Back to Browse Journals » Clinical Interventions in Aging » Volume 3 » Issue 4

Backward disequilibrium in elderly subjects

Authors Patrick Manckoundia, France Mourey, Dominic Pérennou, Pierre Pfitzenmeyer

Published 5 December 2008 Volume 2008:3(4) Pages 667—672


Review by Single-blind

Peer reviewer comments 3

Patrick Manckoundia1,2, France Mourey1,2, Dominic Pérennou2,3, Pierre Pfitzenmeyer1,2

1Department of Internal Medicine and Geriatrics, University Hospital, Dijon, France; 2INSERM/ERIT-M 0207 Motricity-Plasticity University of Burgundy, Dijon, France; 3Department of Neurological Rehabilitation, University Hospital, Dijon, France

Abstract: Backward disequilibrium is observed frequently in daily clinical practice. However, there are no epidemiological data concerning this postural disorder. Defined by a posterior position of the centre of mass with respect to the base of support, backward disequilibrium is abnormal postural behavior, usually characterized by a posterior trunk tilt in standing and sitting positions, which predisposes subjects to backward falls. Many afflictions whether they are somatic (degenerative, ischemic and traumatic brain lesions), psychosomatic (psychomotor disadaptation syndrome, confinement to bed, nonuse situations) or psychological (depression) can cause backward disequilibrium. A vicious circle of falls, and loss of autonomy can arise and this is the main consequence of backward disequilibrium. Thus, in this paper, we review backward disequilibrium in elderly subjects with regard to the causes, consequences, assessment, and management.

Keywords: backward disequilibrium, balance, elderly subject, falls, posture

Download Article [PDF] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at:

Readers of this article also read:

Chronomics, human time estimation, and aging

Franz Halberg, Robert B Sothern, Germaine Cornélissen, Jerzy Czaplicki

Clinical Interventions in Aging 2008, 3:749-760

Published Date: 5 December 2008

Growth hormone and aging: A challenging controversy

Andrzej Bartke

Clinical Interventions in Aging 2008, 3:659-665

Published Date: 5 December 2008

New evidences for C-reactive protein (CRP) deposits in the arterial intima as a cardiovascular risk factor

Fabrizio Montecucco, François Mach

Clinical Interventions in Aging 2008, 3:341-349

Published Date: 6 June 2008


Dove Medical Press Editorial

Clinical Interventions in Aging 2008, 3:397-397

Published Date: 6 June 2008

Polypharmacy: Misleading, but manageable

Reamer L Bushardt, Emily B Massey, Temple W Simpson, Jane C Ariail, Kit N Simpson

Clinical Interventions in Aging 2008, 3:383-389

Published Date: 6 June 2008

Transdermal hormone therapy and bone health

Lee P Shulman

Clinical Interventions in Aging 2008, 3:51-54

Published Date: 7 March 2008

Teriparatide in the management of osteoporosis

Donald Bodenner, Carolyn Redman, Ann Riggs

Clinical Interventions in Aging 2007, 2:499-507

Published Date: 15 January 2008

Effect of vitamin C supplementation on stroke recovery: A case-control study

Meheroz H Rabadi, Bruce S Kristal

Clinical Interventions in Aging 2007, 2:147-151

Published Date: 15 April 2007

Clinical interventions for late-life anxious depression

Gretchen J Diefenbach, John Goethe

Clinical Interventions in Aging 2006, 1:41-50

Published Date: 15 March 2006