Abstract

As society ages and the frequency of falls increases, counteracting gait and posture decline is a challenging issue for countries of the developed world. Previous studies have shown that exercise and hazard management help to improve balance and/or decrease the risks for falling in normal aging. Motor activity based on motor-skill learning, particularly dance, can also benefit balance and decreases falls with age. Recent studies have suggested that older dancers have better balance, posture, or gait than non-dancers. Additionally, clinical or laboratory measures have shown improvements in some aspects of balance after dance interventions in elderly trainees. This study examined the impact of contemporary dance (CD) and of fall prevention (FP) programs on postural control of older adults. Posturography of quiet upright stance was performed in 41 participants aged 59–86 years before and after 4.4-month training in either CD or FP once a week. Though classical statistic scores failed to show any effect, dynamic analyses of the center-of-pressure displacements revealed significant changes after training. Specifically, practice of CD enhanced the critical time interval in diffusion analysis, and reduced recurrence and mathematical stability in recurrence quantification analysis, whereas practice of FP induced or tended to induce the reverse patterns. Such effects were obtained only in the eyes open condition. We suggest that CD training based on motor improvisation favored stochastic posture inducing plasticity in motor control, while FP training based on more stereotyped behaviors did not.

Highlights

  • Balance is a complex function achieved by (i) multi-sensory integration of visual, vestibular, and somesthetic afferences, (ii) central motor control, and (iii) context-specific response generation (Nashner, 1976)

  • In addition to classical statistic scores, we examined the dynamics of CoP displacements using stabilogram diffusion analysis (SDA; Collins and De Luca, 1993) and recurrence quantification analysis (RQA; Riley et al, 1999)

  • For the critical time interval Δt rc, we observed a main effect of Group (1.48 vs. 1.14 s in the contemporary dance (CD) and fall prevention (FP) groups, respectively; F 1,38 = 6.84, P < 0.05)

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Summary

Introduction

Balance is a complex function achieved by (i) multi-sensory integration of visual, vestibular, and somesthetic afferences, (ii) central motor control, and (iii) context-specific response generation (Nashner, 1976). Reduced sensory cue congruency, increased visual dependency and motor tone cause decreased balance and unsteady gait (Judge, 2003). Several programs have been proposed to improve balance and reduce falls in aging: exercise, environmental inspection, and hazard management (Day et al, 2002; Rubenstein, 2006). Tai Chi and dance have been suggested to be promising programs to develop balance and prevent falls in older adults (American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention, 2001; Judge, 2003)

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