E, Frackowiak RS, Dolan RJ (1993) Investigations of the functional anatomy of attention using the Stroop test. Neuropsychologia 31(9):907–922PubMedCrossRef
Zurück zum Zitat Clark DJ, Fielding RA (2012) Neuromuscular contributions to age-related weakness. J Gerontol A Biol Sci Med Sci 67(1):41–47PubMedCrossRef Clark DJ, Fielding RA (2012) Neuromuscular contributions to age-related weakness. J Gerontol A Biol Sci Med Sci 67(1):41–47PubMedCrossRef
Zurück zum Zitat Du Pasquier RA, Blanc Y, Sinnreich M, Landis T, Burkhard P, Vingerhoets FJ (2003) The effect of aging on postural stability: a cross sectional and longitudinal study. Neurophysiol Clin 33(5):213–218PubMedCrossRef Du Pasquier RA, Blanc Y, Sinnreich M, Landis T, Burkhard P, Vingerhoets FJ (2003) The effect of aging on postural stability: a cross sectional and longitudinal study. Neurophysiol Clin 33(5):213–218PubMedCrossRef
Zurück zum Zitat Hamel KA, Cavanagh PR (2004) Stair performance in people aged 75 and older. J Am Geriatr Soc 52:563–567PubMedCrossRef Hamel KA, Cavanagh PR (2004) Stair performance in people aged 75 and older. J Am Geriatr Soc 52:563–567PubMedCrossRef
Zurück zum Zitat Hartley AA, Little DM (1999) Age-related differences and similarities in dual-task interference. J Exp Psychol Gen 128:416–449PubMedCrossRef Hartley AA, Little DM (1999) Age-related differences and similarities in dual-task interference. J Exp Psychol Gen 128:416–449PubMedCrossRef
Zurück zum Zitat Hortobagyi T, DeVita P (2000) Muscle pre- and co-activity during downward stepping are associated with leg stiffness in aging. J Electromyogr Kinesiol 10(2):117–126PubMedCrossRef Hortobagyi T, DeVita P (2000) Muscle pre- and co-activity during downward stepping are associated with leg stiffness in aging. J Electromyogr Kinesiol 10(2):117–126PubMedCrossRef
Zurück zum Zitat Hurley MV, Rees J, Newham DJ (1998) Quadriceps function, proprioceptive acuity and functional performance in healthy young, middle-aged and elderly subjects. Age Ageing 27(1):55–62PubMedCrossRef Hurley MV, Rees J, Newham DJ (1998) Quadriceps function, proprioceptive acuity and functional performance in healthy young, middle-aged and elderly subjects. Age Ageing 27(1):55–62PubMedCrossRef
Zurück zum Zitat Huxhold O, Li SC, Schmiedek F, Lindenberger U (2006) Dual-tasking postural control: aging and the effects of cognitive demand in conjunction with focus of attention. Brain Res Bull 69(3):294–305PubMedCrossRef Huxhold O, Li SC, Schmiedek F, Lindenberger U (2006) Dual-tasking postural control: aging and the effects of cognitive demand in conjunction with focus of attention. Brain Res Bull 69(3):294–305PubMedCrossRef
Zurück zum Zitat Lacour M, Bernard-Demanze L, Dumitrescu M (2008) Posture control, aging, and attention resources: models and posture analysis methods. Neurophysiol Clin 38(6):411–421PubMedCrossRef Lacour M, Bernard-Demanze L, Dumitrescu M (2008) Posture control, aging, and attention resources: models and posture analysis methods. Neurophysiol Clin 38(6):411–421PubMedCrossRef
Zurück zum Zitat Li F, Harmer P, Fisher KJ, McAuley E, Chaumeton N, Eckstrom E, Wilson NL (2005) Tai chi and fall reductions in older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci 60(2):187–194PubMedCrossRef Li F, Harmer P, Fisher KJ, McAuley E, Chaumeton N, Eckstrom E, Wilson NL (2005) Tai chi and fall reductions in older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci 60(2):187–194PubMedCrossRef
Zurück zum Zitat Mackey DC, Robinovitch SN (2006) Mechanisms underlying age-related differences in ability to recover balance with the ankle strategy. Gait Posture 23(1):59–68 (epub 12 Jan 2005)PubMedCrossRef Mackey DC, Robinovitch SN (2006) Mechanisms underlying age-related differences in ability to recover balance with the ankle strategy. Gait Posture 23(1):59–68 (epub 12 Jan 2005)PubMedCrossRef
Zurück zum Zitat Ojha HA, Kern RW, Lin CH, Winstein CJ (2009) Age affects the attentional demands of stair ambulation: evidence from a dual-task approach. Phys Ther 89(10):1080–1088PubMedCrossRef Ojha HA, Kern RW, Lin CH, Winstein CJ (2009) Age affects the attentional demands of stair ambulation: evidence from a dual-task approach. Phys Ther 89(10):1080–1088PubMedCrossRef
Zurück zum Zitat Ozcan A, Donat H, Gelecek N, Ozdirenc M, Karadibak D (2005) The relationship between risk factors for falling and the quality of life in older adults. BMC Public Health 5:90PubMedCrossRef Ozcan A, Donat H, Gelecek N, Ozdirenc M, Karadibak D (2005) The relationship between risk factors for falling and the quality of life in older adults. BMC Public Health 5:90PubMedCrossRef
Zurück zum Zitat Rankin JK, Woollacott MH, Shumway-Cook A, Brown LA (2000) Cognitive influence on postural stability: a neuromuscular analysis in young and older adults. J Gerontol A Biol Sci Med Sci 55(3):M112–M119PubMedCrossRef Rankin JK, Woollacott MH, Shumway-Cook A, Brown LA (2000) Cognitive influence on postural stability: a neuromuscular analysis in young and older adults. J Gerontol A Biol Sci Med Sci 55(3):M112–M119PubMedCrossRef
Zurück zum Zitat Rubenstein LZ (2006) Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35(suppl 2):ii37–ii41PubMedCrossRef Rubenstein LZ (2006) Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35(suppl 2):ii37–ii41PubMedCrossRef
Zurück zum Zitat Shumway-Cook A, Woollacott M (2000) Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci 55(1):M10–M16PubMedCrossRef Shumway-Cook A, Woollacott M (2000) Attentional demands and postural control: the effect of sensory context. J Gerontol A Biol Sci Med Sci 55(1):M10–M16PubMedCrossRef
Zurück zum Zitat Shumway-Cook A, Woollacott M, Kerns KA, Baldwin M (1997) The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. J Gerontol A Biol Sci Med Sci 52(4):M232–M240PubMedCrossRef Shumway-Cook A, Woollacott M, Kerns KA, Baldwin M (1997) The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. J Gerontol A Biol Sci Med Sci 52(4):M232–M240PubMedCrossRef
Zurück zum Zitat Startzell JK, Owens DA, Mulfinger LM, Cavanagh PR (2000) Stair negotiation in older people: a review. J Am Geriatr Soc 48:567–580PubMed Startzell JK, Owens DA, Mulfinger LM, Cavanagh PR (2000) Stair negotiation in older people: a review. J Am Geriatr Soc 48:567–580PubMed
Zurück zum Zitat Tang PF, Woollacott MH (1998) Inefficient postural responses to unexpected slips during walking in older adults. J Gerontol A Biol Sci Med Sci 53(6):M471–M480PubMedCrossRef Tang PF, Woollacott MH (1998) Inefficient postural responses to unexpected slips during walking in older adults. J Gerontol A Biol Sci Med Sci 53(6):M471–M480PubMedCrossRef
Zurück zum Zitat Teasdale N, Simoneau M (2001) Attentional demands for postural control: the effects of aging and sensory reintegration. Gait Posture 14(3):203–210PubMedCrossRef Teasdale N, Simoneau M (2001) Attentional demands for postural control: the effects of aging and sensory reintegration. Gait Posture 14(3):203–210PubMedCrossRef
Zurück zum Zitat Thelen DG, Schultz AB, Alexander NB, Ashton-Miller JA (1996) Effects of age on rapid ankle torque development. J Gerontol A Biol Sci Med Sci 51(5):M226–M232PubMedCrossRef Thelen DG, Schultz AB, Alexander NB, Ashton-Miller JA (1996) Effects of age on rapid ankle torque development. J Gerontol A Biol Sci Med Sci 51(5):M226–M232PubMedCrossRef
Zurück zum Zitat Tombaugh TN, McIntyre NJ (1992) The mini-mental state examination: a comprehensive review. J Am Geriatr Soc 40(9):922–935PubMed Tombaugh TN, McIntyre NJ (1992) The mini-mental state examination: a comprehensive review. J Am Geriatr Soc 40(9):922–935PubMed
Zurück zum Zitat Tsang WW, Hui-Chan CW (2005) Comparison of muscle torque, balance, and confidence in older tai chi and healthy adults. Med Sci Sports Exerc 37(2):280–289PubMedCrossRef Tsang WW, Hui-Chan CW (2005) Comparison of muscle torque, balance, and confidence in older tai chi and healthy adults. Med Sci Sports Exerc 37(2):280–289PubMedCrossRef
Zurück zum Zitat Vellas BJ, Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ (1997) Fear of falling and restriction of mobility in elderly fallers. Age Ageing 26:189–193PubMedCrossRef Vellas BJ, Wayne SJ, Romero LJ, Baumgartner RN, Garry PJ (1997) Fear of falling and restriction of mobility in elderly fallers. Age Ageing 26:189–193PubMedCrossRef
Zurück zum Zitat Verhaeghen P, Steitz DW, Sliwinski MJ, Cerella J (2003) Aging and dual-task performance: a meta-analysis. Psychol Aging 18(3):443–460PubMedCrossRef Verhaeghen P, Steitz DW, Sliwinski MJ, Cerella J (2003) Aging and dual-task performance: a meta-analysis. Psychol Aging 18(3):443–460PubMedCrossRef
Zurück zum Zitat Yardley L, Gardner M, Bronstein A, Davies R, Buckwell D, Luxon L (2001) Interference between postural control and mental task performance in patients with vestibular disorder and healthy controls. J Neurol Neurosurg Psychiatry 71(1):48–52PubMedCrossRef Yardley L, Gardner M, Bronstein A, Davies R, Buckwell D, Luxon L (2001) Interference between postural control and mental task performance in patients with vestibular disorder and healthy controls. J Neurol Neurosurg Psychiatry 71(1):48–52PubMedCrossRef
Metadaten
Titel
The effects of aging on postural control and selective attention when stepping down while performing a concurrent auditory response task
verfasst von
William W. N. Tsang
Nazca K. Y. Lam
Kit N. L. Lau
Harry C. H. Leung
Crystal M. S. Tsang
Xi Lu
Publikationsdatum
01.12.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Applied Physiology / Ausgabe 12/2013
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-013-2740-6

Weitere Artikel der Ausgabe 12/2013

European Journal of Applied Physiology 12/2013 Zur Ausgabe