Postural control is associated with muscle power in post-menopausal women with low bone mass.
Author: Stolzenberg N1, Felsenberg D1, Belavy DL2,3
Affiliation:
1Centre for Muscle and Bone Research, Charité Universitätsmedizin Berlin, Hindenburgdamm 30, 12203, Berlin, Germany.
2Centre for Muscle and Bone Research, Charité Universitätsmedizin Berlin, Hindenburgdamm 30, 12203, Berlin, Germany. belavy@gmail.com.
3Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, 221 Burwood Highway, Burwood, Geelong, Victoria, 3125, Australia. belavy@gmail.com.
Conference/Journal: Osteoporos Int.
Date published: 2018 Oct
Other:
Volume ID: 29 , Issue ID: 10 , Pages: 2283-2288 , Special Notes: doi: 10.1007/s00198-018-4599-1. Epub 2018 Jun 25. , Word Count: 304
Older women with low bone mass are at higher risk of fracture and there is limited data on what is associated with risk of falls. We found explosive jumping to relate most strongly to postural control. It may be beneficial to include power or speed training into falls prevention programs.
INTRODUCTION: Post-menopausal women with low bone mass are at higher risk of bone fractures subsequent to falls. Understanding the correlates of postural control in this collective informs intervention design for falls prevention.
METHODS: We examined postural control in single-leg stance on stable and unstable surfaces in 63 community-dwelling post-menopausal women with osteopenia or osteoporosis but without diagnosed neuromuscular, vestibular or arthritic diseases. Postural measures were compared to countermovement jump performance (height, force and power), leg-press strength (10 repetition maximum), calf muscle area and density (via peripheral quantitative computed tomography), body mass, height and age.
RESULTS: On step-wise regression, peak countermovement jump power and jump height (p ≤ 0.014), but not jump force, leg-press strength or calf muscle size, were related to postural control in single-leg stance on, respectively, an unstable surface (eyes open) and standing on a stable surface (eyes open). None of the parameters measured were significantly related to the postural control parameters in single-leg stance on a stable surface with eyes closed. With testing on the stable surface, body mass was associated with slow mean centre of pressure movement speed (p ≤ 0.030).
CONCLUSIONS: Our findings show that, in post-menopausal women with low bone mass, neuromuscular power is a more important determinant of postural control than muscle strength or size. Our findings provide evidence to support the integration of power or speed training into falls prevention and balance training programs in post-menopausal women with osteopenia and osteoporosis.
KEYWORDS: Elderly; Falls; Function; Jumping mechanography; Leg press; Muscle force; Muscle power; Postural control; pQCT
PMID: 29943189 DOI: 10.1007/s00198-018-4599-1
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