Sensory interaction on static balance: A comparison concerning the history of falls of community‐dwelling elderly

Ricci, Natália Aquaroni; Gonçalves, Daniele de Faria Figueiredo; Coimbra, Arlete Maria Valente; Coimbra, Ibsen Bellini

doi:10.1111/j.1447-0594.2009.00516.x

Cited by 46 publications

(38 citation statements)

References 18 publications

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“…O mecanismo sensorial assume papel fundamental no equilíbrio, e a integração das informações visuais, proprioceptivas e vestibulares é necessária para gerar respostas apropriadas para a manutenção do controle postural. 35 Assistência ao idoso no evento da queda: triagem e avaliação O questionamento sobre a manifestação de quedas constitui parte do interrogatório complementar anual da consulta clínica, para identificação de sinais e sintomas apresentados durante o episódio. Atenção especial será destinada às circunstâncias, como hora, dia da semana, local e descrição da atividade exercida no momento da queda, juntamente com os fatores de risco.…”

Section: Fatores Associados àS Quedasunclassified

Quedas: conceitos, frequências e aplicações à assistência ao idoso. Revisão da literatura

Falsarella

Gasparotto

Coimbra

2014

Rev. bras. geriatr. gerontol.

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ResumoRealizou-se revisão da literatura sobre quedas em idosos de comunidade, identificando prevalência, fatores de risco e consequências associadas ao cair, bem como triagem, avaliação e medidas preventivas às quedas na velhice. Foram selecionadas publicações indexadas nas bases de dados Medical Literature Analysis e Retrieval System Online (MEDLINE), por meio do PubMed; Literatura Latino-americana e do Caribe em Ciências da Saúde (LILACS) e Scientific Electronic Library Online (SciELO), relativas ao período de 2008 a 2012, sendo analisadas 41 referências. As evidências levantadas neste estudo destacam as quedas como condição de grande complexidade e que impõe grande desafio para idosos e profissionais da saúde. Ressalta-se a importância da identificação e do manejo dos fatores determinantes e das consequências associadas ao cair, juntamente com o delineamento de estratégias preventivas multifatoriais frente aos idosos vulneráveis ao cair e entre os idosos com história de quedas recorrentes. AbstractA review of the literature on falls in community-dwelling elderly was conducted, identifying prevalence, risk factors and consequences associated to falls, as well as screening, assessment and preventive measures to falls in old age. We selected publications indexed in the following data bases: Medical Literature Analysis and Retrieval System Online (MEDLINE), both consulted through PubMed; (Lilacs) Latin-American and Caribean Science of Health) and Scientific Electronic Library Online (SciELO), from 2008 to 2012; 41 references were analyzed. The evidences surveyed in this study highlight falls as a condition of great complexity that imposes great challenge for elderly and health professionals. We emphasize the importance of identification and management of determinant factors and consequences associated with falls, coupled with the design of multifactorial preventive strategies for elderly vulnerable to falls and among those with history of recurrent falls.Palavras-chave: Idoso. Acidentes por Quedas. Prevenção.

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Section: Fatores Associados àS Quedasunclassified

Quedas: conceitos, frequências e aplicações à assistência ao idoso. Revisão da literatura

Falsarella

Gasparotto

Coimbra

2014

Rev. bras. geriatr. gerontol.

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“…However, the accuracy of sensory receptors in the plantar surface and leg decreases in the elderly (Skinner et al 1984;Stelmach and Worringham 1985). Therefore, the elderly may experience balance problems (Ricci et al 2009), and vision plays a dominant role during postural maintenance (Lord and Menz 2000).…”

Section: Introductionmentioning

confidence: 99%

Saccadic Eye Movement Improves Plantar Sensation and Postural Balance in Elderly Women

Bae

2016

Tohoku J. Exp. Med.

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Vision, proprioception and plantar sensation contribute to the control of postural balance (PB). Reduced plantar sensation alters postural response and is at an increased risk of fall, and eye movements reduce the postural sway. Therefore, the aim of this study was to study the improvement of plantar sensation and PB after saccadic eye movement (SEM) and pursuit eye movement (PEM) in community-dwelling elderly women. Participants (104 females; 75.11 ± 6.25 years) were randomly allocated into the SEM group (n = 52) and PEM groups (n = 52). The SEM group performed eye fixation and SEM for 5 minutes, and the PEM group performed eye fixation and PEM for 5 minutes. The plantar sensation was measured according to the plantar surface area of the feet in contact with the floor surface before and after the intervention. Before and after SEM and PEM with the eyes open and closed, PB was measured as the area (mm 2 ), length (cm), and velocity (cm/s) of the fluctuation of the center of pressure (COP). The plantar sensation of both feet improved in both groups (p < 0.01). Significant decreases in the area, length, and velocity of the COP were observed in the eye open and close in both groups (p < 0.01). The length and velocity of the COP significantly decreased in the SEM group compared to the PEM group (p < 0.05). In conclusion, SEM and PEM are effective interventions for improving plantar sensation and PB in elderly women, with greater PB improvement after SEM.

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“…Otolith function seems to be another important factor for the risk of falls [9]. In addition, polyneuropathy has been shown to be associated with an increased risk of falls [10] and elderly fallers are dependent on the perception of vibration in the lower limb to maintain postural control [11,12,13]. As well as for hearing and vision, there is evidence for a reduced vestibular function with advancing age [14].…”

Section: Introductionmentioning

confidence: 99%

Vestibular Rehabilitation Affects Vestibular Asymmetry among Patients with Fall-Related Wrist Fractures - A Randomized Controlled Trial

2014

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Background: Fall-related fractures are an increasing problem for society. Dizziness is identified as a risk factor for falls and vestibular asymmetry is often found among patients with fall-related fractures. An option to prevent fall-related fractures may be to identify patients with vestibular asymmetry and to improve their balance and asymmetry by exercise. Objective: To examine whether vestibular rehabilitation improves vestibular function, balance and self-rated health among patients with fall-related wrist fractures. Methods: Sixty-eight persons (65 women) with fall-related wrist fractures, mean age 72 years (54-89) participated in this randomized controlled trial. The following tests and measurements were performed: head shake test to evaluate vestibular asymmetry as primary outcome measure, five clinical balance measures, a force plate to measure postural sway, a tuning fork to measure vibration and the EQ5D questionnaire to measure self-rated health. The intervention comprised group-based vestibular rehabilitation sessions conducted twice a week for 9 weeks. Results: Nystagmus occurred in the head shake test in 65% (44 of 68) of the patients, indicating vestibular asymmetry. More patients in the intervention group (6 of 21) than in the control group (0 of 23) changed from having nystagmus in the head shake test at baseline (indicating vestibular asymmetry) to not having nystagmus at follow-up, and more patients in the control group (3 of 9) than in the intervention group (0 of 3) changed from not having nystagmus at baseline to have nystagmus at follow-up (p < 0.00). No other changes occurred between the two groups between baseline and follow-up. At baseline, patients with vestibular asymmetry had more balance deficits and increased postural sway compared to patients without (p = 0.00-0.05). Conclusion: Group sessions with vestibular rehabilitation twice a week for 9 weeks affected the occurrence of vestibular asymmetry positively among patients having vestibular asymmetry. Patients with vestibular asymmetry had more balance deficits and increased postural sway than patients without vestibular asymmetry. Vestibular assessment is important, and, in patients with diagnosed vestibular asymmetry, vestibular rehabilitation may prove beneficial on balance and possibly reduce the risk of future falls.

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Sensory interaction on static balance: A comparison concerning the history of falls of community‐dwelling elderly

Abstract: Sensorial interaction in the elderly varies according to their history of falls. Thus, it is possible to correctly guide the rehabilitation process and to prevent sensorial decays according to an individual's history of falls.

Cited by 46 publications

References 18 publications

Quedas: conceitos, frequências e aplicações à assistência ao idoso. Revisão da literatura

Quedas: conceitos, frequências e aplicações à assistência ao idoso. Revisão da literatura

Saccadic Eye Movement Improves Plantar Sensation and Postural Balance in Elderly Women

Vestibular Rehabilitation Affects Vestibular Asymmetry among Patients with Fall-Related Wrist Fractures - A Randomized Controlled Trial

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