Experimental study demonstrates altered reflex dynamics and reduced timescale selectivity in older adults, suggesting age-related deficits in fast balance corrections.
Falls are the leading cause of injury-related death in older adults, yet neural mechanisms underlying age-related balance decline remain poorly understood. Long-latency reflexes (LLRs; 50−100 ms) are particularly vulnerable to aging and represent a promising target for fall prevention. We examined whether wobble-board standing exposes age-related changes in these mechanisms in 96 healthy adults (48 younger, 48 older) performing a Trail Making Task with or without a mediolateral wobble board. Center-of-pressure trajectories were analyzed using multiscale probability density function analysis to estimate non-Gaussianity ( λ ̂² )—a statistical signature of intermittent, burst-like fluctuations—across timescales putatively aligned with short-latency reflexes (SLRs; 20−50 ms), LLRs (50−100 ms), and compensatory postural adjustments (CPAs; 100−1000 ms). The wobble board selectively increased λ ̂² within LLR-band timescales and reduced it within CPA-band timescales, consistent with faster intermittent corrections and reduced reliance on slower compensatory dynamics. Older adults showed greater absolute λ ̂² under instability driven by elevated baseline variability rather than enhanced mechanism-specific modulation; their responses spread across LLR- and SLR-band timescales, consistent with reduced timescale selectivity. Instability shifted postural dominance from anteroposterior to mediolateral, with older adults showing reduced directional differentiation. Phase-randomized surrogates confirmed nonlinear temporal organization. Wobble-board instability may serve as both a diagnostic probe and a candidate exercise-as-medicine context for probing timescale selectivity in aging—a hypothesis that requires testing in future intervention studies.
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Deligiannis et al. (2026) studied this question.
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