scholarly journals The Impact of Pain on Functionality, Postural Control and Fall Risk in Woman Aged 45 to 64 Years Old

Geriatrics ◽  
2022 ◽  
Vol 7 (1) ◽  
pp. 10
Author(s):  
Priscilla Beaupré ◽  
Rubens A. da Silva ◽  
Tommy Chevrette
Keyword(s):  
Postural Control ◽  
Pain Score ◽  
Fall Risk ◽  
Force Platform ◽  
Step Test ◽  
Walking Distance ◽  
Control Performance ◽  
Functional Tests ◽  
Timed Up And Go ◽  
The Impact

Background: Ageing in women is associated with chronic degenerative pain leading to a functional decrease and therefore increase fall risk. It is therefore essential to detect early functional decreases in the presence of pain related to osteoarthritis. Objective: This cross-sectional study aimed to assess the impact of pain on functionality, postural control and fall risk in women aged between 45 to 64 years old. Methods: Twenty-one (21) women aged 45 to 64 were evaluated by clinical and functional measures such as a pain questionnaire (Lequesne Index), functional tests (Stair Step Test, 5 times sit-to-stand, 6MWD, Timed-up and Go) and postural performance (under force platform). Women were classified into 2 groups from the Lequesne Pain Index (PI): low pain (score ≤ 9) and strong pain (score ≥ 10) for subsequent comparisons on functionality (physical and postural control performance). Results: A significant impact was observed between the pain index (strong PI) and 3 of the 4 functional tests carried out including Stair Step Test (p = 0.001; g = 1.44), walking distance (p = 0.003; g = 1.31) and Timed-up and Go (p = 0.04; g = −0.93). The group with a strong PI score reported further poor postural control under force platform compared to the weak pain group. Conclusion: Pain and severity based on the PI index negatively modulate physical and postural control performance in women aged 45 to 64 years old.

scholarly journals Testes funcionais validados em indivíduos hospitalizados e não hospitalizados: revisão sistemática

2020 ◽  
Vol 10 (4) ◽  
pp. 23-53
Author(s):  
Natasha Cordeiro dos Santos ◽  
Neila Silva Soares ◽  
Jorge Luis Motta dos Anjos ◽  
Bruno Souza de Matos ◽  
Daiane Barros Carvalho
Keyword(s):  
Assessment Tool ◽  
Step Test ◽  
Functional Tests ◽  
Quality Assessment Tool ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Speed Test ◽  
Validation Studies As Topic ◽  
Contrôle Postural ◽  
Observational Cohort

Objetivo: Realizar uma revisão sistemática sobre os testes funcionais validados em diferentes perfis de indivíduos hospitalizados e não hospitalizados e avaliar as evidências psicométricas para confiabilidade e validade. Métodos: Trata-se de uma revisão sistemática. Foram utilizadas as bases de dados EMBASE, MEDLINE, Lilacs e SciELO com as palavras-chave Functional Tests (Walk Test, Gait Speed Test, Chair Stand Test, Timed Up And Go, Step Test),Validation Studies as Topic e sinônimos. Foram incluídos estudos de validação de testes funcionais em indivíduos hospitalizados ou não hospitalizados que utilizaram os critérios de validade e/ou confiabilidade e relacionaram os testes a diferentes variáveis. Esses artigos poderiam ser observacionais longitudinais ou de corte transversal ou estudos de validação que utilizaram dados de ensaios clínicos. Foram excluídos os artigos que não apresentaram características importantes da amostra e a descrição do teste. Resultados: A pesquisa resultou em 36.150 artigos, e 89 foram incluídos. Os estudos foram organizados em tabelas com informações como autor, ano; critérios de validação; amostra; teste; variáveis associadas; resultados. A qualidade dos artigos foi avaliada por meio da Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Conclusão: Os testes funcionais são válidos e confiáveis para a avaliação de indivíduos hospitalizados e não hospitalizados, estando associados à força muscular, capacidade de caminhar, controle postural, atividades de vida diária, risco de quedas, hospitalização e mortalidade.

scholarly journals Postural Control of Healthy Elderly Individuals Compared to Elderly Individuals with Stroke Sequelae

2016 ◽  
Vol 10 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Fábio Marcon Alfieri ◽  
Marcelo Riberto ◽  
José Augusto Fernandes Lopes ◽  
Thais Raquel Filippo ◽  
Marta Imamura ◽  
...  
Keyword(s):  
Postural Control ◽  
Center Of Pressure ◽  
Force Platform ◽  
Control Group ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Elderly Individuals ◽  
Eyes Closed ◽  
Healthy Elderly ◽  
Elderly Control

A stroke and aging process can modify the postural control. We aimed to compare the postural control of health elderly individuals to that of individuals with stroke sequelae. This cross-sectional transversal study was made with individuals capable of walking without any assistance and that were considered clinically stable. The study had 18 individuals in the group with stroke sequelae (SG) and 34 in the healthy elderly control group (CG). The participants were evaluated for the timed up and go test (TUG) and force platform. The SG showed the worst results in relation to the time of execution of the TUG and the force platform evaluation. The displacement of center of pressure was worse for both groups in the eyes-closed situation, especially in the anteroposterior direction for the CG. The GS showed worse results in the static and dynamic postural control. The healthy elderly showed more dependence on sight to maintain their static balance and there was no difference in the balance tests in relation to the side affected by the stroke.

scholarly journals Carotid Revascularization Improves Balance and Mobility, Particularly in Patients That Are Most Impaired

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 117-118
Author(s):  
Vicki Gray ◽  
Sarasijhaa Desikan ◽  
Amir Khan ◽  
Dawn Barth ◽  
Siddhartha Sikdar ◽  
...  
Keyword(s):  
Blood Flow ◽  
Carotid Artery ◽  
Carotid Artery Stenosis ◽  
Artery Stenosis ◽  
Step Test ◽  
High Grade ◽  
Timed Up And Go ◽  
Carotid Revascularization ◽  
The Impact ◽  
The Brain

Abstract Balance and mobility function worsen with age, and more so for those with underlying diseases. Our research has demonstrated that asymptomatic carotid artery stenosis (ACAS) is associated with worse balance and mobility, and a higher fall risk, compared to older adults with similar comorbidities, but without ACAS. Thus, ACAS, with attendant blood flow-restriction to the brain is a potentially modifiable risk factor for balance and mobility dysfunction. The purpose of this study was to evaluate the impact of restoring blood flow to the brain by carotid revascularization, on balance and mobility in patients with high-grade ACAS (≥70% diameter-reducing stenosis). Twenty adults (67.0±9.4 years) undergoing carotid revascularization for high-grade stenosis were enrolled. A balance and mobility assessment was performed before- and six weeks- after carotid revascularization and included: Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS), Four Square Step Test (FSST), Dynamic Gait Index (DGI) Timed Up and Go (TUG), gait speed, MiniBESTest, and Walk While Talk (WWT) test. Paired t-tests assessed changes in outcome measures between the two-time points. Significant improvements were observed in measures that combined walking with dynamic movements, DGI (P=0.003), and MiniBESTest (P=0.021). Pearson’s correlations examined the relationship between balance and mobility before surgery and change score after surgery. Patients with lower baseline DGI and MiniBest scores demonstrated the most improvement on follow-up testing (r=-0.70, p=0.001, and r=-0.59, p=0.006, respectively). In conclusion, revascularization of a carotid artery stenosis improves balance and mobility; the greatest improvements are observed in those patients that are the most impaired.

scholarly journals Impact of pool training on balance of elderly individuals.

2020 ◽  
pp. 1-6
Author(s):  
Thyciane Mendonça de Andrade ◽  
Tathiana Maria Silva Rufino ◽  
Heleodório Honorato dos Santos ◽  
José Jamacy de Almeida Ferreira ◽  
Adriana Carla Costa Ribeiro Clementino ◽  
...  
Keyword(s):  
Fall Risk ◽  
Postural Stability ◽  
Dynamic Balance ◽  
Assessment Tools ◽  
Timed Up And Go ◽  
Elderly Individuals ◽  
Balance System ◽  
The Impact ◽  
Stability Score ◽  
Anterior Posterior

Objective: The aim of this study was to evaluate the impact of therapeutic pool training on static and dynamic balance of sedentary elderlies. Method: 10 elderly individuals took part in the study (63.10 ± 2.33 years), and they were submitted to 24 sessions of intervention, twice a week. The assessment tools were the Balance System, Timed Up and Go Test (TUGT) and the Berg Balance System (BBS). Results: The results showed that there was a significant decrease in the global postural stability, anterior/posterior and medial/lateral scores evaluated in the dynamic platform, as well as the static global postural stability score, reduction in time to perform the TUGT and increase in the Berg Balance System score. However, no significant differences were verified in the Postural Stability tests (anterior/posterior and medial/lateral with the static platform) and in the Fall Risk. Conclusion: The regular physical training in therapeutic pool can provide sedentary elderly individuals with a significant improvement in dynamic balance.

scholarly journals Deficits in postural control in individuals with COPD - emerging evidence for an important secondary impairment

2010 ◽  
Vol 5 ◽  
Author(s):  
Maria K. Beauchamp ◽  
Dina Brooks ◽  
Roger Goldstein
Keyword(s):  
Postural Control ◽  
Pulmonary Rehabilitation ◽  
Fall Risk ◽  
Balance Control ◽  
Relevant Literature ◽  
Future Research ◽  
Balance Assessment ◽  
Balance Deficits ◽  
The Impact ◽  
And Training

Emerging evidence suggests that individuals with COPD demonstrate reductions in balance control that may be associated with an increased fall risk. The purpose of this review is to: 1) provide a brief overview of balance control and its assessment; 2) review relevant literature describing balance impairment in individuals with COPD; and 3) highlight impor- tant areas for future research. The observation of balance deficits and an increased fall risk in patients with COPD suggests the need for including balance assessment and training for patients enrolled in pulmonary rehabilitation who may be vulnerable. Further studies are needed to determine which aspects of balance are affected and to examine the impact of interventions.

scholarly journals Impact of Lifting of Two Types of Barrels on Postural Control, Trunk Muscle Recruitment, and Kinematic Measures in Manual Workers

2019 ◽  
Vol 16 (12) ◽  
pp. 2183 ◽  
Author(s):  
Amanda M.S. Cavaguchi ◽  
Márcio R. Oliveira ◽  
Christiane G. Macedo ◽  
Pablo E.A. de Souza ◽  
Andreo F. Aguiar ◽  
...  
Keyword(s):  
Postural Control ◽  
Negative Impact ◽  
Force Platform ◽  
Flexion Angle ◽  
Knee Joints ◽  
Trunk Flexion ◽  
Activation Force ◽  
Kinematic Measures ◽  
The Impact ◽  
Muscular Activation

The aim of this study was to evaluate the impact of 2 types of beer barrels on postural control, trunk activation, and kinematic measures in adult workers. Twelve (12) males randomly performed 4 tasks on a force platform for 20 s: (1) hold an empty recyclable barrel, (2) hold a full recyclable barrel (30 L), (3) hold an empty steel barrel, and (4) hold a full steel barrel (30 L). Trunk muscular activation, force platform and kinematic measures at the trunk, hip, and knee joints were computed. The full steel barrel produced greater postural oscillation than other conditions. Higher trunk activity was also reported during the full steel barrel task. Significant kinematic changes only in the trunk were observed between the empty steel barrel and the full recyclable barrel tasks. In conclusion, the full steel barrel produced a negative impact on postural control, increasing trunk activity and changing trunk flexion angle in adult workers.

scholarly journals Comparing Balance Performance on Force Platform Measures in Individuals with Parkinson’s Disease and Healthy Adults

2018 ◽  
Vol 2018 ◽  
pp. 1-12 ◽  
Author(s):  
Cathy C. Harro ◽  
Amanda Kelch ◽  
Cora Hargis ◽  
Abigail DeWitt
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Postural Control ◽  
Fall Risk ◽  
Postural Instability ◽  
Healthy Adults ◽  
Force Platform ◽  
Disease Stage ◽  
Balance Performance ◽  
Platform System

Introduction. Postural instability is a known contributing factor to balance dysfunction and increased fall risk in those with Parkinson’s disease (PD). Computerized posturography employing a force platform system provides objective, quantitative assessments of postural control impairments. This study examines balance performance as measured by force platform (FP) tests in persons with PD compared to age-matched healthy adults. Secondarily, we examine if these FP measures provide diagnostic and clinically meaningful information about the underlying balance impairments in the PD population.Methods. Participants—42 individuals with PD (Hoehn and Yahr stage = 2.33 ± 0.77) and 55 age-matched healthy adults—were assessed on three standardized balance measures on a computerized force platform system. Between groups, comparisons of FP performance were analyzed using independentt-test. Within the group, comparisons for the PD cohort were analyzed using ANOVA for comparing disease stage and Mann–WhitneyUtest for PD subtypes.Results. The PD cohort demonstrated significantly greater postural instability on the sensory organization test (SOT) measures (P=0.013, CI-95% = 1.286 to 10.37) and slower movement velocity on the limits of stability (LOS) test (P=0.001, CI-95% = 0.597 to 1.595) than the healthy cohort, suggesting that these tests were sensitive to detect sensory integration and voluntary postural control deficits in the PD cohort. Within the PD group, the SOT differentiated between H&Y stages 1–3. The motor control test (MCT) detected changes in reactive postural control mainly in later disease stages. All three FP tests distinguished between PD subtypes, with thePosture Gait Instabilitysubtype demonstrating poorer balance performance thanTremor Dominantsubtype.Conclusion. These findings suggest FP measures provide clinically meaningful, diagnostic information in the examination of balance impairments in individuals with PD. FP measures may inform clinicians regarding intrinsic balance deficits and guide them in designing targeted balance interventions to reduce fall risk in persons with PD.

Coexistent Osteoarthritis and Parkinson’s Disease: Data from the Parkinson’s Foundation Outcomes Project

2020 ◽  
Vol 10 (4) ◽  
pp. 1601-1610
Author(s):  
Jaimie A. Roper ◽  
Abigail C. Schmitt ◽  
Hanzhi Gao ◽  
Ying He ◽  
Samuel Wu ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Study Data ◽  
Functional Mobility ◽  
Quality Improvement Initiative ◽  
Timed Up And Go ◽  
Mobility Performance ◽  
Risk Of Mortality ◽  
The Impact

Background: The impact of concurrent osteoarthritis on mobility and mortality in individuals with Parkinson’s disease is unknown. Objective: We sought to understand to what extent osteoarthritis severity influenced mobility across time and how osteoarthritis severity could affect mortality in individuals with Parkinson’s disease. Methods: In a retrospective observational longitudinal study, data from the Parkinson’s Foundation Quality Improvement Initiative was analyzed. We included 2,274 persons with Parkinson’s disease. The main outcomes were the effects of osteoarthritis severity on functional mobility and mortality. The Timed Up and Go test measured functional mobility performance. Mortality was measured as the osteoarthritis group effect on survival time in years. Results: More individuals with symptomatic osteoarthritis reported at least monthly falls compared to the other groups (14.5% vs. 7.2% without reported osteoarthritis and 8.4% asymptomatic/minimal osteoarthritis, p = 0.0004). The symptomatic group contained significantly more individuals with low functional mobility (TUG≥12 seconds) at baseline (51.5% vs. 29.0% and 36.1%, p < 0.0001). The odds of having low functional mobility for individuals with symptomatic osteoarthritis was 1.63 times compared to those without reported osteoarthritis (p < 0.0004); and was 1.57 times compared to those with asymptomatic/minimal osteoarthritis (p = 0.0026) after controlling pre-specified covariates. Similar results hold at the time of follow-up while changes in functional mobility were not significant across groups, suggesting that osteoarthritis likely does not accelerate the changes in functional mobility across time. Coexisting symptomatic osteoarthritis and Parkinson’s disease seem to additively increase the risk of mortality (p = 0.007). Conclusion: Our results highlight the impact and potential additive effects of symptomatic osteoarthritis in persons with Parkinson’s disease.

Experience in the use of double broncholytic therapy in occupational practice

2019 ◽  
pp. 303-307
Author(s):  
Elena A. Beigel ◽  
Natalya G. Kuptsova ◽  
Elena V. Katamanova ◽  
Oksana V. Ushakova ◽  
Oleg L. Lakhman
Keyword(s):  
Quality Of Life ◽  
Personal Data ◽  
The Body ◽  
Step Test ◽  
Aluminum Production ◽  
Chronic Obstructive ◽  
Body Plethysmography ◽  
Occupational Copd ◽  
The Impact

Introduction. Occupational chronic obstructive pulmonary disease (COPD) is one of the leading nosological forms of occupational respiratory disease. Numerous studies have shown high effectiveness of the combination of indacaterol/glycopyrronium (Ultibro®breezhaler®) on the impact on clinical and functional indicators in the treatment of COPD in General practice.The aim of the investigation the case of occupational COPD with the analysis of the dynamics of functional indicators, tolerance to physical load and evaluation of the quality of life of workers engaged in aluminum production by using combination of indacaterol/glycopyrronium.Materials and methods. The random sampling method included 20 men, workers of aluminum production, with the established diagnosis of professional COPD at the age of 40 to 60 years. The survey was conducted (Borg scale, medical Research Council scale (mMRC) and COPD Assessment Test (CAT). Functional methods of studies were conducted: spirometry, body plethysmography, electrocardiography (ECG) and the six-minute stepper test (6-MST).Results. Against the background of 8 weeks of therapy, the volume of forced exhalation for 1 minute (FEV1) increased by 14.7% and amounted to 67.90% of the due values, the forced vital capacity of the lungs (FVC) increased by 11.3% and amounted to 76.95% of the due. According to the body plethysmography (BPG) is set to decrease in residual lung volume on average by 13.4% and static hyperinflation, confirmed by the decrease in functional residual volume (FRV) of 18.8%. During the study period increased physical activity of patients. The average difference between the distance traveled in the six-minute step test before and after treatment was 58.8 m. The analysis of personal data showed that the quality of life of patients improved, the total score in the questionnaire CAT at the beginning of the study was 16.9 points, and after 8 weeks decreased by 63% and amounted to 10.7 points.Conclusions: The Results indicate a positive effect of combination therapy with indacaterol/glycopyrronium on the course and progression of occupational COPD.

The effect of proprioceptive training on postural control in people with diabetes: A randomized clinical trial comparing delivery at home, under supervision, or no training

2021 ◽  
pp. 026921552198901
Author(s):  
Nathalia Cristina de Souza Borges ◽  
Ariane Hidalgo Mansano Pletsch ◽  
Mariana Barbosa Buzato ◽  
Natalia Akemi Yamada Terada ◽  
Fernanda Maria Ferreira da Cruz ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Postural Control ◽  
Force Plate ◽  
Outcome Variable ◽  
Control Group ◽  
Functional Tests ◽  
Supervised Training ◽  
Proprioceptive Training ◽  
Home Training

Objective: Analyze postural control in the bipedal position as well as during gait and functional tests in patients with type 2 diabetes mellitus after supervised and unsupervised proprioceptive training. Design: A three-group randomized controlled trial. Setting: Physiotherapeutic Resources Lab, Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo Subjects: Eighty patients with type 2 diabetes allocated to three groups: control, home training, and supervised training. Interventions: The supervised and home training groups performed two weekly sessions of proprioceptive exercises for 12 weeks. The control group was not submitted to any of treatment. Main measures: Bipedal balance, gait, and performance on functional tests were evaluated before and after 12 weeks using the Balance Evaluation Systems Test (BESTest) and the force plate. Results: No significant improvements were found regarding postural control, gait, or performance on the functional tests, as evidenced by the inter-group comparisons of the total BESTest score [control: 90.7 (81.5–92.6); home training: 85.2 (77.8–90.3); supervised training: 88.4 (82.6–91.4), P > 0.05] as well as the tests performed on the force plate ( P > 0.05). The clinical effect size of the proposed intervention was less than 0.2, demonstrating no effect for the main outcome variable evaluated by the “Sensory Orientation” item of the BESTest and by the mCTSIB (pressure plate). Conclusions: The proposed proprioceptive training did not lead to improvements in postural control in patients with type 2 diabetes with no clinical signs of diabetic distal polyneuropathy when analyzed using the BESTest clinical evaluation and a force plate. Trial registration: NCT01861392 (clinicaltrials.gov).

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