Presbyastasis – terapia zaburzeń równowagi i kontroli postawy

Gębska, Magdalena; Weber-Nowakowska, Katarzyna; Malinowska, Joanna; Banaszak, Ewelina Żyżniewska

doi:10.21164/pomjlifesci.147

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Physical activity, therefore, plays essential role in preventing falls. World Health Organization (WHO) recommendations emphasize the importance of physical activity in preventing falls especially among seniors and are consistent with studies showing that systematic movement exercises and balance training can lead to the alleviation of symptoms associated with balance disorders in the elderly, thus reduce the risk of falling [9,10]. Furthermore, 15.4% of patients experience a decline in mobility during hospital stay, particularly women with cognitive impairment and underweight are at high risk of reduced mobility, therefore physical rehabilitation during hospitalization is essential and was proved to reduce the risk of falls [11,12].…”

Section: Introductionmentioning

confidence: 64%

“…This knowledge is essential to improve inpatient fall prevention; however, not only a common fall risk in each ward should be evaluated but also an assessment of individual fall risk must be conducted on admission of every patient. There is, however, no consistent evidence that interventions to prevent falls among hospital inpatients are effective [9,10], although many of the published studies were underpowered or methodologically flawed.…”

Section: Discussionmentioning

confidence: 99%

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Hospital Inpatient Falls across Clinical Departments

Mikoś

Banaś

Czerw

et al. 2021

IJERPH

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Background: Inpatient falls are common hospital adverse events. We aimed to determine inpatient fall rates in an urban public hospital and analyzed their characteristics across clinical departments. Methods: The study was conducted in a 350-bed urban, multi-specialty public hospital in the 2013–2019 period. Patient data were retrieved from the hospital’s standardized falls reporting system. Descriptive statistics and statistical tests: chi2 and ANOVA tests with multiple comparison tests (post-hoc analysis) were used. For fall incidence estimation a joint-point regression was applied. p-value of 0.05 was considered as statistically significant for all the calculations. Results: The highest prevalence of falls was reported in the rehabilitation and internal medicine wards (1.915% and 1.181%, respectively), the lowest in the orthopedic (0.145%) and rheumatology wards (0.213%) (p < 0.001). The vast majority of falls took place in the late evening and during the night (56.711%) and were classified as bed falls (55.858%). The crude incidence rate (cIR) of falls was 6.484 per one thousand hospitalizations. In the 2013–2017 period, an increase in total cIR was observed, reaching the peak value in 2016; it was followed by a slight decline from 2017 to 2019, however, differences in changes were observed between the wards. Conclusion: Fall rates and trends as well as circumstances of inpatient falls varied significantly among clinical departments, probably due to differences in patient characteristics.

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Section: Introductionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Hospital Inpatient Falls across Clinical Departments

Mikoś

Banaś

Czerw

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…The increasing risk of falls is caused, among others, by multi-morbidity, multi-medication, blurred vision, hearing, muscle weakness, osteoporosis, or changes in body posture [6]. For the body to properly maintain static and dynamic balance, it must have an efficient sensory system that receives stimuli, a central nervous system that processes and interprets stimuli, and a neuromuscular system that responds appropriately to information received from the CNS [7]. Research suggests that almost every area of the brain is responsible for balance.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Frankel’s Stabilization Exercises and Stabilometric Platform in the Balance in Elderly Patients: A Randomized Clinical Trial

et al. 2019

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Background and Objectives: Every year, older people are becoming a larger part of the population. In a couple of years medicine is going to struggle with specific disorders and their consequences, where one of them are falls. Fall prevention involves a use of strengthening exercises, equivalent exercises, stabilometric platforms, and special exercise programs. Almost the entire brain is involved in maintaining correct balance. Reduction of a volume of gray matter negatively affects balance. Single exercise sessions do not significantly improve balance. In order to achieve satisfactory results at least 10 training sessions are required. The aim of this study is to determine if there is a correlation between a risk of falls, gender, and a risk of falls and the age of the subjects. Another reason to conduct that research was to assess the effectiveness of Frankel’s exercises and training of using the stabilometric platform in rehabilitation, which aims to reduce the risk of falls among elderly people. Materials and Methods: The study involved 40 elderly patients referred for physiotherapy to a rehabilitation center. The patients were divided into two groups of 20 people. In experimental group 1 (C) Frankel’s stabilization exercises were used; in experimental group 2 (E) a stabilometric platform was used. The correlation between the risk of falls and age as well a risk of falling and the gender of the examined persons was taken into consideration. The effect of therapy that uses stabilization exercises and the stabilometric platform on the risk of falls in the examined persons was assessed using the Tinetti scale. Clinical control was performed using the Tinetti scale, before and after a two-week rehabilitation period. Results: The study showed no correlation between the degree of risk of falling and age, and between the risk of falling by the elderly and gender. There were also changes in the results obtained by patients after using the training, both with the use of Frankel’s stabilization exercises as well as with the use of the stabilometric platform. Patients using the dynamometric platform obtained higher results in the Tinetti test after treatment. Conclusions: In the examined sample, no correlation was found between the risk of falls and age as well as the risk of falls and gender. Both Frankel’s exercises and training with the use of the stabilometric platform were effective in a rehabilitation program aimed at reducing the risk of falls among the elderly.

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Assessment of the Therapeutic Effect of Physiotherapy on Minimizing Imbalances of Geriatric Patients

Pawlak¹,

Dudkiewicz²,

Kikowski³

2020

Acta Balneol

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Introduction: The progressing aging process and comorbidities worsen the efficiency of the balance system in the elderly, which leads to a weakening of stability and, as a consequence, to falls and injuries. The first ones lead to: worsening of functioning, reduced mobility, an increased risk of disease and mortality, therefore systematic physical activity and shaping the balance using physiotherapy, which can prevent dangerous falls is very important. Aim: Assessment of the therapeutic effect of physiotherapy on minimizing imbalances in geriatric patients. M aterial and Methods: The study group consisted of 46 people, including 32 women (69.6%) and 14 men (30.4%); average age of respondents – 72.5 years. They were patients of the Department of Rehabilitation of Poddębice Health Center, Ltd. The researchers used a self-made questionnaire, body mass to height index (BMI) and the Tinetti Test. Results: Patients with an elevated BMI (89.1%), as well as those taking more than 4 medication (78.3%), have had more falls over the past year (respectively 91.4% and 81.4%). After the use of comprehensive therapy, none of the patients achieved a worse result than before the physiotherapy while 91.3% of the respondents had an increase in the number of points scored in the Tinetti Test. The percentage of patients at high risk of falling reduced from 67.4% to 37%. There was also a decrease in the fear of walking (in 58.7%), falling (in 57.7%) and climbing stairs (in 47.9%). According to 78.3% of respondents, physiotherapy positively affected their independence and quality of life. Conclusions: The use of comprehensive physiotherapy reduces the fear of walking, climbing stairs and falling, which can be a good predictor of prevention. Both polypragmasia and an elevated body mass index (BMI) increase the risk of falling. Comprehensive physiotherapy of geriatric patients helps to improve balance and gait stereotype. Physiotherapy for the elderly helps improve the quality of life, independence, minimize imbalances, and thus reduce the risk of falls. Balance exercises play an important role in preventing falls.

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Presbyastasis – terapia zaburzeń równowagi i kontroli postawy

Cited by 3 publications

References 9 publications

Hospital Inpatient Falls across Clinical Departments

Hospital Inpatient Falls across Clinical Departments

The Effect of Frankel’s Stabilization Exercises and Stabilometric Platform in the Balance in Elderly Patients: A Randomized Clinical Trial

Assessment of the Therapeutic Effect of Physiotherapy on Minimizing Imbalances of Geriatric Patients

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