Relationship Between Dynamic Balance Measures and Functional Performance in Community-Dwelling Elderly People

Desai, Ankur R.; Goodman, Valerie; Kapadia, Naaz; Shay, Barbara; Szturm, Tony

doi:10.2522/ptj.20090100

Cited by 80 publications

(67 citation statements)

References 57 publications

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“…The core of the exercise training program used in the current study was easy, safe, feasible, effective and applicable for older subjects, which constituted the most important criteria of exercise prescription for older subjects (3, 12,13,18,20). In addition, the prescribed exercise program was multi-dimensional and included muscular strength, coordination, and functional and balance training, which are considered the standard training recommendations for older subjects (15,16).…”

Section: Discussionmentioning

confidence: 99%

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Supervised Versus Home Exercise Training Programs on Functional Balance in Older Subjects

Youssef

Shanb

2016

MJMS

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Background: Aging is associated with a progressive decline in physical capabilities and a disturbance of both postural control and daily living activities. The aim of this study was to evaluate the effects of supervised versus home exercise programs on muscle strength, balance and functional activities in older participants. Methods: Forty older participants were equally assigned to a supervised exercise program (group-I) or a home exercise program (group-II). Each participant performed the exercise program for 35-45 minutes, two times per week for four months. Balance indices and isometric muscle strength were measured with the Biodex Balance System and Hand-Held Dynamometer. Functional activities were evaluated by the Berg Balance Scale (BBS) and the timed get-up-and-go test (TUG).Results: The mean values of the Biodex balance indices and the BBS improved significantly after both the supervised and home exercise programs (P < 0.05). However, the mean values of the TUG and muscle strength at the ankle, knee and hip improved significantly only after the supervised program. A comparison between the supervised and home exercise programs revealed there were only significant differences in the BBS, TUG and muscle strength.Conclusions: Both the supervised and home exercise training programs significantly increased balance performance. The supervised program was superior to the home program in restoring functional activities and isometric muscle strength in older participants.

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Section: Discussionmentioning

confidence: 99%

“…The effect of exercise training mainly depends upon the mode, intensity and level of supervision during the exercise intervention (13). Few studies have reported To link to this article: http://dx.doi.org/10.21315/mjms2016.…”

Section: Introductionmentioning

confidence: 99%

Supervised Versus Home Exercise Training Programs on Functional Balance in Older Subjects

Youssef

Shanb

2016

MJMS

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“…Na literatura foram encontrados resultados semelhantes na população idosa como: Berg et al 34 (r = -0,76), Podsiadlo e Richardson 26 (r = -0,81), O'Sullivan et al 35 ( = -0,767, p = 0,0001), Hatch et al 36 (r = 0,810, p < 0,01), Desai et al 37 (= -0,62), Spagnuolo et al 38 (r = -0,65, p < 0,05), Silva et al 39 (r = -0,301, p = 0,005), Gazzola et al 40 (r = -0,813, p < 0,05), Brusse et al 41 em idosos com Parkinson (= -0,78, p < 0,001), Gazzola et al 42 em idosos com disfunção vestibular crônica (r = -0,709, p < 0,001). Foi encontrado apenas um estudo de Karuka et al 43 em idosas que não encontraram correlação signifi cativa entre Berg e TUG (= -0,30, p = 0,10).…”

Section: Discussionunclassified

“…Resultado semelhante ao encontrado nos estudos de Pedrosa e Holanda 44 em idosas hipertensas (r = -0,59, p < 0,001), Costa 45 em indivíduos que sofreram acidente vascular cerebral (= -0,83, p < 0,001) e Desai et al 37 em idosos (= -0,72). Apenas um estudo de Desai et al 37 em idosos encontrou correlação de = 0,59 entre TC6M e Berg, semelhante ao nosso, que foi 0,675.…”

Section: Discussionunclassified

Correlação entre instrumentos de avaliação da funcionalidade e equilíbrio em pacientes com artrite reumatoide

Lourenço

Roma

Assis

2015

Rev. bras. educ. fís. esporte

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ResumoA artrite reumatoide (AR) é uma doença autoimune infl amatória sistêmica, crônica e progressiva, que pode causar diminuição da mobilidade, força e atividade física, levando a alterações de propriocepção, equilíbrio postural e marcha, que aumentam o risco de queda nesses pacientes. O presente estudo teve como objetivo verifi car se existe correlação entre testes de funcionalidade e equilíbrio em pacientes com AR. Para isso foi feito um corte transversal com a amostra composta por 99 pacientes com diagnóstico de AR de ambos os sexos. Os instrumentos de avaliação do risco de queda usados foram: Escala de Equilíbrio de Berg (Berg), Teste "Timed Up and Go" (TUG), Teste de Caminhada de 6 Minutos e Short Physical Performance Battery (SPPB) ou Bateria de Testes de Guralnik. Feito teste de Kolmogorov-Smirnov para normalidade de distribuição e correlação de Spearman, com nível de signifi cância de p < 0,05. Os pacientes eram 88,9% do sexo feminino e com idade média de 56,15 anos (± 11,64). A idade apresentou correlação fraca, porém signifi cativa de modo que quanto mais velho, pior o desempenho nos testes. O desempenho médio nos instrumentos não colocou esses pacientes com AR como alto risco de queda, porém não há valores de corte específi cos para essa população. Os instrumentos mostraram correlação de moderada a forte entre si (p < 0,01). Conclui-se, portanto, que os testes físicos realizados são correlacionados e representam bem a capacidade física desses pacientes com AR,principalmente entre pessoas a partir dos 41 anos e homens.PALAVRAS-CHAVE: Artrite reumatoide; Acidentes por quedas; Equilíbrio postural; Testes de aptidão.A artrite reumatoide (AR) é uma doença autoimune inflamatória sistêmica, crônica, progressiva e de etiologia desconhecida, caracterizada principalmente pelo comprometimento articular periférico, podendo levar a deformidades, destruição cartilaginosa e óssea [1][2][3][4][5][6] . Pacientes com AR tem um risco aumentado de cair quando comparados com pessoas saudáveis, o que provavelmente se explica pela alta prevalência de fatores de risco associados a quedas nesses pacientes, que podem gerar alterações de propriocepcão, equilíbrio postural e marcha. Esses fatores de risco incluem dor e edema articular em membros inferiores, fraqueza muscular, instabilidade postural, alterações na marcha e no equilíbrio, diminuição da mobilidade e da capacidade funcional, fadiga, sedentarismo, redução da acuidade visual e depressão [7][8][9][10][11][12][13][14][15][16][17] .Em busca da identifi cação de possíveis alterações que predispõe o sujeito a um maior risco de queda, foram elaborados inúmeros instrumentos para avaliação de equilíbrio e controle postural, bem como capacidade funcional. Esses testes são usados para avaliar intervenções ou mesmo identifi car possíveis caidores com base em alguns pontos de corte já bem estabelecidos na literatura para certas populações.Para o presente estudo foram escolhidos alguns dos testes mais usados na literatura com esse objetivo, embora utilizados na maioria das vezes ...

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“…Lee et al 40 reported differences between groups with or without a previous fall in tests, including a 2.45-m round-trip walk, 10-m gait time, cadence, and one-leg standing time. On the other hand, a relationship between functional reach and one-leg standing with open eyes 41,42 was reported as fair or good in the elderly, but relationships between muscle strength and balance 41 and those between muscle strength and walking speed 9, 36, 41 were reported as poor. Summarizing the results of these previous studies, physical functions such as strength, balance, and mobility reflect fall risk, but the relationships among these parameters are not always strong.…”

Section: Discussionmentioning

confidence: 99%

Reliability and Fall Experience Discrimination of Cross Step Moving on Four Spots Test in the Elderly

Yamaji¹,

Demura²

2013

Archives of Physical Medicine and Rehabilitation

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Objectives: To examine the reliability and fall experience discrimination of the Cross Step moving on Four spots Test (CSFT) including a rapid crossover steps and the relationship between the CSFT scores and the fall-related physical function.Design: The reliability of the CSFT was examined in a test-retest format with the same tester. Results: The trial-to-trial reliability test indicated good reliability of the CSFT in both sexes (intraclass correlation coefficient = 0.833 in men, 0.825 in women). However, trial-to-trial errors increased with increase in the CSFT values in both sexes. Significant correlations were observed between the CSFT values and scores for most fall-related physical function tests in both sexes. However, the correlation coefficient for all significant correlations was <0.5. Two-way analysis of variance (sex × fall experience) revealed that the fall experience is a 1 significant factor affecting the CSFT values; the values in fallers were significantly lower than those in nonfallers. The odds ratios in logistic regression analysis were significant in both sexes (men: 1.35, women: 1.48). As determined by Youden's index, the optimal cutoff value for identifying fall experience was 7.32 s, with an area under the curve of 0.676. Conclusion:The CSFT can detect fall experience and is useful in the evaluation of different fall-related physical functions, including muscle strength, balance, and mobility.

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Relationship Between Dynamic Balance Measures and Functional Performance in Community-Dwelling Elderly People

Cited by 80 publications

References 57 publications

Supervised Versus Home Exercise Training Programs on Functional Balance in Older Subjects

Supervised Versus Home Exercise Training Programs on Functional Balance in Older Subjects

Correlação entre instrumentos de avaliação da funcionalidade e equilíbrio em pacientes com artrite reumatoide

Reliability and Fall Experience Discrimination of Cross Step Moving on Four Spots Test in the Elderly

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