PHD THESIS DANISH MEDICAL JOURNAL Assessment of postural balance in community- dwelling older adults - Methodological aspects and effects of biofeedback-based Nintendo Wii training Martin Grønbech Jørgensen Somatosensory-, visual- and vestibular systems The somatosensory system consists of a large number of proprio- This review has been accepted as a thesis together with three original papers previ- ously published by University of Southern Denmark 10th of June 2013 and defended ceptive and mechano-receptive organs located in the skin, skele- on 8th of October 2013 tal muscles and bones. Several aspects of proprioception such as position sense and movement detection threshold have been Tutor(s): Per Aagaard, Uffe Læssøe, Carsten Hendriksen & Ole B.F. Nielsen found to deteriorate with aging e.g. significant reduction in num- Official opponents: Rolf Moe-Nillson & Poul Mogensen bers of intrafusal fibers and nuclear chain fibers per muscle in m. biceps brachii [10,11]. Similar deteriorations with aging are ob- Correspondence: Department of Geriatrics, Aalborg University Hospital, Hobrovej 18, served in the mechano-receptive organs causing the vibratory 9000 Aalborg, Denmark sensation threshold at the big toe to increase 3-fold by the age of E-mail:
[email protected] 90 [6]. These changes in proprioceptive receptors and mechano- receptive organs result in a diminished information flow to CNS (e.g. about the position of the limbs and the pressure of the skin Dan Med J 2014:61(1);B4775 under the foot) [6] and has been linked to poorer balance control [12,13]. THE 3 ORIGINAL PUBLICATIONS ARE Similar age-related structural changes are seen for the human 1.