Response preparation and posture control. Neuromuscular changes in the older adult.

Abstract

Experiments comparing the characteristics of neuromuscular responses underlying balance control in young and old adults have shown a number of differences between the two populations. Postural muscle response latencies of the ankle musculature activated by external threats to balance are slightly, but significantly, longer in the latter population. In addition, some aging subjects show a temporal reversal of proximal and distal muscle response onset in some trials. There is also a breakdown of the correlation of the amplitude of the muscle responses within a synergy in some of the older subjects tested. Older adults also exhibited cocontraction of agonist and antagonist muscles within a response synergy to a greater extent than young adults. This stiffening of the joints by antagonist cocontraction could be a compensation for the lack of the ability to fine-tune the postural responses to the same degree as the young adults. Analysis of sensory integration abilities showed an impairment in balance control under conditions of reduced or conflicting sensory information. When they were given inappropriate visual and somatosensory inputs, half of the older adults lost balance on the first trial. In most instances, however, the older adults were able to maintain balance during a second trial consisting of the same sensory stimuli. When visual cues were reduced by restricting the visual field to either central or peripheral visual cues, we found no difference in postural muscle response latencies. However, the aging adult group showed more losses of balance than the younger group with peripheral vision removed or with eyes closed. In addition, there was a strong correlation between the subjects that showed stronger deficits on an initial neurological exam and the number of times that balance was lost. Studies on changes in the linkage between postural and voluntary muscle interactions during voluntary arm movements in older adults indicate an increase in the latency of feed-forward activation of postural muscles. However, voluntary muscle response onset latencies show greater increases in the old compared to the young. This suggests that deterioration of the speed of activation of the postural control system is not the only factor that limits the speed of voluntary movement onset. Measurements have not yet been made on the amplitude regulation of feed-forward responses of postural muscles during a voluntary task. It may be that the regulation of the speed of activation of the two systems is less important than the fine tuning of the correlation of appropriate response amplitudes between the two systems.(ABSTRACT TRUNCATED AT 400 WORDS)