scholarly journals Effects of training with nintendo wii on balance and mobility in institutionalized elderly

2020 ◽  
pp. 1-6
Author(s):  
Lara Alves Moreira ◽  
Lívia Marcondes Faber ◽  
Marcos Eduardo Scheicher
Keyword(s):  
The Elderly ◽  
Functional Mobility ◽  
Static Balance ◽  
Nintendo Wii ◽  
Timed Up And Go ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Increased Risk ◽  
Risk Of Falls ◽  
Pre Treatment

Background: One of the consequences of the institutionalization of the elderly is the increased risk of falls. Games of video games have shown ability to improve balance in the elderly population, but there is no data on their use in institutionalized elderly. Objective: To evaluate the effects of training with Nintendo Wii on static balance and functional mobility in elderly living in Long-Term Care Facilities for Elderly. Methods: Participated in the research 10 institutionalized elderly, who underwent training with Nintendo Wii for eight weeks, twice a week. Functional mobility was assessed by the Timed Up and Go (TUG) test and the static balance by a force platform. Results: Significant improvement in TUG was observed (17.65 ± 4.38s pre-treatment and 15.30 ± 3.70s p= 0.03). There was no significant improvement in the static equilibrium variables, but there was a tendency for improvement. Conclusion: The results demonstrated that the intervention with Nintendo Wii significantly improved the functional mobility, but with no improvement in the static balance in the institutionalized elderly.

scholarly journals Effect of physical exercise program on the balance and risk of falls of institutionalized elderly persons: a randomized clinical trial

2016 ◽  
Vol 19 (3) ◽  
pp. 473-482 ◽  
Author(s):  
Camila Tomicki ◽  
Sheila Cristina Cecagno Zanini ◽  
Luana Cecchin ◽  
Tania Rosane Bertoldo Benedetti ◽  
Marilene Rodrigues Portella ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Exercise Program ◽  
The Elderly ◽  
Berg Balance Scale ◽  
Elderly Persons ◽  
Post Intervention ◽  
Timed Up And Go ◽  
Institutionalized Elderly ◽  
Body Balance ◽  
Risk Of Falls

Abstract The aim of the present study was to evaluate the effect of an exercise program on the postural balance and risk of falls of institutionalized elderly persons. A randomized controlled trial was performed. The study was conducted in two long-stay philanthropic care facilities for the elderly in a city in the north of Rio Grande do Sul, Brazil. Participants were divided into control (G1) and intervention groups (G2). G1 did not receive any type of intervention whereas G2 participated in an exercise program three times a week for twelve weeks. The groups were evaluated by the Berg Balance Scale (BBS) and the Timed Up and Go Test (TUGT). After the intervention, G2 achieved better scores in both BBS and in the TUGT, indicating a significant improvement in body balance and a reduction in the risk of falls compared to G1. The Spearman ordinal correlation revealed that there was a statistically significant association between BBS and TUGT (p<0.001). G1 did not present positive results compared to G2 both at baseline and in post intervention. It can be inferred that the proposed exercise program was effective in improving body balance and the performance of functional tasks, contributing to an improvement in the risk of falls as a result. REBEC: RBR-5XNYJS.

scholarly journals Short-term effects of additional sensory information in mobility and gait speed in older fallers

2020 ◽  
pp. 1-5
Author(s):  
Isabela Feitosa de Carvalho ◽  
Gianluca Loyolla Montanari Leme ◽  
Marcos Eduardo Scheicher
Keyword(s):  
Gait Speed ◽  
Postural Balance ◽  
Elderly Women ◽  
Sensory Information ◽  
The Elderly ◽  
Functional Mobility ◽  
Wilcoxon Test ◽  
Timed Up And Go ◽  
Significant Difference ◽  
Risk Of Falls

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.

HYPERTENSION IN ELDERLY:OUR CURRENT TRENDS

2021 ◽  
pp. 56-57
Author(s):  
Rohit Arora ◽  
D.K Sharma
Keyword(s):  
Blood Pressure ◽  
Elderly Patients ◽  
The Elderly ◽  
Common Disease ◽  
Old Patients ◽  
Current Trends ◽  
Increased Risk ◽  
Individualized Approach ◽  
Risk Of Falls ◽  
Optimal Target

Hypertension is a common disease in the elderly associated with signicant morbidity and mortality. Due to the complexity of this population, the optimal target of blood pressure (BP) control is still controversial. In this article, we conduct a literature review of trials published in English in the last 10 years which were specically designed to study the efcacy and safety of various BP targets in patients who are 70 years or older. Using these criteria, we found that the benets in the positive studies were demonstrated even with a minimal BPcontrol (systolic BP[SBP] <150 mmHg) and continued to be reported for a SBP<120 mmHg. On the other hand, keeping SBP<140 mmHg seemed to be safely achieved in elderly patients. Although the safety of lowering SBP to <120 mmHg is debated, Systolic Blood Pressure Intervention Trial study has shown no increased risk of falls, fractures, or kidney failure in elderly patients with SBP lower than this threshold. While the recent guidelines recommended to keep BP <130/80 mmHg in the elderly, more individualized approach should be considered to achieve this goal in order to avoid undesirable complications. Furthermore, further studies are required to evaluate BPtarget in very old patients or those with multiple comorbidities.

scholarly journals Balance Strategy Exercise versus Lower Limb-ROM Exercise for Reducing the Risk of Falls among Older People

2021 ◽  
Vol 11 (1) ◽  
pp. 114-123
Author(s):  
Zakia Azkia ◽  
Rahmi Setiyani ◽  
Lita Heni Kusumawardani
Keyword(s):  
Nursing Homes ◽  
Older People ◽  
Range Of Motion ◽  
Lower Limb ◽  
Institutional Care ◽  
Control Group ◽  
Timed Up And Go ◽  
Term Care ◽  
Risk Of Falls ◽  
Balance Strategy

Background: Falls are a significant health problem and the most common cause of injuries in older people. Different types of exercise have been recommended to prevent falls, including balance exercise and range of motion. However, there is a lack of evidence to compare the effect of the two exercises.Purpose: This study aimed to compare the effect of Balance Strategy Exercise (BSE) and Lower Limb-Range of Motion (ROM) exercise on reducing the risk of falls among older people living in long-term care facilities. Methods: This was a quasi-experimental study using a pre-post design without a control group. A total of 30 older adults from two nursing homes who met the inclusion and exclusion criteria participated in the study. A cluster randomization technique was used to assign the older people into either BSE or Lower-Limb ROM groups evenly. Treatment was given for 30 minutes per session, three sessions per week for three weeks. The risk of falls was measured using the Timed Up and Go (TUG) test. The paired t-test, Wilcoxon and Mann-Whitney U-test were used to analyze the data. Results: Results showed significant differences in the TUG scores before and after the intervention within both the BSE (p=0.001) and the Lower Limb-ROM group (p=0.001). However, the Lower Limb-ROM group demonstrated a significantly higher reduction in TUG score than the BSE group after the intervention (p=0.008).Conclusion: Lower Limb-ROM exercise is better to reduce the risk of falls among older people living in institutional care than BSE. This exercise can be applied as part of a fall prevention program in nursing homes.

Does the Management of Visual and Audible Motion Information during an Immersive Virtual Reality Timed Up and Go Test Impact Locomotor Performance in the Elderly?

Gerontology ◽  
2021 ◽  
pp. 1-9
Author(s):  
Frédéric Muhla ◽  
Karine Duclos ◽  
Fabien Clanché ◽  
Philippe Meyer ◽  
Séverine Maïaux ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Motor Control ◽  
Optical Flow ◽  
Fear Of Falling ◽  
The Elderly ◽  
Public Health Issue ◽  
Immersive Virtual Reality ◽  
Timed Up And Go ◽  
Friedman's Test ◽  
Risk Of Falls

<b><i>Background/Aims:</i></b> Falling among the elderly is a major public health issue, especially with the advancing age of the baby boomers. The fall risk assessment tests for many lack a context that would bring them closer to everyday life. Thus, immersive virtual reality, which makes it possible to simulate everyday situations, could make it possible to strengthen the quality of the assessment of the risk of falls. However, it is necessary to understand how the use of a virtual reality device influences the motor control of elderly participants. If vestibular physiotherapists use VR to virtualize their tools, what impact would a visual simulation of movement have on motor control in a locomotor task, if this simulation were plausible? <b><i>Methods:</i></b> Sixty-two elders (70.8 ± 6.7 years old) completed a Timed Up and Go task under 3 conditions: real, virtual reality, and virtual reality with visual and sound movement information. The virtual reality task takes place in a train either stationary at a station or in uniform linear motion. The time and number of steps were recorded using video, and comparisons between conditions were made using Friedman’s test. <b><i>Results:</i></b> The results show a significant increase in the time and number of steps in “virtual reality” condition compared to the “real” condition. They do not show significant differences between the 2 virtual conditions. <b><i>Conclusion:</i></b> The use of a running virtual train to provide plausible movement is particularly distinguished from vestibular physiotherapy applications with first a fixed visual support partially obscuring the optical flow. This visual aid coupled with the attention dedicated to the task inhibits the effect of the moving environment on locomotion. However, the visual optical flow will potentially have an effect in people with fear of falling. Virtual reality shows great potential for the simulation of realistic environments for the assessment of the risk of falls and opens up avenues for the development of tests.

Effects of cognitive and physical loads on dynamic and static balance of older adults under single, dual and multi-task conditions

2019 ◽  
Author(s):  
Hamid Allahverdipour ◽  
Iman Dianat ◽  
Galavizh Mameh ◽  
mohammad Asghari Jafarabadi
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Cognitive Task ◽  
Dynamic Balance ◽  
The Elderly ◽  
Static Balance ◽  
Timed Up And Go ◽  
Task Conditions ◽  
And Control ◽  
Single Versus

Abstract Background: The aim of this study was to evaluate the effects of cognitive and physical loads on dynamic and static balance of older adults under single, dual and multi-task conditions. Methods: The effects of single versus combined (dual-task and multi-task) cognitive (to speak out the name of the weekdays in a reverse order) and physical (with three levels including handling weights of 1kg, 2kg and 3kg in each hand) loads on dynamic and static balance of 42 older adults (21 males and 21 females), aged ≥ 60 years were studied. Dynamic and static balance measures were evaluated using the Timed Up and Go (TUG) and stabilometer (sway index) tests, respectively. Results: The TUG speed of female participants was generally slower than that of male participants. Cognitive task influenced the participants’ dynamic balance during the dual-task conditions, while the static balance was not affected in this phase. The dynamic and static balance measures were more influenced when performing the multi-tasks than when doing the dual-tasks. The effects of various levels of physical demand on the dynamic balance varied greatly under dual- and multi-task conditions. Conclusions: The findings add to the understanding of the factors influencing the elderly balance and control under cognitive and physical functioning.

scholarly journals Parkinson’s Disease and Symptomatic Osteoarthritis Are Independent Risk Factors of Falls in the Elderly

2019 ◽  
Vol 12 ◽  
pp. 117954411988493 ◽  
Author(s):  
Anneli Teder-Braschinsky ◽  
Aare Märtson ◽  
Marika Rosenthal ◽  
Pille Taba
Keyword(s):  
Risk Factors ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Knee Osteoarthritis ◽  
The Elderly ◽  
Control Group ◽  
Increased Risk ◽  
Symptomatic Knee ◽  
Risk Of Falls ◽  
Risk Factors For Falls

Objectives: Deteriorating functionality and loss of mobility, resulting from Parkinson’s disease, may be worsened by osteoarthritis, which is the most common form of joint disease causing pain and functional impairment. We assessed the association between symptomatic hip or knee osteoarthritis, falls, and the ability to walk among patients with Parkinson’s disease compared to a control group. Methods: A total of 136 patients with Parkinson’s disease in Southern Estonia and 142 controls with an average age of 76.8 and 76.3 years, respectively, were enrolled in a retrospective case-control study. Information on falls and related fractures during the previous year was collected from the patients with Parkinson’s disease and controls. Covariates included gender, age, mobility, duration of Parkinson’s disease, and fractures. Results: Patients with Parkinson’s disease were at an increased risk of falls compared to the control group, and for the higher risk of fractures. Symptomatic knee or hip osteoarthritis was a significant independent predictor of falls in both patients with Parkinson’s disease and controls. The higher risk for fractures during the previous year was demonstrated in symptomatic osteoarthritis. Risk factors for falls included also female gender, use of sleep pills, and the inability to walk 500 m. Conclusions: Symptomatic hip and knee osteoarthritis are risk factors for falls and related fractures among the elderly population with and without Parkinson’s disease. The inability to walk 500 m could be used as a simple predictive factor for the increased risk of falls among elderly populations.

scholarly journals Falls among the non-institutionalized elderly in northern Minas Gerais, Brazil: prevalence and associated factors

2016 ◽  
Vol 19 (4) ◽  
pp. 613-625 ◽  
Author(s):  
Jair Almeida Carneiro ◽  
Gizele Carmen Fagundes Ramos ◽  
Ana Teresa Fernandes Barbosa ◽  
Élen Débora Souza Vieira ◽  
Jéssica Santos Rocha Silva ◽  
...  
Keyword(s):  
Associated Factors ◽  
Minas Gerais ◽  
Functional Mobility ◽  
Bivariate Analysis ◽  
Elderly Persons ◽  
Related Factors ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Institutionalized Elderly ◽  
Significance Level

Abstract Objective: To identify the prevalence of falls and associated factors in non-institutionalized elderly persons. Methods: A cross-sectional study featuring a population-based sample of non-institutionalized elderly persons in a city in the north of Minas Gerais was performed. Interviews were conducted in households by trained staff using validated instruments. We investigated the associations between falls and demographic, socioeconomic and health-related factors. After bivariate analysis, the variables associated with falls to a level of 20% were analyzed together using logistic regression, assuming at this stage a significance level of 5%. Results: The studied population was predominantly female, married and with a low educational level. The prevalence of falls was 28.4%. The factors that were associated with falls were: female gender (OR=1.67; 95% CI:1.13 to 2.47); negative self-evaluation of health (OR=1.49; 95% CI: 1.02 to 2.20); impaired functional mobility (Timed Up and Go test >20 seconds) (OR=1.66; 95CI: 1.02-2.74); the occurrence of hospitalization in the previous 12 months (OR=1.82; 95% CI: 1.17 to 2.84); and frailty measured by the Edmonton Frail Scale (OR=1.73; 95% CI: 1.14 to 2.64). Conclusions: The prevalence of falls was high for the population studied and was related to the individual health conditions of the elderly.

scholarly journals Dental Functionality: construction and validation of an oral health indicator for institutionalized elderly persons in the city of Natal, Rio Grande do Norte

2018 ◽  
Vol 21 (4) ◽  
pp. 389-396
Author(s):  
Natália Cristina Garcia Pinheiro ◽  
Yan Nogueira Leite de Freitas ◽  
Tamires Carneiro de Oliveira ◽  
Vinícius Carlos Duarte Holanda ◽  
Paulo Sérgio Silva Pessoa ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Oral Health ◽  
Rio Grande ◽  
The Elderly ◽  
Elderly Persons ◽  
Analysis Model ◽  
Term Care ◽  
Institutionalized Elderly ◽  
Care Facilities ◽  
The City

Abstract Objective: to suggest a composite indicator that identifies the oral health condition of institutionalized elderly persons. Method: an observational and cross-sectional study was performed. A total of 315 elderly persons were investigated in long-stay care facilities for the elderly in the city of Natal, Rio Grande do Norte, Brazil. Such individuals underwent an epidemiological evaluation of their oral health conditions, based on the DMFT index, CPI and the PAL (periodontal attachment loss) index. Factor analysis was used to identify a relatively small number of common factors by principal component analysis. Results: five oral health variables were included in factor analysis, and using the Kaiser criterion, which considers the percentage of variance explained by the factors, a single factor which together explained 79.7% of the total variance of the variables included in the analysis model was selected. This factor was analyzed and interpreted according to the dimension to which it related, and was entitled the factor of Dental Functionality. Conclusion: this factor generated an objective indicator to characterize the oral health of the elderly in long-term care facilities for the elderly of Natal, Rio Grande do Norte, and represents a parameter for studies of the oral health outcomes of this elderly population. It also revealed a change in the dental profile of this population with more teeth present in the mouth and a reduction in edentulism.

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