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Neuromuscular adaptation and postural muscle activity patterns during visual virtual reality stimulation : age-related differences between young and older adults

Hansson, Eva Ekvall LU ; Nae, Jenny Älmqvist LU orcid ; Östlind, Elin LU ; Röijezon, Ulrik LU orcid and Fransson, Per Anders LU orcid (2026) In Experimental Brain Research 244(4).
Abstract

Vision provides important sensory input to postural control. Medical conditions and aging affect sensory—Central Nervous System (CNS) interactions, causing mismatches. Virtual Reality (VR) may address these by promoting recalibration from vision to other systems. Twenty-eight young adults (17 males, mean age 25.3 years) and 25 older adults (14 males, mean age 74.8 years) were included. Electromyography (EMG) was recorded while the participants performed, while standing, 2 control tests in quiet stance with eyes open and closed and thereafter repeatedly five times watching the same 120-second VR simulation of a rollercoaster ride. The older group watched a less challenging rollercoaster ride. Muscle activation patterns in four postural... (More)

Vision provides important sensory input to postural control. Medical conditions and aging affect sensory—Central Nervous System (CNS) interactions, causing mismatches. Virtual Reality (VR) may address these by promoting recalibration from vision to other systems. Twenty-eight young adults (17 males, mean age 25.3 years) and 25 older adults (14 males, mean age 74.8 years) were included. Electromyography (EMG) was recorded while the participants performed, while standing, 2 control tests in quiet stance with eyes open and closed and thereafter repeatedly five times watching the same 120-second VR simulation of a rollercoaster ride. The older group watched a less challenging rollercoaster ride. Muscle activation patterns in four postural muscles; gluteus medius, medial gastrocnemius, tibialis anterior, and peroneus longus. were recorded bilaterally. The first VR session produced a marked stability challenge, reflected by significantly increased mean (p ≤ 0.008) and SD (p < 0.001) EMG amplitudes in both young and older adults in all four muscles. Both mean (p < 0.001) and SD (p < 0.001) EMG amplitudes increased more among the older adults than in young adults in all four muscles. Repeated VR sessions led to progressively decreased mean (p < 0.001) and SD (p ≤ 0.003) EMG amplitudes compare to the first VR session in both young and older adults in all muscle groups. Both age groups could quickly reduce the effects of the VR challenges when allowed to familiarize themselves with the situation during repeated sessions. Postural control adaptations enabled modulation of both the degree of muscle activation measured with EMG amplitudes and muscle group activity patterns to address stability challenges.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Ageing, Muscle activity patterns, Postural stability, Virtual reality, Vision
in
Experimental Brain Research
volume
244
issue
4
article number
74
publisher
Springer Science and Business Media B.V.
external identifiers
  • pmid:41843155
  • scopus:105033564932
ISSN
0014-4819
DOI
10.1007/s00221-026-07263-4
language
English
LU publication?
yes
id
6b508242-79e7-4782-b07c-61ad7831f985
date added to LUP
2026-05-11 12:09:28
date last changed
2026-09-02 03:05:23
@article{6b508242-79e7-4782-b07c-61ad7831f985,
  abstract     = {{<p>Vision provides important sensory input to postural control. Medical conditions and aging affect sensory—Central Nervous System (CNS) interactions, causing mismatches. Virtual Reality (VR) may address these by promoting recalibration from vision to other systems. Twenty-eight young adults (17 males, mean age 25.3 years) and 25 older adults (14 males, mean age 74.8 years) were included. Electromyography (EMG) was recorded while the participants performed, while standing, 2 control tests in quiet stance with eyes open and closed and thereafter repeatedly five times watching the same 120-second VR simulation of a rollercoaster ride. The older group watched a less challenging rollercoaster ride. Muscle activation patterns in four postural muscles; gluteus medius, medial gastrocnemius, tibialis anterior, and peroneus longus. were recorded bilaterally. The first VR session produced a marked stability challenge, reflected by significantly increased mean (p ≤ 0.008) and SD (p &lt; 0.001) EMG amplitudes in both young and older adults in all four muscles. Both mean (p &lt; 0.001) and SD (p &lt; 0.001) EMG amplitudes increased more among the older adults than in young adults in all four muscles. Repeated VR sessions led to progressively decreased mean (p &lt; 0.001) and SD (p ≤ 0.003) EMG amplitudes compare to the first VR session in both young and older adults in all muscle groups. Both age groups could quickly reduce the effects of the VR challenges when allowed to familiarize themselves with the situation during repeated sessions. Postural control adaptations enabled modulation of both the degree of muscle activation measured with EMG amplitudes and muscle group activity patterns to address stability challenges.</p>}},
  author       = {{Hansson, Eva Ekvall and Nae, Jenny Älmqvist and Östlind, Elin and Röijezon, Ulrik and Fransson, Per Anders}},
  issn         = {{0014-4819}},
  keywords     = {{Ageing; Muscle activity patterns; Postural stability; Virtual reality; Vision}},
  language     = {{eng}},
  number       = {{4}},
  publisher    = {{Springer Science and Business Media B.V.}},
  series       = {{Experimental Brain Research}},
  title        = {{Neuromuscular adaptation and postural muscle activity patterns during visual virtual reality stimulation : age-related differences between young and older adults}},
  url          = {{http://dx.doi.org/10.1007/s00221-026-07263-4}},
  doi          = {{10.1007/s00221-026-07263-4}},
  volume       = {{244}},
  year         = {{2026}},
}