Falls by Elders With Moderate Levels of Movement Functionality

Ishizuka, Marise Akemi; Mutarelli, Eduardo Gennaro; Yamaguchi, Angélica Massako

doi:10.1590/s1807-59322005000100009

Cited by 20 publications

(10 citation statements)

References 7 publications

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“…24 The continued use of a large number of drugs has become common among elderly persons and is an important cause of falls, with physical, psychological and social consequences, limiting the autonomy of the individual.…”

Section: Discussionmentioning

confidence: 99%

Avaliação do equilíbrio e do nível de independência funcional de idosos da comunidade

Ferraresi

Prata

Scheicher

2015

Rev. bras. geriatr. gerontol.

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Objectives: To compare the balance and level of independence of elderly persons and to correlate these variables with age, cognitive status and number of medications taken. Methods: A total of 172 individuals, aged over 60 and without cognitive deficit were included in the study. The risk of falls was performed using the Berg Balance Scale and functional independence through the Barthel Index. Correlations were performed by Spearman's correlation index, and association was tested with the chi-square test, with p≤0.05 considered significant. Results: There was a moderate correlation between the risk of falls and functional independence (r=0.38; p<0.0001). There was also a statistically significant correlation between age and risk of falls (r=-0.43; p<0.0001). With regard to the association between the risk of falls and drugs, it was observed that elderly people who took three or more medications fell twice as often ( p<0.0001). Conclusion:The results found a correlation between the risk of falls and functional independence, and also that older elderly persons, and those who took a greater number of medications, were more at risk of falls.

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Section: Discussionmentioning

confidence: 99%

Avaliação do equilíbrio e do nível de independência funcional de idosos da comunidade

Ferraresi

Prata

Scheicher

2015

Rev. bras. geriatr. gerontol.

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“…The main functions of these mobility aids are to increase the support base, improve balance, and share the body weight load with the upper limbs, which is achieved by directly applying force to the handle of the cane. Canes also increase patient confidence in the performance of daily activities and reduce the risk of falls3 that is an important issue in the elderly population 4. Patients with knee OA frequently have to use canes during walking to improve gait, reduce stress on the joints, and spare the contralateral side, which is normally overloaded 5,6…”

Section: Introductionmentioning

confidence: 99%

Energy Expenditure During Cane-Assisted Gait in Patients with Knee Osteoarthritis

Jones

Alves

Oliveira

et al. 2008

Clinics

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Jones A, Alves ACM, de Oliveira LM, Saad M, Natour J. Energy expenditure during cane-assisted gait in patients with knee osteoarthritis. Clinics. 2008;63:197-200. OBJECTIVE:To compare the energy expenditure in patients with unilateral knee osteoarthritis while walking with canes of different lengths. METHODS: A quasi-experimental study (single-group) was carried out on thirty patients with unilateral knee osteoarthritis. An adjustable aluminum cane was used, and three different cane lengths were determined for each subject: C1 -length from the floor to the greater trochanter; C2 -length from the floor to the distal wrist crease; and C3 -length obtained by the formula: height x 0.45 + 0.87 m. Resting and walking heart rates were measured with a Polar hear rate meter. Walking speed was calculated by the time required for the patient to walk 10 m. Gait energy cost was estimated using the physiological cost index, and results were compared. RESULTS: The sample consisted of 25 women and five men (average age of 68 years). Statistically significant differences in physiological cost index measurements were observed between unassisted walking and assisted walking with a cane of any length (p<0.001), as well as between walking with a C2-length cane and unassisted walking, and walking with a C1-length cane and walking with a C3-length cane (p=0.001; p = 0.037; p=0.001; respectively). CONCLUSION: These data demonstrate that small alterations in the length of canes used for weight-bearing ambulation in patients with unilateral knee osteoarthritis increase the energy expenditure measured by the physiological cost index during walking. Further studies are needed for a more precise quantification of the increase in energy expenditure during cane-assisted gait and an assessment of the effectiveness of cane use in relieving pain and improving function in patients with knee osteoarthritis.

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“…Fisher et al (2005) 33 and Rebellato et al (2007) 23 added that institutionalized elderly are more sedentary. Other studies have also found a correlation between physical fitness and falls, with different ways of evaluating muscle strength such as maximum isometric strength of the quadriceps 34 and the 30s chair-stand test 35 .…”

Section: Discussionmentioning

confidence: 96%

Quality of life in the institutionalized elderly with dizziness complaint: a cross-sectional study

et al. 2018

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Purpose: to evaluate the quality of life in institutionalized elderly people with dizziness complaint and to relate the results to the characteristics of dizziness and functional capacity. Methods: in this cross-sectional study, one-hundred and nineteen elderly residents in three geriatric long-term care institutions in Natal city, Brazil, were evaluated. Those who had presented dizziness in the former year (30/25.2%) were included in this study. The quality of life was measured by the Dizziness Handicap Inventory. Functional capacity was measured by the Berg Balance Scale, the Functional Reach Test, the Unipedal Stance Test with eyes open and closed, and the Falls Efficacy Scale - International. Results: associations were found between physical, functional and emotional aspects and the duration of dizziness (p=0.002, p=0.041 and p=0.004, respectively); the functional aspects with age (p=0.031), the physical aspects with the presence of falls in the previous year (p=0.039); and the physical, functional and emotional aspects of the Dizziness Handicap Inventory with fear of falling (p=0.004, p<0.001 and p=0.016, respectively). Conclusion: institutionalized elderly with dizziness complaints had a low perception of quality of life, and the duration of dizziness, age, falls and fear of falling negatively influenced their quality of life.

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Falls by Elders With Moderate Levels of Movement Functionality

Cited by 20 publications

References 7 publications

Avaliação do equilíbrio e do nível de independência funcional de idosos da comunidade

Avaliação do equilíbrio e do nível de independência funcional de idosos da comunidade

Energy Expenditure During Cane-Assisted Gait in Patients with Knee Osteoarthritis

Quality of life in the institutionalized elderly with dizziness complaint: a cross-sectional study

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