The effect of ageing on between-limb centre of pressure coordination in standing balance: Is there evidence for reactive control challenges among older adults?

Abstract

Interlimb temporal synchrony and spatial symmetry of centre of pressure (COP) displacements may be vital contributors to standing balance control. In previous work among stroke survivors, low-frequency COP displacements (< 0.4 Hz) were proposed to arise from centre of mass (COM) dynamics, or from proactive exploratory processes. COP displacements among higher frequencies (>0.4 Hz), in contrast, have been attributed to corrective balance responses to internal perturbations. The present study extends this work to explore age-related alterations in such stability control processes during standing balance. The combined COP displacements from both limbs (COP_net) in addition to individual-limb COP timeseries were calculated from synchronous force platform data obtained from 19 younger adults and 19 older adults during a 60 s trial of quiet standing. The discrete wavelet transform was used to decompose the anteroposterior and mediolateral COP_net, in addition to the individual-limb timeseries, into low-frequency and high-frequency bandwidths. Root-mean-squared (RMS) amplitudes of high- and low-frequency COP_net displacements were calculated. The cross-correlation coefficient was used to assess the extent of between-limb temporal synchronization, while the ratio of individual-limb RMS amplitudes was used to assess between-limb spatial symmetry within each high- and low-frequency bandwidth. We observed greater high-frequency anteroposterior COP_net displacements among older adults, without age related differences in the lower frequency bandwidth or in the mediolateral direction. Further, older adults exhibited greater high-frequency anteroposterior between-limb synchronization, without age-related differences in the low frequency bandwidth, or among any of the spatial symmetry variables. The present age-related alterations in COP_net could represent a conservative strategy to ensure stability, whereby age-related challenges in stability maintenance during standing are offset by greater demands on stability control. Further, increased high frequency between-limb temporal synchronization among older adults may suggest a loss of adaptability in balance corrective responses during standing.

Keywords: Ageing; Balance control; Center of pressure; Discrete wavelet analysis; Quiet standing.