Age-associated increase in postural variability relate to greater low-frequency center of pressure oscillations

Abstract Background Postural control is impaired in older adults, as evidenced from greater variability of the center of pressure (COP) during postural tasks. Although COP variability associates with low-frequency COP oscillations ( Research question Do low-frequency oscillations contribute to greater postural sway (center of pressure (COP) variability) in older adults when attempting to voluntarily maintain posture in a forward leaning position compared to young adults? Methods Seven young (25.7 ± 4.8) and seven older (71.0 ± 7.0) adults performed a postural lean forward task and attempted to match a COP target in the anterior-posterior direction as steady as possible. We quantified the COP variability as the standard deviation (SD) of COP displacements in the anterior-posterior and medial-lateral directions and quantified the frequency modulation of COP as the power in COP displacement spectra from 0-1 Hz. Results We found that older adults had significantly greater anterior-posterior SD of COP (p = 0.027) and power below 0.5 Hz (p = 0.048) than young adults, but power from 0.5-1 Hz was similar (p = 0.083). In contrast, the medial-lateral SD of COP (p = 0.5) and power from 0-1 Hz (p = 0.228) was similar for the two age groups. For both the anterior-posterior and medial-lateral direction, the SD of COP was related to low frequency oscillations below 0.5 Hz. Significance For the first time, we show that the age-associated increase in postural variability relates to greater COP oscillations below 0.5 Hz.