Objetivo: Validar o Jogo das Mãos TATI enquanto instrumento de avaliação da coordenação motora e das funções executivas, em idosos institucionalizados. Metodologia: Foi recrutada uma amostra de conveniência de 10 idosos institucionalizados (idades entre os 81-92 anos) e cognitivamente preservados (considerando o resultado no Six Item Cognitive Impairment Test -6CIT). O protocolo de implementação incluiu o procedimento do Jogo das Mãos TATI, nas modalidades unilateral e bilateral, a Frontal Asssessment Battery (FAB, para avaliar as funções executivas), o teste de toque em discos da bateria de testes de aptidão física do EUROFIT (para avaliar a coordenação dos membros superiores) e a avaliação da experiência com o jogo. Resultados: Foram obtidas correlações elevadas e estatisticamente significativas entre a pontuação total da FAB e os resultados obtidos no procedimento do Jogo das Mãos TATI (ρ = - 0.74; p < 0.05; e ρ = - 0.77; p < 0.01, para as modalidades unilateral e bilateral, respetivamente) e entre os resultados obtidos no teste de toque de discos da bateria de testes de aptidão física do EUROFIT e no procedimento do Jogo das Mãos TATI (ρ = 0.72; p < 0.05; e ρ = 0.89; p < 0.01, para as modalidades unilateral e bilateral, respetivamente). Os idosos classificaram a experiência como globalmente positiva. Conclusões: Os resultados obtidos evidenciam o potencial do Jogo das Mãos TATI enquanto instrumento de avaliação das funções executivas e da coordenação motora, em idosos institucionalizados. Estudos futuros de validação deverão incluir amostras mais amplas e heterogéneas. Resumen. Objetivo: Validar el Juego de Manos TATI como instrumento para evaluar la coordinación motora y las funciones ejecutivas en ancianos institucionalizados. Metodología: Se reclutó una muestra de conveniencia de 10 ancianos institucionalizados (edades 81-92 años) y conservados cognitivamente (considerando el resultado en Six Item Cognitive Impairment Test - 6CIT). El protocolo de implementación incluyó el el procedimiento del Juego de Manos TATI, en las modalidade unilateral y bilateral, la Frontal Assessment Battery (FAB, para evaluar funciones ejecutivas), la prueba de toque en la batería de pruebas de fitness de EUROFIT (para evaluar la coordinación de miembros superiores) y la evaluación de la experiencia con el juego. Resultados: Se obtuvieron correlaciones altas y estadísticamente significativas entre la puntuación total FAB y los resultados obtenidos en el procedimiento TATI Hand Game (ρ = - 0,74; p <0,05; y ρ = - 0,77; p <0,01, para modalidades unilaterales y bilaterales, respectivamente) y entre los resultados obtenidos en el test de aptitud física EUROFIT test de contacto con el disco de la batería y en el procedimiento TATI Game of Hands (ρ = 0,72; p <0,05; y ρ = 0,89; p <0,01, para modalidades unilaterales y bilaterales, respectivamente ). Los ancianos calificaron la experiencia como globalmente positiva. Conclusiones: Los resultados obtenidos muestran el potencial del Juego de Manos TATI como instrumento para evaluar las funciones ejecutivas y la coordinación motora en ancianos institucionalizados. Los estudios de validación futuros deben incluir muestras más amplias y heterogéneas. Abstract. Aim: To validate the Jogo das Mãos TATI as a motor coordination and executive functions assessment tool in institutionalized older adults. Methods: A convenience sample of 10 institutionalized participants (aged 81-92 years old) and cognitively preserved (according to Six Item Cognitive Impairment Test - 6CIT result) was recruited. The applied protocol included the TATI Hands Game procedure (unilateral and bilateral mode), the Frontal Assessment Battery (FAB, forexecutive functions assessment), the plate-tapping test of the EUROFIT testing battery (upper-limb coordination assessment), and the assessment of the game-based experience. Results: Large statistically significative correlations were found between the FAB total result and the Jogo das Mãos TATI results (ρ = - 0.74; p < 0.05; ρ = - 0.77; p < 0.01, for the unilateral and the bilateral mode, respectively), and the plate-tapping test of the EUROFIT testing battery results and the Jogo das Mãos TATI results (ρ = 0.72; p < 0.05; and ρ = 0.89; p < 0.01, for the unilateral and the bilateral mode, respectively). The game-based experience was globally classified as positive. Conclusion: Our results suggest that the Jogo das Mãos TATI can be used to assess motor coordination and executive functions in institutionalized older adults. Further studies are needed to replicate the results in larger and more heterogeneous samples.
The aging male is fast becoming a global concern. The problem is predicted to become a major health issue that should be addressed immediately in order to prevent disability, morbidity, and, more importantly, mortality. As part of its commitment to increase awareness and create interest in the care of Filipino aging males, The Philippine Society for the Study of the Aging Male Foundation, Inc. (PhiSSAM), a multi-specialty society established in 2000, embarked on a survey among Filipino physicians to determine their knowledge, attitudes, and practices regarding male aging. Results showed that the majority of doctors (about 87%) thought that men may experience andropause. Most would diagnose patients based on symptoms alone, while only 20-30% used testosterone levels to make a diagnosis of andropause. Decreased libido and less strong erections were the symptoms very closely associated with low testosterone. Of those doctors responding, 89% agreed that andropause can affect the quality of a man's life as much as menopause can affect a female; only 38% had already prescribed/instituted treatment for andropause. Of the 62% non-prescribers, 58% said they were either very likely or fairly likely to institute treatment in the future if there were more clinical trials, more medical information, and more information on drugs. Major concerns on testosterone replacement therapy included prostate cancer, benign prostatic hypertrophy, and heart disease. The findings in this pilot survey indicate a need among the doctors in the Philippines for education about andropause and the available treatments.
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