iPhone Accelerometry Provides a Sensitive In-Home Assessment of Age-Related Changes in Standing Balance

Elizabeth Coker, Anat V. Lubetzky

Research output: Contribution to journalArticlepeer-review


Remote health monitoring has become increasingly important, especially in aging populations. We aimed to identify tasks that are sensitive to age-related changes in balance during fully remote, at-home balance assessment. Participants were 12 healthy young adults (mean age = 26.08 years, range: 18-33) and 12 healthy older adults (mean age = 67.33 years, range: 60-75). Participants performed standing tasks monitored via video conference while their balance was quantified using a custom iPhone application measuring mediolateral center of mass acceleration. We included three stances (feet together, tandem, and single leg) with eyes open or closed, with or without a concurrent cognitive task. Older adults demonstrated significantly more variable center of mass accelerations in tandem (p = .04, ηp2=.25) and significantly higher (p < .01, ηp2=.45) and more variable (p < .01, ηp2=.44) center of mass accelerations in single leg compared with young adults. We also observed that as task challenge increased, balance dual-task cost diminished for older, but not young, adults.

Original languageEnglish (US)
Pages (from-to)489-496
Number of pages8
JournalJournal of Aging and Physical Activity
Issue number3
StatePublished - Jun 1 2023


  • home assessment
  • instrumented balance test
  • older adults
  • postural control
  • smartphone accelerometry

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Gerontology
  • Geriatrics and Gerontology


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