[Stabilometry, Electromyography and Electroencephalography in Postmenopausal Women after Training of the Leg Support Sensation].

Ageing, lack of physical activity and sedentary lifestyle cause disorders of the sensorimotor system of postural control. The role of support afferentation in the changes in cortical activity in balance impairments has not been studied yet. The purpose of this study was to investigate the changes in the stabilographic parameters of the body center of gravity, alpha activity indices of the electroencephalography (EEG) and electromyographic (EMG) measurements of forehead muscle tone in response to visual activation in standing and sitting positions in postmenopausal women after and without training of leg support sensation (LSS) The variables were compared between 3 groups: Group A (n = 12, age: 66 ± 9 years)--women who have trained LSS with the help of Aikido techniques for 8 years; group F (n = 12, age: 65 ± 6 years)--women who have attended Fitness training for 8 years; group N (n = 11, age: 66 ± 7 years)--women who have not taken physical exercises for the last 8 years. It was found that in group N a change in body position from "sitting" to "standing" leads to a much greater increase in the area of stabilogram and in the energy expenditure needed to maintain the bal- ance than in groups A and F. Posture changes from sitting to standing position increases the tension of the forehead muscles and the suppression of alpha-1-amplitude, but decreases the power in high- and low-frequency alpha-band of EEG and the width of alpha-band in group N. In women ofgroup F the posture change does not result in an increase in EMG and signs of activation or tension in EEG; in group A it leads to a decrease of visual activation indices and psychoemotional tension and to an increase in power in alpha-2-band which is a sign of neuronal efficiency. Basing on these data, we can conclude that training focused on support afferentation in postmenopausal women decreases the psychoemotional tension and increases neuronal efficiency ofsensorimotor integration of postural control system and can be used in the prevention of falls in elderly people.

Training of support afferentation in postmenopausal women.

We have recently shown a diminishing of the Menopause Index in old-aged women who underwent special training directed at the enhancement of support afferentation by increasing the plantar forefoot sensitivity (Bazanova et al., 2015). Based on these results we hypothesized, that purposeful training of support afferentation through stimulation of plantar graviceptors by Aikido practice will decrease excessive postural and psychoemotional tension not only in rest condition, but during cognitive and manual task performance too. Fluency of cognitive and motor task performance, EEG alpha power as an index of neuronal efficiency of cognitive control, amount of alpha power suppression as a visual activation measure and EMG power of forehead muscles as a sign of psychoemotional tension were compared in three groups of post-menopausal women: i) 8years training with forefeet support afferentation with Aikido practice (A), ii) 8years fitness training (F) and iii) no dedicated fitness training for past 8years (N). Simultaneous stabilometry, EEG, and frontal EMG recording were performed in sitting and standing up position in eyes closed and eyes open condition. Recording done at rest and while performing cognitive and finger motor tasks. We compared studied parameters between groups with one- and two-way analyses of variance (ANOVAs) with Bonferroni correction for multiple comparisons, followed by post hoc two-tailed unpaired t-tests. The fluency of tasks performance, EMG and alpha-EEG-activity displayed similar values in all groups in a sitting position. Center of pressure (CoP) sway length, velocity and energy demands for saving balance increased when standing up, more in group N than in groups F and A (all contrasts p values<0.002, η2>0.89). Post hoc t-tests showed increased fluency in standing in both Aikido (p<0.01) and Fitness (p<0.05) subjects in relation to untrained subjects. Increasing fluency in motor task performance was in parallel with enhancing the EEG alpha-2-power and decreasing EMG power only in A group (η2>0.77). Fluency in motor task and alpha EEG power decreased, but frontal EMG power increased in response to standing in untrained women (group N) and did not change in F group. Post hoc t-tests showed that EEG amount of alpha-2 power suppression in response to visual activation and frontal EMG power was lower in A than F and N groups (p<0.004) during motor task performance in the standing position. These results were interpreted as showing that training of forefoot plantar surface sensitivity in postmenopausal women decreases levels of psychoemotional tension and increases cognitive control caused by the psychomotor and postural challenges. Thus, Aikido training aimed at learning coordination between manual task performance and balance control by increasing the plantar support zones sensation decreases the cost of maintained vertical position and dependence of motor coordination on visual contribution.