ResumoIntrodução: Quedas são um problema clínico comum nos idosos, que pode reduzir sua mobilidade e independência. O uso de instrumentos simples para detecção do risco de quedas é fundamental para prevenção e tratamento de tais eventos. Não há, porém, consenso quanto aos testes mais adequados para cada situação. A revisão mostrou que os dois testes podem ser bons preditores de quedas, mas os artigos diferiram quanto à definição de queda e caidor, tipo de estudo, quantidade e característica da amostra e avaliação de quedas, levando a diferentes resultados quanto a nota de corte, sensibilidade, especificidade e predição de quedas. Há controvérsias quanto à capacidade de predição em perfis específicos, como os idosos ativos. Conclusão: Os testes avaliados são eficazes para predição de quedas, desde que adaptados para cada perfil. Novos estudos devem ser realizados com metodologia homogênea, a fim de favorecer a comparação de resultados sobre a eficácia desses testes. AbstractIntroduction: Fall is a common problem in the elderly and it can reduce their mobility and independence. The use of simple tools to detect risk of falls is essential to prevent and treat such events. However, there is no consensus about the most appropriate tools for each situation. Objective: To review studies about efficacy, sensitivity and specificity of Timed Up and Go Test (TUGT) and Berg Balance Scale (BBS) in order to ascertain which is the most appropriate to predict falls in the elderly. Methods: We performed a literature review from MEDLINE, PubMed, ISI, LILACS and Portal de Periódicos
People with Intellectual Disabilities (ID) are aging and accompanied the process are co-morbidities and disabilities. Have limitations in mental function and performance of activities, prior to 18 years and aging tend to exacerbate disabilities and increase dependency. Analyze the functional profile of the population enrolled in service for people with ID in the aging process by measuring and comparing the degree of dependency to perform everyday activities. Descriptive cross-sectional study, conducted between January to August 2014, with 112 men and women between 36 and 65 years, diagnosed with DI Used the Functional Independence Measure (FIM) to measure functional independence in six areas of life. The majority are male (68.55%), with 46.6 years, unspecified etiology (47%), degree of impairment of moderate disability (34.65%) and modified to full independence, FIM = 105.64 (72 %). In the analysis by areas, identified greater needs for supervision and minimal-moderate aid in communication and social-cognition and greater independence in self-care, sphincter control, mobility and locomotion. These data show the description of the literature in relation to major adaptive disabilities of DI for communication, cognition and social interaction, and even favorable predisposing factors of aging and dementias such as Alzheimer's type. Highlights the importance of expanding this research to longitudinal monitoring functionality, contributing to the understanding of the aging of the population, with associated co-mobidades and dementia syndromes. This study try to contribute to this knowledge of the aging population and to promote research for prevention and health promotion.
RESUMO A teoria da retrogênese descreve os declínios apresentados na doença de Alzheimer a partir dos estágios do desenvolvimento neuropsicomotor de Piaget. O objetivo deste estudo transversal é avaliar e descrever aspectos psicomotores, cognitivos e quedas, investigando a relação de dependência entre essas variáveis de acordo com a teoria da retrogênese. A amostra foi composta por 45 idosas (27 saudáveis e 18 com Alzheimer fase leve), residentes em São Paulo entre 2016 e 2017. Para a avaliação foram utilizados: anamnese, Escala de Depressão Geriátrica de Yesavage (GDS-30), Montreal Cognitive Assessment (MoCA), Cambridge Cognitive Exam-Revised (CAMCOG-R), Escala de Equilíbrio de Berg (EEB), timed up and go test (TUGT), Avaliação Direta do Estado Funcional (DAFS-BR), teste U de Mann-Whitney, coeficiente de correlação de Spearman e análise de regressão múltipla com p<0,05. Observou-se ordem de perda semelhante à sugerida pela teoria da retrogênese nos dois grupos estudados. Quanto menor o índice CAMCOG-R, maior o número de quedas (p=0,03). Itens praxia (p<0,00) e funções executivas (p<0,00) do CAMCOG-R mostraram-se altamente correlacionados com o TUGT e a EEB. Sugere-se relação de dependência entre funcionalidade e cognição e equilíbrio e cognição, bem como correlação entre risco de queda e desempenho cognitivo nos dois grupos estudados. As perdas observadas estão de acordo com o que a teoria da retrogênese propõe, mas com diferentes intensidades entre os grupos. Estudos longitudinais são necessários, com uso de exames de imagem para validar a teoria nos padrões de perda em idosos com e sem doença de Alzheimer.
The COVID-19 pandemic posed a significant impediment to experimental research, leading several researchers to adapt psychophysical data acquisition. With the development and proliferation of information technology, paper-based organizational processes have gradually begun to be replaced by computer-based equivalents. This study describes how we developed, analyzed data, and validated the temporal bisection task in a remote data acquisition scenario. We implemented the data acquisition using the open science software OpenSesame, in conjunction with the JATOS platform. We described in detail all the steps to use our codes, which we made available for reuse. We acquired data from 28 participants using the remote acquisition system and compared them with data obtained in person (from Penney et al., 2000). Our remote data showed compatible results with live experiments, suggesting that the modality of data acquisition (remote or live) does not influence the results.
The COVID-19 pandemic posed a significant impediment to experimental research, leading several researchers to adapt psychophysical data acquisition. With the development and proliferation of information technology, paper-based organizational processes have gradually begun to be replaced by computer-based equivalents. This study describes how we developed, analyzed data, and validated the temporal bisection task in a remote data acquisition scenario. We implemented the data acquisition using the open science software OpenSesame, in conjunction with the JATOS platform. We described in detail all the steps to use our codes, which we made available for reuse. We acquired data from 28 participants using the remote acquisition system and compared them with data obtained in person (from Penney et al., 2000). Our remote data showed compatible results with live experiments, suggesting that the modality of data acquisition (remote or live) does not influence the results.
People with Intellectual Disabilities (ID) are aging and accompanied the process are the co-morbidities and disabilities. Have limitations in mental function and performance of activities, prior to 18 years and aging tend to exacerbate disabilities and increase dependency. Analyze and compare the functional profile of people with DI aged to the degree of prejudice to the deficiency diagnosed during childhood-adolescence. Descriptive cross-sectional study, conducted between January to August 2014, with 124 men and women between 36 and 65 years, diagnosed with DI and enrolled in a specialized service. We used the Functional Independence Measure (FIM) to measure the functional independence and chart review for the collection of diagnostic data. Most are men, 46.6 years, non-specified etiology, degree of impairment of moderate functional disability and independent (105.64 points). The functional level ranged from complete dependence to the modified independence, communication and social cognition being the most limiting. The comparison of results between MIF and diagnostics data records proved conflicting as to the degree of mild and moderate impairment. People with moderate impairment showed higher levels of independence than light. It is believed that some factors influence these findings, nondiagnostic update, the influence of the quantity and quality of stimuli during life and the aging process. Highlights the importance of expanding the search for the longitudinal monitoring of the functionality of these people, contributing to the understanding of the aging process, the diagnostic changes in the degree of compromise of the DI and the promotion and prevention of health and functionality.
The aging person with Intellectual Disability (DI) occurs early and uncharacteristically, accompanied by disability and increase the degree of dependence in everyday occupations. This aging still unknown in Brazil, is confirmed by the absence of theoretical models and lack of evidence to base clinical practice. The need for differentiated interventions highlights the importance of creating calls that address their needs and demands programs. Given this, created the program which Multidisciplinary Consulting aims to describe its actions on the model of the International Classification of Functioning, Disability and Health - ICF and working methodology of Therapeutic Project Single - PTS for family in the daily management of the person with DI in the aging process, focusing on maintenance and prevention of disability and quality of life. Experience Report. The sessions take place at home, 2 times per week and lasting 1h30min. Will be met by the professional staff people with DI, both genders, aged 30 years, with cognitive decline - functional and / or alteration of mood and behavior kept a period of at least 6 months, with or without hypothesis syndrome dementia. Interventions occur at three levels of care according to the degree of impairment of functionality: 1-Diagnosis Clinical-functional application Wide Geriatric Evaluation - AGA; 2-Cognitive Intervention and Rehabilitation / Functional; 3-Monitoring functionality and palliative care. This program will contribute to maintenance, prevention of disabilities and less need for assistance of another person to care. Should be reproduced in other professional and specialized services.
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