Impaired standing balance in elderly: a new engineering method helps to unravel causes and effects

Denise Engelhart, Jantsje H Pasma, Alfred C Schouten, Carel G M Meskers, Andrea B Maier, Thomas Mergner, Herman van der Kooij

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Deteriorated balance control is the most frequent cause of falls and injuries in the elderly. Balance control comprises a complex interplay of several underlying systems (ie, the sensory systems, the motor system, and the nervous system). Available clinical balance tests determine the patient's ability to maintain standing balance under defined test conditions and aim to describe the current state of this ability. However, these tests do not reveal which of the underlying systems is deteriorated and to what extent, so that the relation between cause and effect often remains unclear. Especially detection of early-stage balance control deterioration is difficult, because the balance control system is redundant and elderly may use compensation strategies. This article describes a new method that is able to identify causal relationships in deteriorated balance control, called CLSIT (Closed Loop System Identification Technique). Identification of impaired balance with CLSIT is a base for development of tailored interventions and compensation strategies to reduce the often serious consequences of deteriorated balance control in the elderly.

Original languageEnglish
Pages (from-to)227.e1-227.e6
JournalJournal of the American Medical Directors Association
Volume15
Issue number3
DOIs
Publication statusPublished - Mar 2014

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Nervous System
Wounds and Injuries

Bibliographical note

Copyright © 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

Keywords

  • Accidental Falls/prevention & control
  • Aged/physiology
  • Geriatric Assessment/methods
  • Humans
  • Postural Balance/physiology
  • Psychomotor Performance/physiology

Cite this

Engelhart, Denise ; Pasma, Jantsje H ; Schouten, Alfred C ; Meskers, Carel G M ; Maier, Andrea B ; Mergner, Thomas ; van der Kooij, Herman. / Impaired standing balance in elderly : a new engineering method helps to unravel causes and effects. In: Journal of the American Medical Directors Association. 2014 ; Vol. 15, No. 3. pp. 227.e1-227.e6.
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abstract = "Deteriorated balance control is the most frequent cause of falls and injuries in the elderly. Balance control comprises a complex interplay of several underlying systems (ie, the sensory systems, the motor system, and the nervous system). Available clinical balance tests determine the patient's ability to maintain standing balance under defined test conditions and aim to describe the current state of this ability. However, these tests do not reveal which of the underlying systems is deteriorated and to what extent, so that the relation between cause and effect often remains unclear. Especially detection of early-stage balance control deterioration is difficult, because the balance control system is redundant and elderly may use compensation strategies. This article describes a new method that is able to identify causal relationships in deteriorated balance control, called CLSIT (Closed Loop System Identification Technique). Identification of impaired balance with CLSIT is a base for development of tailored interventions and compensation strategies to reduce the often serious consequences of deteriorated balance control in the elderly.",
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Impaired standing balance in elderly : a new engineering method helps to unravel causes and effects. / Engelhart, Denise; Pasma, Jantsje H; Schouten, Alfred C; Meskers, Carel G M; Maier, Andrea B; Mergner, Thomas; van der Kooij, Herman.

In: Journal of the American Medical Directors Association, Vol. 15, No. 3, 03.2014, p. 227.e1-227.e6.

Research output: Contribution to JournalArticleAcademicpeer-review

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AU - Engelhart, Denise

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AU - Schouten, Alfred C

AU - Meskers, Carel G M

AU - Maier, Andrea B

AU - Mergner, Thomas

AU - van der Kooij, Herman

N1 - Copyright © 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

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AB - Deteriorated balance control is the most frequent cause of falls and injuries in the elderly. Balance control comprises a complex interplay of several underlying systems (ie, the sensory systems, the motor system, and the nervous system). Available clinical balance tests determine the patient's ability to maintain standing balance under defined test conditions and aim to describe the current state of this ability. However, these tests do not reveal which of the underlying systems is deteriorated and to what extent, so that the relation between cause and effect often remains unclear. Especially detection of early-stage balance control deterioration is difficult, because the balance control system is redundant and elderly may use compensation strategies. This article describes a new method that is able to identify causal relationships in deteriorated balance control, called CLSIT (Closed Loop System Identification Technique). Identification of impaired balance with CLSIT is a base for development of tailored interventions and compensation strategies to reduce the often serious consequences of deteriorated balance control in the elderly.

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