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

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF] 


Readers of this article also read:

Quality of life of patients with schizophrenia treated in foster home care and in outpatient treatment

Mihanović M, Restek-Petrović B, Bogović A, Ivezić E, Bodor D, Požgain I

Neuropsychiatric Disease and Treatment 2015, 11:585-595

Published Date: 5 March 2015

Tazarotene as alternative topical treatment for onychomycosis

Campione E, Paternò EJ, Costanza G, Diluvio L, Carboni I, Marino D, Favalli C, Chimenti S, Bianchi L, Orlandi A

Drug Design, Development and Therapy 2015, 9:879-886

Published Date: 16 February 2015

The Western Denmark Cardiac Computed Tomography Registry: a review and validation study

Nielsen LH, Nørgaard BL, Tilsted HH, Sand NP, Jensen JM, Bøttcher M, Diederichsen AC, Lambrechtsen J, Kristensen LD, Mickley H, Munkholm H, Gøtzsche O, Knudsen LL, Bøtker HE, Pedersen L, Schmidt M

Clinical Epidemiology 2015, 7:53-64

Published Date: 31 December 2014

Trabectedin for advanced soft tissue sarcomas: optimizing use

Reid A, Martin-Liberal J, Benson C

Therapeutics and Clinical Risk Management 2014, 10:1003-1011

Published Date: 12 December 2014

Validation of EORTC IN-PATSAT32 for Chinese patients with gastrointestinal cancer

Zhang J, Xie S, Liu J, Sun W, Guo H, Hu Y, Gao X

Patient Preference and Adherence 2014, 8:1285-1292

Published Date: 18 September 2014

Developing a bone mineral density test result letter to send to patients: a mixed-methods study

Edmonds SW, Solimeo SL, Lu X, Roblin DW, Saag KG, Cram P

Patient Preference and Adherence 2014, 8:827-841

Published Date: 5 June 2014

Factors that lessen the burden of treatment in complex patients with chronic conditions: a qualitative study

Ridgeway JL, Egginton JS, Tiedje K, Linzer M, Boehm D, Poplau S, de Oliveira DR, Odell L, Montori VM, Eton DT

Patient Preference and Adherence 2014, 8:339-351

Published Date: 19 March 2014

The role of topical vitamin A in promoting healing in surface refractive procedures: a prospective randomized controlled study

Chelala E, Dirani A, Fadlallah A, Fahd S

Clinical Ophthalmology 2013, 7:1913-1918

Published Date: 24 September 2013


Kukulka M, Eisenberg C, Nudurupati S

Clinical and Experimental Gastroenterology 2011, 4:255-256

Published Date: 14 October 2011

Editorial: International Neuropsychiatric Association || FREE PAPER ||

Perminder Sachdev

Neuropsychiatric Disease and Treatment 2005, 1:191-192

Published Date: 15 October 2005