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| ID | Type | Description | Link |
|---|---|---|---|
| 5P01AG004390-230014 | |||
| 5P01AG004390 | U.S. NIH Grant/Contract | View source |
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The long-term goal of this project is to develop a non-invasive, noise-based technique for enhancing somatosensation and thereby improving balance control in elderly fallers and older adults with somatosensory deficits.
Previous studies have shown that sub-sensory mechanical noise (i.e., random vibration with a small intensity) can enhance somatosensory function in healthy individuals and older adults with somatosensory deficits. Moreover, the postural sway of both healthy young and healthy elderly individuals during quiet standing can be significantly reduced by applying sub-sensory mechanical noise to the feet using vibrating shoe insoles.
The specific aims of this project are to determine the effects of noise-enhanced somatosensation at the feet on balance performance in elderly individuals with somatosensory deficits and/or recurrent falls, and to assess whether adaptation occurs in noise-enhanced balance control in these individuals. To accomplish these aims, quiet-standing and dynamic posture studies and clinical balance assessments will be conducted on elderly individuals with somatosensory deficits and elderly individuals with recurrent falls (two or more falls over a 12-month period).
This project could lead to the development of a novel bioengineering technique for improving balance control in older adults and patients with somatosensory deficits. The work could thus serve to reduce the frequency, morbidity and cost of falling, and assist aged individuals in achieving maximal independence in activities of daily living and mobility.
Two groups of participants will be recruited from the RNH Epidemiology Core: 85 elderly individuals with somatosensory deficits, and 85 elderly individuals with recurrent falls. The study consists of three visits--a one-hour neurological exam, and two 6-hour laboratory testing sessions scheduled one week apart.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | 85 elderly individuals with somatosensory deficits |
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| 2 | Experimental | 85 elderly individuals with recurrent falls |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vibrating Insoles | Device | Participants wear vibrating sandals for 3 trials of 6 minutes, during a single lab visit. The sandal vibration is on during either first or second 3 minutes of the 6 minute trial, as they walk. Also, participants wear the sandals for 2 hours while sitting, with vibrations on for one visit and off for the other. |
| Measure | Description | Time Frame |
|---|---|---|
| Area ellipse of sway | Three 6-minute trials in one visit, repeated one week later | |
| Berg Functional Balance Scales | Three 6-minute trials in one visit, repeated one week later | |
| Timed Up and Go (TUG)Test | Three 6-minute trials in one visit, repeated one week later | |
| Timed one-legged stance test | Three 6-minute trials in one visit, repeated one week later | |
| Gait timing variability | Three 6-minute trials in one visit, repeated one week later |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in: stabilogram-diffusion analysis (SDA) | Three 6-minute trials in one visit, repeated one week later | |
| Neurological risk factors related to falls | Three 6-minute trials in one visit, repeated one week later |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ted Gruen | Contact | 617-363-8554 | gruen@hrca.harvard.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Applied Biodynamics Laboratory, Boston University | Recruiting | Boston | Massachusetts | 02215 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 14550702 | Background | Priplata AA, Niemi JB, Harry JD, Lipsitz LA, Collins JJ. Vibrating insoles and balance control in elderly people. Lancet. 2003 Oct 4;362(9390):1123-4. doi: 10.1016/S0140-6736(03)14470-4. | |
| 12386742 | Background | Kiemel T, Oie KS, Jeka JJ. Multisensory fusion and the stochastic structure of postural sway. Biol Cybern. 2002 Oct;87(4):262-77. doi: 10.1007/s00422-002-0333-2. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Mar 18, 2013 | |
| Reset | May 1, 2013 | |
| Release | Aug 14, 2017 | |
| Reset | Sep 12, 2017 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Mar 18, 2013 | May 1, 2013 | |||
| Aug 14, 2017 |
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| 14654213 | Background | Laughton CA, Slavin M, Katdare K, Nolan L, Bean JF, Kerrigan DC, Phillips E, Lipsitz LA, Collins JJ. Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture. 2003 Oct;18(2):101-8. doi: 10.1016/s0966-6362(02)00200-x. |
| 11833019 | Background | Liu W, Lipsitz LA, Montero-Odasso M, Bean J, Kerrigan DC, Collins JJ. Noise-enhanced vibrotactile sensitivity in older adults, patients with stroke, and patients with diabetic neuropathy. Arch Phys Med Rehabil. 2002 Feb;83(2):171-6. doi: 10.1053/apmr.2002.28025. |
| 12485044 | Background | Priplata A, Niemi J, Salen M, Harry J, Lipsitz LA, Collins JJ. Noise-enhanced human balance control. Phys Rev Lett. 2002 Dec 2;89(23):238101. doi: 10.1103/PhysRevLett.89.238101. Epub 2002 Nov 13. |
| Sep 12, 2017 |