Aging amplifies context-dependent variability in postural long-latency reflexes without enhancing reflex selectivity

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 ( $${\hat{\lambda }}^{2}$$ )—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 $${\hat{\lambda }}^{2}$$ 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 $${\hat{\lambda }}^{2}$$ 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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Publication Details

Journal
npj Exercise Medicine and Health
Published
2026-09-01
DOI
https://doi.org/10.1038/s44437-026-00006-1
Primary Topic
Transcranial Magnetic Stimulation Studies
Type
article
Field-Weighted Citation Impact
0.00

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article

Aging amplifies context-dependent variability in postural long-latency reflexes without enhancing reflex selectivity

Ken Kiyono, Assistant Professor Damian G. Kelty-Stephen, Madhur Mangalam, Theodoros Deligiannis et al.
npj Exercise Medicine and Health
Transcranial Magnetic Stimulation Studies
article

Aging amplifies context-dependent variability in postural long-latency reflexes without enhancing reflex selectivity

Ken Kiyono, Assistant Professor Damian G. Kelty-Stephen, Madhur Mangalam, Theodoros Deligiannis, Ka-Chun Siu
article en

Abstract

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 ( $${\hat{\lambda }}^{2}$$ )—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 $${\hat{\lambda }}^{2}$$ 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 $${\hat{\lambda }}^{2}$$ 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.

npj Exercise Medicine and HealthVol. 1(1)
University of Nebraska at Omaha (US), Nebraska Medical Center (US), SUNY New Paltz (US), University of Nebraska Medical Center (US)
National Science Foundation, Directorate for Engineering, Office of Experimental Program to Stimulate Competitive Research
Openalex Percentile: Top 13%
Transcranial Magnetic Stimulation Studies
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