Falls in the elderly due to vestibular dysfunction: clinical and pathogenetic aspects

This article discusses the clinical features and causes of falls in the elderly due to vestibular dysfunction. The sociomedical significance of this problem is emphasized. Almost 50% of older people who have suffered repeated falls have a restriction of physical activity because of psychological reasons (fear of repeated falls). The most common cause of falls is balance disorders, and the corresponding complaint in patients with falls is vertigo. The description of peripheral and central forms of vertigo is provided. The clinical and pathogenetic aspects of these disorders are considered. It emphasizes that research conducted in recent years using methods of functional neuroimaging has significantly advanced our understanding of the mechanisms of functioning of the vestibular system, especially its central parts. Based on the results of studies aimed at studying the human connectome in patients with cochleovestibular disorders, the significance of multimodal sensory integration disorders with this pathology is shown.

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Evaluation of selected forms of physical activity of older people - pilot study

Advances in Rehabilitation ◽

10.2478/rehab-2013-0034 ◽

2012 ◽

Vol 26 (2) ◽

pp. 23-28

Author(s):

Anna Ogonowska-Słodownik

Keyword(s):

Physical Activity ◽

Older People ◽

Tai Chi ◽

Subjective Evaluation ◽

The Elderly ◽

Borg Scale ◽

Nordic Walking ◽

Measurement Tools ◽

The University ◽

Work Done

Abstract Introduction: Regular physical activity can prevent sharp decline in the level of physical fitness of older people [1]. Both the quantity and quality of physical activity are important [2]. The aim of this study was to evaluate selected forms of physical activity of older people in terms of intensity of effort. Material and methods: In the study participated 10 women at the age of 73.6 ± 6.5 years, from the Third Age University at the University of Physical Education in Warsaw. The study included four forms: gymnastics, Nordic walking, dancing and Tai Chi. The study used IDEEA device (Intelligent Device for Energy Expenditure and Activity) and a pulse recorder (Polar). In addition, each of the woman immediately after class evaluated its intensity with the 20 points Borg Scale. Results: The results indicate a large diversity of physical activity in terms of work done, energy consumption, heart rate. Nordic Walking classes were most intense (2.8 kJ/min, 3.5 kcal/min, 101.5 beats/min) and Tai Chi was least intense (0.5 kJ/min, 1.6 kcal/min , 65 beats/ min). Subjective evaluation of intensity (Borg Scale) of the trainings confirms the values obtained by the objective methods - quite heavy (14 points) in Nordic Walking and very light (10 points) in Tai Chi. Conclusions: There is a need for a reliable analysis of proposed forms for the elderly in Poland. Using multiple measurement tools will help to increase the objectivity of the evaluation and defining their impact on the capabilities of older people. A comprehensive assessment can be used in programming physical activity for older people.

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Actividad Física y sedentarismo: Repercusiones sobre la salud y calidad de vida de las personas mayores (Physical activity and sedentary lifestyle: Impact on health and quality of life of older people)

Retos ◽

10.47197/retos.v0i17.34692 ◽

2015 ◽

pp. 126-129

Author(s):

Francisco Salinas Martínez ◽

Armando Cocca ◽

Kamal Mohamed ◽

Jesús Viciana Ramírez

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Older People ◽

Sedentary Lifestyle ◽

The Elderly ◽

Current Status ◽

Negative Effects ◽

Calidad De Vida ◽

Elderly Health

Realizamos un análisis del estado actual de las personas mayores en relación con la actividad física y el sedentarismo, éste último aspecto convertido en la actualidad como una de las principales fuentes de amenaza para la salud pública de los países europeos y americanos. Damos a conocer los efectos negativos de la inactividad física sobre los parámetros cardiovasculares, diabetes, depresión y cáncer, entre otros. Mostramos los beneficios de la actividad física (herramienta clave para solucionar los problemas propios del sedentarismo) para la salud de este colectivo de la población; al tiempo que estudiamos las razones por las que las personas mayores acuden a los programas de actividad física. Finalmente, aportamos una serie de conclusiones.Palabras clave: Actividad Física. Calidad de Vida. Personas mayores. Salud. Sedentarismo.Abstract: We analyzed the current status of the elderly in relation to physical activity and sedentary, the latter now become a major source of threat to public health in the European and American countries. We report the negative effects of physical inactivity on cardiovascular parameters, diabetes, depression and cancer, among others. We show the benefits of physical activity (a key tool to solve the problems of the sedentary lifestyle) for the health of this group of the population while we study the reasons why older people attend physical activity programs. Finally, we provide a number of conclusions. Keywords: Physical Activity. Quality of Life. Elderly. Health. Sedentary.

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Temporal Characteristics of Habitual Physical Activity Periods Among Older Adults

Journal of Physical Activity and Health ◽

10.1123/jpah.6.5.644 ◽

2009 ◽

Vol 6 (5) ◽

pp. 644-650 ◽

Cited By ~ 26

Author(s):

Thorlene Egerton ◽

Sandra G. Brauer

Keyword(s):

Physical Activity ◽

Older People ◽

Care Facility ◽

The Elderly ◽

Aged Care ◽

Activity Period ◽

Activity Levels ◽

Activity Data ◽

Temporal Characteristics ◽

At Home

Background:While physical activity is advocated for the elderly, little is known about the patterns of habitual activity of older people, particularly those in aged care. This study employed a novel approach to analyzing activity data to compare the temporal characteristics of daily activity between 15 older people living at home with 16 living in an aged care facility.Methods:The time spent standing and walking, and the number and duration of upright activity periods (greater than 1 minute) were monitored for 72 hr continuously.Results:Despite variation in all measures across the participants, those living in aged care spent significantly less time upright per day (2.3 hr vs. 7.2 hr), standing (1.6 hr vs. 5 hr), and walking (0.7 hr vs. 2.2 hr) than those living at home. Participants in both groups had a similar number of activity periods; however, the median activity period duration was less for those living in aged care (4 min vs. 8 min).Conclusions:Activity levels of both groups were low compared with recommendations. In particular, aged care residents were rarely upright for 30 min continuously, supporting the need for services to promote physical activity of older people particularly those living in aged care facilities.

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Benefits for Older People Engaged in Environmental Volunteering and Socializing Activities in City Parks: Preliminary Results of a Program in Italy

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17113772 ◽

2020 ◽

Vol 17 (11) ◽

pp. 3772

Author(s):

Cristina Gagliardi ◽

Karl Pillemer ◽

Elena Gambella ◽

Flavia Piccinini ◽

Paolo Fabbietti

Keyword(s):

Physical Activity ◽

Life Satisfaction ◽

Pilot Study ◽

Older People ◽

The Elderly ◽

Organized Activities ◽

Environmental Attitude ◽

Post Test ◽

Positive Feelings ◽

Environmental Volunteering

The objective of this pilot study was to investigate the feasibility of an environmental volunteering program involving park restoration and social activities for older people. Older people face a series of challenges, ranging from social isolation and depression to a lack of exercise, as well as the difficult task of creating new meaning to deal with a decrease in vitality and new social relationships, interests, and commitments. From this perspective, this pilot study aimed to contribute to highlighting if or how these aspects can be positively correlated with organized activities associated with caring for public green spaces. A single-group, pre-test/post-test design was used, and baseline and post-participation measurements were recorded. The data were collected using a questionnaire aimed at evaluating variations in physical activity, positive and negative emotions, life satisfaction, and perceived social support. Through focus group interviews with participants at the baseline and after one year of participating in the program, the participants’ motivations and experienced effects were explored. The sample was composed of a group of 19 healthy people who joined the program. The quantitative results showed that the participants’ level of physical activity, subjective life satisfaction, and positive feelings were significantly increased at the follow-up. Positive correlations were found between increasing moderate physical activities, walking, and The Positive and Negative Affect Schedule (PANAS) positive feelings. A pro-environmental attitude of the elderly emerged from the qualitative data. The results, limitations, and improvements of the study are discussed.

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Hyponatraemia in older patients: a clinical and practical approach

Reviews in Clinical Gerontology ◽

10.1017/s0959259814000197 ◽

2015 ◽

Vol 25 (1) ◽

pp. 31-52 ◽

Cited By ~ 5

Author(s):

I Runkle ◽

E Gomez-Hoyos ◽

M Cuesta-Hernández ◽

J Chafer-Vilaplana ◽

P de Miguel

Keyword(s):

Elderly Patient ◽

Nutritional Status ◽

Older People ◽

Older Patients ◽

Correct Diagnosis ◽

Hormone Secretion ◽

The Elderly ◽

Common Cause ◽

Risk Of Fracture ◽

Diuretic Hormone

SummaryHyponatraemia is frequent in older people and induces marked motor and cognitive dysfunction, even in patients deemed ‘asymptomatic’. Nutritional status is worse than in euvolaemic-matched controls, and the risk of fracture is increased following incidental falls. Yet hyponatraemia is undertreated, in spite of the fact that its correction is accompanied by a clear improvement in symptoms. Both evaluation of neurological symptoms and classification by volaemia are essential for a correct diagnosis and treatment of the hyponatraemic elderly patient. The syndrome of inappropriate anti-diuretic hormone secretion (SIADH) is the most common cause of hyponatraemia in older people. Nutritional status and chronicity of SIADH should be taken into account when deciding therapy. We propose an 8-step approach to the management of the elderly patient with hyponatraemia.

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Fysioterapeuters erfaringer med bruk av fysisk aktivitet til eldre deprimerte

Nordisk tidsskrift for helseforskning ◽

10.7557/14.3711 ◽

2015 ◽

Vol 11 (2) ◽

pp. 32

Author(s):

Anne Margrethe Ulleberg ◽

Berit Johannesen

Keyword(s):

Physical Activity ◽

The Elderly ◽

Common Condition ◽

Common Cause ◽

Depressed Patients ◽

Patient Groups ◽

Positive Effect

This article is based upon a study of the experiences of physiotherapists working with elderly depressed patients and the use of physical activity. Depression in the elderly is a common condition, and it is estimated to be the second most common cause of failing health towards 2020. Physical activity has a positive effect on depression in the elderly. The aim of this study was to investigate the experiences of physiotherapist`s in the treatment of elderly depressed patients over 65 years of age. Data was collected by qualitative reasearch interviews of 5 physiotherapists. Important findings of this study were that the physiotherapists experienced that they did not get any referrals to treatment solely due to depression, and that they needed a different approach to physical activity compared to other patient groups.

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Immersive Virtual Reality Exergame Promotes the Practice of Physical Activity in Older People: An Opportunity during COVID-19

Multimodal Technologies and Interaction ◽

10.3390/mti5090052 ◽

2021 ◽

Vol 5 (9) ◽

pp. 52

Author(s):

Pablo Campo-Prieto ◽

Gustavo Rodríguez-Fuentes ◽

José Mª Cancela-Carral

Keyword(s):

Physical Activity ◽

Virtual Reality ◽

Physical Exercise ◽

Older People ◽

Ad Hoc ◽

The Elderly ◽

Current Situation ◽

Immersive Virtual Reality ◽

System Usability Scale ◽

The Impact

Life expectancy has increased in recent years. Physical activity has been postulated as a key element in active aging strategies. However, adherence to physical exercise programs has traditionally been low among the elderly, and the current situation of the COVID-19 pandemic has added extra impediments. Immersive virtual reality (IVR) devices could motivate this population to practice exercise. This study aimed to analyse the use of IVR exergames as a tool to facilitate physical exercise in older people. Four healthy older adults (males, 65–77 years) participated in the study. They carried out two exergaming sessions with HTC Vive ProTM. Outcomes were evaluated using the Simulator Sickness Questionnaire (SSQ), System Usability Scale (SUS), Game Experience Questionnaire (GEQ post-game module), an ad hoc satisfaction questionnaire, and perceived effort. All participants completed the sessions without adverse effects, with no SSQ symptoms reported. SUS scores were high in both sessions (SUS > 85/100). Post-game GEQ scores were 3.08–3.41/4 (positive experiences) and 0.08–0.16/4 (negative experiences). Opinions showed high levels of satisfaction with the experience. Exergaming programs, based on commercial head-mounted displays, are a feasible alternative to traditional senior exercise, and could be a solution to the current situation that has arisen from the impact of the COVID-19 pandemic.

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Senam Lansia dan Tingkat Stres pada Lansia di Dusun Polaman Argorejo Kecamatan Sedayu 2 Kabupaten Bantul Yogyakarta

Jurnal Ners dan Kebidanan Indonesia ◽

10.21927/jnki.2015.3(2).110-115 ◽

2016 ◽

Vol 3 (2) ◽

pp. 110

Author(s):

Raden Jaka S ◽

Tri Prabowo ◽

Wahyu Dewi S

Keyword(s):

Physical Activity ◽

Older People ◽

Stress Level ◽

Quantitative Research ◽

The Elderly ◽

Chi Square ◽

Cross Sectional ◽

Cross Sectional Design ◽

The Relationship

<p>Physical activity of elderly can be a mechanism of dealing with stress. However, older people are rarely engage in the physical activity. The purpose of this study was to know the relationship between elderly gymnastics and level stress in village of Polaman Argorejo, District of Bantul Yogyakarta. This study was an analytic quantitative research with cross sectional design. The population in this study was elderly that lived in Polaman village which totaled 90 respondents. Technique sampling used was total sampling resulted on 90 respondents. The analysis used was chi-square. Results showed that elderly who actively participated in gymnastic and not stress was 16 respondents (76,2%), while elderly who actively participated in gymnastic and stress was 5 respondents (23,8%), there was a signiﬁ cant relationship between gymnastic and the level of elderly stress with value of p=0,000. In conclusion, there was a signiﬁ cant relationship between gymnastics for the elderly and stress level on elderly in Polaman village Argorejo Bantul Yogyakarta.</p>

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