Optimising costs in reducing rate of falls in older people with the improvement of balance by means of vestibular rehabilitation (ReFOVeRe study): a randomized controlled trial comparing computerised dynamic posturography vs mobile vibrotactile posturography system

Soto-Varela, Andrés; Gayoso-Diz, Pilar; Faraldo-García, Ana; Rossi-Izquierdo, Marcos; Vaamonde-Sánchez-Andrade, Isabel; Del-Río-Valeiras, María; Lirola-Delgado, Antonio; Santos-Pérez, Sofía

doi:10.1186/s12877-018-1019-5

Cited by 110 publications

(125 citation statements)

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“…This study was part of a clinical trial funded by the project PI1500329, integrated into the Spanish State Plan for R + D + I and funded by the Instituto de Investigación en Salud Carlos III- ISCIII -Subdirección general de Evaluación y Fomento de la Investigación and the Fondo Europeo de Desarrollo regional (FEDER). This clinical trial, the full protocol for which has already been published ( 14 ), aims to determine whether vestibular rehabilitation is useful in elderly patients with instability for improving their balance and reducing their risk of falling.…”

Section: Methodsmentioning

confidence: 99%

Presbyvestibulopathy, Comorbidities, and Perception of Disability: A Cross-Sectional Study

et al. 2020

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Objective: To assess the perception of disability in patients with presbyvestibulopathy and to determine the factors (demographic, balance test scores, and comorbidities) that determine higher levels of disability. Material and Methods: This was a cross-sectional study conducted in a tertiary university hospital. There were 103 patients who fulfilled the diagnostic criteria for presbyvestibulopathy and were included. Dizziness Handicap Inventory (DHI) score was the main variable used to quantify disability. Influence on DHI score, sex, age, time of evolution, equilibriometric parameters (posturographic scores and timed up and go test), history of falls, comorbidities (high blood pressure, diabetes, and dyslipidemia), psychotropic drug use, tobacco or alcohol use, living environment (urban or rural), and active lifestyle were analyzed. Results: Most of the DHI scores showed a moderate (46 patients, 44.7%) or severe (39 participants, 37.9%) handicap. DHI scores were higher in women (59.8 vs. 36.1, p < 0.001), patients with obesity (58.92 vs. 48.68; p = 0.019), benzodiazepine (59.9 vs. 49.1, p = 0.008) or other psychotropic drug (60.7 vs. 49.2, p = 0.017) users, and fallers (57.1 vs. 47.3, p = 0.048). There was also a significant positive correlation between DHI score, time (Rho coefficient: 0.371, p < 0.001), and steps (Rho coefficient: 0.284, p = 0.004) used in the TUG and with the short FES-I questionnaire (a shortened version of the Falls Efficacy Scale-International) score (Rho coefficient: 0.695, p < 0.001). DHI scores were lower in alcohol consumers than in non-drinkers (46.6 vs. 56, p = 0.048). No significant correlation was found between DHI scores and age, time of evolution, posturographic scores, comorbidities, environment (rural or urban), or active lifestyle. Conclusion: Most patients with presbyvestibulopathy show an important subjective perception of disability in relation to their symptoms. This perception is substantially higher in women than in men. The most influential factors are difficulties in walking, fear of falling, and obesity. Unique Identifier: NCT03034655, www.clinicaltrials.gov .

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Section: Methodsmentioning

confidence: 99%

Presbyvestibulopathy, Comorbidities, and Perception of Disability: A Cross-Sectional Study

et al. 2020

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“…This study is part of a larger research project, which aims to evaluate the usefulness of vestibular rehabilitation in elderly people with instability, to improve balance and reduce falls. The complete protocol of this research project has been published (17).…”

Section: Methodsmentioning

confidence: 99%

Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability

et al. 2020

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Objective: To compare the results from the modified Timed Up and Go Test (TUG) with posturographic variables, the subjective perception of disability due to gait instability, and the number of falls in a sample of the elderly population with imbalance, to confirm that the TUG Test is a useful clinical instrument to assess the tendency to fall in individuals of this age group. Materials and Methods: Cross-sectional study conducted in a tertiary university hospital, in 174 people aged 65 years or older with gait instability. Modified TUG Test was performed; time, step count and the need for support during the test were the analyzed variables. They were compared with the number of falls, Computerized Dynamic Posturography scores, and questionnaires scores (Dizziness Handicap Inventory and a shortened version of the Falls Efficacy Scale-International). Results: The average time to complete the TUG Test was 21.24 ± 8.18 s, and the average step count was 27.36 ± 7.93. One hundred two patients (58.6%) required no support to complete the test, whereas the other 72 (41.4%) used supports. The time taken to complete the Test was significantly related with having or not having fallen in the previous year, with the scores of the questionnaires, and with various parameters of dynamic posturography. A higher percentage of patients who took more than 15 s had fallen in the previous year than those who took up to 15 s to complete the test [P = 0.012; OR = 2.378; 95% CI (1.183, 4.780)]. No significant correlation was found between the step count and the number of falls in the previous year, with falling during the test or not, or with being a single or a frequent faller. No relation was found between the need for supports and the number of falls, with having or not having fallen in the previous year, or with being a single or frequent faller. Soto-Varela et al. TUG and Falls in Elderly Conclusion: The modified TUG Test is in relation with the presence or absence of falls. Time is the essential parameter for analyzing the risk of falling and the 15-s threshold is a good value to differentiate elderly patients at high risk of falling.

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“…Concerns about a lifelong need for medication, perceived side effects of drugs, non-adherence to medication, lack of follow-up, and inadequate counselling from physicians were the most common barriers to hypertension control [25]. Based on cross-sectional data from the 2015 China Health and Retirement Longitudinal Study (CHARLS), Song et al reported that community based blood pressure monitoring services had no association with blood pressure control [26]. In contrast with these findings, Premkumar et al found a significant association between CBHIs and control of hypertension in India [27].…”

Section: Plos Onementioning

confidence: 99%

Participation in community-based health care interventions (CBHIs) and its association with hypertension awareness, control and treatment in Indonesia

Sujarwoto

Maharani

2020

PLoS ONE

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Background Little attention has been paid to whether CBHIs improve awareness, treatment and control of hypertension in the contexts of low- and middle- income countries (LMICs). This study therefore aims to examine participation in CBHIs for non-communicable diseases (NCDs) and its association with awareness, treatment, and control of hypertension among Indonesians. Methods This study used data from the 2014 Indonesia Family Life Survey (IFLS), drawn from 30,351 respondents aged 18 years and older. Participation in CBHIs was measured by respondents’ participation in CBHIs for NCDs (Posbindu PTM and Posbindu Lansia) during the 12 months prior to the survey. Logistic regressions were used to identify the relationships between participation in CBHIs for NCDs and awareness, treatment, and control of blood pressure among respondents with hypertension. Results The age-adjusted prevalence of hypertension was 31.2% and 29.2% in urban and rural areas, respectively. The overall age-adjusted prevalence was 30.2%. Approximately 41.8% of respondents with hypertension were aware of their condition, and only 6.6% of respondents were receiving treatment. Participation in CBHIs for NCDs was associated with 50% higher odds of being aware and 118% higher odds of receiving treatment among adults with hypertension. There was no significant association between participation in CBHIs for NCDs and controlled hypertension. Conclusion Our data emphasise the importance of CBHIs for NCDs to improve the awareness and treatment of hypertension in the Indonesian population.

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Optimising costs in reducing rate of falls in older people with the improvement of balance by means of vestibular rehabilitation (ReFOVeRe study): a randomized controlled trial comparing computerised dynamic posturography vs mobile vibrotactile posturography system

Cited by 110 publications

References 29 publications

Presbyvestibulopathy, Comorbidities, and Perception of Disability: A Cross-Sectional Study

Presbyvestibulopathy, Comorbidities, and Perception of Disability: A Cross-Sectional Study

Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability

Participation in community-based health care interventions (CBHIs) and its association with hypertension awareness, control and treatment in Indonesia

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