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Luigi Ferrucci - One of the best experts on this subject based on the ideXlab platform.
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ankle Proprioception associated gait patterns in older adults results from the baltimore longitudinal study of aging
Medicine and Science in Sports and Exercise, 2016Co-Authors: Eleanor M Simonsick, Nandini Despande, Stephanie A Studenski, Luigi FerrucciAbstract:INTRODUCTION: Ankle Proprioception training has been found to improve balance-related gait disorders; yet, the relationship between ankle Proprioception and specific gait patterns in older adults with and without impaired balance has not been systematically examined. METHODS: This study characterizes gait patterns of 230 older adults aged 60 - 95 evaluated in the Baltimore Longitudinal Study of Aging (BLSA) gait laboratory with (n=82) and without impaired balance (inability to successfully complete a narrow walk) and examines ankle Proprioception performance. RESULTS: Participants with impaired balance had a higher angle threshold for perceiving ankle movement than those without impaired balance even after controlling for the substantial age difference between groups (p = 0.017). Gait speed, stride length, hip and ankle range of motion and mechanical work expenditure from the knee and ankle were associated with ankle Proprioception performance (p CONCLUSION: Ankle Proprioception in older persons with balance impairment may play a role in balance related gait disorders and should be targeted for intervention. Language: en
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sex specific age associations of ankle Proprioception test performance in older adults results from the baltimore longitudinal study of aging
Age and Ageing, 2015Co-Authors: Eleanor M Simonsick, Nandini Deshpande, Luigi FerrucciAbstract:Objectives: this study was aimed to test the hypothesis that ankle Proprioception assessed by custom-designed Proprioception testing equipment changes with ageing in men and women. Methods: ankle Proprioception was assessed in 289 participants (131 women) of the Baltimore Longitudinal Study of Aging (BLSA); the participants aged 51–95 years and were blinded during testing. Results: the average minimum perceived ankle rotation was 1.11° (SE = 0.07) in women and 1.00° (SE = 0.06) in men, and it increased with ageing in both sexes (P< 0.001, for both). Ankle tracking performance, which is the ability to closely follow with the left ankle, a rotational movement induced on the right ankle by a torque motor, declines with ageing in both men and women (P= 0.018 and P= 0.011, respectively). Conclusions: a simple, standardised method for assessing ankle Proprioception was introduced in this study using a customized test instrument, software and test protocol. Age-associated reduction in ankle Proprioception was confirmed from two subtests of threshold and tracking separately for women and men. Findings in this study prompt future studies to determine whether these age-associated differences in the threshold for passive motion detection and movement tracking are evident in longitudinal study and how these specifi cd eficits in ankle Proprioception are related to age-associated chronic conditions such as knee or hip osteoarthritis and type II diabetes and affect daily activities such as gait.
Eleanor M Simonsick - One of the best experts on this subject based on the ideXlab platform.
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ankle Proprioception associated gait patterns in older adults results from the baltimore longitudinal study of aging
Medicine and Science in Sports and Exercise, 2016Co-Authors: Eleanor M Simonsick, Nandini Despande, Stephanie A Studenski, Luigi FerrucciAbstract:INTRODUCTION: Ankle Proprioception training has been found to improve balance-related gait disorders; yet, the relationship between ankle Proprioception and specific gait patterns in older adults with and without impaired balance has not been systematically examined. METHODS: This study characterizes gait patterns of 230 older adults aged 60 - 95 evaluated in the Baltimore Longitudinal Study of Aging (BLSA) gait laboratory with (n=82) and without impaired balance (inability to successfully complete a narrow walk) and examines ankle Proprioception performance. RESULTS: Participants with impaired balance had a higher angle threshold for perceiving ankle movement than those without impaired balance even after controlling for the substantial age difference between groups (p = 0.017). Gait speed, stride length, hip and ankle range of motion and mechanical work expenditure from the knee and ankle were associated with ankle Proprioception performance (p CONCLUSION: Ankle Proprioception in older persons with balance impairment may play a role in balance related gait disorders and should be targeted for intervention. Language: en
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sex specific age associations of ankle Proprioception test performance in older adults results from the baltimore longitudinal study of aging
Age and Ageing, 2015Co-Authors: Eleanor M Simonsick, Nandini Deshpande, Luigi FerrucciAbstract:Objectives: this study was aimed to test the hypothesis that ankle Proprioception assessed by custom-designed Proprioception testing equipment changes with ageing in men and women. Methods: ankle Proprioception was assessed in 289 participants (131 women) of the Baltimore Longitudinal Study of Aging (BLSA); the participants aged 51–95 years and were blinded during testing. Results: the average minimum perceived ankle rotation was 1.11° (SE = 0.07) in women and 1.00° (SE = 0.06) in men, and it increased with ageing in both sexes (P< 0.001, for both). Ankle tracking performance, which is the ability to closely follow with the left ankle, a rotational movement induced on the right ankle by a torque motor, declines with ageing in both men and women (P= 0.018 and P= 0.011, respectively). Conclusions: a simple, standardised method for assessing ankle Proprioception was introduced in this study using a customized test instrument, software and test protocol. Age-associated reduction in ankle Proprioception was confirmed from two subtests of threshold and tracking separately for women and men. Findings in this study prompt future studies to determine whether these age-associated differences in the threshold for passive motion detection and movement tracking are evident in longitudinal study and how these specifi cd eficits in ankle Proprioception are related to age-associated chronic conditions such as knee or hip osteoarthritis and type II diabetes and affect daily activities such as gait.
Catherine Welder - One of the best experts on this subject based on the ideXlab platform.
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age related hip Proprioception declines effects on postural sway and dynamic balance
Archives of Physical Medicine and Rehabilitation, 2014Co-Authors: Jason R Wingert, Catherine WelderAbstract:OBJECTIVE: To evaluate the effects of age on hip Proprioception, and determine whether age-related hip Proprioception declines disrupt balance. DESIGN: Survey of Proprioception and balance differences between 3 age groups. SETTING: University balance laboratory. PARTICIPANTS: Volunteer sample of independent community-dwelling adults (N=102) without sensory or other neurologic impairments in 3 age groups: younger (mean age, 24.6y; range, 19-37y), mid-aged (mean age, 53.3y; range, 40-64y), and older adults (mean age, 76.3y; range, 65-94y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Hip joint position sense (JPS) and kinesthesia were measured using a custom-built device. JPS error was determined by the magnitude of matching errors during vision and no-vision conditions. Kinesthesia was evaluated by the ability to detect passive limb rotation without vision. Postural sway was assessed during static stance and measured using root mean square of center of pressure (COP) displacement and velocity of COP displacement. Clinical balance and fear of falling were assessed with the mini-Balance Evaluation Systems Test (mini-BESTest) and Activities-specific Balance Confidence Scale, respectively. RESULTS: Both older and mid-aged adults had significantly increased JPS error compared with younger adults (P<.05). Kinesthesia accuracy was significantly decreased in older adults compared with mid-aged and younger adults (P≤.01). Both measures of Proprioception error correlated with age (P≤.001). There were no relationships between hip Proprioception error and postural sway during static stance. However, older adults with lower proprioceptive error had significantly higher mini-BESTest scores of dynamic balance abilities (P=.005). CONCLUSIONS: These results provide evidence of significant hip Proprioception declines with age. Although these declines are not related to increases in postural sway, participants with hip Proprioception declines demonstrated disrupted dynamic balance, as indicated by decreased mini-BESTest scores.
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age related hip Proprioception declines effects on postural sway and dynamic balance
Archives of Physical Medicine and Rehabilitation, 2014Co-Authors: Jason R Wingert, Catherine Welder, Patrick FooAbstract:Abstract Objective To evaluate the effects of age on hip Proprioception, and determine whether age-related hip Proprioception declines disrupt balance. Design Survey of Proprioception and balance differences between 3 age groups. Setting University balance laboratory. Participants Volunteer sample of independent community-dwelling adults (N=102) without sensory or other neurologic impairments in 3 age groups: younger (mean age, 24.6y; range, 19–37y), mid-aged (mean age, 53.3y; range, 40–64y), and older adults (mean age, 76.3y; range, 65–94y). Interventions Not applicable. Main Outcome Measures Hip joint position sense (JPS) and kinesthesia were measured using a custom-built device. JPS error was determined by the magnitude of matching errors during vision and no-vision conditions. Kinesthesia was evaluated by the ability to detect passive limb rotation without vision. Postural sway was assessed during static stance and measured using root mean square of center of pressure (COP) displacement and velocity of COP displacement. Clinical balance and fear of falling were assessed with the mini-Balance Evaluation Systems Test (mini-BESTest) and Activities-specific Balance Confidence Scale, respectively. Results Both older and mid-aged adults had significantly increased JPS error compared with younger adults ( P P ≤.01). Both measures of Proprioception error correlated with age ( P ≤.001). There were no relationships between hip Proprioception error and postural sway during static stance. However, older adults with lower proprioceptive error had significantly higher mini-BESTest scores of dynamic balance abilities ( P =.005). Conclusions These results provide evidence of significant hip Proprioception declines with age. Although these declines are not related to increases in postural sway, participants with hip Proprioception declines demonstrated disrupted dynamic balance, as indicated by decreased mini-BESTest scores.
Jason R Wingert - One of the best experts on this subject based on the ideXlab platform.
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age related hip Proprioception declines effects on postural sway and dynamic balance
Archives of Physical Medicine and Rehabilitation, 2014Co-Authors: Jason R Wingert, Catherine WelderAbstract:OBJECTIVE: To evaluate the effects of age on hip Proprioception, and determine whether age-related hip Proprioception declines disrupt balance. DESIGN: Survey of Proprioception and balance differences between 3 age groups. SETTING: University balance laboratory. PARTICIPANTS: Volunteer sample of independent community-dwelling adults (N=102) without sensory or other neurologic impairments in 3 age groups: younger (mean age, 24.6y; range, 19-37y), mid-aged (mean age, 53.3y; range, 40-64y), and older adults (mean age, 76.3y; range, 65-94y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Hip joint position sense (JPS) and kinesthesia were measured using a custom-built device. JPS error was determined by the magnitude of matching errors during vision and no-vision conditions. Kinesthesia was evaluated by the ability to detect passive limb rotation without vision. Postural sway was assessed during static stance and measured using root mean square of center of pressure (COP) displacement and velocity of COP displacement. Clinical balance and fear of falling were assessed with the mini-Balance Evaluation Systems Test (mini-BESTest) and Activities-specific Balance Confidence Scale, respectively. RESULTS: Both older and mid-aged adults had significantly increased JPS error compared with younger adults (P<.05). Kinesthesia accuracy was significantly decreased in older adults compared with mid-aged and younger adults (P≤.01). Both measures of Proprioception error correlated with age (P≤.001). There were no relationships between hip Proprioception error and postural sway during static stance. However, older adults with lower proprioceptive error had significantly higher mini-BESTest scores of dynamic balance abilities (P=.005). CONCLUSIONS: These results provide evidence of significant hip Proprioception declines with age. Although these declines are not related to increases in postural sway, participants with hip Proprioception declines demonstrated disrupted dynamic balance, as indicated by decreased mini-BESTest scores.
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age related hip Proprioception declines effects on postural sway and dynamic balance
Archives of Physical Medicine and Rehabilitation, 2014Co-Authors: Jason R Wingert, Catherine Welder, Patrick FooAbstract:Abstract Objective To evaluate the effects of age on hip Proprioception, and determine whether age-related hip Proprioception declines disrupt balance. Design Survey of Proprioception and balance differences between 3 age groups. Setting University balance laboratory. Participants Volunteer sample of independent community-dwelling adults (N=102) without sensory or other neurologic impairments in 3 age groups: younger (mean age, 24.6y; range, 19–37y), mid-aged (mean age, 53.3y; range, 40–64y), and older adults (mean age, 76.3y; range, 65–94y). Interventions Not applicable. Main Outcome Measures Hip joint position sense (JPS) and kinesthesia were measured using a custom-built device. JPS error was determined by the magnitude of matching errors during vision and no-vision conditions. Kinesthesia was evaluated by the ability to detect passive limb rotation without vision. Postural sway was assessed during static stance and measured using root mean square of center of pressure (COP) displacement and velocity of COP displacement. Clinical balance and fear of falling were assessed with the mini-Balance Evaluation Systems Test (mini-BESTest) and Activities-specific Balance Confidence Scale, respectively. Results Both older and mid-aged adults had significantly increased JPS error compared with younger adults ( P P ≤.01). Both measures of Proprioception error correlated with age ( P ≤.001). There were no relationships between hip Proprioception error and postural sway during static stance. However, older adults with lower proprioceptive error had significantly higher mini-BESTest scores of dynamic balance abilities ( P =.005). Conclusions These results provide evidence of significant hip Proprioception declines with age. Although these declines are not related to increases in postural sway, participants with hip Proprioception declines demonstrated disrupted dynamic balance, as indicated by decreased mini-BESTest scores.
Patrick Foo - One of the best experts on this subject based on the ideXlab platform.
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age related hip Proprioception declines effects on postural sway and dynamic balance
Archives of Physical Medicine and Rehabilitation, 2014Co-Authors: Jason R Wingert, Catherine Welder, Patrick FooAbstract:Abstract Objective To evaluate the effects of age on hip Proprioception, and determine whether age-related hip Proprioception declines disrupt balance. Design Survey of Proprioception and balance differences between 3 age groups. Setting University balance laboratory. Participants Volunteer sample of independent community-dwelling adults (N=102) without sensory or other neurologic impairments in 3 age groups: younger (mean age, 24.6y; range, 19–37y), mid-aged (mean age, 53.3y; range, 40–64y), and older adults (mean age, 76.3y; range, 65–94y). Interventions Not applicable. Main Outcome Measures Hip joint position sense (JPS) and kinesthesia were measured using a custom-built device. JPS error was determined by the magnitude of matching errors during vision and no-vision conditions. Kinesthesia was evaluated by the ability to detect passive limb rotation without vision. Postural sway was assessed during static stance and measured using root mean square of center of pressure (COP) displacement and velocity of COP displacement. Clinical balance and fear of falling were assessed with the mini-Balance Evaluation Systems Test (mini-BESTest) and Activities-specific Balance Confidence Scale, respectively. Results Both older and mid-aged adults had significantly increased JPS error compared with younger adults ( P P ≤.01). Both measures of Proprioception error correlated with age ( P ≤.001). There were no relationships between hip Proprioception error and postural sway during static stance. However, older adults with lower proprioceptive error had significantly higher mini-BESTest scores of dynamic balance abilities ( P =.005). Conclusions These results provide evidence of significant hip Proprioception declines with age. Although these declines are not related to increases in postural sway, participants with hip Proprioception declines demonstrated disrupted dynamic balance, as indicated by decreased mini-BESTest scores.
