Improvement of Balance Stability in Older Individuals by On-Water Training

in Journal of Aging and Physical Activity
Restricted access

Purchase article

USD  $24.95

Student 1 year subscription

USD  $76.00

1 year subscription

USD  $101.00

Student 2 year subscription

USD  $144.00

2 year subscription

USD  $189.00

In the present investigation we evaluated the effect of stand-up paddle practice on upright postural control in older individuals. Participants were assigned to a group practicing stand-up paddle on seawater or to a walking control group. Balance stability was evaluated in the tandem Romberg and tiptoes postures, comparing the conditions of eyes open versus closed. Results showed that stand-up paddle practice led to reduced anteroposterior and mediolateral amplitudes of body sway in both visual conditions, while walking led to no effect on balance. These results suggest that the challenge of keeping body balance on an unstable board during on-water stand-up paddle practice is transferred to postural tasks performed on a stable support surface, with generalization to sensory and biomechanical conditions different from those experienced during the training. Our results suggest that on-water balance training could be considered as a potential procedure to improve balance control in older adults.

Osti, de Souza, and Teixeira are with the Human Motor Systems Laboratory, School of Physical Education and Sport, University of São Paulo, São Paulo, Brazil.

Address author correspondence to Luis Augusto Teixeira at lateixei@usp.br.
  • Behrens, M., Mau-Moeller, A., Wassermann, F., Bader, R., & Bruhn, S. (2015). Effect of balance training on neuromuscular function at rest and during isometric maximum voluntary contraction. European Journal of Applied Physiology, 115(5), 1075–1085. PubMed doi:10.1007/s00421-014-3089-1

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Chalmers, G.R., & Knutzen, K.M. (2002). Soleus H-reflex gain in healthy elderly and young adults when lying, standing, and balancing. The Journals of Gerontology. Series A: Biological Sciences and Medical Sciences, 57(8), 321–329. PubMed doi:10.1093/gerona/57.8.B321

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Donath, L., Roth, R., Zahner, L., & Faude, O. (2016). Slackline training and neuromuscular performance in seniors: A randomized controlled trial. Scandinavian Journal of Medicine & Science in Sports, 26(3), 275–283. PubMed doi:10.1111/sms.12423

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Eikema, D.J., Hatzitaki, V., Tzovaras, D., & Papaxanthis, C. (2012). Age-dependent modulation of sensory reweighting for controlling posture in a dynamic virtual environment. Age, 34(6), 1381–1392. PubMed doi:10.1007/s11357-011-9310-9

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Freyler, K., Krause, A., Gollhofer, A., & Ritzmann, R. (2016). Specific stimuli induce specific adaptations: Sensorimotor training vs. reactive balance training. PLoS One, 11(12), e0167557. PubMed doi:10.1371/journal.pone.0167557

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Giboin, L.S., Gruber, M., & Kramer, A. (2015). Task-specificity of balance training. Human Movement Science, 44, 22–31. PubMed doi:10.1016/j.humov.2015.08.012

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Heitkamp, H.C., Horstmann, T., Mayer, F., Weller, J., & Dickhuth, H.H. (2001). Gain in strength and muscular balance after balance training. International Journal of Sports Medicine, 22(4), 285–290. PubMed doi:10.1055/s-2001-13819

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hirase, T., Inokuchi, S., Matsusaka, N., & Okita, M. (2015). Effects of a balance training program using a foam rubber pad in community-based older adults: A randomized controlled trial. Journal of Geriatric Physical Therapy, 38(2), 62–70. PubMed doi:10.1519/JPT.0000000000000023

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Hoffman, M.A., & Koceja, D.M. (1995). The effects of vision and task complexity on Hoffmann reflex gain. Brain Research, 700(1–2), 303–307. PubMed doi:10.1016/0006-8993(95)01082-7

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Keller, M., Pfusterschmied, J., Buchecker, M., Müller, E., & Taube, W. (2012). Improved postural control after slackline training is accompanied by reduced H-reflexes. Scandinavian Journal of Medicine & Science in Sports, 22(4), 471–477. PubMed doi:10.1111/j.1600-0838.2010.01268.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Lee, S., Park, J., & Lee, D. (2013). Effects of an exercise program using aero-step equipment on the balance ability of normal adults. Journal of Physical Therapy Science, 25(8), 937–940. PubMed doi:10.1589/jpts.25.937

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Low, D.C., Walsh, G.S., & Arkesteijn, M. (2017). Effectiveness of exercise interventions to improve postural control in older adults: A systematic review and meta-analyses of centre of pressure measurements. Sports Medicine, 47(1), 101–112. PubMed doi:10.1007/s40279-016-0559-0

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Magon, S., Donath, L., Gaetano, L., Thoeni, A., Radue, E.W., Faude, O., … Sprenger, T. (2016). Striatal functional connectivity changes following specific balance training in elderly people: MRI results of a randomized controlled pilot study. Gait & Posture, 49, 334–339. PubMed doi:10.1016/j.gaitpost.2016.07.016

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Martínez-Amat, A., Hita-Contreras, F., Lomas-Vega, R., Caballero-Martínez, I., Alvarez, P.J., & Martínez-López, E. (2013). Effects of 12-week proprioception training program on postural stability, gait, and balance in older adults: A controlled clinical trial. Journal of Strength and Conditioning Research, 27(8), 2180–2188. PubMed doi:10.1519/JSC.0b013e31827da35f

    • Crossref
    • Search Google Scholar
    • Export Citation
  • McIlroy, W.E., Bishop, D.C., Staines, W.R., Nelson, A.J., Maki, B.E., & Brooke, J.D. (2003). Modulation of afferent inflow during the control of balancing tasks using the lower limbs. Brain Research, 961(1), 73–80. PubMed doi:10.1016/S0006-8993(02)03845-3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Meyer, P.F., Oddsson, L.I., & De Luca, C.J. (2004). The role of plantar cutaneous sensation in unperturbed stance. Experimental Brain Research, 156(4), 505–512. PubMed doi:10.1007/s00221-003-1804-y

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nam, H.C., Cha, H.G., & Kim, M.K. (2016). The effects of exercising on an unstable surface on the gait and balance ability of normal adults. Journal of Physical Therapy Science, 28(7), 2102–2104. PubMed doi:10.1589/jpts.28.2102

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Oie, K.S., Kiemel, T., & Jeka, J.J. (2002). Multisensory fusion: Simultaneous re-weighting of vision and touch for the control of human posture. Brain Research. Cognitive Brain Research, 14(1), 164–176. PubMed doi:10.1016/S0926-6410(02)00071-X

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Paillard, T. (2017). Plasticity of the postural function to sport and/or motor experience. Neuroscience & Biobehavioral Reviews, 72, 129–152. PubMed doi:10.1016/j.neubiorev.2016.11.015

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Papegaaij, S., Taube, W., Baudry, S., Otten, E., & Hortobagyi, T. (2014). Aging causes a reorganization of cortical and spinal control of posture. Frontiers in Aging Neuroscience, 6, 28. PubMed doi:10.3389/fnagi.2014.00028

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Papegaaij, S., Taube, W., Hogenhout, M., Baudry, S., & Hortobágyi, T. (2014). Age-related decrease in motor cortical inhibition during standing under different sensory conditions. Frontiers in Aging Neuroscience, 6, 126. PubMed doi:10.3389/fnagi.2014.00126

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Penzer, F., Duchateau, J., & Baudry, S. (2015). Effects of short-term training combining strength and balance exercises on maximal strength and upright standing steadiness in elderly adults. Experimental Gerontology, 61, 38–46. PubMed doi:10.1016/j.exger.2014.11.013

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ruess, C., Kristen, K.H., Eckelt, M., Mally, F., Litzenberger, S., & Sabo, A. (2013a). Stand up paddle surfing-an aerobic workout and balance training. Procedia Engineering, 60, 62–66. doi:10.1016/j.proeng.2013.07.032

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Ruess, C., Kristen, K.H., Eckelt, M., Mally, F., Litzenberger, S., & Sabo, A. (2013b). Activity of trunk and leg muscles during stand up paddle surfing. Procedia Engineering, 60, 57–61. doi:10.1016/j.proeng.2013.07.031

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Song, G.B., & Park, E.C. (2015). Effect of dual tasks on balance ability in stroke patients. Journal of Physical Therapy Science, 27(8), 2457–2460. PubMed doi:10.1589/jpts.27.2457

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Thompson, C., Belanger, M., & Fung, J. (2011). Effects of plantar cutaneo-muscular and tendon vibration on posture and balance during quiet and perturbed stance. Human Movement Science, 30(2), 153–171. PubMed doi:10.1016/j.humov.2010.04.002

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Trimble, M.H., & Koceja, D.M. (1994). Modulation of the triceps surae H-reflex with training. International Journal of Neuroscience, 76(3–4), 293–303. PubMed doi:10.3109/00207459408986011

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Wiesmeier, I.K., Dalin, D., & Maurer, C. (2015). Elderly use proprioception rather than visual and vestibular cues for postural motor control. Frontiers in Aging Neuroscience, 7, 97. PubMed doi:10.3389/fnagi.2015.00097

    • Crossref
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 317 317 73
Full Text Views 9 9 0
PDF Downloads 6 6 0