Multisensory balance training for unsteady elderly people: A scoping review

2021 ◽  
pp. 1-9
Author(s):  
In-Gyu Yoo ◽  
Ji-Hye Do
Keyword(s):  
User Satisfaction ◽  
Web Of Science ◽  
Relevant Literature ◽  
Balance Training ◽  
The Elderly ◽  
Control Group ◽  
Training Methods ◽  
Multisensory Stimulation ◽  
Multisensory Training ◽  
Risk Of Falls

BACKGROUND: Posture control involves complex reactions of dynamic and static movements, and various sensory inputs. There is evidence that exercise using multisensory stimulation is moderately effective in improving the balance of the elderly. OBJECTIVE: The main purpose of this paper was to examine the existing literature to validate the effectiveness and applicability of multisensory stimulation training. METHODS: All relevant literature published as of June 1, 2020 in four prominent databases was searched (Embase, PubMed, PsycINFO, and Web of science) using the five-stage review framework proposed by Arksey and O’Malley. RESULTS: Multisensory stimulation training was more effective when vestibular and somatosensory were combined with visual stimuli, and differences in effectiveness compared to the effectiveness of existing treatments were confirmed. However, most of the reviewed papers are compared to simple strength training, and studies that compare the effects of multisensory stimulation training by setting a control group are still lacking. CONCLUSION: Further research is required to further elucidate the training conditions and treatment environment for multisensory training for the elderly at risk of falls and to provide strategies to improve treatment methods. In addition, a study that can evaluate user satisfaction in a way that best shows the treatment effect using qualitative research methods will be needed.

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.

Concussion in the Elderly

2019 ◽  
pp. 178-179
Author(s):  
David L. Brody
Keyword(s):  
Computed Tomography ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Side Effects ◽  
Ct Scan ◽  
Balance Training ◽  
The Elderly ◽  
Elderly Individuals ◽  
Risk Of Falls ◽  
Reduce Risk

Elderly individuals over age 65 represent the fastest growing group of traumatic brain injury patients. Many elderly individuals are taking anticoagulant medications, and an initial computed tomography (CT) scan is warranted to rule out intracranial hemorrhage, though a second CT scan is generally unnecessary if the first scan is negative and the patient’s neurological condition is stable. Elderly can be more susceptible to side effects of medications; thus, smaller doses may be preferred. Balance training is advised to reduce risk of falls. Concussion may be both a cause and a consequence of neurodegenerative diseases. Driving may be especially problematic in elderly after concussion.

scholarly journals The Effects of Electrical Stimulation Program on Navicular Height, Balance, and Fear of Falling in Community-Dwelling Elderly

2021 ◽  
Vol 18 (17) ◽  
pp. 9351
Author(s):  
Juntip Namsawang ◽  
Pornpimol Muanjai ◽  
Nongnuch Luangpon ◽  
Sirirat Kiatkulanusorn
Keyword(s):  
Electrical Stimulation ◽  
Fear Of Falling ◽  
The Elderly ◽  
Limited Range ◽  
Community Dwelling ◽  
Control Group ◽  
Muscle Strengthening ◽  
Limited Range Of Motion ◽  
Significant Difference ◽  
Risk Of Falls

Introduction: Intrinsic foot muscle weakness is a crucial cause of balance deficit in the elderly, which leads to a limited range of motion from the fear of falling and subsequently decreases the quality of life. Muscle strengthening via transcutaneous electrical stimulation (TENS) is an effective intervention; however, its effects on elderly people have rarely been reported. This study was conducted to investigate the effects of TENS on navicular height, balance, and fear of falling. Method: In this study, forty-eight participants aged 65–75 years were included and were randomly divided into two groups: the TENS and control groups. Before and after 4 weeks of training, navicular height, balance, and fear of falling were measured. Result: After 4 weeks of training, navicular height significantly increased in both groups (p < 0.05); however, the increase was higher in the TENS group (p = 0.035). The TENS group had a better improvement in balance in all four directions—front, back, left, and right (p < 0.05). However, postural balance improvements in the control group were observed in three directions only—front, back, and left (p < 0.05)—without any significant difference between the two groups. Furthermore, the TENS group decreased the scale of fear of falling after 4 weeks of training (p = 0.039). Conclusion: In summary, the results of this study can be used as part of the muscle strengthening via ES for decreasing the risk of falls or fear of falling in the elderly.

Perancangan Antarmuka Berdasarkan Evaluasi Usabilitas Penggunaan Aplikasi KlikDokter Untuk Pralansia dan Lansia

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Christianti Angelin Maarende ◽  
Danny Sebastian ◽  
Restyandito Restyandito
Keyword(s):  
Health Services ◽  
User Satisfaction ◽  
The Elderly ◽  
Elderly Group ◽  
Control Group ◽  
Community Group ◽  
Interface Elements ◽  
Group Control Group ◽  
The Right ◽  
Elderly Users

The situation and condition of the spread of Covid-19 in Indonesia have forced everyone to reduce the intensity of going out of the house, including activities related to the need for health services. Therefore, a solution is needed so that people can meet their health needs without leaving the house. Taking into account that the elderly as the community group that is most vulnerable to contracting the virus and has the highest mortality rate, it can be said that the elderly is the group of people who most need online health services. Along with the growing penetration of internet usage and the increasing number of smartphone ownership in Indonesia, m-health is the right choice to help people access health services online via smartphones. KlikDokter is an example of m-health or a mobile-based application that provides various online health services. However, it was found that there were complaints that the KlikDokter application was too complicated and difficult for the elderly to use. From this problem, a usability test was finally carried out on the KlikDokter application interface, to identify what interface elements in the KlikDokter application were difficult for elderly users. The research respondents were divided into two groups with 16 and 17 people respectively. The first group is the elderly group aged >60 years. And the second group is the pre-elderly group with ages between 45 to 59 years. A pre-elderly group is a comparison group (control group). This test is carried out by measuring several aspects of usability, namely effectiveness, efficiency, user satisfaction, error, and cognitive load.

scholarly journals Effect of an Aquatic Balance-Training Program in Patients with Chronic Stroke: A Single-Group Experimental Pilot Study

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 656
Author(s):  
Sagrario Pérez-de la Cruz
Keyword(s):  
Pilot Study ◽  
Balance Training ◽  
Chronic Stroke ◽  
Control Group ◽  
Single Group ◽  
Aquatic Therapy ◽  
Limits Of Stability ◽  
Increased Risk ◽  
Risk Of Falls ◽  
Anterior Posterior

Background and Objectives: Stroke survivors face severe problems affecting their mobility, such as balance impairments and an increased risk of falls. The principal aim of this study was to quantify the effects of 12 sessions of Halliwick aquatic therapy for the treatment of balance in patients with chronic stroke. Materials and Methods: Twenty-nine people with stroke participated in this single-group experimental pilot study. Sessions were performed three times a week for a total of 12 sessions. A stabilometric assessment was conducted using a computerized platform. The evaluations were performed at baseline, at four weeks, and one month after completing the aquatic program. Results: The results obtained revealed significant differences for postural stability values (p < 0.001) and single-leg stabilometry. However, in the case of values within the limits of stability, such as forward (F = 0.339, p = 0.676), backward (F = 0.449, p = 0.644), forward right oscillations (F = 1.637, p = 0.21), and the anterior/posterior instability index (F = 0.614, p = 0.55), no significant differences were found. Conclusions: These findings suggest that Halliwick therapy may potentially improve stroke balance impairments. The main limitations of the study were the sample size, the lack of a control group, and the study not being blind.

Sports and Metabolic Bone Disease

2020 ◽  
Vol 24 (03) ◽  
pp. 277-289
Author(s):  
Maria Pilar Aparisi Gómez ◽  
Claudia Weidekamm ◽  
Francisco Aparisi ◽  
Alberto Bazzocchi
Keyword(s):  
Bone Disease ◽  
Metabolic Bone Disease ◽  
Balance Training ◽  
The Elderly ◽  
Negative Effects ◽  
Mineral Density ◽  
Sports Activity ◽  
Menstrual Dysfunction ◽  
Metabolic Bone ◽  
Risk Of Falls

AbstractPhysical activity (PA) increases bone mass and bone strength through different mechanisms and also reduces the risk of falls in the elderly, through proprioception and balance training. The benefits seen in adolescence continue into adulthood. Exercise delays and attenuates the effects of osteoporosis, and particular sports activities may be recommended to improve bone mineral density (BMD) of the spine or regional BMD, improve balance, and prevent falls. Stress injuries related to exercise are more common in osteopenic and osteoporotic individuals.Sports activity may in some cases be detrimental for bone health, with nutrition restriction a frequent cause for negative effects of the practice of PA on bone. The examples are the so-called female athlete triad of menstrual dysfunction resulting in reduced estrogen levels, low energy due to malnutrition, and decreased BMD. A similar triad is described in male athletes. This review analyzes the effects of sport on bone metabolism and in particular its relationship with metabolic bone disease.

Anticholinergic Burden and the Risk of Falls Among Elderly Psychiatric Inpatients: A 4-Year Case-Control Study

2002 ◽  
Vol 14 (3) ◽  
pp. 307-310 ◽  
Author(s):  
Dov Aizenberg ◽  
Mayanit Sigler ◽  
Abraham Weizman ◽  
Yoram Barak
Keyword(s):  
Elderly Women ◽  
Age Distribution ◽  
Psychiatric Inpatients ◽  
Female Gender ◽  
The Elderly ◽  
Control Group ◽  
Inclusion Criteria ◽  
Risk Of Falls ◽  
Anticholinergic Burden ◽  
Control Study

Objective: Falls are an everyday risk for the elderly and their etiology is multifactorial. Because there are little data focusing on falls among elderly psychiatric inpatients, we aimed to retrospectively assess the characteristics of inpatients that had sustained a fall during hospitalization. Methods: Over 4 years, all adverse-event reports of falls were reviewed. Inclusion criteria were age > 65 years and intact cognition. The control group consisted of the previous and next admission of an elderly patient to the same ward. Anti-cholinergic score was calculated for each patient. Results: Of 414 admissions of elderly patients, 34 (8.2%) patients had had a fall. The control group (n = 68) did not differ in mean age, distribution of diagnoses, or use of benzodiazepines, antidepressants, or antipsychotics. Two variables were significantly associated with falls: female gender (68% vs. 39%, p < .05) and anticholinergic burden score (ABS) (mean: 3.7 vs. 2.1, p < .05). Conclusions: Our results support reported findings of higher rates of falls among elderly women and suggest that ABS may be a risk factor for falls.

scholarly journals Impacto da obesidade sarcopênica na capacidade funcional de idosos

2020 ◽  
Vol 14 ◽  
Author(s):  
Bárbara Carvalho De Hollanda ◽  
Vanessa Augusta Souza Braga ◽  
Renata Evangelista Tavares Machado
Keyword(s):  
Web Of Science ◽  
Descriptive Analysis ◽  
The Elderly ◽  
The Body ◽  
Sarcopenic Obesity ◽  
Calidad De Vida ◽  
Increased Risk ◽  
Risk Of Falls ◽  
Negative Impacts ◽  
The Impact

Objetivo: identificar a produção científica sobre o impacto da obesidade sarcopênica na capacidade funcional de idosos. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa, a partir da busca nas bases de dados CINAHL, LILACS, MEDLINE, SCOPUS e Web of Science e Biblioteca Virtual SciELO, entre 2014 e 2018. Procedeu-se com a análise descritiva dos resultados a partir de semelhanças dos dados, explicitados em fugura sinóptica. Resultados: incluíram-se 14 artigos que apontaram influências do agravo na velocidade da marcha, dificuldades no equilíbrio e aumento do risco para ocorrência de quedas. Mostrou-se que esses impactos eram limitadores das atividades cotidianas, aumentando a dependência e fragilidade dos idosos, com piora na qualidade de vida e ocorrência de sintomas depressivos. Conclusão: ressalta-se que os impactos negativos gerados pela obesidade sarcopênica na funcionalidade dos idosos apontam a necessidade do monitoramento da composição corporal e força muscular da população idosa, além de ações preventivas deste agravo à saúde. Descritores: Idoso; Obesidade; Sarcopenia; Fragilidade; Saúde Pública; Revisão.AbstractObjective: to identify scientific production on the impact of sarcopenic obesity on the functional capacity of the elderly. Method: this is a bibliographic, descriptive, integrative review type study, based on the search in the CINAHL, LILACS, MEDLINE, SCOPUS and Web of Science and SciELO Virtual Library databases, between 2014 and 2018. We proceeded with the descriptive analysis of the results based on similarities of the data, explained in synoptic fugue. Results: 14 articles were included that pointed out influences of the aggravation in gait speed, difficulties in balance and increased risk of falls. These impacts were shown to limit daily activities, increasing the dependence and frailty of the elderly, with worsening quality of life and occurrence of depressive symptoms. Conclusion: it is emphasized that the negative impacts generated by sarcopenic obesity on the functionality of the elderly point to the need to monitor the body composition and muscle strength of the elderly population, in addition to preventive actions for this health problem. Descriptors: Aged; Obesity; Sarcopenia; Frailty; Public Health; Review.ResumenObjetivo: identificar la producción científica sobre el impacto de la obesidad sarcopénica en la capacidad funcional de los ancianos. Método: este es un estudio de tipo de revisión bibliográfica, descriptiva e integradora, basada en la búsqueda en las bases de datos CINAHL, LILACS, MEDLINE, SCOPUS y Web of Science y Biblioteca Virtual SciELO, entre 2014 y 2018. Se procedió al análisis descriptivo de los resultados basados en similitudes de los datos, explicado en figura sinóptica. Resultados: se incluyeron 14 artículos que señalaron las influencias del agravamiento de la velocidad de la marcha, las dificultades en el equilibrio y el aumento del riesgo de caídas. Se demostró que estos impactos limitan las actividades diarias, aumentando la dependencia y la fragilidad de los ancianos, con el empeoramiento de la calidad de vida y la aparición de síntomas depresivos. Conclusión: se enfatiza que los impactos negativos generados por la obesidad sarcopénica en la funcionalidad de los ancianos apuntan a la necesidad de monitorear la composición corporal y la fuerza muscular de la población de ancianos, además de las acciones preventivas para este problema de salud. Descriptores: Anciano; Obesidad; Sarcopenia; Fragilidad; Salud Pública; Revisión.

scholarly journals Effect of the Application of an Innovative Program on Prevention of Falls in Seniors

2018 ◽  
Author(s):  
Zbigniew Borysiuk ◽  
Paweł Pakosz ◽  
Mariusz Konieczny ◽  
Krzysztof Kręcisz
Keyword(s):  
Force Plate ◽  
Exercise Program ◽  
The Elderly ◽  
Control Group ◽  
Exercise Time ◽  
Innovative Program ◽  
Risk Of Falls ◽  
The Difference ◽  
Experimental Group ◽  
Study Offer

The results of this study offer a potential to gain a better understanding of the mechanisms underlying the falls in the elderly. The results were recorded for a group of 27 women in a control group (CON) and 16 women in an experimental group (EXP), aged 60-70. Participants took part in the six-weeks Elderly Recreation Movement Program (ERMP) with the difference, that the EXP group practiced twice as often as the CON group. The measurement of variations in the index called limits of stability (LOS) was performed by application of Kistler force plate and the coactivation index (CI) was registered by means of sEMG. The results demonstrate the existence of statistically significant differences in terms of the principal outcome of the exercise time in the measurements of LOS (F (1.42) = 10.0, p = 0.003), and CI (F (1.42) = 10.5, p = 0.002). The effect of the program was associated with an increase the level of the maximum LOS, and a decrease of the CI level, especially in the experimental group. Hence, the implementation of an innovative ERMP exercise program results in the improvement of the physical capabilities of senior subjects and a reduction of the risk of falls.

scholarly journals Mengurangi Risiko Jatuh pada Lanjut Usia dengan Latihan Keseimbangan

2021 ◽  
Vol 7 (1) ◽  
pp. 12-15
Author(s):  
The Maria Meiwati Widagdo ◽  
Rambat Sambudi
Keyword(s):  
Test Data ◽  
Intervention Group ◽  
Balance Training ◽  
The Elderly ◽  
T Test ◽  
Control Group ◽  
Significant Difference ◽  
Post Test ◽  
Paired T Test ◽  
Falls In Elderly

Background: Population of elderly in Indonesia continues to grow. Physical changes in the elderly cause balance disturbances, increasing the risks of falling. Objective: To determine balance training effectiveness on reducing risks of falls in elderly. Methods: This study used a quasi-experimental design with control and intervention groups. Functional Reach Test (FRT) and Falls Efficacy Scale-International (FES-I) were used to assess balance function. The elderly in this study had risks of falling according to FRT and FES-I. Timed Get-up and Go Test was used to assess physical function. Education and balance exercises were given for 3 weeks to the intervention group. Pre-test data were taken at the beginning of the study, while post-test data after the balance training was given to the intervention group. Paired t-test was used to compare the pre-test and post-test data. Results: Research was conducted in Warungboto and Giwangan Kampongs, Umbulharjo District, Yogyakarta Municipality. Data from 60 elderly: 30 in the intervention and 30 in the control groups. Paired t-test showed a significant difference between pre-test and post-test results in the intervention group on FRT (t=-16,301, p<0.001, and FES-I (t=-24,457, p<0.001). The three-week-balance-training significantly reduced the risk of falling in the intervention group. Significant difference was not found in the control group on FRT (t=-0.126, p=0.901), and FES-I (t=-0.764, p=0.451). There was no significant reduction in the risks of falls in the control group. Conclusion: Balance training is effective in reducing the risk of falls in elderly.

Sign in / Sign up

Export Citation Format

Share Document