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July 2, 2025Neurobiology of AgingOpen Access

Balance training improves postural control and performance-related prefrontal brain activation in healthy older adults: Results of a six-month randomized controlled training intervention

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Authors

NLNico LehmannYKYves‐Alain KuhnMKMartín Keller

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Overview

Randomized trial reveals balance training reduces postural sway and prefrontal cortex overactivation in older adults, suggesting neural efficiency gains that may lower fall risk.

Key Points

  • To determine whether six months of balance training shifts prefrontal cortex activation toward more efficient patterns and enhances postural control in older and younger adults.
  • Randomized controlled trial involving 63 healthy older adults (aged 65–80 years) and young adults (aged 18–35 years) of both sexes.
  • Participants were assigned to a 6-month balance training intervention (1 hour twice weekly) or an age-matched, non-training control group, with assessments conducted post-intervention and at 6-month follow-up.
  • Postural sway during trained and untrained balance tasks was evaluated, and prefrontal cortex activation was recorded using functional near-infrared spectroscopy.
  • Balance training significantly reduced postural sway in trained and untrained tasks compared to controls in both age groups, with improvements maintained 6 months post-training (multivariate p < 0.003).
  • Older adults in the training group demonstrated a significantly greater reduction in prefrontal cortex activation post-intervention compared to controls (multivariate p < 0.02), while younger adults showed a non-significant trend (p < 0.06).
  • Decreased prefrontal cortex activation in older adults significantly correlated both cross-sectionally and longitudinally with improved balance performance.

Cite This Study

Lehmann et al. (2025) studied this question.

synapsesocial.com/papers/69d7c44333ca018b39ae2ae3https://doi.org/10.1016/j.neurobiolaging.2025.07.001
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Also Consider

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  1. 1Behavioral and neural adaptations in response to five weeks of balance training in older adults: a randomized controlled trial2017 · 25 citations
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