The Effect Of Time Of Day On Postural Control Of The Elderly With Open And Closed Eyes: With A Cognitive Dual-Task Approach

Ebrahimipour, Ehsan; Sabet, Fereshteh; Hajebrahimi, Shayan; Seyfaddini, Mohammadreza

doi:10.61186/jsmt.22.27.96

Volume 22, Issue 27 (8-2024) RSMT 2024, 22(27): 96-114 | Back to browse issues page

‎ 10.61186/jsmt.22.27.96

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Ebrahimipour E, Sabet F, Hajebrahimi S, Seyfaddini M. The Effect Of Time Of Day On Postural Control Of The Elderly With Open And Closed Eyes: With A Cognitive Dual-Task Approach. RSMT 2024; 22 (27) :96-114
URL: http://jsmt.khu.ac.ir/article-1-576-en.html

The Effect Of Time Of Day On Postural Control Of The Elderly With Open And Closed Eyes: With A Cognitive Dual-Task Approach

Ehsan Ebrahimipour

, Fereshteh Sabet

, Shayan Hajebrahimi

, Mohammadreza Seyfaddini

M.a, Department of Sports Biomechanics, Faculty of Physical Education and Sport Sciences, University of Shahid Bahonar of Kerman, Kerman, Iran. , shayanheb@gmail.com

Abstract: (3054 Views)

Circadian rhythms play a crucial role in regulating various physiological functions of the human body and can impact the ability tasks. The aim of this study was to investigate the effect of time of day on static and dynamic balance using the cognitive task approach. We recruited 24 elderly men who performed both static and dynamic balance tests with and without cognitive dual tasks. Our statistical analysis, using a significance level of 0.05, revealed significant differences in the parameters of the 95% confidence ellipse, length of path, and average velocity of the center of pressure when performing the dual task compared to normal walking. However, these variables did not significantly differ at different times of the day. Interestingly, our results showed that the center of pressure fluctuations in closed eyes and different times of the day did not have a significant difference. Overall, our findings suggest that healthy elderly individuals are at similar risk of falling during different hours of the day. Nonetheless, the simultaneous execution of dual cognitive tasks leads to balance disruption in both eyes-arm closed positions.

Keywords: Balance, Circadian Rhythm, Cognitive task, Elderly

Full-Text [PDF 2072 kb] (270 Downloads)

Type of Study: Research | Subject: sport biomechanic
Received: 2023/05/7 | Accepted: 2023/08/30 | Published: 2024/08/31

References

1. Di P, Huang J, Nakagawa S, Sekiyama K, Fukuda T, editors. Fall detection for elderly by using an intelligent cane robot based on center of pressure (COP) stability theory. 2014 International Symposium on Micro-NanoMechatronics and Human Science (MHS); 2014: IEEE. DOI: 10.1109/MHS.2014.7006152 [DOI:10.1109/MHS.2014.7006152]

2. O'Loughlin JL, Robitaille Y, Boivin J-F, Suissa S. Incidence of and risk factors for falls and injurious falls among the community-dwelling elderly. American journal of epidemiology. 1993;137(3):342-54. DOI: 10.1093/oxfordjournals.aje.a116681 [DOI:10.1093/oxfordjournals.aje.a116681]

3. Vellas BJ, Wayne SJ, Garry PJ, Baumgartner RN. A two-year longitudinal study of falls in 482 community-dwelling elderly adults. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 1998;53(4):M264-M74. DOI: 10.1093/gerona/53a.4.m264 [DOI:10.1093/gerona/53A.4.M264]

4. Myers A, Young Y, Langlois J. Prevention of falls in the elderly. Bone. 1996;18(1):S87-S101. DOI: 10.1016/8756-3282(95)00384-3 [DOI:10.1016/8756-3282(95)00384-3]

5. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Physical therapy. 2000;80(9):896-903. DOI: 10.1093/ptj/77.8.812 [DOI:10.1093/ptj/77.8.812]

6. Tideiksaar R. Preventing falls: how to identify risk factors, reduce complications. Geriatrics (Basel, Switzerland). 1996;51(2):43-6, 9. DOI: 10.3389/fphys.2021.681370 [DOI:10.3389/fphys.2021.681370]

7. Hoyer D, Clairambault J. Rhythms from Seconds to Days. IEEE ENGINEERING IN MEDICINE AND BIOLOGY MAGAZINE. 2007;26(6):12. DOI: 10.1109/emb.2007.907094 [DOI:10.1109/EMB.2007.907094]

8. Winget CM, DeRoshia CW, Holley DC. Circadian rhythms and athletic performance. Medicine & Science in Sports & Exercise. 1985. DOI: 10.1055/s-2001-16379 [DOI:10.1055/s-2001-16379]

9. Shumway‐Cook A, Guralnik JM, Phillips CL, Coppin AK, Ciol MA, Bandinelli S, et al. Age‐associated declines in complex walking task performance: the walking InCHIANTI toolkit. Journal of the American Geriatrics Society. 2007;55(1):58-65. DOI: 10.1111/j.1532-5415.2006.00962.x [DOI:10.1111/j.1532-5415.2006.00962.x]

10. Hollman JH, Kovash FM, Kubik JJ, Linbo RA. Age-related differences in spatiotemporal markers of gait stability during dual task walking. Gait & posture. 2007;26(1):113-9. DOI: 10.1016/j.gaitpost.2006.08.005 [DOI:10.1016/j.gaitpost.2006.08.005]

11. Laessoe U, Hoeck HC, Simonsen O, Voigt M. Residual attentional capacity amongst young and elderly during dual and triple task walking. Human movement science. 2008;27(3):496-512. DOI: 10.1016/j.humov.2007.12.001 [DOI:10.1016/j.humov.2007.12.001]

12. Thomas EE, Vito GD, Macaluso A. Speed training with body weight unloading improves walking energy cost and maximal speed in 75-to 85-year-old healthy women. Journal of applied physiology. 2007;103(5):1598-603. DOI: 10.1152/japplphysiol.00399.2007 [DOI:10.1152/japplphysiol.00399.2007]

13. Silsupadol P, Siu K-C, Shumway-Cook A, Woollacott MH. Training of balance under single-and dual-task conditions in older adults with balance impairment. Physical therapy. 2006;86(2):269-81. DOI: 10.1093/ptj/86.2.269 [DOI:10.1093/ptj/86.2.269]

14. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. New England journal of medicine. 1988;319(26):1701-7. DOI: 10.1056/NEJM198812293192604 [DOI:10.1056/NEJM198812293192604]

15. Horak FB. Clinical assessment of balance disorders. Gait & posture. 1997;6(1):76-84. DOI: 10.1016/S0966-6362(97)00018-0 [DOI:10.1016/S0966-6362(97)00018-0]

16. Prieto TE, Myklebust JB, Myklebust BM. Characterization and modeling of postural steadiness in the elderly: a review. IEEE Transactions on rehabilitation engineering. 1993;1(1):26-34. DOI: 10.1109/86.242405 [DOI:10.1109/86.242405]

17. Winter DA. ABC (anatomy, biomechanics and control) of balance during standing and walking: Waterloo Biomechanics; 1995. [DOI:10.1016/0966-6362(96)82849-9]

18. Gribble PA, Hertel J. Changes in postural control during a 48-hr. sleep deprivation period. Perceptual and Motor Skills. 2004;99(3):1035-45. DOI: 10.2466/pms.99.3.1035-1045 [DOI:10.2466/pms.99.3.1035-1045]

19. Morad Y, Azaria B, Avni I, Barkana Y, Zadok D, Kohen-Raz R, et al. Posturography as an indicator of fatigue due to sleep deprivation. Aviation, space, and environmental medicine. 2007;78(9):859-63. DOI: 10.3389/fnhum.2023.1146550 [DOI:10.3389/fnhum.2023.1146550]

20. Gribble PA, Tucker WS, White PA. Time-of-day influences on static and dynamic postural control. Journal of athletic training. 2007;42(1):35. DOI: 10.3389/fnhum.2023.1146550. eCollection [DOI:10.3389/fnhum.2023.1146550]

21. Jorgensen M, Rathleff MS, Laessoe U, Caserotti P, Nielsen OBF, Aagaard P. Time-of-day influences postural balance in older adults. Gait & posture. 2012;35(4):653-7. DOI: 10.1016/j.gaitpost.2011.12.018 [DOI:10.1016/j.gaitpost.2011.12.018]

22. Kwon YH, Choi YW, Nam SH, Lee MH. The influence of time of day on static and dynamic postural control in normal adults. Journal of physical therapy science. 2014;26(3):409-12. DOI: 10.1589/jpts.26.409 [DOI:10.1589/jpts.26.409]

23. Randler C, Díaz-Morales JF, Rahafar A, Vollmer C. Morningness-eveningness and amplitude-development and validation of an improved composite scale to measure circadian preference and stability (MESSi). Chronobiology international. 2016;33(7):832-48. DOI: 10.3109/07420528.2016.1171233 [DOI:10.3109/07420528.2016.1171233]

24. Cockrell JR, Folstein MF. Mini-mental state examination. Principles and practice of geriatric psychiatry. 2002 Apr 15:140-1. DOI:10.1002/0470846410 [DOI:10.1002/0470846410]

25. Silsupadol P, Shumway-Cook A, Lugade V, van Donkelaar P, Chou L-S, Mayr U, et al. Effects of single-task versus dual-task training on balance performance in older adults: a double-blind, randomized controlled trial. Archives of physical medicine and rehabilitation. 2009;90(3):381-7. DOI: 10.1016/j.apmr.2008.09.559 [DOI:10.1016/j.apmr.2008.09.559]

26. Dijckmans B, Tortosa-Martínez J, Caus N, González-Caballero G, Martínez-Pelegrin B, Manchado-Lopez C, et al. Does the diurnal cycle of cortisol explain the relationship between physical performance and cognitive function in older adults? European Review of Aging and Physical Activity. 2017;14(1):1-10. DOI: 10.1186/s11556-017-0175-5 [DOI:10.1186/s11556-017-0175-5]

27. Rogers ME, Rogers NL, Takeshima N, Islam MM. Methods to assess and improve the physical parameters associated with fall risk in older adults. Preventive medicine. 2003;36(3):255-64. DOI: 10.1016/s0091-7435(02)00028-2 [DOI:10.1016/S0091-7435(02)00028-2]

28. Forughifar R, Farzanmoghaddam F, Rahnama N. Comparing the effects of time of day on balance performance in elderly. Sports Physiology and Physical Activity. 2013;725-734. In Persian

29. Heinbaugh EM, Smith DT, Zhu Q, Wilson MA, Dai B. The effect of time-of-day on static and dynamic balance in recreational athletes. Sports biomechanics. 2015;14(3):361-73. DOI: 10.1080/14763141.2015.1084036 [DOI:10.1080/14763141.2015.1084036]

30. Bird M-L, Hill KD, Fell JW. A randomized controlled study investigating static and dynamic balance in older adults after training with Pilates. Archives of physical medicine and rehabilitation. 2012;93(1):43-9. DOI: 10.1016/j.apmr.2011.08.005 [DOI:10.1016/j.apmr.2011.08.005]

31. Dijk D-J, Duffy JF, Czeisler CA. Contribution of circadian physiology and sleep homeostasis to age-related changes in human sleep. Chronobiology international. 2000;17(3):285-311. DOI: 10.1081/cbi-100101049 [DOI:10.1081/CBI-100101049]

32. Doheny EP, Greene BR, Foran T, Cunningham C, Fan CW, Kenny RA. Diurnal variations in the outcomes of instrumented gait and quiet standing balance assessments and their association with falls history. Physiological measurement. 2012;33(3):361. DOI: 10.1088/0967-3334/33/3/361 [DOI:10.1088/0967-3334/33/3/361]

33. Zouabi A, Quarck G, Martin T, Grespinet M, Gauthier A. Is there a circadian rhythm of postural control and perception of the vertical? Chronobiology international. 2016;33(10):1320-30. DOI: 10.1080/07420528.2016.1215993 [DOI:10.1080/07420528.2016.1215993]

34. Halpern AI, Jansen JA, Giladi N, Mirelman A, Hausdorff JM. Does Time of Day influence postural control and gait? A review of the literature. Gait & Posture. 2022;92:153-66. DOI: 10.1016/j.gaitpost.2021.10.023 [DOI:10.1016/j.gaitpost.2021.10.023]

35. Mylonas V, Nikodelis T, Kollias I. Time of day influence on postural balance of young and older men. Experimental aging research. 2022:1-12. DOI: 10.1080/0361073X.2022.2033594 [DOI:10.1080/0361073X.2022.2033594]

36. Paillard T, Noé F, Bru N, Couderc M, Debove L. The impact of time of day on the gait and balance control of Alzheimer's patients. Chronobiology international. 2016;33(2):161-8. DOI: 10.3109/07420528.2015.1124885 [DOI:10.3109/07420528.2015.1124885]

37. Korchi K, Noé F, Bru N, Monce M, Cabianca-Martin O, Paillard T. Influence of plantar cutaneous sensitivity on daily fluctuations of postural control and gait in institutionalized older adults: a hierarchical cluster analysis. Chronobiology International. 2019;36(6):870-82. DOI: 10.1080/07420528.2019.1594869 [DOI:10.1080/07420528.2019.1594869]

38. Azadian E, Taheri HR, Saberi Kakhki A, Farahpour N. Effects of dual-tasks on spatial-temporal parameters of gait in older adults with impaired balance. Iranian Journal of Ageing. 2016;11(1):100-9. In Persian. DOI: 1101100sija/1 [DOI:10.21859/sija-1101100]

39. Razavi-Asfali SM, Amir-Seyfaddini M, Mohammadipour F. The Morning-Evening Variation of Dynamic Balance under Dual Cognitive Task in Morning-Type Elderly Women. Journal of Research in Rehabilitation Sciences. 2017;13(4):194-200. In Persian. DOI: 10.22122/jrrs.v13i4.2974

40. Anderson JAE. Only time will tell: Time-of-day and the cognitive neuroscience of executive control in aging: University of Toronto (Canada); 2016.

41. Hobert MA, Meyer SI, Hasmann SE, Metzger FG, Suenkel U, Eschweiler GW, et al. Gait is associated with cognitive flexibility: a dual-tasking study in healthy older people. Frontiers in aging neuroscience. 2017;9:154. DOI: 10.3389/fnagi.2017.00154 [DOI:10.3389/fnagi.2017.00154]

42. Lovato N, Lack L. The effects of napping on cognitive functioning. Progress in brain research. 2010;185:155-66. DOI: 10.1016/B978-0-444-53702-7.00009-9 [DOI:10.1016/B978-0-444-53702-7.00009-9]

43. Ancoli-Israel S, Martin JL. Insomnia and daytime napping in older adults. Journal of clinical sleep medicine. 2006;2(03):333-42. DOI: 10.1002/gps.1380 [DOI:10.1002/gps.1380]