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Aging and Parkinson’s Shift Balance Control to the Cortex, Weakening Recovery

Researchers propose a simple rug-pull muscle test to flag high brain load during balance pending validation.

Overview

  • Peer-reviewed findings in eNeuro report that older adults and people with Parkinson’s show larger brain-driven responses and stronger muscle activity even during small balance slips.
  • Balance recovery unfolds in two waves, with a fast brainstem reflex followed by a slower cortical response, and the study finds the later cortical wave grows sooner in older and Parkinson’s groups.
  • When one muscle activates to steady the body, the opposing muscle often tightens at the same time, and this stiffening is linked to poorer scores on clinical balance tests.
  • A neuromechanical model that reads signals from the shin and calf muscles breaks the response into timed parts tied to brain pathways and mirrors real-world balance ability without direct brain scans.
  • The team outlines a non-invasive “rug-pull” screen that could spot people who rely on high brain effort to stay upright, though it still needs optimization, larger samples, and clinical trials before use.