The Effect of Physical Activity Level on Age-Related Differences in Responses to Optic Flow Perturbation during Human Walking

BackgroundHuman aging increases the reliance on vision for walking balance due to age-related declines in proprioceptive and vestibular function. Regular physical activity (PA) may reduce the reliance on visual input during walking. This study examined whether PA levels modulate age-related responses to perturbations of the optic flow that is crucial in the control of human locomotion. MethodsSixty active and inactive younger (YA and YI: 23.3{+/-}3.91 y) and older adults (OA and OI: 68.3{+/-}3.98 y; n=15 for each group) walked on a treadmill in front of a virtual hallway. The walking protocol consisted of 3-minute walking without, and 8-minute with mediolateral optic flow perturbation. Sacrum and heel marker positions and ground reaction forces were recorded. Power spectral density (PSD) of the mediolateral sacrum position and gait parameters were analyzed. ResultsThe PSD increased more in OA compared to OI adults (p=0.041) while YA and YI adults did not differ. Mean (and variability of) step width and mediolateral margin of stability increased irrespective of age and PA (all p<0.001). During the 8-minute perturbation, OA adults demonstrated greater decreases in PSD than the OI adults (p=0.039). Additionally, the variability in the mediolateral margin of stability reduced more in YA and OA adults compared to YI and OI adults (p=0.048). ConclusionHigher PA levels in OA adults were associated with stronger immediate responses in body sway to optic flow perturbations compared to older inactive and younger adults. This may support the beneficial effects of physical activity on age-related visual dependency during gait.