Long-term benefits of somatosensory training to improve balance of elderly with diabetes mellitus

Silva, Patrícia; Botelho, Priscila Fernanda Figueredo Borges; Guirro, Elaine Caldeira de Oliveira; Vaz, Maíta Mara O.L.L.; Abreu, Daniela Cristina Carvalho de

doi:10.1016/j.jbmt.2014.11.002

Cited by 15 publications

(9 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Balance training is widely applied in different settings of rehabilitative medicine [1], geriatrics [2,3] and as a training method for fall and injury prevention [4–6]. The generic term “balance training” comprises all exercises on instable or moveable surfaces in manifold training settings.…”

Section: Introductionmentioning

confidence: 99%

Specific Stimuli Induce Specific Adaptations: Sensorimotor Training vs. Reactive Balance Training

et al. 2016

View full text Add to dashboard Cite

Typically, balance training has been used as an intervention paradigm either as static or as reactive balance training. Possible differences in functional outcomes between the two modalities have not been profoundly studied. The objective of the study was to investigate the specificity of neuromuscular adaptations in response to two balance intervention modalities within test and intervention paradigms containing characteristics of both profiles: classical sensorimotor training (SMT) referring to a static ledger pivoting around the ankle joint vs. reactive balance training (RBT) using externally applied perturbations to deteriorate body equilibrium. Thirty-eight subjects were assigned to either SMT or RBT. Before and after four weeks of intervention training, postural sway and electromyographic activities of shank and thigh muscles were recorded and co-contraction indices (CCI) were calculated. We argue that specificity of training interventions could be transferred into corresponding test settings containing properties of SMT and RBT, respectively. The results revealed that i) postural sway was reduced in both intervention groups in all test paradigms; magnitude of changes and effect sizes differed dependent on the paradigm: when training and paradigm coincided most, effects were augmented (P<0.05). ii) These specificities were accompanied by segmental modulations in the amount of CCI, with a greater reduction within the CCI of thigh muscles after RBT compared to the shank muscles after SMT (P<0.05). The results clearly indicate the relationship between test and intervention specificity in balance performance. Hence, specific training modalities of postural control cause multi-segmental and context-specific adaptations, depending upon the characteristics of the trained postural strategy. In relation to fall prevention, perturbation training could serve as an extension to SMT to include the proximal segment, and thus the control of structures near to the body’s centre of mass, into training.

show abstract

Section: Introductionmentioning

confidence: 99%

Specific Stimuli Induce Specific Adaptations: Sensorimotor Training vs. Reactive Balance Training

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Type 2 diabetes mellitus was permitted, provided that the individuals were capable of detecting the application of at least 10 g on the soles of the feet using Semmes-Weinstein monofilament testing (SORRI ® , Bauru, SP, Brazil), according to the criteria adopted by the American Diabetes Association. 16 The exclusion criteria were: participants with cardiovascular, neurological or musculoskeletal disease (with sequela or an impairment that interfered with semi-static balance); vestibular disorders; postural hypotension; foot deformities; visual disorders or cognitive deficit assessed by the Mini Mental State Examination (MMSE). 17,18 Elderly persons who practiced Tai Chi Chuan or muscle strengthening exercises in the gym were also excluded, as muscle-strengthening also contributes to the improvement of postural control.…”

Section: Recruitment/selectionmentioning

confidence: 99%

The effect of supervised and home based exercises on balance in elderly subjects: a randomized controlled trial to prevent falls

Tanaka

Santos

Silva

et al. 2016

Rev. bras. geriatr. gerontol.

Self Cite

View full text Add to dashboard Cite

Objective: The aim of the present study was to evaluate the influence of a balance training program on the semi-static balance of elderly persons by comparing a supervised group with individual home-based application. Method: A blinded randomized controlled multiarm trial was conducted. The elderly individuals were randomized into: Supervised Group (SG; n=18); Domiciliary Group (DG; n=20) and Control Group (CG; n=18). The SG and DG participated in twice weekly training sessions for 10 weeks. A posturography evaluation was performed based on velocity, anterior-posterior (AP) and medial-lateral (ML) medial amplitude variables in firm surface with eyes open (FSEO) and closed (FSEC), tandem stance with eyes open (Tandem EO) and closed (Tandem EC), and single-leg stance (SL) situations. Two-way ANOVA and Tukey's post-hoc were used for parametric data, the Friedman and Wilcoxon post-hoc tests were used for intragroup analysis and the Kruskal-Wallis and Mann-Whitney post-hoc tests were used for intergroup analysis. Results: In intergroup analysis, the DG group showed improvement in body sway in the Tandem EC (velocity and medial amplitude AP) and single-leg stance (medial amplitude ML) situations. The SG showed a decline in the Tandem EO situation in all the variables. In intergroup analysis, the DG showed improvement in the FSEO position (medial amplitude ML), in the Tandem EC position (medial velocity ML), and the single-leg stance position (medial amplitude AP and ML). The SG showed improvement in the FSEO position (medial amplitude ML) and the single-leg stance position (medial amplitude AP), but showed a decline in the FSEO (variable medial velocity AP) and Tandem EO position (medial amplitude AP). Conclusion: The exercises were beneficial for the balance of the elderly individuals, with the DG presenting the best results. REBEC: RBR-3S9M65.

show abstract

“…Essas alterações podem deixar o idoso mais vulnerável à ocorrência da primeira queda. (Brucki, Nitrini, Caramelli, Bertolucci, & Okamoto, 2003), levando em consideração o nível de escolaridade de cada participante; diminuição da sensibilidade plantar identificada pelos monofilamentos de Semmes-Weistein (Silva, Botelho, Guirro, Vaz, & de Abreu, 2015); presença de doença cardiovascular, neurológica ou músculo-esquelética que comprometesse o equilíbrio semi-estático ou dinâmico; recentes episódios de tontura ou tontura crônica (Tanaka et al, 2015); ausência de acuidade visual ou auditiva; cirurgias prévias nos últimos 6 meses; dores em membros inferiores que interferissem na marcha; uso de medicação que comprometesse o equilíbrio ou habilidades cognitivas e restrição médica a qualquer um dos procedimentos executados neste estudo (Li et al, 2010;Hall et al, 2011).…”

Section: Introductionunclassified

Range of motion of ankle and the simultaneous tasks paradigm during gait in the community-dwelling elderly

Santos

Leite

Nascimento³

et al. 2017

motricidade

Self Cite

View full text Add to dashboard Cite

ARTIGO ORIGINAL | ORIGINAL ARTICLE RESUMODiminuição da Amplitude de Movimento (ADM) de tornozelo e redução da força de dorsiflexores em decorrência do processo de envelhecimento são alterações conhecidas e que estão associadas com o aumento do risco de tropeços e quedas. Foi nosso objetivo avaliar a ADM de tornozelo em idosos da comunidade durante a marcha habitual e em duas condições de tarefas simultâneas (funcional e cognitiva). Trinta e dois idosos da comunidade (66.8±4.7 anos), de ambos os sexos, não caidores, que apresentavam marcha sem dispositivo de auxilio, participaram do estudo. A dorsiflexão e flexão plantar de tornozelo foram avaliadas em três situações: marcha habitual, marcha com tarefa funcional e marcha com tarefa cognitiva, utilizando 8 câmeras Qualisys Pro-reflex Oqus 300®. Análises de variância (ANOVA) foram aplicadas e comparações foram feitas por Newman-Keuls no programa SPSS (versão 16.0) adotando nível de significância de 5% (p 0.05). Não houve diferenças entre as diferentes tarefas (p> 0.05) para a ADM de dorsiflexão e flexão plantar dos idosos, porém, durante a marcha habitual a ADM de dorsiflexão foi menor se comparada aos valores de referência descritos na literatura. A realização de tarefas associadas à marcha não alterou a ADM de tornozelo em idosos da comunidade não caidores, entretanto, são necessários mais estudos que abordem idosos que tiveram quedas prévias. Palavras-chave: dorsiflexão, envelhecimento, equilíbrio postural, flexão plantar. ABSTRACTDecreased range of motion (ROM) of the ankle and dorsiflexor strength due to the aging process has been associated with increased risk of trips and falls. However, the impact of dual-task on the ankle ROM in elderly is not clear. It was our objective to evaluate the ankle ROM in community elderly during usual gait and two simultaneous task conditions (functional and cognitive). Thirty-two community elderly (66.8 ± 4.7 years) of both sexes, non-fallers, who had independent walking were recruited. The dorsiflexion and plantar flexion of the ankle were assessed in three situations: usual gait, gait with functional task and gait with cognitive task, using 8 cameras Qualisys Pro-reflex Oqus 300®. Analysis of variance (ANOVA) were applied and comparisons were made by Newman-Keuls using SPSS (version 16.0) adopting a significance level of 5% (p 0.05). There were no differences among tasks (p> 0.05) in the dorsiflexion and plantar flexion in the elderly, however, during the usual gait the dorsiflexion ROM of the elderly was lower than the normative values described in literature. The performance of tasks during walking have no influence on ankle ROM in non-fallers community-elderly. However, more studies including older adults who have previously fallen are necessary.

show abstract

Long-term benefits of somatosensory training to improve balance of elderly with diabetes mellitus

Cited by 15 publications

References 17 publications

Specific Stimuli Induce Specific Adaptations: Sensorimotor Training vs. Reactive Balance Training

Specific Stimuli Induce Specific Adaptations: Sensorimotor Training vs. Reactive Balance Training

The effect of supervised and home based exercises on balance in elderly subjects: a randomized controlled trial to prevent falls

Range of motion of ankle and the simultaneous tasks paradigm during gait in the community-dwelling elderly

Contact Info

Product

Resources

About