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Wang J, Li Y, Yang GY, Jin K. Age-Related Dysfunction in Balance: A Comprehensive Review of Causes, Consequences, and Interventions. Aging Dis 2024:AD.2024.0124-1. [PMID: 38607735 DOI: 10.14336/ad.2024.0124-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2023] [Accepted: 01/24/2024] [Indexed: 04/14/2024] Open
Abstract
This review delves into the multifaceted aspects of age-related balance changes, highlighting their prevalence, underlying causes, and the impact they have on the elderly population. Central to this discussion is the exploration of various physiological changes that occur with aging, such as alterations in the vestibular, visual, proprioceptive systems, and musculoskeletal degeneration. We examine the role of neurological disorders, cognitive decline, and medication side effects in exacerbating balance issues. The review underscores the significance of early detection and effective intervention strategies in mitigating the risks associated with balance problems, such as falls and reduced mobility. It discusses the effectiveness of diverse intervention strategies, including exercise programs, rehabilitation techniques, and technological advancements like virtual reality, wearable devices, and telemedicine. Additionally, the review stresses the importance of a holistic approach in managing balance disorders, encompassing medication review, addressing comorbidities, and environmental modifications. The paper also presents future research directions, emphasizing the need for a deeper understanding of the complex mechanisms underlying balance changes with aging and the potential of emerging technologies and interdisciplinary approaches in enhancing assessment and intervention methods. This comprehensive review aims to provide valuable insights for healthcare providers, researchers, and policymakers in developing targeted strategies to improve the quality of life and ensure the well-being of the aging population.
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Affiliation(s)
- Jixian Wang
- Department of Rehabilitation Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Yongfang Li
- Department of Rehabilitation Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Guo-Yuan Yang
- Neuroscience and Neuroengineering Research Center, Med-X Research Institute and School of Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China
| | - Kunlin Jin
- Department of Pharmacology and Neuroscience, University of North Texas Health Science Center, Fort Worth, TX 76107, USA
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Chen X, Wei D, Fang F, Song H, Yin L, Kaijser M, Gurholt TP, Andreassen OA, Valdimarsdóttir U, Hu K, Duan M. Peripheral vertigo and subsequent risk of depression and anxiety disorders: a prospective cohort study using the UK Biobank. BMC Med 2024; 22:63. [PMID: 38336700 PMCID: PMC10858592 DOI: 10.1186/s12916-023-03179-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 11/15/2023] [Indexed: 02/12/2024] Open
Abstract
BACKGROUND Peripheral vertigo is often comorbid with psychiatric disorders. However, no longitudinal study has quantified the association between peripheral vertigo and risk of psychiatric disorders. Furthermore, it remains unknown how the white matter integrity of frontal-limbic network relates to the putative peripheral vertigo-psychiatric disorder link. METHODS We conducted a cohort study including 452,053 participants of the UK Biobank with a follow-up from 2006 through 2021. We assessed the risks of depression and anxiety disorders in relation to a hospitalization episode involving peripheral vertigo using Cox proportional hazards models. We also examined the associations of peripheral vertigo, depression, and anxiety with MRI fractional anisotropy (FA) in a subsample with brain MRI data (N = 36,087), using multivariable linear regression. RESULTS Individuals with an inpatient diagnosis of peripheral vertigo had elevated risks of incident depression (hazard ratio (HR) 2.18; 95% confidence interval (CI) 1.79-2.67) and anxiety (HR 2.11; 95% CI 1.71-2.61), compared to others, particularly within 2 years after hospitalization (HR for depression 2.91; 95% CI 2.04-4.15; HR for anxiety 4.92; 95% CI 3.62-6.69). Depression was associated with lower FA in most studied white matter regions, whereas anxiety and peripheral vertigo did not show statistically significant associations with FA. CONCLUSIONS Individuals with an inpatient diagnosis of peripheral vertigo have increased subsequent risks of depression and anxiety disorders, especially within 2 years after hospitalization. Our findings further indicate a link between depression and lower microstructural connectivity as well as integrity beyond the frontal-limbic network.
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Affiliation(s)
- Xiaowan Chen
- Department of Otolaryngology Head and Neck Surgery, the First Hospital of Lanzhou University, Lanzhou, Gansu Province, China
- Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden
- Department of Otolaryngology Head and Neck Surgery & Audiology and Neurotology, Karolinska University Hospital, Stockholm, Sweden
- Department of Clinical Science, Intervention and Technology, Karolinska Institutet, 171 77, Stockholm, Sweden
| | - Dang Wei
- Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden
| | - Fang Fang
- Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden
| | - Huan Song
- West China Biomedical Big Data Center, West China Hospital, Sichuan University, Chengdu, China
- Med-X Center for Informatics, Sichuan University, Chengdu, China
- Centre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland
| | - Li Yin
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Magnus Kaijser
- Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden
- Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden
| | - Tiril Pedersen Gurholt
- Norwegian Centre for Mental Disorders Research (NORMENT), Division of Mental Health and Addiction, Institute of Clinical Medicine, Oslo University Hospital &, University of Oslo, Oslo, Norway
| | - Ole Andreas Andreassen
- Norwegian Centre for Mental Disorders Research (NORMENT), Division of Mental Health and Addiction, Institute of Clinical Medicine, Oslo University Hospital &, University of Oslo, Oslo, Norway
| | - Unnur Valdimarsdóttir
- Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden
- Centre of Public Health Sciences, Faculty of Medicine, University of Iceland, Reykjavik, Iceland
- Department of Epidemiology, Harvard TH Chan School of Public Health, Harvard University, Boston, MA, USA
| | - Kejia Hu
- Unit of Integrative Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, 171 77, Stockholm, Sweden.
| | - Maoli Duan
- Department of Otolaryngology Head and Neck Surgery & Audiology and Neurotology, Karolinska University Hospital, Stockholm, Sweden.
- Department of Clinical Science, Intervention and Technology, Karolinska Institutet, 171 77, Stockholm, Sweden.
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Caldani S, Bucci MP, Tisné M, Audo I, Van Den Abbeele T, Wiener-Vacher S. Postural Instability in Subjects With Usher Syndrome. Front Neurol 2019; 10:830. [PMID: 31440199 PMCID: PMC6694594 DOI: 10.3389/fneur.2019.00830] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Accepted: 07/18/2019] [Indexed: 11/14/2022] Open
Abstract
This study investigated postural performances and vestibular impairment in Usher patients. The three groups studied were: 11 patients with Usher type I (with visual and vestibular impairment), 14 patients with Usher type II (with only visual impairment), and 14 healthy control subjects. Postural stability was measured with a Framiral Multitest Equilibre platform with three visual conditions: eyes open (EO), eyes closed (EC), and vision disturbed by optokinetic stimulation (OPT), and two different postural conditions: stable or unstable platform. The surface and mean velocity of the center of pressure displacement (CoP) were measured and a postural instability index (PII) was calculated. Usher type I and II patients were more unstable than control subjects, but only for the unstable platform. Patients with Usher type I (with severe vestibular impairment) were also significantly more unstable than patients with Usher type II (with normal vestibular function) on the unstable platform. The severity of the vestibular impairment was correlated with the surface of the CoP displacement. We suggest that poor postural control of Usher patients is due to the abnormalities in their visual and, when defective, vestibular inputs. Measurements of postural stability on an unstable platform can distinguish type I from type II Usher patients. We emphasize the importance of multisensory evaluation in these patients to guide development of personalized visuo-vestibular rehabilitation techniques to improve their postural stability and improve their quality of life.
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Affiliation(s)
- Simona Caldani
- UMR 1141 Inserm, Robert Debré Hospital, Université de Paris, Paris, France.,FEE, ENT Department, Center for Children Balance Disorders Evaluation, Robert Debré Hospital, Paris, France
| | - Maria Pia Bucci
- UMR 1141 Inserm, Robert Debré Hospital, Université de Paris, Paris, France.,FEE, ENT Department, Center for Children Balance Disorders Evaluation, Robert Debré Hospital, Paris, France
| | - Maud Tisné
- UMR 1141 Inserm, Robert Debré Hospital, Université de Paris, Paris, France.,FEE, ENT Department, Center for Children Balance Disorders Evaluation, Robert Debré Hospital, Paris, France
| | - Isabelle Audo
- CHNO des Quinze-Vingts, DHU Sight Restore, INSERM-DHOS, Paris, France
| | - Thierry Van Den Abbeele
- FEE, ENT Department, Center for Children Balance Disorders Evaluation, Robert Debré Hospital, Paris, France
| | - Sylvette Wiener-Vacher
- UMR 1141 Inserm, Robert Debré Hospital, Université de Paris, Paris, France.,FEE, ENT Department, Center for Children Balance Disorders Evaluation, Robert Debré Hospital, Paris, France
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Maheu M, Behtani L, Nooristani M, Jemel B, Delcenserie A, Champoux F. Influence of dance training on challenging postural control task. Gait Posture 2019; 69:31-35. [PMID: 30660040 DOI: 10.1016/j.gaitpost.2019.01.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Revised: 01/07/2019] [Accepted: 01/09/2019] [Indexed: 02/02/2023]
Abstract
BACKGROUND Previous studies have shown that dance training affects postural control, particularly during challenging tasks. However, it is still unknown whether dance training also affects the ability to use vestibular, somatosensory, and visual cues, thus leading to postural control differences. OBJECTIVE The main goal of the present study was to evaluate the influence of dance training on sensory weighting during static postural control. METHOD The center of pressure of 24 participants was recorded (12 dancers and 12 control non-dancers) using a force platform as well as the modified Clinical Test of Sensory Organization in Balance (mCTISB). RESULTS The results suggest that dancers perform significantly better than controls in conditions where somatosensory cues are disturbed. Moreover, a significant negative correlation between vestibular frequency band and training intensity was observed, along with, a significant positive correlation between visual frequency band and training intensity. SIGNIFICANCE This research outlines dancers' increased ability to modulate sensory weighting differently than non-dancers during postural task where somatosensory cues are reduced.
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Affiliation(s)
- M Maheu
- École d'orthophonie et d'audiologie, Université de Montréal, Québec, Montréal, Canada; CIUSSS Centre-Sud-de-l'île-de-Montréal/Institut Raymond-Dewar, Québec, Montréal, Canada
| | - L Behtani
- École d'orthophonie et d'audiologie, Université de Montréal, Québec, Montréal, Canada
| | - M Nooristani
- École d'orthophonie et d'audiologie, Université de Montréal, Québec, Montréal, Canada
| | - B Jemel
- École d'orthophonie et d'audiologie, Université de Montréal, Québec, Montréal, Canada
| | - A Delcenserie
- École d'orthophonie et d'audiologie, Université de Montréal, Québec, Montréal, Canada; Département de psychologie, Université de Montréal, Québec, Montréal, Canada
| | - F Champoux
- École d'orthophonie et d'audiologie, Université de Montréal, Québec, Montréal, Canada; CIUSSS Centre-Sud-de-l'île-de-Montréal/Institut Raymond-Dewar, Québec, Montréal, Canada.
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Rogge AK, Röder B, Zech A, Nagel V, Hollander K, Braumann KM, Hötting K. Balance training improves memory and spatial cognition in healthy adults. Sci Rep 2017; 7:5661. [PMID: 28720898 PMCID: PMC5515881 DOI: 10.1038/s41598-017-06071-9] [Citation(s) in RCA: 60] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2017] [Accepted: 06/07/2017] [Indexed: 12/20/2022] Open
Abstract
Physical exercise has been shown to improve cognitive functions. However, it is still unknown which type of exercise affects cognition. In the present study, we tested the hypothesis that a demanding balance training program improves memory and spatial cognition. Forty healthy participants aged 19–65 years were randomly assigned to either a balance or relaxation training intervention. Each group exercised twice a week for a total of 12 weeks. Pre- and posttests assessed balance performance, cardiorespiratory fitness, memory, spatial cognition, and executive functions. Only the balance group significantly increased in balance performance from pre- to posttest, while cardiorespiratory fitness remained unchanged in both groups. Moreover, the balance group significantly improved in memory and spatial cognition. Effects on executive functions were not observed. These results suggest that balance training is capable of improving particularly memory and spatial cognition. Therefore, an increase in cardiorespiratory fitness does not seem to be necessary to induce beneficial effects of physical exercise on cognition. It might be speculated that stimulating the vestibular system during balance training induces changes of the hippocampus and parietal cortex possibly via direct pathways between the vestibular system and these brain regions.
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Affiliation(s)
- Ann-Kathrin Rogge
- Universität Hamburg, Department of Biological Psychology & Neuropsychology, Hamburg, Germany.
| | - Brigitte Röder
- Universität Hamburg, Department of Biological Psychology & Neuropsychology, Hamburg, Germany
| | - Astrid Zech
- Friedrich Schiller University, Department of Human Movement Science, Jena, Germany
| | - Volker Nagel
- Universität Hamburg, Department of Sports and Exercise Medicine, Hamburg, Germany
| | - Karsten Hollander
- Universität Hamburg, Department of Sports and Exercise Medicine, Hamburg, Germany
| | | | - Kirsten Hötting
- Universität Hamburg, Department of Biological Psychology & Neuropsychology, Hamburg, Germany
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Giacosa C, Karpati FJ, Foster NEV, Penhune VB, Hyde KL. Dance and music training have different effects on white matter diffusivity in sensorimotor pathways. Neuroimage 2016; 135:273-86. [PMID: 27114054 DOI: 10.1016/j.neuroimage.2016.04.048] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Revised: 04/18/2016] [Accepted: 04/20/2016] [Indexed: 12/22/2022] Open
Affiliation(s)
- Chiara Giacosa
- International Laboratory for Brain, Music and Sound Research (BRAMS), Pavillon 1420 Mont Royal, FAS, Département de psychologie, CP 6128 Succ. Centre Ville, Montreal, QC H3C 3J7, Canada; Department of Psychology, Concordia University, 7141 Sherbrooke Street West, Montreal, Quebec H4B 1R6, Canada.
| | - Falisha J Karpati
- International Laboratory for Brain, Music and Sound Research (BRAMS), Pavillon 1420 Mont Royal, FAS, Département de psychologie, CP 6128 Succ. Centre Ville, Montreal, QC H3C 3J7, Canada; Faculty of Medicine, McGill University, 3655 Sir William Osler, Montreal, Quebec H3G 1Y6, Canada
| | - Nicholas E V Foster
- International Laboratory for Brain, Music and Sound Research (BRAMS), Pavillon 1420 Mont Royal, FAS, Département de psychologie, CP 6128 Succ. Centre Ville, Montreal, QC H3C 3J7, Canada; Department of Psychology, University of Montreal, Pavillon Marie-Victorin, 90 avenue Vincent d'Indy, Montreal, Quebec H2V 2S9, Canada
| | - Virginia B Penhune
- International Laboratory for Brain, Music and Sound Research (BRAMS), Pavillon 1420 Mont Royal, FAS, Département de psychologie, CP 6128 Succ. Centre Ville, Montreal, QC H3C 3J7, Canada; Department of Psychology, Concordia University, 7141 Sherbrooke Street West, Montreal, Quebec H4B 1R6, Canada
| | - Krista L Hyde
- International Laboratory for Brain, Music and Sound Research (BRAMS), Pavillon 1420 Mont Royal, FAS, Département de psychologie, CP 6128 Succ. Centre Ville, Montreal, QC H3C 3J7, Canada; Faculty of Medicine, McGill University, 3655 Sir William Osler, Montreal, Quebec H3G 1Y6, Canada; Department of Psychology, University of Montreal, Pavillon Marie-Victorin, 90 avenue Vincent d'Indy, Montreal, Quebec H2V 2S9, Canada
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7
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Göttlich M, Jandl NM, Sprenger A, Wojak JF, Münte TF, Krämer UM, Helmchen C. Hippocampal gray matter volume in bilateral vestibular failure. Hum Brain Mapp 2016; 37:1998-2006. [PMID: 26918638 DOI: 10.1002/hbm.23152] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2015] [Accepted: 02/11/2016] [Indexed: 01/26/2023] Open
Abstract
Bilateral vestibular failure (BVF) is a severe chronic disorder of the labyrinth or the eighth cranial nerve characterized by unsteadiness of gait and disabling oscillopsia during head movements. According to animal data, vestibular input to the hippocampus is proposed to contribute to spatial memory and spatial navigation. Except for one seminal study showing the association of impaired spatial navigation and hippocampal atrophy, patient data in BVF are lacking. Therefore, we performed a voxel-wise comparison of the hippocampal gray matter volume (GMV) in a clinically representative sample of 27 patients with incomplete BVF and 29 age- and gender-matched healthy controls to test the hypothesis of hippocampal atrophy in BVF. Although the two groups did not generally differ in their hippocampal GMV, a reduction of GMV in the bilateral hippocampal CA3 region was significantly correlated with increased vestibulopathy-related clinical impairment. We propose that GMV reduction in the hippocampus of BVF patients is related to the severity of vestibular-induced disability which is in line with combined hippocampal atrophy and disorders of spatial navigation in complete vestibular deafferentation due to bilateral nerve section. Clinically, however, the most frequent etiologies of BVF cause incomplete lesions. Accordingly, hippocampus atrophy and deficits in spatial navigation occur possibly less frequently than previously suspected. Hum Brain Mapp 37:1998-2006, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Martin Göttlich
- Department of Neurology, University of Lübeck and University Hospital Schleswig-Holstein, Lübeck, Germany
| | - Nico M Jandl
- Department of Neurology, University of Lübeck and University Hospital Schleswig-Holstein, Lübeck, Germany
| | - Andreas Sprenger
- Department of Neurology, University of Lübeck and University Hospital Schleswig-Holstein, Lübeck, Germany.,Institute of Psychology II, University of Lübeck, Lübeck, Germany
| | - Jann F Wojak
- Department of Neurology, University of Lübeck and University Hospital Schleswig-Holstein, Lübeck, Germany
| | - Thomas F Münte
- Department of Neurology, University of Lübeck and University Hospital Schleswig-Holstein, Lübeck, Germany.,Institute of Psychology II, University of Lübeck, Lübeck, Germany
| | - Ulrike M Krämer
- Department of Neurology, University of Lübeck and University Hospital Schleswig-Holstein, Lübeck, Germany.,Institute of Psychology II, University of Lübeck, Lübeck, Germany
| | - Christoph Helmchen
- Department of Neurology, University of Lübeck and University Hospital Schleswig-Holstein, Lübeck, Germany
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