Effect of Arm Movement and Task Difficulty on Balance Performance in Children, Adolescents, and Young Adults

Thomas Muehlbauer, Mathew W. Hill, Joana Heise, Leander Abel, Ina Schumann, Dennis Brueckner, Simon Schedler

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    6 Citations (Scopus)
    70 Downloads (Pure)


    Background: Studies have shown that restricted compared to free arm movement negatively affects balance performance during balance assessment and this is reinforced when the level of task difficulty (e.g., varying stance/walk conditions, sensory manipulations) is increased. However, it remains unclear whether these findings apply to individuals with differences in the development of the postural control system. Thus, we examined the influence of arm movement and task difficulty on balance performance in children, adolescents, and young adults. Methods: Static, dynamic, and proactive balance performance were assessed in 40 children (11.5 ± 0.6 years), 30 adolescents (14.0 ± 1.1 years), and 41 young adults (24.7 ± 3.0 years) using the same standardized balance tests [i.e., one-legged stance (OLS) time with eyes opened/closed and/or on firm/foam ground, 3-m beam (width: 6, 4.5, or 3 cm) walking backward step number, Lower Quarter Y-Balance test (YBT-LQ) reach distance] with various difficulty levels under free vs. restricted arm movement conditions. Results: In all but one test, balance performance was significantly better during free compared to restricted arm movement. Arm by age interactions were only observed for the YBT-LQ and post hoc analyses revealed significantly greater performance differences between free and restricted arm movement, especially, in young adults. Arm by age by task difficulty interactions were found for the OLS and the 3-m beam walking backward test. Post hoc analyses showed significantly greater performance differences between free and restricted arm movement during high vs. low levels of task difficulty and this was more pronounced in children and adolescents. Conclusions: Regardless of age, static, dynamic, and proactive balance performance benefited from arm movements and this was especially noted for youth performing difficult balance tasks.
    Original languageEnglish
    Article number854823
    Number of pages9
    JournalFrontiers in Human Neuroscience
    Early online date25 Apr 2022
    Publication statusPublished - 25 Apr 2022

    Bibliographical note

    This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.


    • postural control
    • reaching
    • standing
    • upper extremities
    • walking
    • youth

    ASJC Scopus subject areas

    • Neuropsychology and Physiological Psychology
    • Neurology
    • Psychiatry and Mental health
    • Biological Psychiatry
    • Behavioral Neuroscience


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