Dynamic Gait Stability, Clinical Correlates, and Prognosis of Falls Among Community-Dwelling Older Adults

Bhatt, Tanvi; Espy, Deborah D.; Yang, Feng; Pai, Yi–Chung

doi:10.1016/j.apmr.2010.12.032

Cited by 96 publications

(80 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the aforementioned studies, a variety of magnitudes were used, that were either fixed or progressive with training. High‐magnitude perturbations, where participants initially require support from the harness to regain stability, appear to trigger fast and significant adaptation in recovery behavior, and long‐term retention of motor adaptations 31, 45, 46, 48. However, studies based in clinical settings have generally used a more progressive increase in perturbation magnitude, starting with lower‐magnitude perturbations and progressing based on the supervising physiotherapist's judgement 34, 37.…”

Section: Resultsmentioning

confidence: 99%

“…As aforementioned, this might depend on the magnitude of perturbations used. With high‐magnitude perturbations, relatively low PBT volume might be required for long‐term benefits 31, 45, 46, 48. With lower‐magnitude perturbations, which might be more feasible with frail, older adults or different patient groups, longer training periods might be required in order to result in a significant reduction in falls incidence.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Gerards

McCrum

Mansfield

et al. 2017

Geriatrics Gerontology Int

184

151

View full text Add to dashboard Cite

Falls are a leading cause of injury, hospitalization and even death among older adults. Although various strength and balance exercise interventions have shown moderate reductions in falls incidence among healthy older adults, no significant falls incidence improvements have been consistently seen in frail older adults or in patient groups with an increased falls risk (e.g. people with Parkinson's disease and stroke). This might be due to a lack of task specificity of previous exercise interventions to the recovery actions required to prevent a fall. Perturbation‐based balance training (PBT) is an emerging task‐specific intervention that aims to improve reactive balance control after destabilizing perturbations in a safe and controlled environment. Although early studies were carried out predominantly in research laboratory settings, work in clinical settings with various patient groups has been proliferating. A systematic search of recent PBT studies showed a significant reduction of falls incidence among healthy older adults and certain patient groups (e.g. people with Parkinson's disease and stroke), with clinically relevant reductions in frail older adults. The most practical methods in clinical settings might be treadmill‐based systems and therapist‐applied perturbations, and PBT that incorporates multiple perturbation types and directions might be of most benefit. Although more controlled studies with long‐term follow‐up periods are required to better elucidate the effects of PBT on falls incidence, PBT appears to be a feasible and effective approach to falls reduction among older adults in clinical settings. Geriatr Gerontol Int 2017; 17: 2294–2303..

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Gerards

McCrum

Mansfield

et al. 2017

Geriatrics Gerontology Int

184

151

View full text Add to dashboard Cite

show abstract

“…In general, muscle strength is assumed to be an important factor that may contribute to balance (Wolfson et al 1995). This is supported by findings showing that muscle weakness correlates with impaired balance control and greater risk of falls in elderly people (Bhatt et al 2011). Furthermore, rapid leg movements, which require adequate amounts of power (strength and speed), are crucial in prohibiting falls, when an external perturbation occurs.…”

Section: Muscle Strength and Powermentioning

confidence: 74%

Gait and Balance

Patikas

2015

Comorbid Conditions in Individuals With Intellectual Disabilities

View full text Add to dashboard Cite

“…No caso do TUGT, mesmo com dupla tarefa, consome menor tempo quando comparado a EEB que leva de 15 a 20 minutos para ser aplicada. 10,13,29,37 O TUGT é o único teste recomendado pela American and British Geriatrics Societies para avaliação de risco de quedas, 16 incluindo itens funcionais com alta relação ao número de quedas como um componente de marcha importante, devido a ocorrência de quedas durante a deambulação 7 e dupla tarefa, associada a situações diárias envolvendo demandas simultâneas. 6 Não apresenta efeito teto 9 e é um teste objetivo devido à cronometragem do tempo para execução da tarefa, o que o torna mais sensível como instrumento.…”

Section: Discussionunclassified

“…10,21,22,29 Para aplicação do teste, são necessários instrumentos como: step ou degrau de escada, cadeira com e sem braços, fita métrica, cronômetro, caneta e uma mesa. 10,13,29 No quadro, os itens da EEB são apresentados.…”

Section: Introductionunclassified

Revisão de dois instrumentos clínicos de avaliação para predizer risco de quedas em idosos

Ansai

Glisoi

Oliveira

et al. 2014

Rev. bras. geriatr. gerontol.

View full text Add to dashboard Cite

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

show abstract

Dynamic Gait Stability, Clinical Correlates, and Prognosis of Falls Among Community-Dwelling Older Adults

Cited by 96 publications

References 32 publications

Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Perturbation‐based balance training for falls reduction among older adults: Current evidence and implications for clinical practice

Gait and Balance

Revisão de dois instrumentos clínicos de avaliação para predizer risco de quedas em idosos

Contact Info

Product

Resources

About