Effects of mental fatigue on static upright stance and functional balance in older adults

Background: Cognitive influences on balance control may contribute to greater instability and falls in older adults. In support of this, old age exacerbates the effects of a concurrent cognitive task on balance. Mental fatigue is a psychobiological state experienced following prolonged demanding cog...

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Main Authors: Lucy J. Fletcher, Callum J. Osler
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Aging and Health Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S266703212100041X
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author Lucy J. Fletcher
Callum J. Osler
author_facet Lucy J. Fletcher
Callum J. Osler
author_sort Lucy J. Fletcher
collection DOAJ
description Background: Cognitive influences on balance control may contribute to greater instability and falls in older adults. In support of this, old age exacerbates the effects of a concurrent cognitive task on balance. Mental fatigue is a psychobiological state experienced following prolonged demanding cognitive activity. However, its effects on static upright stance and functional balance in older adults is unclear. It is also unclear how the effects of mental fatigue and a concurrent task interact. Methods: Balance was assessed in ten younger and ten older participants before and immediately after 25 min of the incongruent Stroop colour-word test (mental fatigue) and leisurely reading (control), presented in a randomized counterbalanced order on separate days. Static and functional balance was assessed using the centre of pressure path length when standing still and the ‘Timed Up & Go’ test, respectively. These balance assessments were completed with and without a concurrent backward counting task (i.e. dual-task and single-task, respectively). Results: Under subjectively-confirmed conditions of mental fatigue, sway path length when standing still was 32% greater than the control condition in older adults but unchanged in younger adults. This age-dependant effect of mental fatigue on static balance was similar in single-task and dual-task trials. Mental fatigue did not significantly affect functional balance performance in either age group. Conclusions: These findings are the first to show mental fatigue to impair static balance control in older adults. Therefore, whether due to everyday activities or a symptom of disease, mental fatigue may contribute to poor balance in older adults.
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spelling doaj.art-7ed720fd738d488bb0566cbdf7efc26d2022-12-21T18:45:32ZengElsevierAging and Health Research2667-03212021-12-0114100043Effects of mental fatigue on static upright stance and functional balance in older adultsLucy J. Fletcher0Callum J. Osler1Human Sciences Research Centre, University of Derby, Kedleston Road, Derby DE22 1GB, United KingdomHuman Sciences Research Centre, University of Derby, Kedleston Road, Derby DE22 1GB, United Kingdom; Corresponding author.Background: Cognitive influences on balance control may contribute to greater instability and falls in older adults. In support of this, old age exacerbates the effects of a concurrent cognitive task on balance. Mental fatigue is a psychobiological state experienced following prolonged demanding cognitive activity. However, its effects on static upright stance and functional balance in older adults is unclear. It is also unclear how the effects of mental fatigue and a concurrent task interact. Methods: Balance was assessed in ten younger and ten older participants before and immediately after 25 min of the incongruent Stroop colour-word test (mental fatigue) and leisurely reading (control), presented in a randomized counterbalanced order on separate days. Static and functional balance was assessed using the centre of pressure path length when standing still and the ‘Timed Up & Go’ test, respectively. These balance assessments were completed with and without a concurrent backward counting task (i.e. dual-task and single-task, respectively). Results: Under subjectively-confirmed conditions of mental fatigue, sway path length when standing still was 32% greater than the control condition in older adults but unchanged in younger adults. This age-dependant effect of mental fatigue on static balance was similar in single-task and dual-task trials. Mental fatigue did not significantly affect functional balance performance in either age group. Conclusions: These findings are the first to show mental fatigue to impair static balance control in older adults. Therefore, whether due to everyday activities or a symptom of disease, mental fatigue may contribute to poor balance in older adults.http://www.sciencedirect.com/science/article/pii/S266703212100041XAgeingBalanceCognitionDual taskMental fatiguePostural control
spellingShingle Lucy J. Fletcher
Callum J. Osler
Effects of mental fatigue on static upright stance and functional balance in older adults
Aging and Health Research
Ageing
Balance
Cognition
Dual task
Mental fatigue
Postural control
title Effects of mental fatigue on static upright stance and functional balance in older adults
title_full Effects of mental fatigue on static upright stance and functional balance in older adults
title_fullStr Effects of mental fatigue on static upright stance and functional balance in older adults
title_full_unstemmed Effects of mental fatigue on static upright stance and functional balance in older adults
title_short Effects of mental fatigue on static upright stance and functional balance in older adults
title_sort effects of mental fatigue on static upright stance and functional balance in older adults
topic Ageing
Balance
Cognition
Dual task
Mental fatigue
Postural control
url http://www.sciencedirect.com/science/article/pii/S266703212100041X
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