Can initial and additional compensatory steps be predicted in young, older, and balance-impaired older females in response to anterior and posterior waist pulls while standing?

Schulz, Brian W.; Ashton-Miller, James A.; Alexander, Neil B.

doi:10.1016/j.jbiomech.2005.04.004

« Previous Next »Journal of Biomechanics
Volume 39, Issue 8 , Pages 1444-1453, 2006

Can initial and additional compensatory steps be predicted in young, older, and balance-impaired older females in response to anterior and posterior waist pulls while standing?

Brian W. Schulz
- Biomechanics Research Laboratory, Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI, USA
- Department of Internal Medicine, Division of Geriatric Medicine, Mobility Research Center, University of Michigan, Ann Arbor, MI, USA
- Institute of Gerontology, University of Michigan, Ann Arbor, MI, USA
- Corresponding author. Patient Safety Research Center, James A. Haley VA Hospital, Tampa, FL 33612, USA. Tel.: +18135583944; fax: +18135583990.
James A. Ashton-Miller
- Biomechanics Research Laboratory, Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI, USA
- Institute of Gerontology, University of Michigan, Ann Arbor, MI, USA
Neil B. Alexander
- Department of Internal Medicine, Division of Geriatric Medicine, Mobility Research Center, University of Michigan, Ann Arbor, MI, USA
- Institute of Gerontology, University of Michigan, Ann Arbor, MI, USA
- VA Ann Arbor Health Care System, Geriatrics Research Education and Clinical Center (GRECC), MI, USA

Accepted 8 April 2005. published online 14 June 2005.

Abstract

The initiation of a single compensatory step in response to balance perturbations has been predicted with accuracies of up to 71%. We sought to determine whether similar methods also could be used to predict the onset of additional compensatory steps in both healthy and balance-impaired older females. Anterior and posterior waist pulls of five different magnitudes were applied to 13 unimpaired young (mean age 23 years), 12 unimpaired older (mean age 71 years), and 15 balance-impaired older (mean age 76 years) women. Body segment kinematic data were recorded at 100Hz. A step was predicted when the time for the center-of-mass to reach the vertical projection of the boundary of the base-of-support fell below a certain threshold. The results show that 83% of all steps and non-steps were correctly predicted at an optimal time-to-boundary threshold () of 0.78s. Step prediction accuracy did not differ significantly by group: 86% of steps and non-steps by young, 84% by unimpaired old, and 82% by balance-impaired old women were correctly predicted at of 0.58, 0.67, and 0.78s, respectively. Anterior steps and non-steps were predicted more accurately than posterior ones (94% vs. 79% correct at of 0.52 and 0.84s, respectively) and initial steps were better predicted than additional ones (87% vs. 81% correct at of 0.77 and 0.34s, respectively). We conclude that this step prediction method reasonably predicts initial and additional steps in the anterior and posterior direction by all three subject cohorts.