Effect of haptic supplementation provided by a fixed or mobile stick on postural stabilization in elderly people.

BACKGROUND

Haptic supplementation by a light touch with the index finger on a stable surface has been widely shown to increase postural stability. With a view to a potential application in the domain of mobility aids, it should, however, be demonstrated that haptic supplementation is effective even if provided by a mobile support.

OBJECTIVE

The present experiment aimed at determining whether haptic supplementation was effective in elderly people when provided by a light grip on an unstable stick support.

METHODS

Ten young and 11 older adults were tested in an upright position in 6 experimental conditions, in which the mobility of the stick support and its resistance to body sway were manipulated. Classical center-of-pressure (COP) variables (i.e. root mean square variability, range and area) were computed together with power spectral analysis and stabilogram diffusion analysis (SDA) variables of COP.

RESULTS

The results suggest that the stabilizing effect of haptic supplementation is independent of age and the nature of the support (fixed or mobile) when transient sway-related contact forces at the fingertip and proprioceptive cues are of sufficient magnitude. The results also indicate that haptic supplementation attenuates the age-related increase in energy consumption during the postural task even in the mobile support condition on a low-resistance surface. The results of SDA suggest that the availability of sway-related haptic cues reduces reliance on increased muscle activity around the ankle over short time intervals of postural control. After some time, haptic supplementation eventually leads to well-coordinated postural corrections.

CONCLUSIONS

In summary, haptic supplementation improves postural control mechanisms independent of age due to enhanced perception of self-motion through sensory interaction with the environment.