Raising and stabilization phase of the sit-to-stand movement better discriminate healthy elderly adults from young subjects: a pilot cross-sectional study.
Leonardo Piano, Tommaso Geri, Marco Testa
PMID 32318274WHAT IT FOUND
After rising from a chair, older adults showed more sway while settling into standing, especially during stabilization, than young adults.
The study did not test falls or treatment.
Key findings
01During the stabilization phase after sit-to-stand, elderly adults had greater sway than young adults, 12.38 versus 4.98 normalized to body height.
02Elderly adults also had greater sway during the raising phase, 21.63 versus 13.58, and over the whole task, 146.97 versus 119.85.
03The elderly group reached peak vertical force later, 1312 versus 1073 ms, and reached steady standing earlier, 2116 versus 2814 ms.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only 24 younger adults and 28 elderly adults were studied, and all elderly participants came from one nursing home, so the results may not apply to older adults who live alone or are less independent. All participants were functionally independent, with elderly Functional Independence Measure scores above 100, so the study says little about people with more severe balance or mobility problems. The authors note that sarcopenia, frailty, comorbidity, and drug intake were not included as confounding factors. Steady standing was identified visually, which the authors say could bias the earlier steady-standing result. The authors state that clinical applications remain to be defined and that further studies with validated balance tools and wider samples are needed.
The easy way to misread this
Do not conclude that force-platform sit-to-stand sway predicts falls or that changing exercise speed is supported by this study. The study compared young and functionally independent elderly adults on platform parameters only, and the authors say clinical applications remain to be defined.