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A standing posture is associated with increased susceptibility to the sound-induced flash illusion in fall-prone older adults

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Abstract

Recent research has provided evidence suggesting a link between inefficient processing of multisensory information and incidence of falling in older adults. Specifically, Setti et al. (Exp Brain Res 209:375–384, 2011) reported that older adults with a history of falling were more susceptible than their healthy, age-matched counterparts to the sound-induced flash illusion. Here, we investigated whether balance control in fall-prone older adults was directly associated with multisensory integration by testing susceptibility to the illusion under two postural conditions: sitting and standing. Whilst standing, fall-prone older adults had a greater body sway than the age-matched healthy older adults and their body sway increased when presented with the audio–visual illusory but not the audio–visual congruent conditions. We also found an increase in susceptibility to the sound-induced flash illusion during standing relative to sitting for fall-prone older adults only. Importantly, no performance differences were found across groups in either the unisensory or non-illusory multisensory conditions across the two postures. These results suggest an important link between multisensory integration and balance control in older adults and have important implications for understanding why some older adults are prone to falling.

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References

  • Abdelhafiz AH, Austin CA (2003) Visual factors should be assessed in older people presenting with falls or hip fracture. Age Ageing 32:26–30

    Article  PubMed  Google Scholar 

  • Allen GL, Kirasic KC, Rashotte MA, Haun DB (2004) Aging and path integration skill: Kinesthetic and vestibular contributions to wayfinding. Percept Psychophys 66:170–179

    Article  PubMed  Google Scholar 

  • Andersson G, Hagman J, Talianzadeh R, Svedberg A, Larsen HC (2002) Effect of cognitive load on postural control. Brain Res Bull 58:135–139

    Article  PubMed  Google Scholar 

  • Angelaki DE, Cullen KE (2008) Vestibular system: the many facets of a multimodal sense. Annu Rev Neurosci 31:125–150. doi:10.1146/annurev.neuro.31.060407.125555

    Article  CAS  PubMed  Google Scholar 

  • Barrett MM, Doheny EP, Setti A, Foran TG, Kenny RA, Newell Fiona N (2013) Reduced vision selectively impairs spatial updating in fall-prone older adults. Multisens Res 26:69–94. doi:10.1163/22134808-00002412

    Article  PubMed  Google Scholar 

  • Bizley JK, Shinn-Cunningham BG, Lee AK (2012) Nothing is irrelevant in a noisy world: sensory illusions reveal obligatory within-and across-modality integration. J Neurosci 32:13402–13410. doi:10.1523/JNEUROSCI.2495-12.2012

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Bloem BR, Grimbergen YA, van Dijk JG, Munneke M (2006) The “posture second” strategy: a review of wrong priorities in Parkinson’s disease. J Neurol Sci 248:196–204. doi:10.1016/j.jns.2006.05.010

    Article  PubMed  Google Scholar 

  • Burns A, Doheny E, Greene B, Foran T, Leahy D, O’Donovan K, McGrath M (2010) SHIMMER™: an extensible platform for physiological signal capture. In: engineering in medicine and biology society (EMBC), 2010 annual international conference of the IEEE. IEEE, pp 3759–3762

  • Butler JS, Smith ST, Campos JL, Bulthoff HH (2010) Bayesian integration of visual and vestibular signals for heading. J Vis 10:23. doi:10.1167/10.11.23

    Article  PubMed  Google Scholar 

  • Carver S, Kiemel T, Jeka JJ (2006) Modeling the dynamics of sensory reweighting. Biol Cybern 95:123–134. doi:10.1007/s00422-006-0069-5

    Article  PubMed  Google Scholar 

  • Cumming RG, Salkeld G, Thomas M, Szonyi G (2000) Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission. J Gerontol Ser A: Biol Sci Med Sci 55:M299–M305

    Article  CAS  Google Scholar 

  • Davies A, Kenny R (1996) Falls presenting to the accident and emergency department: types of presentation and risk factor profile. Age Ageing 25:362–366

    Article  CAS  PubMed  Google Scholar 

  • DeAngelis GC, Angelaki DE (2012) Visual-vestibular integration for self-motion perception. In: Murray MM, Wallace MT (eds) The neural bases of multisensory processes. CRC Press, Boca Raton

    Google Scholar 

  • Diederich A, Colonius H, Schomburg A (2008) Assessing age-related multisensory enhancement with the time-window-of-integration model. Neuropsychologia 46:2556–2562. doi:10.1016/j.neuropsychologia.2008.03.026

    Article  PubMed  Google Scholar 

  • Durgin FH (2009) When walking makes perception better. Curr Dir Psychol Sci 18:43–47

    Article  Google Scholar 

  • Durgin FH, Gigone K, Scott R (2005a) Perception of visual speed while moving. J Exp Psychol Hum Percept Perform 31:339–353. doi:10.1037/0096-1523.31.2.339

    Article  PubMed  Google Scholar 

  • Durgin FH, Pelah A, Fox LF, Lewis J, Kane R, Walley KA (2005b) Self-motion perception during locomotor recalibration: more than meets the eye. J Exp Psychol Hum Percept Perform 31:398–419. doi:10.1037/0096-1523.31.3.398

    Article  PubMed  Google Scholar 

  • Ernst MO, Bülthoff HH (2004) Merging the senses into a robust percept. Trends Cognit Sci 8:162–169. doi:10.1016/j.tics.2004.02.002

    Article  Google Scholar 

  • Ferraris F, Grimaldi U, Parvis M (1995) Procedure for effortless in-field calibration of three-axis rate gyros and accelerometers. Sens Mater 7:311–330

    Google Scholar 

  • Fetsch CR, Deangelis GC, Angelaki DE (2010) Visual-vestibular cue integration for heading perception: applications of optimal cue integration theory. Eur J Neurosci 31:1721–1729. doi:10.1111/j.1460-9568.2010.07207.x

    Article  PubMed Central  PubMed  Google Scholar 

  • Fetsch CR, Turner AH, DeAngelis GC, Angelaki DE (2009) Dynamic reweighting of visual and vestibular cues during self-motion perception. J Neurosci 29:15601–15612. doi:10.1523/JNEUROSCI.2574-09.2009

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Foss-Feig JH, Kwakye LD, Cascio CJ, Burnette CP, Kadivar H, Stone WL, Wallace MT (2010) An extended multisensory temporal binding window in autism spectrum disorders. Exp Brain Res 203:381–389. doi:10.1007/s00221-010-2240-4

    Google Scholar 

  • Friedman SM, Munoz B, West SK, Rubin GS, Fried LP (2002) Falls and fear of falling: which comes first? A longitudinal prediction model suggests strategies for primary and secondary prevention. J Am Geriatr Soc 50:1329–1335

    Article  PubMed  Google Scholar 

  • Gagnon L, Schneider FC, Siebner HR, Paulson OB, Kupers R, Ptito M (2012) Activation of the hippocampal complex during tactile maze solving in congenitally blind subjects. Neuropsychologia 50:1663–1671. doi:10.1016/j.neuropsychologia.2012.03.022

    Article  PubMed  Google Scholar 

  • Gillespie L, Robertson M, Gillespie W, Lamb S, Gates S, Cumming R, Rowe B (2010) Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev 2(CD007146)

  • Hillock AR, Powers AR, Wallace MT (2011) Binding of sights and sounds: age-related changes in multisensory temporal processing. Neuropsychologia 49:461–467. doi:10.1016/j.neuropsychologia.2010.11.041

    Article  PubMed Central  PubMed  Google Scholar 

  • Hiyamizu M, Morioka S, Shomoto K, Shimada T (2012) Effects of dual task balance training on dual task performance in elderly people: a randomized controlled trial. Clin Rehabil 26:58–67. doi:10.1177/0269215510394222

    Article  PubMed  Google Scholar 

  • Horak FB, Shupert CL, Mirka A (1989) Components of postural dyscontrol in the elderly: a review. Neurobiol Aging 10:727–738

    Google Scholar 

  • Hugenschmidt CE, Mozolic JL, Tan H, Kraft RA, Laurienti PJ (2009) Age-related increase in cross-sensory noise in resting and steady-state cerebral perfusion. Brain Topogr 21:241–251. doi:10.1007/s10548-009-0098-1

    Article  PubMed Central  PubMed  Google Scholar 

  • Jeka JJ, Allison LK, Kiemel T (2010) The dynamics of visual reweighting in healthy and fall-prone older adults. J Mot Behav 42:197–208. doi:10.1080/00222895.2010.481693

    Article  PubMed  Google Scholar 

  • Kamke MR, Vieth HE, Cottrell D, Mattingley JB (2012) Parietal disruption alters audiovisual binding in the sound-induced flash illusion. Neuroimage 62:1334–1341. doi:10.1016/j.neuroimage.2012.05.063

    Article  PubMed  Google Scholar 

  • Kenny RA, Dishongh T, Newell F, Ni Scanail C (2009) Research to reduce falls in older people: the TRIL centre. Geriatr Med 39:326–327

    Google Scholar 

  • Kerr B, Condon SM, McDonald LA (1985) Cognitive spatial processing and the regulation of posture. J Exp Psychol Human 11:617

    Article  CAS  Google Scholar 

  • Klatzky RL, Marston JR, Giudice NA, Golledge RG, Loomis JM (2006) Cognitive load of navigating without vision when guided by virtual sound versus spatial language. J Exp Psychol Appl 12:223–232

    Article  PubMed  Google Scholar 

  • Kulmala J, Viljanen A, Sipila S et al (2009) Poor vision accompanied with other sensory impairments as a predictor of falls in older women. Age Ageing 38:162–167. doi:10.1093/ageing/afn228

    Article  PubMed  Google Scholar 

  • Laurienti PJ, Burdette JH, Maldjian JA, Wallace MT (2006) Enhanced multisensory integration in older adults. Neurobiol Aging 27:1155–1163. doi:10.1016/j.neurobiolaging.2005.05.024

    Article  PubMed  Google Scholar 

  • Laurienti PJ, Perrault TJ, Stanford TR, Wallace MT, Stein BE (2005) On the use of superadditivity as a metric for characterizing multisensory integration in functional neuroimaging studies. Exp Brain Res 166:289–297. doi:10.1007/s00221-005-2370-2

    Article  PubMed  Google Scholar 

  • Li KZ, Roudaia E, Lussier M, Bherer L, Leroux A, McKinley PA (2010) Benefits of cognitive dual-task training on balance performance in healthy older adults. J Gerontol A Biol Sci Med Sci 65:1344–1352. doi:10.1093/gerona/glq151

    Article  PubMed  Google Scholar 

  • Lin FR, Ferrucci L (2012) Hearing loss and falls among older adults in the United States. Arch Intern Med 172:369–371. doi:10.1001/archinternmed.2011.728

    Article  PubMed Central  PubMed  Google Scholar 

  • Lord SR, Smith ST, Menant JC (2010) Vision and falls in older people: risk factors and intervention strategies. Clin Geriatr Med 26:569–581. doi:10.1093/ageing/afl084

    Google Scholar 

  • Mahoney JR, Li PC, Oh-Park M, Verghese J, Holtzer R (2011) Multisensory integration across the senses in young and old adults. Brain Res 1426:43–53. doi:10.1016/j.brainres.2011.09.017

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Maurer C, Mergner T, Peterka RJ (2006) Multisensory control of human upright stance. Exp Brain Res 171:231–250

    Article  CAS  PubMed  Google Scholar 

  • Maylor EA, Wing AM (1996a) Age differences in postural stability are increased by additional cognitive demands. J Gerontol Ser B: Psychol Sci Soc Sci 51:143–154

    Article  Google Scholar 

  • Maylor EA, Wing AM (1996b) Age differences in postural stability are increased by additional cognitive demands. J Gerontol Ser B: Psychol Sci Soc Sci 51:P143–P154

    Article  CAS  Google Scholar 

  • Moe-Nilssen R, Helbostad JL (2002) Trunk accelerometry as a measure of balance control during quiet standing. Gait Posture 16:60–68

    Article  PubMed  Google Scholar 

  • O’Sullivan M, Blake C, Cunningham C, Boyle G, Finucane C (2009) Correlation of accelerometry with clinical balance tests in older fallers and non-fallers. Age Ageing 38:308–313. doi:10.1093/ageing/afp009

    Article  PubMed  Google Scholar 

  • Painter JA, Allison L, Dhingra P, Daughtery J, Cogdill K, Trujillo LG (2012) Fear of falling and its relationship with anxiety, depression, and activity engagement among community-dwelling older adults. Am J Occup Ther 66:169–176. doi:10.5014/ajot.2012.002535

    Article  PubMed  Google Scholar 

  • Peiffer AM, Mozolic JL, Hugenschmidt CE, Laurienti PJ (2007) Age-related multisensory enhancement in a simple audiovisual detection task. NeuroReport 18:1077–1081

    Article  PubMed  Google Scholar 

  • Poliakoff E, Ashworth S, Lowe C, Spence C (2006) Vision and touch in ageing: crossmodal selective attention and visuotactile spatial interactions. Neuropsychologia 44:507–517. doi:10.1016/j.neuropsychologia.2005.07.004

    Article  CAS  PubMed  Google Scholar 

  • Rosenthal O, Shimojo S, Shams L (2009) Sound-induced flash illusion is resistant to feedback training. Brain Topogr 21:185–192. doi:10.1007/s10548-009-0090-9

    Article  PubMed Central  PubMed  Google Scholar 

  • Rubenstein LZ (2006) Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing 35(Suppl 2):ii37–ii41. doi:10.1093/ageing/afl084

    PubMed  Google Scholar 

  • Rump B, McNamara TP (2007) Updating in models of spatial memory. In: Spatial cognition V reasoning, action, interaction. Springer, Berlin, pp 249–269

  • Schaefer S, Schumacher V (2011) The interplay between cognitive and motor functioning in healthy older adults: findings from dual-task studies and suggestions for intervention. Gerontology 57:239–246. doi:10.1159/000322197

    Article  PubMed  Google Scholar 

  • Schoene D, Wu SM, Mikolaizak AS, Menant JC, Smith ST, Delbaere K, Lord SR (2013) Discriminative ability and predictive validity of the timed up and go test in identifying older people who fall: systematic review and meta-analysis. J Am Geriatr Soc 61:202–208. doi:10.1111/jgs.12106

    Article  PubMed  Google Scholar 

  • Setti A, Burke KE, Kenny RA, Newell FN (2011) Is inefficient multisensory processing associated with falls in older people? Exp Brain Res 209:375–384. doi:10.1007/s00221-011-2560-z

    Article  PubMed  Google Scholar 

  • Shams L, Kamitani Y, Shimojo S (2000) What you see is what you hear. Nature 408:6814

    Google Scholar 

  • Shams L, Kamitani Y, Shimojo S (2002) Visual illusion induced by sound. Cognit Brain Res 14:147–152

    Article  Google Scholar 

  • Shams L, Ma WJ, Beierholm U (2005) Sound-induced flash illusion as an optimal percept. NeuroReport 16:1923–1927

    Article  PubMed  Google Scholar 

  • Shumway-Cook A, Woollacott M (2000) Attentional demands and postural control: the effect of sensory context. J Gerontol Ser A: Biol Sci Med Sci 55:M10

    Article  CAS  Google Scholar 

  • Shumway-Cook A, Woollacott M, Kerns KA, Baldwin M (1997) The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. J Gerontol Ser A: Biol Sci Med Sci 52:M232–M240

    Article  CAS  Google Scholar 

  • Sarko DK, Nidiffer AR, Powers AR III, Ghose D, Hillock-Dunn A, Fister MC, Krueger J, Wallace MT (2012) Spatial and temporal features of multisensory processes: bridging animal and human studies. In: Murray MM, Wallace MT (eds) The neural bases of multisensory processes. CRC Press, Boca Raton

    Google Scholar 

  • Stein BE, Meredith A (1993) The merging of the senses. MIT Press, Cambridge

    Google Scholar 

  • Stein BE, Stanford TR (2008) Multisensory integration: current issues from the perspective of the single neuron. Nature Rev Neurosci 9:255–266

    Article  CAS  Google Scholar 

  • Teasdale N, Stelmach GE, Breunig A (1991) Postural sway characteristics of the elderly under normal and altered visual and support surface conditions. J Gerontol 46:B238–B244

    Article  CAS  PubMed  Google Scholar 

  • Tinetti ME, Williams CS (1998) The effect of falls and fall injuries on functioning in community-dwelling older persons. J Gerontol Ser A: Biol Sci Med Sci 53:M112–M119

    Article  CAS  Google Scholar 

  • Tromp A, Pluijm S, Smit J, Deeg D, Bouter L, Lips P (2001) Fall-risk screening test: a prospective study on predictors for falls in community-dwelling elderly. J Clin Epidemiol 54:837–844

    Article  CAS  PubMed  Google Scholar 

  • Wolfson LI, Whipple R, Amerman P, Kaplan J, Kleinberg A (1985) Gait and balance in the elderly. Two functional capacities that link sensory and motor ability to falls. Clin Geriatr Med 1:649–659

    Google Scholar 

  • Woollacott M, Shumway-Cook A (2002) Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture 16:1–14

    Article  PubMed  Google Scholar 

  • Yardley L, Gardner M, Bronstein A, Davies R, Buckwell D, Luxon L (2001) Interference between postural control and mental task performance in patients with vestibular disorder and healthy controls. J Neurol Neurosur Ps 71:48–52

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Institute of Neuroscience, School of Psychology, Trinity College Dublin, Dublin, Ireland

    John Stapleton, Annalisa Setti, Rose Anne Kenny & Fiona N. Newell

  2. Department of Medical Gerontology, School of Medicine, Trinity College Dublin, Dublin, Ireland

    Rose Anne Kenny

  3. Technology Research for Independent Living (TRIL) Centre, St. James’s Hospital, Dublin, Ireland

    John Stapleton, Annalisa Setti, Emer P. Doheny, Rose Anne Kenny & Fiona N. Newell

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  1. John Stapleton
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  2. Annalisa Setti
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  3. Emer P. Doheny
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  4. Rose Anne Kenny
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  5. Fiona N. Newell
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Correspondence to Fiona N. Newell.

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Stapleton, J., Setti, A., Doheny, E.P. et al. A standing posture is associated with increased susceptibility to the sound-induced flash illusion in fall-prone older adults. Exp Brain Res 232, 423–434 (2014). https://doi.org/10.1007/s00221-013-3750-7

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