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Purpose. The purpose of this study was to evaluate the effects of short-term perturbation-based balance training and a detraining period on postural control in older adults. Methods. A group of healthy older women were recruited and divided into two groups: an exercise group (EG, n = 21, age = 67.0 ± 2.0 y) that performed balance-based exercises three times a week over a sixweek period and a control group (CG, n = 20, age = 67.9 ± 3.1 y). Center-of-pressure displacement (CoP) and electromyographic data (EMG onset, time-to-peak and amplitude) were assessed during forward and backward perturbations for six leg muscles. All variables were analyzed before the training program began, at its end, and after a six-week period of detraining. A mixed ANOVA model was used to analyze the withinand between-subject results. Results. A decrease in backward CoP displacement, EMG onset and time-to-peak of the ankle muscles, especially the tibialis anterior (TA) and gastrocnemius (MG), was observed. Improvement in muscle EMG amplitude for the ankle muscles (TA, MG and Soleus – SO) at the early phase (0–200 ms) of the perturbation test, with the SO also showing an increase in amplitude at the intermediate phase (201–400 ms). After the detraining period, only the TA muscle maintained an improvement in reaction time. Conclusions. Perturbation-based balance training improved neuromuscular responses such as muscle reaction time and ankle muscle activation and consequently aided the body’s ability to maintain correct center of pressure, although after a period of detraining this gain was not maintained for most of the assessed variables.

human movement

The Effects of a Perturbation-Based Balance Training on the Reactive Neuromuscular Control in Community- -Dwelling Older Women: A Randomized Controlled Trial