scholarly journals The Еffectiveness of Stabilometrical Training in the Complex of Rehabilitation Measures in Elderly and Senile Patients with Arterial Hypertension

2021 ◽  
Vol 20 (3) ◽  
pp. 53-58
Author(s):  
Alexandra S. Paykova ◽  
Michail V. Alexandrov ◽  
Svetlana E. Ushakova
Keyword(s):  
Arterial Hypertension ◽  
Open Study ◽  
Balance Training ◽  
Balance Function ◽  
Geriatric Syndromes ◽  
Risk Of Falling ◽  
Typical Symptom ◽  
Risk Of Falls ◽  
Symptom Complex ◽  
Quantitative Indicators

The treatment and rehabilitation of elderly patients with hypertension is often hampered by their existing geriatric syndromes of senileasthenia and the risk of falls. Stabilometric balance training will allow to maintain the level of physical functioning and supporting theautonomy of this category of patients. Aim. To assess the possibilities of using stabilometric training with biofeedback to correct the risk of falls in patients aged 63 and olderwith arterial hypertension. Material and methods. On the basis of the geriatric department of the Regional Budgetary Institution of Health «Ivanovo ClinicalHospital named after Kuvaevi» conducted an open study involving 95 patients aged 63 to 92 years with arterial hypertension andfalling syndrome, diagnosed according to the results of the physical activity tests brief battery. Balance indicators were obtained whenexamining patients on a stabilometric complex concurrently with a five-day training «Restoring balance». Results. According to the stabilometrical data of all patients with hypertension and the risk of falling, a typical symptom complex ofthe main stance instability was revealed. After the training, improvement in quantitative indicators and in the balance function wererecorded in 70% of patients. Conclusion. The inclusion of stabilometrical training in the treatment and rehabilitation complex of hypertensive patients with senileasthenia syndromes and the risk of falling improves balance indicators in elderly and senile people.

scholarly journals Balance and Gait Assessment and the Risk of Falls in Seniors During Hospitalization

2020 ◽  
Vol 9 (4) ◽  
pp. 127-131
Author(s):  
Beata Haor ◽  
◽  
Aleksandra Krychowiak ◽  
Agnieszka Królikowska ◽  
◽  
...  
Keyword(s):  
Fall Risk ◽  
The Elderly ◽  
Demographic Variables ◽  
Survey Method ◽  
Functional Fitness ◽  
Geriatric Syndromes ◽  
Risk Of Falling ◽  
Younger Age ◽  
Risk Of Falls ◽  
Lower Education

Introduction. Falls and mobility disorders are classified as large geriatric syndromes, which in turn lead to deficits in the functional fitness of the elderly. Aim. Fall risk analysis in the group of hospitalized seniors, including socio-demographic variables. Material and Methods. The research used the estimation and diagnostic survey method, the estimation scale technique and questionnaires. The research tool was the Tinetti questionnaire. The research was conducted among 100 seniors during their hospitalization. Results. Seniors in younger age categories, with higher education level, married and living with a family, scored higher on the Tinetti scale. Conclusions. Hospitalization, age advancement, lower education, single marital status and lonely household management by seniors significantly increased the risk of their falls. Gender was not a factor that significantly differentiated the risk of falling. (JNNN 2020;9(4):127–131) Key Words: fall, older adults, risk

scholarly journals Balance and motion coordination parameters can be improved in patients with type 2 diabetes with physical balance training: non-randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Artur Stolarczyk ◽  
Igor Jarzemski ◽  
Bartosz M. Maciąg ◽  
Kuba Radzimowski ◽  
Maciej Świercz ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Peripheral Neuropathy ◽  
Balance Control ◽  
Balance Training ◽  
Control Group ◽  
Study Group ◽  
Muscle Coordination ◽  
Risk Of Falling ◽  
Increased Risk

Abstract Background Type 2 diabetes (T2D) is a cause of multiple complications, including retinopathy and peripheral neuropathy. These complications are well understood and believed to contribute to gait instability. Poor balance control and increased falling risk have also been reported in people with diabetic peripheral neuropathy (DPN). Patients with DPN have increased risk of falling due to decreased proprioceptive feedback. Effective balance training should improve postural control in patients with DPN. For this purpose further evaluation was conducted and balance training was designed. Methods The goal of our study was to determine values of proprioception, balance, muscle coordination and strength in patients with T2D and analyze whether biofeedback balance training with use of the Biodex Balance System could improve these parameters. To assess the fall risk the general stability index (GSI), the index of frontal-posterior (FPI) and medial–lateral (MLI) stability were evaluated. 37 patients with diagnosed type 2 diabetes mellitus were recruited to this study. Their results were compared with control group consisting of 41 healthy participants who were homogenic to the study group in terms of age and body mass index (BMI). Results There were statistically significant differences between patients with diabetes compared to healthy subjects in GSI (2.79 vs 1.1), FPI (1.66 vs 0.7), MLI (0.88 vs 0.52) and risk of falling (5.18 vs 2.72) p < 0.05. There were also statistically significant changes before and after training in all stability indices (GSI: 2.79 vs 1.26, FPI: 1.66 vs 0.77, MLI: 0.88 vs 0.54 accordingly) p < 0.05 and risk of falling (5.18 vs 3.87) p < 0.05 in the study group who had undergone training with biofeedback. Conclusions This study found that there is a decreased balance and motor coordination and an increased risk of falling in patients with type 2 diabetes. These parameters improved in patients who have undergone training programme with biofeedback. Furthermore, an age-dependent deprivation of static balance was observed along with an increased risk of falling as a result of increasing BMI.

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 Assessment of muscle mass, risk of falls and fear of falling in elderly people with diabetic neuropathy

2015 ◽  
Vol 28 (4) ◽  
pp. 677-683 ◽  
Author(s):  
Hudson Azevedo Pinheiro ◽  
Karla Helena Coelho Vilaça ◽  
Gustavo de Azevedo Carvalho
Keyword(s):  
Diabetic Neuropathy ◽  
Lean Body Mass ◽  
Muscle Mass ◽  
Body Mass ◽  
Fear Of Falling ◽  
Berg Balance Scale ◽  
Elderly Adults ◽  
Risk Of Falling ◽  
Risk Of Falls ◽  
History Of

Abstract Objective : To assess muscle mass, risk of falls and fear of falling in elderly adults with diabetic neuropathy (DNP). Methods : 50 elderly patients with diabetes mellitus (DM) and diabetic neuropathy (NPD) participated in this study. Risk of falling was assessed using the Berg Balance Scale (BBS). Fear of falling was assessed by means of the Falls Efficacy Scale-International (FES-I). Muscle mass was assessed by tetrapolar bioimpedance analysis (BIA) and Janssen's equation. Subjects were divided into two groups: one with a history of falls in the six months before study enrollment (G1) and the other without history of falls (G2). Results : There were statistically significant differences between G1 and G2 regarding lean body mass (p < 0.05), risk of falls as measured by the BBS (p < 0.01), and fear of falling as measured by the FES-I (p < 0.01). In addition, there was a significant correlation between the BBS and BIA (r = 0.45 and p < 0.01), showing that the greater the lean body mass, the lower the risk of falling. Conclusions : We found an association between lean mass, risk of falls and fear of falling in elderly adults with DNP and a history of falls from own height.

scholarly journals Effect of Cognitive Function on Balance and Posture Control after Stroke

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Hui-xian Yu ◽  
Zhao-xia Wang ◽  
Chang-bin Liu ◽  
Pei Dai ◽  
Yue Lan ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Berg Balance Scale ◽  
Posture Control ◽  
Control Group ◽  
Cognitive Resources ◽  
Balance Function ◽  
Timed Up And Go ◽  
Risk Of Falls ◽  
Group 16 ◽  
Hemiplegic Gait

Hemiplegic gait is the most common sequela of stroke. Patients with hemiplegic gait are at a risk of falling because of poor balance. The theory of cognitive-motor networks paved the way for a new field of research. However, the mechanism of the relationship of cognition with gait or posture control networks is unclear because of the dynamic characteristics of walking and changing postures. To explore differences in the balance function and fall risk between patients with and without cognitive impairment after stroke, we utilized the Berg balance scale, Timed “Up and Go” test, and 10 m walking test. Patients were divided into two groups: the observation group (16 patients, female 6 and male 10), comprising patients with cognitive impairment after stroke, and the control group (16 patients, female 7 and male 9), comprising patients without cognitive impairment after stroke. We found that patients with cognitive impairment had worse balance function and a higher risk of falls. They needed a longer time to turn around or sit down. Our findings indicated that posture control in turning around and sitting down required more cognitive resources in daily life.

scholarly journals The effect of Pilates practice on balance in elderly: a systematic review

2018 ◽  
Vol 23 ◽  
pp. 1-7 ◽  
Author(s):  
Araceli Goedert ◽  
Karini Borges Dos santos ◽  
Paulo Cesar Barauce Bento ◽  
André Luiz Felix Rodacki
Keyword(s):  
Systematic Review ◽  
Elderly People ◽  
Dynamic Balance ◽  
Balance Training ◽  
Gradual Decline ◽  
Exercise Interventions ◽  
Minimum Frequency ◽  
Risk Of Falls

The aging is accompanied by a gradual decline in balance and increases risk of falls. Pilates has been used for balance training. e purpose of this research was to systematize studies regarding the effects of Pilates exercise interventions on static and dynamic balance of elderly people. A survey was conducted in three indexed databases: Medline/Pubmed, Scopus and Science Direct, using the descriptors “balance” or “equilibrium” with the term “Pilates”. Fifteen articles were selected and used in this systematic review. Based on the results, we observed that the practice of Pilates with a minimum frequency of two sessions per week for an hour lasting for a period of at least five weeks or three times per week for 12 sessions or more showed improvement on static and dynamic balance of elderly.

scholarly journals PENURUNAN RISIKO JATUH MELALUI PENILAIAN TINETTI PERFORMANCE ORIENTED MOBILITY ASSESSMENT (POMA) DENGAN LATIHAN KESEIMBANGAN FISIK PADA LANSIA

2019 ◽  
Vol 9 (1) ◽  
pp. 56-61
Author(s):  
Asti Nuraeni ◽  
Sri Hartini
Keyword(s):  
Random Sampling ◽  
Balance Training ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Normal Function ◽  
T Test ◽  
P Value ◽  
Risk Of Falling ◽  
Mobility Assessment ◽  
Paired T Test

Proses menua merupakan proses menghilangnya secara perlahan kemampuan jaringan untuk memperbaiki diri atau mengganti dan mempertahankan fungsi normalnya sehingga tidak dapat bertahan terhadap infeksi dan perbaikan kerusakan yang diderita. Masalah kesehatan yang sering terjadi pada lansia salah satunya adalah muskuloskeletal, yaitu penurunan massa dan tonus otot, serat otot berkurang ukurannya, kekuatan otot berkurang. Insiden jatuh di Indonesia tercatat dari 115 penghuni panti sebanyak 30 lansia atau sekitar 43,47%. Salah satu upaya mencegah terjadinya jatuh pada lansia yaitu dengan cara latihan keseimbangan fisik. Tujuan dari penelitian ini adalah menganalisis pengaruh latihan keseimbangan fisik dengan penilaian Tinetti POMA terhadap penurunan kejadian lansia jatuh. Desain penelitian ini menggunakan pre-eksperimental dengan metode one group pretest posttest design. Teknik sampling pada penelitian ini menggunakan metode simple random sampling dan besar sampel menggunakan Roschoe dengan jumlah sampel 30 responden. Hasil penelitian menunjukan bahwa Sebelum diberikan intervensi, menunjukan hasil bahwa responden lansia  yang memiliki risiko jatuh tinggi sebanyak 9 responden (30,0%), dan responden dengan risiko jatuh sedang sebanyak 21 responden (70,0%). Sedangkan setelah diberikan intervensi menunjukan hasil yang sama besar yaitu sebanyak 15 responden (50%) memiliki risiko jatuh sedang dan 15 responden (50%) memiliki risiko jatuh rendah. Hasil statistik dengan uji paired t test menunjukkan ada pengaruh latihan keseimbangan fisik lansia dengan kajian jatih pada lansia dengan P value 0,000. Perawat diharapkan mampu mencegah risiko jatuh pada lansia dengan memberikan bekal ilmu pengetahuan kepada petugas panti/ kader tentang pengkajian lansia yang beresiko jatuh yang kemudian untuk melakukan pencegahan pada lansia dengan diberikan latihan keseimbangan fisik.   Kata kunci : Tinetti POMA, latihan keseimbangan fisik   RISK DECREASING FALLS THROUGH TINETTI PERFORMANCE ORIENTED MOBILITY ASSESSMENT (POMA) ASSESSMENT WITH EXERCISEPHYSICAL BALANCE IN ELDERLY   ABSTRACT Aging is a process of slowly disappearing the ability of tissue to repair itself or replace and maintain its normal function so it cannot withstand infections and repair damage suffered. Health problems that often occur in the elderly, one of which is musculoskeletal, which is a decrease in muscle mass and tone, muscle fiber decreases in size, muscle strength decreases. The falling incident in Indonesia was recorded by 115 orphanage residents as many as 30 elderly or around 43.47%. One effort to prevent falls in the elderly is by physical balance training. The purpose of this study was to analyze the effect of physical balance training with the Tinetti POMA assessment of the decline in the incidence of elderly falls. The design of this study used a pre-experimental method with one group pretest posttest design. The sampling technique in this study used a simple random sampling method and the sample size used Roschoe with a sample of 30 respondents. The results showed that before the intervention was given, the results showed that elderly respondents who had a high risk of falling were 9 respondents (30.0%), and respondents with a moderate risk of falling were 21 respondents (70.0%). Whereas after being given the intervention showed the same results as many as 15 respondents (50%) had a risk of moderate fall and 15 respondents (50%) had a risk of falling low. Statistical results with paired t test showed that there was an effect of elderly physical balance training with a jatih study on the elderly with P value 0,000. Nurses are expected to be able to prevent the risk of falling on the elderly by providing knowledge to nursing staff / cadres about the study of elderly people who are at risk of falling who then to prevent the elderly by being given physical balance training. Keywords: POMA Tinetti, physical balance training

scholarly journals FAKTOR-FAKTOR PENYEBAB RESIKO JATUH PADA PASIEN DI BANGSAL NEUROLOGI RSUP DR. M DJAMIL PADANG

2018 ◽  
Vol 8 (2) ◽  
pp. 133-141
Author(s):  
Julimar
Keyword(s):  
Data Entry ◽  
Physical Injury ◽  
High Likelihood ◽  
Data Collection Tool ◽  
Risk Of Falling ◽  
Patient Factors ◽  
Physiological Factors ◽  
Organization And Management ◽  
Risk Of Falls ◽  
Work Environment Factors

The risk of falling is possible for someone to fall which can cause physical injury that is generally caused by environmental and physiological factors that can result in injury. The incidence of the risk of falls that occurred in the Hospital Dr. M Djamil in 2015 as much as 0.5%. The incidence of the risk of falling inIndonesia in January to September 2012 amounted to 14%. The high likelihood that a patient runs the risk of falling is influenced by several factors, one of which factors from the patient's own. The purpose of this study to find out what are the factors that greatly affect the safety of patients, especially in thedepartment of neurology ward. Dr. M Djamil Padang. This research was conducted in July-August 2016 for the department. Dr. M Djamil Padang. This research uses descriptive analytical method. The population in this study were nurses who are specifically in the department of Neurology ward. Dr. M Djamil Padang with a sample size of 16 people were taken by total sampling. Data collection tool is a questionnaire. Processing of data by editing, coding, data entry, and tabulating. Analysis of the data used univariate data analysis. The results of this study found that the factors that cause the risk of falls in patients include: more than half (75%) of respondents rate the organization and management of high factor, more than half (68.75%) of respondents valued the work environment factors, most of all (94%) of respondents rated high factor of the team, more than half (75%) of respondents rated higher personnel factor, less than half (37.5%) of respondents low duty factor, all (100%) of respondents rated high patient factors, and more than half (56.25%) of respondents low rate communication factor. For nurses who value high ratings may be influenced by the style of good leadership in taking any decision, the existence of good cooperation between the heads of the room with the nurse, and their examination environment around the patient. Researchers suggested that nurses still maintain good performance in carrying out its duties and researchers expect that number causes the risk of falling in the neurology ward, especially Hospital Dr. M Djamil Padang reduced.

Tension Bands Placed on the Thigh and Shank Produce Changes in the Knee Flexion Moment and Gait Asymmetry

2009 ◽  
Author(s):  
Ariel V. Dowling ◽  
Nathan Fenner ◽  
Thomas P. Andriacchi
Keyword(s):  
Quality Of Life ◽  
Knee Flexion ◽  
Daily Living ◽  
Risk Of Falling ◽  
Substantial Impact ◽  
Gait Asymmetry ◽  
Flexion Moment ◽  
Risk Of Falls ◽  
Tension Bands

Decreased symmetry in walking mechanics is common to many conditions associated with falling, such as muscle weakness, poor balance or flexibility, dizziness or vertigo, confusion, and vision problems [1]. Falls and the risk of falls have a substantial impact on the quality of life with aging. More than one in three adults over 65 years experience falls each year, and in half of these cases the falls are recurrent [2,3]. As patients with asymmetric gait are at a greater risk of falling during activities of daily living such as walking [1], conducting experiments on methods to correct gait asymmetries on this cohort can be potentially dangerous. However, experiments conducted with healthy patients that have an induced gait asymmetry during walking would minimize the risk to the unhealthy population while still allowing the researcher to test a subject with a gait asymmetry.

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