scholarly journals Rethinking the neurological examination I: static balance assessment

2011 ◽  
Vol 69 (6) ◽  
pp. 954-958 ◽  
Author(s):  
Péricles A. Maranhão-Filho ◽  
Eliana Teixeira Maranhão ◽  
Marcos Martins da Silva ◽  
Marco Antônio Lima
Keyword(s):  
Elderly Patients ◽  
Neurological Examination ◽  
Sensory Integration ◽  
Static Equilibrium ◽  
Static Balance ◽  
Clinical Test ◽  
Balance Assessment ◽  
Risk Of Falling ◽  
Functional Reach ◽  
Functional Reach Test

The authors advocate a modernization of the neurologic exam with regard to the evaluation of static equilibrium through the application of some easily performed and interpreted bedside maneuvers like the Clinical Test of Sensory Integration and Balance - modified and the Functional Reach Test. The authors also believe that these and other assessments, such as that of the risk of falling for elderly patients, should be incorporated into the routine neurological examination.

scholarly journals Computerized Functional Reach Test to Measure Balance Stability in Elderly Patients With Neurological Disorders

2016 ◽  
Vol 8 (10) ◽  
pp. 715-720 ◽  
Author(s):  
Silvio Scena ◽  
Roberto Steindler ◽  
Moira Ceci ◽  
Stefano Maria Zuccaro ◽  
Eli Carmeli
Keyword(s):  
Elderly Patients ◽  
Neurological Disorders ◽  
Functional Reach ◽  
Functional Reach Test ◽  
Balance Stability

scholarly journals Influence of Drugs of Continuous Use on the Sensory Regulation of the Static Balance of Elderly Regular Practitioners of the Pilates Method

2021 ◽  
Vol 22 (3) ◽  
pp. 248-255
Author(s):  
Marcelo de Maio Nascimento ◽  
Deborah Lays Silva De Deus ◽  
Pâmala Morais Bagano Rios ◽  
Paloma Sthefane Teles Silva
Keyword(s):  
Odds Ratio ◽  
Elderly Women ◽  
Static Balance ◽  
Clinical Test ◽  
Risk Of Falling ◽  
Sensory Interaction ◽  
Sensory Regulation ◽  
History Of ◽  
Pilates Method ◽  
Continuous Use

AbstractThe combination of types of medications can compromise the regulation of body balance in older adults. This study evaluated the effect of continuous use drugs on the sensory regulation of static balance in elderly women who regularly practice the Pilates method with and without a history of falls and estimate the risk of falls in this population. Cross-sectional study, carried out with 94 women (67.12±4.74 years) practicing Pilates, divided into: non-fallers (n = 74) and fallers (n = 18). Sociodemographic data, comorbidities, medications, and Mini Mental State Examination (MMSE), Falls Efficacy Scale (FES), Confidence in Balance Scale (ABC) were applied. The examination of static balance was performed by the Clinical Test of Sensory Interaction and Balance (CTSIB). The risk of falling was analyzed using an adjusted multiple logistic regression model, while the effect of drugs on falls was estimated by binary regression, results were presented using the odds ratio (OR). The CTSIB test revealed Condition 4 (OR = 3.038; 95% CI = 1.321–15.674) and Condition 5 (OR = 5.542; 95% CI = 1.678–18.303) as predictors of falls. Drugs showing an effect on fall were β2 agonist associated with glucocorticoid (OR = 0.245; 95% CI = 1,233–2,400), thiazide diuretic (OR = 0.344; 95% CI = 1.122–2.234), statin (OR = 0.245; 95 % CI = 1,237–2,338), angiotensin II receptor antagonist (OR = 0,245; 95% CI = 1,236–2,339), beta blocker (OR = 0,245; 95% CI = 1,238–2,402) and anti-vertigo (OR = 0,245; 95 % CI = 1.230–2.399). Regardless of the history of falls, the risk of falling was present in older adult regular Pilates practitioners. Six different drugs for continuous use showed an effect on falls.Keyword: Accidental Falls. Aging. Women´s Health. Accident Consequences.ResumoA combinação de tipos de medicamentos pode comprometer a regulação do equilíbrio corporal de idosos. Este estudo avaliou o efeito de fármacos de uso contínuo sobre a regulação sensorial do equilíbrio estático de mulheres idosas praticantes regulares do método Pilates com e sem histórico de queda e estimar o risco de queda dessa população. Estudo transversal, realizado com 94 mulheres (67,12±4,74 anos) praticantes de Pilates, divididas em: não-caidoras (n=74) e caidoras (n=18). Foram coletados dados sociodemográfico, comorbidades, medicamentos, e aplicado Mini Exame do Estado Mental (MEEM), Falls Efficacy Scale (FES), Escala de Confiança no Equilíbrio (ABC). O exame do equilíbrio estático foi realizado pelo Clinical Test of Sensory Interaction and Balance (CTSIB). O risco de queda foi analisado pelo modelo de regressão logística múltipla ajustado, enquanto, que o efeito dos fármacos sobre queda foi estimado pela regressão binária, resultados foram apresentados pelo odds ratio (OR). O teste CTSIB revelou a Condição 4 (OR= 3,038; 95% IC= 1,321–15,674) e Condição 5 (OR= 5,542; 95% IC= 1,678–18,303) como previsora de quedas. As drogas que mostram efeito sobre queda foram agonista β2 associada com glicocorticóide (OR=0,245; 95% IC= 1,233–2,400), diurético tiazídico (OR=0,344; 95% IC=1,122–2,234), estatina (OR=0,245; 95% IC=1,237–2,338), antagonista do receptor de angiotensina II (OR=0,245; 95% IC=1,236–2,339), betabloqueador (OR=0,245; 95% IC=1,238–2,402) e antivertiginoso (OR=0,245; 95% IC=1,230–2,399). Independente do histórico de quedas, o risco de cair esteve presente em idosas praticantes regulares do Pilates. Seis diferentes medicamentos de uso contínuo mostraram efeito sobre queda. Palavras-chave: Acidentes por Quedas. Envelhecimento. Saúde da Mulher. Consequências de Acidentes.

scholarly journals The Effect of 4-weeks Perturbation Training on Balance, Movement Function, and Risk of Falling in Blind People

2021 ◽  
Vol 10 (3) ◽  
pp. 588-603
Author(s):  
Mohammad Hani Mansoori ◽  
◽  
Yousof Moghadas Tabrizi ◽  
Mohammad Karimizadeh Ardakani ◽  
Mitra Omidi ◽  
...  
Keyword(s):  
Visual Impairment ◽  
Dynamic Balance ◽  
Control Group ◽  
Static Balance ◽  
Blind People ◽  
Risk Of Falling ◽  
Perturbation Training ◽  
Functional Reach Test ◽  
Movement Function ◽  
Experimental Group

Background and Aims: Perturbation training is a type of exercise in which participants frequently experience loss of balance to practice and improve control of balance reactions. Due to postural control impairment in blind people, this study aimed to investigate the effect of 4-week perturbation-based balance training on risk of falling, movement function, and balance in people with visual impairment. Methods: In the current, 30 men with absolute visual impairment were randomly divided into control (n=15) and experimental (n=15) groups. The experimental group performed perturbation exercises for four weeks and three sessions per week for 60 minutes. To evaluate the static balance of the modified stork test, the dynamic balance of the Berg balance tests, the movement function of the Tinetti test, and the fall risk of the functional reach test before and after the training intervention were used. Data were analyzed using an independent t-test and repeated measures analysis of variance at the level of α=0.05. Results: The results showed that the experimental group had an increase in the mean scores of static balance (P=0.001), dynamic balance (P=0.001), movement function (P=0.001), and decreased risk of falling (P=0.001) and is significantly better than the control group. Also, in the post-test, the findings of intragroup changes showed that the experimental group had a more significant effect on increasing balance, increasing movement function, and decreasing the rate of falling than the control group (P<0.05). Conclusion: According to the results of the present study, the use of perturbation exercises improves balance, increases the level of movement function, and reduces the risk of falling in blind people. Due to the positive effects of exercises and the benefits of this type of rehabilitation, it is recommended that this rehabilitation program be performed on the blind and visually impaired. Sports instructors are advised to use the balance-based perturbation exercises in this study and other exercises for people with visual impairment to increase their fitness.

scholarly journals A modified digital functional reach test device using an ultrasonic sensor for balance assessment: A test of validity and reliability

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Panida Hanphitakphong ◽  
Somruthai Poomsalood ◽  
Chakkapong Chamroon ◽  
Palagon Udomkichpagon
Keyword(s):  
Motion Analysis ◽  
Ultrasonic Sensor ◽  
Validity And Reliability ◽  
Balance Assessment ◽  
Test Device ◽  
Functional Reach ◽  
Functional Reach Test ◽  
Test Retest Reliability ◽  
Standard Error Of Measurement ◽  
Error Of Measurement

Abstract Study aim: Evaluation of dynamic balance is inferred to be compulsory for fall prevention in the elderly. Therefore, this study aimed to develop a modified digital functional reach test device using an ultrasonic sensor for balance assessment and to test validity and reliability of the newly developed tool to qualify psychometric properties. Material and methods: This study was a cross-sectional study of a convenient sample including 50 participants both males and females. Mean age of the participants was 51.20 ± 19.30 years. Reliability of the newly developed device was analysed using the intraclass correlation coefficient (ICC) and standard error of measurement (SEM). The criterion validity was also investigated using a yardstick mounted on the wall at a level of shoulder together with the MaxTraq® 2D motion analysis software. The modified digital functional reach test device using an ultrasonic sensor was correlated with the conventional FRT and the MaxTraq® 2D motion analysis. Results: The results presented that test-retest reliability of the modified digital functional reach test device was good reliability (ICC = 0.76) and low standard error of measurement (1.41) was found for test-retest reliability. The degree of agreement between the modified device, the conventional FRT, and the MaxTraq® 2D motion analysis was high (r = 0.71 and 0.77 respectively). Conclusions: The findings suggested that the modified digital functional reach test device using an ultrasonic sensor was a valid and reliable instrument for fall risk screening towards functional reach distance.

Evaluation attempt of own body sensing amongst persons with and without scoliosis

2021 ◽  
pp. 1-6
Author(s):  
Elżbieta Szczygieł ◽  
Agata Gigoń ◽  
Izabela Cebula Chudyba ◽  
Golec Joanna ◽  
Golec Edward
Keyword(s):  
Idiopathic Scoliosis ◽  
Sensory Integration ◽  
Head Position ◽  
Clinical Test ◽  
Spine Deformity ◽  
Functional Tests ◽  
Body Proportion ◽  
Average Value ◽  
Age Range

BACKGROUND: Adolescent idiopathic scoliosis (AIS) is a common structural spine deformity affecting 2%–4% of adolescents. Due to the unknown cause of idiopathic scoliosis, its therapy is a long-term and often unsatisfactory process. In the literature, it is often suggested that problems related to the feeling of one’s own body are caused by AIS. OBJECTIVE: The aim of this study was to assess the feeling of one’s own body among children with and without scoliosis on the example of feeling the head position, pelvis shape and balance. METHOD: The research included 62 children: 30 with scoliosis and 25 without diagnosed scoliosis with an age range between 11 to 19 years. The minimum scoliosis value was 7∘ and the maximum was 53∘. The average value was 25∘. During the study, three functional tests were used: Cervical Joint Position Error Test (CJPET), Clinical Test of Sensory Integration on Balance (CTSIB) and Body proportion demonstration test (BPDT). RESULTS: The results of the tests showed statistically significant differences (CJPET p= 3.54* 10-14, CTSIB p= 0.0376, BPDT p= 0.0127). However, none of the studies showed a correlation between the results of people with scoliosis and the value of their Cobb angles.

Kinesio taping techniques for ankle stabilisation in patients with stroke: a single-blinded randomised controlled study

2021 ◽  
Vol 28 (2) ◽  
pp. 1-12
Author(s):  
Ramazan Kurul ◽  
Tamer Cankaya ◽  
Necmiye Un Yildirim
Keyword(s):  
Barthel Index ◽  
Intervention Group ◽  
Controlled Study ◽  
Timed Up And Go ◽  
Peroneus Longus ◽  
Kinesio Taping ◽  
Functional Reach ◽  
Significant Difference ◽  
Functional Reach Test ◽  
Peroneus Brevis

Background/AimsAnkle proprioception and neuromuscular feedback from this region provides the sensory input needed for balance. The aim of this study was to investigate the effects of repeated correction taping applied on the ankle and peroneus longus and peroneus brevis muscles on balance and gait in patients with stroke.MethodsA total of 61 patients with stroke with a mean age of 62.25 ± 7.04 years were included in this study. The patients were randomly divided into two groups. The control group (n=30) received 1 hour of rehabilitation, which took place during weekdays over the course of 2 weeks. The intervention group (n=31) received 1 hour of daily rehabilitation as well as having kinesio tape applied to their ankle. Both groups were assessed with the Balance Evaluating Systems Test, Timed Up and Go Test, Functional Reach Test, Tetrax Balance System and Barthel Index. Clinical assessments were performed at baseline, immediately after the first application, 1 week and 2 weeks later, following the first taping.ResultsThere was a significant improvement in the Balance Evaluating Systems and Functional Reach Tests scores between the first and last measurements in favour of the intervention group (P<0.05). There were no significant changes between baseline and immediately after assessment for all measurements (P>0.05). There was no significant difference in Tetrax scores, Timed Up and Go Test and Barthel Index scores (P>0.05).ConclusionsIn this study, it was found that dynamic balance was improved by taping the peroneus longus and peroneus brevis muscles, but the static balance did not change. One week of kinesio taping would be beneficial; however, prolonged use would not provide further improvement.

Effects of proprioception training program on balance among patients with diabetic neuropathy: a quasi experimental trial

2021 ◽  
pp. 1-12
Author(s):  
Humaira Iram ◽  
Muhammad Kashif ◽  
Hafiz Muhammad Junaid Hassan ◽  
Salma Bunyad ◽  
Samra Asghar
Keyword(s):  
Diabetic Neuropathy ◽  
Dynamic Balance ◽  
Berg Balance Scale ◽  
Exercise Group ◽  
Walk Test ◽  
Timed Up And Go ◽  
Functional Reach ◽  
Functional Reach Test ◽  
Quasi Experimental ◽  
Eyes Open

Abstract Objective: To determine the effects of proprioception training in improving balance in patients with diabetic neuropathy. Methods: A quasi-experimental design study was conducted at the Safi Hospital Faisalabad for eight weeks from August to December 2019. Out of, 38, 19 patients were placed in exercise group (10 males, 9 females; mean age 64 ± 7.7 years; range 60 to 83 years) and 19 patients were placed in controls group (12 males, 7 females; mean age 63 ± 8.2 years) were included in this study through consecutive sampling technique. Proprioception Training was given to exercise group twice a week for eight weeks and the diabetes awareness campaign was given once a week to the control group. Static and dynamic balance were assessed by using One Leg Standing (OLS) Test with eyes open and closed, Berg Balance Scale (BBS), Functional Reach Test (FRT), Timed Up and Go Test (TUGT) and 10-M Walk Test (10-MWT). The data was collected before and after treatment and was compared using independent sample t-test. Results: The finding of the study showed that OLS score with eyes open improved significantly with p<0.05 and does not show improvement with eyes closed p =.073. The dynamic balance from the Berg Balance Scale, Functional Reach Test, Timed Up and Go Test and 10-M Walk Test revealed significant improvement after the balance exercises with p<0.05 Conclusion: It is concluded that proprioception training exercises are effective in improving balance among patients with Diabetic neuropathy. Continuous...

scholarly journals Influence of middle ear alterations on children's balance

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Joana Ferreira ◽  
Carla Matos Silva ◽  
Inês Araújo
Keyword(s):  
Tympanic Membrane ◽  
Otitis Media ◽  
Middle Ear ◽  
Postural Balance ◽  
Sensory Integration ◽  
Type A ◽  
Clinical Test ◽  
Type B ◽  
Balance Performance ◽  
Balance Disorders

Abstract Background Postural instability is a possible symptom in children with otitis media, which often occurs in this population. The child with balance disorders usually has intolerance to sudden movements, difficulties in moving in the dark, nausea, vomiting and numerous fall events. To verify whether changes in the middle ear can influence the balance postural in children from 3 to 5 years. Methods The sample consisted of 31 children of both sexes, aged between 3 and 5 years. To collect data, a tympanogram was used to analyze the integrity of the tympanic membrane and the Modifid Clinical Test of Sensory Integration and Balance (MCTSIB), with four different sensory conditions, to assess static postural balance. Results Regarding the tympanogram, it was verified that the majority of the sample showed no changes, 45.2% of which were type A and 32.3% of type C1. Regarding the type B and C2 tympanogram, it was found that 12.9% of the sample had type B tympanogram and 9.7% type C2. When comparing these values with the MCTSIB results, there were no significant differences between the tympanogram with changes (B and C2) and the tympanogram without changes (A and C1), regarding the child's balance performance. Conclusions In this study, it was concluded that the alterations of the middle ear, proved through the tympanogram, did not influence the postural balance. However, it was found that the unilateral changes reported by the tympanogram, suggest higher values of postural oscillation, compared to bilateral changes.

scholarly journals Balance a few years after total hip replacement

2019 ◽  
Author(s):  
Agnieszka Wareńczak ◽  
Przemysław Lisiński
Keyword(s):  
Total Hip Replacement ◽  
Hip Replacement ◽  
Dynamic Balance ◽  
Berg Balance Scale ◽  
Step Test ◽  
Control Group ◽  
Timed Up And Go ◽  
Total Hip ◽  
Functional Reach ◽  
Functional Reach Test

Abstract Background: The aim of the study was to conduct a long-term evaluation of whether total hip replacement permanently affects the quality of postural reactions and body balance. Material and methods: The unilateral Total Hip Replacement (THR) group consisted of 30 subjects (mean age: 69.4). The control group consisted of 30 healthy subjects (mean age: 68.8). The force platform and functional tests such as Timed Up and Go, 3m walk test, Functional Reach Test, 30s Chair Stand Test, Step Test and Berg Balance Scale were used to assess dynamic balance. Results: Subjects from the study group exhibited significantly increased time (p=0.002) and distance (p=0.012) in the tests performed on the force platform compared to the control group. We also observed worse balance and functional test scores in the THR group: Timed Up and Go test (p<0.001), 3m walk test (p<0.001), Functional Reach Test (p=0.003), 30s Chair Stand Test (p=0.002) and Step Test (operated leg: p<0.001, non-operated leg: p=0.002). The results obtained in the Berg Balance Scale tests were not significantly different between the groups (p=0.597). Conclusions: Our research shows that total hip replacement permanently impairs patients’ dynamic balance and functionality in certain lower-extremity activities. Keywords: balance, total hip replacement, gait, muscle strength

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