Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 1 , Pages 34-42 , January 2009

Prevention of Slip-Related Backward Balance Loss: The Effect of Session Intensity and Frequency on Long-Term Retention

  • Tanvi Bhatt, PT, PhD
  • ,
  • Yi-Chung Pai, PT, PhD

      Affiliations

    • Corresponding Author InformationReprint requests to (Clive) Yi-Chung Pai, PT, PhD, Dept of Physical Therapy, University of Illinois at Chicago, 1919 West Taylor St, Room 426 (M/C 898), Chicago, IL 60612

References 

  1. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701–1707
  2. Rubenstein LZ, Josephson KR, Robbins AS. Falls in the nursing home. Ann Intern Med. 1994;121:442–451
  3. Baker SP, Harvey AH. Fall injuries in the elderly. Clin Geriatr Med. 1985;1:501–512
  4. Hedlund R, Lindgren U. Trauma type, age and gender as determinants of hip fracture. J Orthop Res. 1987;5:242–246
  5. Parkkari J, Kannus P, Palvanen M, et al. Majority of hip fractures occur as a result of a fall and impact on the greater trochanter of the femur: a prospective controlled hip fracture study with 206 consecutive patients. Calcif Tissue Int. 1999;65:183–187
  6. Luukinen H, Herala M, Koski K, Honkanen R, Laippala P, Kivela SL. Fracture risk associated with a fall according to type of fall among the elderly. Osteoporos Int. 2000;11:631–634
  7. Hayes WC, Myers ER, Robinovitch SN, Van Den Kroonenberg A, Courtney AC, McMahon TC. Etiology and prevention of age-related hip fractures. Bone. 1996;18:77S–86S
  8. Phillips S, Fox N, Jacobs J, Wright W. The direct medical costs of osteoporosis for American women aged 45 and older, 1986. Bone. 1988;9(1 Suppl):271–279
  9. Grisso JA, Kelsey JL, Strom BL, et al. Risk factors for falls as a cause of hip fracture in women (The Northeast Hip Fracture Study Group). N Engl J Med. 1991;324:1326–1331
  10. Wolfson L, Whipple R, Derby C, et al. Balance and strength training in older adults: intervention gains and Tai Chi maintenance. J Am Geriatr Soc. 1996;44:498–506
  11. Wolfson L, Whipple R, Judge J, Amerman P, Derby C, King M. Training balance and strength in the elderly to improve function. J Am Geriatr Soc. 1993;41:341–343
  12. Michael A, Hadley EC, Hornbrook MC, et al. The effects of exercise on falls in elderly patients. JAMA. 1995;273:1341–1383
  13. Lord SR, Ward JA, Willams P, Strudwick M. The effect of a 12-month exercise trial on balance, strength, and falls in older women: a randomized controlled trial. J Am Geriatr Soc. 1995;43:1198–1206
  14. Lord SR, Ward JA, Willams P. Exercise effect on dynamic stability in older women: a randomized controlled trial. Arch Phys Med Rehabil. 1996;77:232–236
  15. Judge JO, Lindsey C, Underwood M, Winsemius D. Balance improvements in older women: effects of exercise training. Phys Ther. 1993;73:254–262; discussion 263-5
  16. Campbell AJ, Robertson MC, Gardner MM, Norton RN, Tilyard MW, Buchner DM. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly. BMJ. 1997;315:1065–1069
  17. Chandler JM, Duncan PW, Kochersberger G, Studenski S. Is lower extremity strength gain associated with improvement in physical performance and disability in frail, community-dwelling elders?. Arch Phys Med Rehabil. 1998;79:24–30
  18. Guralnik JM, Ferrucci L, Pieper CF, et al. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol A Biol Sci Med Sci. 2000;55:M221–M231
  19. Campbell AJ, Robertson MC, Gardner MM, Norton RN, Buchner DM. Falls prevention over 2 years: a randomized controlled trial in women 80 years and older. Age Ageing. 1999;28:513–518
  20. McMurdo ME, Mole PA, Paterson CR. Controlled trial of weight bearing exercise in older women in relation to bone density and falls. BMJ. 1997;314:569
  21. Steinberg M, Cartwright C, Peel N, Williams G. A sustainable programme to prevent falls and near falls in community dwelling older people: results of a randomised trial. J Epidemiol Community Health. 2000;54:227–232
  22. Rubenstein LZ, Josephson KR, Trueblood PR, et al. Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men. J Gerontol A Biol Sci Med Sci. 2000;55:M317–M321
  23. Wolf SL, Barnhart HX, Kutner NG, McNeely E, Coogler C, Xu T. Reducing frailty and falls in older persons: an investigation of Tai Chi and computerized balance training. Altanta FICSIT Group. Frailty and injuries: cooperative studies of intervention techniques. J Am Geriatr Soc. 1996;44:489–497
  24. Buchner DM, Cress ME, de Lateur BJ, et al. The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults. J Gerontol A Biol Sci Med Sci. 1997;52:M218–M224
  25. Carter ND, Kannus P, Khan KM. Exercise in the prevention of falls in older people: a systematic literature review examining the rationale and the evidence. Sports Med. 2001;31:427–438
  26. Woollacott MJ, Shumway-Cook A, Nashner LM. Aging and posture control: changes in sensory organization and muscular coordination. Int J Aging Hum Dev. 1986;23:97–114
  27. Wrisley DM, Stephens MJ, Mosley S, Wojnowski A, Duffy J, Burkard R. Learning effects of repetitive administrations of the sensory organization test in healthy young adults. Arch Phys Med Rehabil. 2007;88:1049–1054
  28. Judge JO, Whipple RH, Wolfson LI. Effects of resistive and balance exercises on isokinetic strength in older persons. J Am Geriatr Soc. 1994;42:937–946
  29. Wolf SL, Kutner NG, Green RC, McNeely E. The Atlanta FICSIT study: two exercise interventions to reduce frailty in elders. J Am Geriatr Soc. 1993;41:329–332
  30. Pai YC, Wening JD, Runtz EF, Iqbal K, Pavol MJ. Role of feedforward control of movement stability in reducing slip-related balance loss and falls among older adults. J Neurophysiol. 2003;90:755–762
  31. Pavol MJ, Runtz EF, Pai YC. Young and older adults exhibit proactive and reactive adaptations to repeated slip exposure. J Gerontol A Biol Sci Med Sci. 2004;59:494–502
  32. Bhatt T, Wening JD, Pai YC. Adaptive control of gait stability in reducing slip-related backward loss of balance. Exp Brain Res. 2006;170:61–73
  33. Bhatt T, Wang E, Pai YC. Retention of adaptive control over varying intervals: prevention of slip-induced backward balance loss during gait. J Neurophysiol. 2006;95:2913–2922
  34. Pai YC, Bhatt T. Repeated-slip training: an emerging paradigm for prevention of slip-related falls among older adults. Phys Ther. 2007;87:1478–1491
  35. Pai YC, Yang F, Wening JD, Pavol MJ. Mechanisms of limb collapse following a slip among young and older adults. J Biomech. 2006;39:2194–2204
  36. Pavol MJ, Pai YC. Deficient limb support is a major contributor to age differences in falling. J Biomech. 2007;40:1318–1325
  37. Pai YC, Patton JL. Center of mass velocity-position predictions for balance control. J Biomech. 1997;30:347–354
  38. Pai YC, Iqbal K. Simulated movement termination for balance recovery: can movement strategies be sought to maintain stability even in the presence of slipping or forced sliding?. J Biomech. 1999;32:779–786
  39. Yang F, Anderson FC, Pai YC. Predicted threshold against backward balance loss in gait. J Biomech. 2007;40:804–811
  40. Dail TK, Christina RW. Distribution of practice and metacognition in learning and long-term retention of a discrete motor task. Res Q Exerc Sport. 2004;75:148–155
  41. Wrisberg CA, Liu Z. The effect of contextual variety on the practice, retention, and transfer of an applied motor skill. Res Q Exerc Sport. 1991;62:406–412
  42. Del Rey P. Training and contextual interference effects on memory and transfer. Res Q Exerc Sport. 1989;60:342–347
  43. Hart M, Poremba A, Gabriel M. The nomadic engram: overtraining eliminates the impairment of discriminative avoidance behavior produced by limbic thalamic lesions. Behav Brain Res. 1997;82:169–177
  44. Markowitsch HJ, Kessler J, Streicher M. Consequences of serial cortical, hippocampal, and thalamic lesions and of different lengths of overtraining on the acquisition and retention of learning tasks. Behav Neurosci. 1985;99:233–256
  45. Lemoine HE, Levy BA, Hutchinson A. Increasing the naming speed of poor readers: representations formed across repetitions. J Exp Child Psychol. 1993;55:297–328
  46. Bhatt T, Pai YC. Long-term retention of gait stability improvements. J Neurophysiol. 2005;94:1971–1979
  47. Yang F, Pai YC. Correction of the inertial effect resulting from a plate moving under low friction conditions. J Biomech. 2007;40:2723–2730
  48. Winter D. Biomechanics and motor control of human movement. 3rd ed.. Hoboken: Wiley; 2005;
  49. Bhatt T, Wening JD, Pai YC. Influence of gait speed on stability: recover from anterior slips and compensatory stepping. Gait Posture. 2005;21:146–156
  50. de Leva P. Adjustments to Zatsiorsky-Seluyanov's segment inertia parameters. J Biomech. 1996;29:1223–1230
  51. McMahon TA. Muscles, reflexes, and locomotion. Princeton: Princeton Univ Pr; 1984;
  52. McGaugh JL. Memory—a century of consolidation. Science. 2000;287:248–251
  53. Kandel ER, Schzwartz JH, Jessell TM. Principles of neural science. 4th ed.. New York: McGraw Hill; 2000;
  54. Shadmehr R, Holcomb HH. Neural correlates of motor memory consolidation. Science. 1997;277:821–825
  55. Shadmehr R, Brashers-Krug T. Functional stages in the formation of human long-term motor memory. J Neurosci. 1997;17:409–419
  56. Krakauer JW, Shadmehr R. Consolidation of motor memory. Trends Neurosci. 2006;29:58–64
  57. Adkin AL, Frank JS, Carpenter MG, Peysar GW. Postural control is scaled to level of postural threat. Gait Posture. 2000;12:87–93
  58. Carpenter MG, Frank JS, Silcher CP, Peysar GW. The influence of postural threat on the control of upright stance. Exp Brain Res. 2001;138:210–218
  59. Kim JJ, Fanselow MS. Modality-specific retrograde amnesia of fear. Science. 1992;256:675–677
  60. Sacchetti B, Scelfo B, Tempia F, Strata P. Long-term synaptic changes induced in the cerebellar cortex by fear conditioning. Neuron. 2004;42:973–982
  61. Shumway-Cook A, Gruber W, Baldwin M, Liao S. The effect of multidimensional exercises on balance, mobility, and fall risk in community-dwelling older adults. Phys Ther. 1997;77:46–57
  62. Hu MH, Woollacott MH. Multisensory training of standing balance in older adults: II. Kinematic and electromyographic postural responses. J Gerontol. 1994;49:M62–M71
  63. Smith CD, Walton A, Loveland AD, Umberger GH, Kryscio RJ, Gash DM. Memories that last in old age: motor skill learning and memory preservation. Neurobiol Aging. 2005;26:883–890
  64. Rodrigue KM, Kennedy KM, Raz N. Aging and longitudinal change in perceptual-motor skill acquisition in healthy adults. J Gerontol B Psychol Sci Soc Sci. 2005;60:P174–P181
  65. Pavol MJ, Runtz EF, Edwards BJ, Pai YC. Age influences the outcome of a slipping perturbation during initial but not repeated exposures. J Gerontol A Biol Sci Med Sci. 2002;57:M496–M503
  66. Bhatt T, Pai YC. Immediate and latent interlimb transfer of gait stability adaptation following repeated exposure to slips. J Mot Behav. 2008;40:380–390

 Supported by the National Institutes of Health (grant no. 2R01 AG16727).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)01496-2

doi: 10.1016/j.apmr.2008.06.021

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 1 , Pages 34-42 , January 2009