The effects of two spinal orthoses on balance in elderly people with thoracic kyphosis

2013 ◽  
Vol 37 (5) ◽  
pp. 404-410 ◽  
Author(s):  
Fatemeh Azadinia ◽  
Mojtaba Kamyab ◽  
Hamid Behtash ◽  
Nader Maroufi ◽  
Bagher Larijani

Background:Hyperkyphosis increases the risk of falls for elderly people by reducing postural balance. Spinomed orthosis and the posture-training support are two available options for improving postural balance but have never been compared.Objectives:To compare the effect of the Spinomed orthosis and the posture-training support on balance in elderly people with thoracic hyperkyphosis.Study Design:This study is a clinical trial on an accessible sample of elderly people with thoracic kyphosis.Method:Eighteen participants (16 women and 2 men), aged 60–80 years, with thoracic kyphosis greater than 50°, completed the study procedure. Subjects were randomly allocated to two groups, namely, Spinomed orthosis and the posture-training support groups. Sensory organization test and limits of stability were assessed using the EquiTest system and the Balance Master system, respectively. Balance score, directional control, and reaction time were measured to evaluate balance with and without orthosis in a random order.Results:In the posture-training support group, significant changes were observed in the studied balance parameters: balance score ( p < 0.001), directional control ( p = 0.027), and reaction time ( p = 0.047). There was a significant change in balance score ( p < 0.001) and directional control ( p = 0.032) in the Spinomed group. However, there were no significant differences in the effect of the two orthoses, the Spinomed orthosis and posture-training support, on balance factors.Conclusion:Both Spinomed orthosis and posture-training support may improve balance in the elderly with thoracic hyperkyphosis in a similar manner.Clinical relevanceDespite the importance of falls suffered by elderly people, not much attention has been paid to balance improvement and fall prevention while managing hyperkyphosis. This study evaluates the effect of the Spinomed orthosis and posture-training support on balance in hyperkyphotic elderly people. It provides some new insights into reducing the risk of falls for elderly people.

10.3823/2416 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Mayara Muniz Peixoto Rodrigues ◽  
Renata Maia De Medeiros Falcão ◽  
Rafaella Felix Serafim Veras ◽  
Keylla Talita Fernandes Barbosa ◽  
Fabiana Maria Rodrigues Lopes de Oliveira ◽  
...  

Objective: evaluate the risk of falls of elderly people residing in a community in northeastern Brazil using the “Timed up and go”. Method: descriptive study, with a quantitative approach, performed with elderly people residing in a community. The collected data related to the sociodemographic and economic characteristics of episodes of falls in the last two years, regular practice of physical exercise and complaint of pain at the time of the interview; and, at last, the application of the “Timed Up and Go” test. Result: Most of the elderly were classified as free and independent and independent. There is a direct relationship between advanced age and increased time to perform the test. Conclusion: the "Timed Up and Go" test was not effective in predicting risk of falls alone and should associate with other indicators. Descriptors: Elderly people; Accidents by fall; Walking; Postural balance.


2016 ◽  
Vol 19 (3) ◽  
pp. 465-472 ◽  
Author(s):  
Marcelo Tavella Navega ◽  
Mariana Giglio Furlanetto ◽  
Daniele Moraes Lorenzo ◽  
Mary Hellen Morcelli ◽  
Beatriz Mendes Tozim

Abstract Objective: To evaluate the influence of the Mat Pilates method on thoracic hyperkyphosis and postural balance among elderly women. Method: A randomized longitudinal study was performed involving 31 elderly women who were divided into two groups: the Control Group (n=17) and the Pilates Group (n=14). The Pilates Group underwent training while the Control Group attended lectures. Evaluation consisted of specific balance (one-leg right and left) and thoracic kyphosis (computed biophotogrammetry) tests. The subjects were reassessed at the end of eight weeks. Data was analyzed by the Shapiro-Wilk test for normality, and the paired Student's t, the unpaired Student's t, the Wilcoxon, and the Mann-Whitney statistical tests, with a significance level of 5% (p<0.05). Results: The Pilates group maintained balance levels (p>0.05) and had a mean thoracic kyphosis reduction of 6 degrees (p<0.001). There was no significant difference (p>0.005) in any of the variables in the Control Group. Conclusion: The present study found that the Mat Pilates method contributed to a reduction in thoracic kyphosis and the maintenance of balance in the elderly women investigated. REBEC: RBR-6jd8nq


2014 ◽  
Vol 27 (1) ◽  
pp. 101-109 ◽  
Author(s):  
Lays Cavallero Pagliosa ◽  
Alexandra Renosto

Introduction Falls in elderly people are an increasing public health problem resulting in high costs to health services. Thus, it is essential to invest in the development of actions and programs focused on decreasing such risks. Objective To verify the effects of a program of health promotion and prevention of falls in relation to balance and functional abilities in elderly people participating in interaction groups in Caxias do Sul City, RS State. Materials and methods For this purpose, 14 elderly people were selected for assessment and reassessment through the following instruments: the Barthel Index, Timed Up and Go Test (TUG), Berg Balance Scale (BBS), and a questionnaire to characterize the sample. Over the course of 2 months, group activities were conducted in a multi-sensory and proprioceptive circuit with a frequency of 2 times per week, totaling 14 meetings. Results The average age of participants was about 72 years old, mostly women (78.6%); 64.3% of them had experienced falls, and 92.9% had already practiced physical activities. After the intervention, there was an average increase of 9.14 points in the BBS (p = 0.000) and an average reduction of 4.4 seconds in gait speed on the TUG test (p = 0.000). Conclusion The application of the proposed program resulted in increasing balance and gait performance of the elderly, reducing the risk of falls.


2020 ◽  
Vol 65 (10) ◽  
pp. 597-601
Author(s):  
S. V. Bulgakova ◽  
E. V. Treneva ◽  
N. O. Zakharova ◽  
A. V. Nikolaeva ◽  
E. A. Ovchinnikova

Hyponatremia is more common in the elderly. A number of studies suggest that even mild chronic hyponatremia is a serious danger, increasing the risks of developing geriatric syndromes, falls, low bone density, fractures, cognitive impairment, and death of all causes. Although the mechanism for the development of such complications is currently not completely clear. Questions remain about the need and methods for correcting this condition, although there is some evidence that the correction of hyponatremia improves cognitive functions, postural balance, minimizing the risk of falls and fractures. These issues are addressed in this review of the literature.


Author(s):  
Isabela Feitosa de Carvalho ◽  
Gianluca Loyolla Montanari Leme ◽  
Marcos Eduardo Scheicher

Background: Postural balance consists of information emanating from the interaction of visual, somatosensory and vestibular systens. This information is impaired in aging, leading to postural control changes in the elderly, increasing the risk of falls in this population. The postural balance may be improved with the addition of sensory information, such as a subpatelar bandage. Objective: To investigate the effect of using additional sensory information in gait speed and functional mobility of older fallers. Methods: 28 elderly women were evaluated, all were considered fallers. The test Timed Up and Go (TUG) was used to assess functional mobility and 10m Test to evaluate the gait speed. The tests were performed with and without the addition of additional sensory information (subpatelar strip). The normality was verified by the Shapiro-Wilk test and the results were compared using paired Student t test and Wilcoxon test. Results: There was significant difference in the TUG (p = 0.0006) and in the gait speed (p = 0.004) with and without subpatelar strip. Conclusion: The use of additional sensory information increased the gait speed and functional mobility of older fallers.


2018 ◽  
Vol 31 (0) ◽  
Author(s):  
Andreia Pelegrini ◽  
Giovana Zaperllon Mazo ◽  
André de Araújo Pinto ◽  
Tânia Rosane Bertoldo Benedetti ◽  
Diego Augusto Santos Silva ◽  
...  

Abstract Introduction: Sarcopenia has been currently considered a public health problem, affecting a large portion of the elderly and making them more susceptible to the risk of falls. Objective: To estimate the prevalence and factors associated with sarcopenia in the elderly from a Brazilian capital. Methods: This is an epidemiological study with cross-sectional design involving data of 439 elderly people from Florianópolis city, Santa Catarina state. The factors potentially associated with sarcopenia (sex, age, weight status) were tested using binary logistic regression, estimating the Odds Ratio and the respective confidence intervals. Results: The prevalence of sarcopenia was 33.3% (95% CI: 28.9, 36.9). Older women (75 years or more) showed less muscle mass in relation to other age groups (p < 0.05). Elderly men, individuals that are 75 years or more, and those with low weight were the subgroups at higher risk for sarcopenia. Obese individuals were less likely to have the outcome. Conclusion: More than one-third of elderly people were diagnosed with sarcopenia. Men, individuals who are older, and those with low weight had a higher risk of having sarcopenia.


2015 ◽  
Vol 24 (01) ◽  
pp. 7-10 ◽  
Author(s):  
M. Pfeifer ◽  
M. Sinaki

SummaryThe objective of exercise in the treatment of osteoporosis is to improve axial stability through strengthening of back extensor muscles. Therefore, a back extension exercise program specific to one’s musculoskeletal competence and pain can be performed in a sitting position and later advanced to the prone position. When fragility is resolved, back extension is performed against resistance applied to the upper back. A significant reduction in back pain, kyphosis, and risk of falls and an improvement in the level of physical activity have been achieved through the SPEED (Spinal Proprioceptive Extension Exercise Dynamic) program. In addition, the application of a “Posture Training Support” (PTS) using a backpack may decrease kyphosis and pain related not only to compression fractures but also reduce iliocostal friction. Therapeutic exercise should address osteo - porosis-related deformities of axial posture, which can increase risk of fall and fracture. Thus, the role of a therapeutic exercise program is to increase muscle strength safely, decrease immobility-related complications, and prevent fall and fracture. As with pharmacotherapy, therapeutic exercises are individualized.


2020 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
NINDY VARA MEIGIA

Minimum Standards Service is basic service quality regulation that is entitled to be obtained by every citizen. Elderly people must obtain 100% health services. Various factors can lead to low visits to the elderly posyandu in the Gading Puskesmas area in 2017. Objective: to find out the relationship between family support, knowledge, and elderly activities in the elderly posyandu in Gading Surabaya puskesmas. Method: The type of research is observational analytic with a cross-sectional design. Data processing and analysis is done by univariate and bivariate. Data collection techniques by conducting simple random sampling with a sample of 94 elderly people. Location and time of research from December 2018 at the posyandu in the Gading Surabaya health center area. Results: There is a significant value of 0,000 <0,05, so it can be concluded is have a relationship with family support, knowledge of elderly with activity following the elderly posyandu at Gading Surabaya health center


Sign in / Sign up

Export Citation Format

Share Document