PTOtherJournal of physical therapy science2019

Age-related differences in brain activity during physical and imagined sit-to-stand in healthy young and older adults.

Srisupornkornkool Kanokwan, Wongcheen Pramkamol, Klongkhayan Wipatcharee and 5 others

PMID 31164782

WHAT IT FOUND

Healthy adults imagined sit-to-stand in similar time to physically standing, and this imagined timing did not differ by age.

During imagined standing, older adults showed three brain-wave patterns, while young adults showed different patterns in the top and back of the head.

Key findings

01The reported time for physical sit-to-stand and imagined sit-to-stand did not differ within either age group.

02Older adults reported 2.166 seconds for physical sit-to-stand and young adults reported 1.586 seconds; imagined times were 2.279 seconds for older adults and 2.123 seconds for young adults, with no age difference.

03During imagined sit-to-stand, older adults showed beta, higher-frequency alpha and lower-frequency alpha patterns in temporal, parietal and occipital areas, while young adults showed a higher-frequency alpha pattern in the parietal area and a lower-frequency alpha pattern in the occipital area.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The participants were healthy adults who could already stand up from sitting without impairment, so the results do not show what happens in patients with weakness, balance problems or neurological conditions. The sample was small, with 20 young adults and 19 older adults, and participants were recruited from a university and hospital area. Movement time was self-reported by pressing a timer when the participant felt the movement was complete, not measured independently. Physical sit-to-stand was always performed before imagined sit-to-stand, so the order of tasks may have affected the results. The authors note that working memory was not screened, even though imagining a movement depends on memory and attention. The authors note that muscle nerve impulses were not measured during imagined sit-to-stand, so the study cannot describe what happens in the muscles.

Declared interests

The research was supported by Naresuan University, and the authors declared no conflict of interest.

The easy way to misread this

Do not conclude that imagined sit-to-stand improves sit-to-stand ability in patients. This study tested only healthy adults and measured timing and brain-wave patterns, not rehabilitation outcomes.

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