The Patient Who Falls

Tinetti, Mary E.; Kumar, C. T. Sudhir

doi:10.1001/jama.2009.2024

Cited by 794 publications

(350 citation statements)

References 61 publications

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“…Semelhante a outras condições que afetam o idoso, tais como delirium e incontinência urinária, a queda é considerada uma síndrome geriátrica 6 . É caracterizada pela contribuição de múltiplos fatores de natureza intrínseca acompanhada ou não de riscos ambientais, e pela interação entre doenças crônicas predisponentes e eventos agudos precipitantes 1,2,6,7 .…”

Section: Introductionunclassified

Associação entre sintomas de insônia, cochilo diurno e quedas em idosos da comunidade

2013

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Essa pesquisa investigou associações entre sintomas de insônia, cochilo diurno, e quedas em idosos da comunidade. Estudo transversal de base populacional e amostra probabilística envolvendo 689 idosos da comunidade. O protocolo continha variáveis de autorrelato e de desempenho físico. Foi utilizada a análise de regressão logística univariada e multivariada, e o nível de significância estatística adotado foi de p < 0,05. A prevalência de sintomas de insônia e cochilo diurno foi de 49,9% (n = 339) e 62,8% (n = 432), respectivamente. Quatorze vírgula quatro porcento relataram uma única queda e 11,9% relataram quedas recorrentes. A ocorrência de quedas associou-se com sexo feminino (OR = 7,73; IC95%: 3,03-19,72), idade > 80 anos (OR = 3,48; IC95%: 1,54-7,85), cochilo diurno (OR = 2,24; IC95%: 1,24-4,05) e sintomas depressivos (OR = 1,98; IC95%: 1,11-3,53). A associação entre cochilo diurno e quedas replicam dados de pesquisa internacional. Identificar fatores de risco modificáveis pode auxiliar programas de prevenção de quedas.

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Section: Introductionunclassified

Associação entre sintomas de insônia, cochilo diurno e quedas em idosos da comunidade

2013

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“…Researches have revealedas those having a higher number of associated diseases, are also most affected by falls [6,7].…”

Section: Introductionmentioning

confidence: 99%

Falls and health-related quality of life (SF-36) in elderly people—ISACAMP 2008

Rodrigues¹,

Lima²,

Barros³

2013

Health

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“…Our results also support the decrease in transverse axis displacement, especially in older persons. In a recent review, impaired balance, poor muscle strength, visual impairment, impaired gait, and activities of daily living limitations have consistently been found to increase the risk of postural problems in older persons [41][42]. Therefore, one should understand the potential benefit of dominant hip joint flexibility strategies based on pathomechanical spinal movement patterns.…”

Section: Discussionmentioning

confidence: 99%

Kinematic analysis of symmetric axial trunk rotation on dominant hip

Sung¹,

Kim²

2011

JRRD

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Abstract-Axial rotation of the trunk has been reported as a significant risk of low back dysfunction. However, a lack of biomechanical investigation exists that explains how twisting is accomplished with simultaneous asymmetric handling between the hip joints and lumbar spine. We used a threedimensional motion analysis to measure movements of the bilateral hips and lumbar spine. Forty-four persons participated in the study, and the results indicated that spinal range of motion (ROM) was significantly different based on dominance (F = 198.83, p = 0.001), region x dominance (F = 14.21, p = 0.001), and dominance x dimension (F = 141.08, p = 0.001). We also found a three-way interaction between region x dominance x dimension (F = 26.30, p = 0.001). These results indicated that the motion of the transverse and sagittal planes significantly increased when the participants attempted to rotate their hips, especially on the nondominant side. Decreased axial trunk ROM on the side of dominance might stiffen passive structures of the hip joints. The functions of the hip joints and lumbar spine might be altered three dimensionally based on the side of dominance.

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The Patient Who Falls

Cited by 794 publications

References 61 publications

Associação entre sintomas de insônia, cochilo diurno e quedas em idosos da comunidade

Associação entre sintomas de insônia, cochilo diurno e quedas em idosos da comunidade

Falls and health-related quality of life (SF-36) in elderly people—ISACAMP 2008

Kinematic analysis of symmetric axial trunk rotation on dominant hip

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