BMC Geriatrics

Brain stimulation improved balance in older adults who fell

A four-week randomized, double-blind trial in 30 older adults with a history of falls found improvements in balance, hip strength and sensing ankle movement.

Paper by Zhilin Jiang, Wenqi Ran, Fenyan Zhou, Jiangna Wang, Wei Sun · Shandong Sport University
Figure 1. CONSORT flow diagram
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Figure 1. CONSORT flow diagramCONSORT flow diagramJiang et al.
Studied:
Randomized trial in 30 people (4 weeks, double-blind, sham-controlled, sample size calculated)
In the record:
One of 9 papers on high-definition transcranial direct current stimulation on record: 7 with results in people.

Editor of record: Boris Djordjevic · AgingResearch.News

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Thirty adults aged 65–80 who had at least one fall without fainting in the previous year entered a randomized, double-blind trial. Fifteen received active brain stimulation and 15 received sham stimulation. Over four weeks, the active group received 12 sessions of 2-milliamp electrical stimulation for 20 minutes, targeting brain areas involved in movement and sensation. Sham sessions provided only brief current.

Compared with baseline, active recipients swayed less sideways while standing on one leg with eyes closed and controlled weight shifts more accurately. They also gained strength moving the hip outward and detected smaller inward ankle movements. The sham group showed no significant changes in these measures. Active stimulation did not significantly improve foot skin sensitivity. Greater hip-strength gains were linked to greater improvements in standing balance within the active group. No serious adverse events occurred; temporary sensations ended immediately after sessions.

Why it matters

For older adults with a history of falls, the work addresses whether targeting the brain can support the strength and movement sensing involved in balance.

Caveats

The authors note that the small sample made it hard to rule out other factors influencing the results. Participants could stand independently, and the trial excluded people with severe muscle or joint disorders that impaired balance.

From the paper

Participants

A total of 37 participants were recruited from the local community through flyers and health education sessions.

Methods, Participants

Harms

The HD-tDCS intervention was safe and well-tolerated; no serious adverse events occurred, and all transient sensations resolved immediately upon completion.

Results, Assessment of blinding and safety

Limitation

First, the HD-tDCS protocol did not fully account for individual anatomical variations, which may influence current field distribution and neuromodulatory effects.

Discussion

Quoted word for word from the full text on link.springer.com.

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