Young and Older Adults Exhibit Proactive and Reactive Adaptations to Repeated Slip Exposure

Background. A previous study found that, with repeated exposure to slipping during a sit-to-stand task, fall incidence decreased at a similar exponential rate in young and older adults. This study investigated the adaptations responsible for this decrease. Methods. Slips were induced, using bilatera...

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Published in:The journals of gerontology. Series A, Biological sciences and medical sciences Biological sciences and medical sciences, 2004-05, Vol.59 (5), p.M494-M502
Main Authors: Pavol, Michael J., Runtz, Eileen F., Pai, Yi-Chung
Format: Article
Language:English
Subjects:
Accidental Falls
Adaptation, Physiological
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Falls
Female
Human mechanics
Humans
Learning
Male
Middle Aged
Older people
Walking
Young adults
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container_issue 5
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container_title The journals of gerontology. Series A, Biological sciences and medical sciences
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creator Pavol, Michael J.
Runtz, Eileen F.
Pai, Yi-Chung
description Background. A previous study found that, with repeated exposure to slipping during a sit-to-stand task, fall incidence decreased at a similar exponential rate in young and older adults. This study investigated the adaptations responsible for this decrease. Methods. Slips were induced, using bilateral low-friction platforms, during a sit-to-stand in 60 young and 41 older healthy safety-harnessed adults. Participants underwent 5 slips, then a 6th slip (reslip) after 3–4 nonslipping trials. Between-trial adjustments in body center of mass state at seat-off were examined and correlated to the likelihoods of falling and stepping. Changes in reactive response between the first slip and reslip were investigated. Results. With repeated slipping, both young and older adults adjusted to increase their center of mass anterior position and forward velocity at seat-off (p
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A previous study found that, with repeated exposure to slipping during a sit-to-stand task, fall incidence decreased at a similar exponential rate in young and older adults. This study investigated the adaptations responsible for this decrease. Methods. Slips were induced, using bilateral low-friction platforms, during a sit-to-stand in 60 young and 41 older healthy safety-harnessed adults. Participants underwent 5 slips, then a 6th slip (reslip) after 3–4 nonslipping trials. Between-trial adjustments in body center of mass state at seat-off were examined and correlated to the likelihoods of falling and stepping. Changes in reactive response between the first slip and reslip were investigated. Results. With repeated slipping, both young and older adults adjusted to increase their center of mass anterior position and forward velocity at seat-off (p &lt;.001), contributing to decreased fall incidence and changes in step incidence and direction (p &lt;.001). These proactive adjustments predicted fall incidence well in later trials, but underpredicted fall incidence upon the first slip by 9%–21%, suggesting that reactive response deficiencies also initially contributed to falls by both age groups. Ten participants who initially fell without stepping adapted by stepping to recover upon the reslip. Thirty-six participants who stepped backward initially and upon the reslip altered their nonstepping limb reactive response to reduce hip vertical descent during the step (p &lt;.001). Conclusions. Young and older adults rapidly learned to avoid falling through similar proactive and reactive adaptations that persisted in the short term. Both proactive and reactive adaptations should be targeted in interventions to reduce older adult fall incidence.</description><identifier>ISSN: 1079-5006</identifier><identifier>EISSN: 1758-535X</identifier><identifier>DOI: 10.1093/gerona/59.5.M494</identifier><identifier>PMID: 15123760</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Accidental Falls ; Adaptation, Physiological ; Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Falls ; Female ; Human mechanics ; Humans ; Learning ; Male ; Middle Aged ; Older people ; Walking ; Young adults</subject><ispartof>The journals of gerontology. 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Series A, Biological sciences and medical sciences</title><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><description>Background. A previous study found that, with repeated exposure to slipping during a sit-to-stand task, fall incidence decreased at a similar exponential rate in young and older adults. This study investigated the adaptations responsible for this decrease. Methods. Slips were induced, using bilateral low-friction platforms, during a sit-to-stand in 60 young and 41 older healthy safety-harnessed adults. Participants underwent 5 slips, then a 6th slip (reslip) after 3–4 nonslipping trials. Between-trial adjustments in body center of mass state at seat-off were examined and correlated to the likelihoods of falling and stepping. Changes in reactive response between the first slip and reslip were investigated. Results. With repeated slipping, both young and older adults adjusted to increase their center of mass anterior position and forward velocity at seat-off (p &lt;.001), contributing to decreased fall incidence and changes in step incidence and direction (p &lt;.001). These proactive adjustments predicted fall incidence well in later trials, but underpredicted fall incidence upon the first slip by 9%–21%, suggesting that reactive response deficiencies also initially contributed to falls by both age groups. Ten participants who initially fell without stepping adapted by stepping to recover upon the reslip. Thirty-six participants who stepped backward initially and upon the reslip altered their nonstepping limb reactive response to reduce hip vertical descent during the step (p &lt;.001). Conclusions. Young and older adults rapidly learned to avoid falling through similar proactive and reactive adaptations that persisted in the short term. 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Series A, Biological sciences and medical sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pavol, Michael J.</au><au>Runtz, Eileen F.</au><au>Pai, Yi-Chung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Young and Older Adults Exhibit Proactive and Reactive Adaptations to Repeated Slip Exposure</atitle><jtitle>The journals of gerontology. Series A, Biological sciences and medical sciences</jtitle><addtitle>J Gerontol A Biol Sci Med Sci</addtitle><date>2004-05-01</date><risdate>2004</risdate><volume>59</volume><issue>5</issue><spage>M494</spage><epage>M502</epage><pages>M494-M502</pages><issn>1079-5006</issn><eissn>1758-535X</eissn><abstract>Background. A previous study found that, with repeated exposure to slipping during a sit-to-stand task, fall incidence decreased at a similar exponential rate in young and older adults. This study investigated the adaptations responsible for this decrease. Methods. Slips were induced, using bilateral low-friction platforms, during a sit-to-stand in 60 young and 41 older healthy safety-harnessed adults. Participants underwent 5 slips, then a 6th slip (reslip) after 3–4 nonslipping trials. Between-trial adjustments in body center of mass state at seat-off were examined and correlated to the likelihoods of falling and stepping. Changes in reactive response between the first slip and reslip were investigated. Results. With repeated slipping, both young and older adults adjusted to increase their center of mass anterior position and forward velocity at seat-off (p &lt;.001), contributing to decreased fall incidence and changes in step incidence and direction (p &lt;.001). These proactive adjustments predicted fall incidence well in later trials, but underpredicted fall incidence upon the first slip by 9%–21%, suggesting that reactive response deficiencies also initially contributed to falls by both age groups. Ten participants who initially fell without stepping adapted by stepping to recover upon the reslip. Thirty-six participants who stepped backward initially and upon the reslip altered their nonstepping limb reactive response to reduce hip vertical descent during the step (p &lt;.001). Conclusions. Young and older adults rapidly learned to avoid falling through similar proactive and reactive adaptations that persisted in the short term. Both proactive and reactive adaptations should be targeted in interventions to reduce older adult fall incidence.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>15123760</pmid><doi>10.1093/gerona/59.5.M494</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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source Oxford Journals Online
subjects Accidental Falls
Adaptation, Physiological
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Falls
Female
Human mechanics
Humans
Learning
Male
Middle Aged
Older people
Walking
Young adults
title Young and Older Adults Exhibit Proactive and Reactive Adaptations to Repeated Slip Exposure
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