scholarly journals Prevención del riesgo de caída en adultos mayores con programa Kunte durante confinamiento por COVID-19 (Prevention older adults fall risk with Kunte program during COVID-19 confinement)

Retos ◽  
2021 ◽  
Vol 42 ◽  
pp. 236-243
Author(s):  
Manuel Villarroel Cerda ◽  
Matías Pozo Núñez ◽  
Cristián Díaz Escobar ◽  
Víctor Patricio Díaz Narváez

  Introducción: La falta de actividad física e incremento de conductas sedentarias durante el confinamiento domiciliario de adultos mayores, debido al COVID-19, tendría como consecuencia, con el tiempo, un aumento del riesgo de caída en esta población. Objetivo: Disminuir el riesgo de caída en un grupo de adultos mayores con confinamiento domiciliario aplicando el programa de actividad física Kunte, concerniente en secuencias de movimientos de tipo oriental estructurados de acuerdo a fundamentos teórico-prácticos de la terapia física y metodológico-pedagógicos de la Educación Física. Métodos: Estudio de diseño exploratorio y cuasi experimental; aplicado en 35 adultos mayores (19 mujeres – 16 hombres), pertenecientes a la comuna de Maipú, Santiago, Chile. Durante un periodo de 3 meses, utilizando el Timed Up and Go y Prueba de Tinetti antes y después de la intervención con el programa Kunte. Resultados: Los estadísticos descriptivos determinaron en un antes y después de aplicado el programa Kunte diferencias significativas (p<0,05) y altamente significativas (p<0,005) para la prueba Tinetti y Timed Up and Go Test respectivamente, tanto en hombres como mujeres, en la valoración del riesgo de caída de adultos mayores; disminuyendo significativamente este riesgo en cuanto a su relación con el equilibrio corporal dinámico y la marcha. Conclusión: La aplicación del programa Kunte presentó resultados significativamente positivos al valorar el equilibrio corporal dinámico y la marcha, mediante pruebas funcionales relacionadas con el riesgo de caída en adultos mayores, en este caso con confinamiento domiciliario durante la pandemia por COVID-19. Abstract: Introduction: Lack of physical activity and increased sedentary behaviors during home confinement of older adults, due to COVID-19, would result, over time, in an increased risk of falling in this population. Objective: To reduce the risk of falling in a group of older adults in home confinement by applying the Kunte physical activity program, based on sequences of oriental-type movements structured according to the theoretical-practical foundations of physical therapy and the methodological-pedagogical principles of Physical Education. Methods: Exploratory and quasi-experimental design study; applied in 35 older adults (19 women - 16 men), belonging to the commune of Maipú, Santiago, Chile. During a period of 3 months, using the Timed Up and Go and Tinetti's Test before and after the intervention with the Kunte program. Results: Descriptive statistics determined significant (p<0.05) and highly significant (p<0.005) differences for the Tinetti and Timed Up and Go Test respectively, in both men and women, in the assessment of the risk of falling of older adults; significantly decreasing this risk in terms of its relationship with dynamic body balance and walking. Conclusion: The application of the Kunte program showed significantly positive results when assessing dynamic body balance and gait, through functional tests related to fall risk in older adults, in this case with home confinement during the COVID-19 pandemic.

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
M. Hide ◽  
Y. Ito ◽  
N. Kuroda ◽  
M. Kanda ◽  
W. Teramoto

AbstractThis study investigates how the multisensory integration in body perception changes with increasing age, and whether it is associated with older adults’ risk of falling. For this, the rubber hand illusion (RHI) and rubber foot illusion (RFI) were used. Twenty-eight community-dwelling older adults and 25 university students were recruited. They viewed a rubber hand or foot that was stimulated in synchrony or asynchrony with their own hidden hand or foot. The illusion was assessed by using a questionnaire, and measuring the proprioceptive drift and latency. The Timed Up and Go Test was used to classify the older adults into lower and higher fall-risk groups. No difference was observed in the RHI between the younger and older adults. However, several differences were observed in the RFI. Specifically, the older adults with a lower fall-risk hardly experienced the illusion, whereas those with a higher fall-risk experienced it with a shorter latency and no weaker than the younger adults. These results suggest that in older adults, the mechanism of multisensory integration for constructing body perception can change depending on the stimulated body parts, and that the risk of falling is associated with multisensory integration.


2020 ◽  
Vol 05 (04) ◽  
pp. 89-91
Author(s):  
Beatrice Pettersson ◽  
Ellinor Nordin ◽  
Anna Ramnemark ◽  
Lillemor Lundin-Olsson

Early detection of older adults with an increased risk of falling could enable early onset of preventative measures. Currently used fall risk assessment tools have not proven sufficiently effective in differentiating between high and low fall risk in community-living older adults. There are a number of tests and measures available, but many timed and observation-based tools are performed on a flat floor without interaction with the surrounding. To improve falls prediction, measurements in other areas that challenge mobility in dynamic conditions and that take a persons’ own perception of steadiness into account should be further developed and evaluated as single or combined measures. The tools should be easy to apply in clinical practice or used as a self-assessment by the older adults themselves.


2016 ◽  
Vol 48 ◽  
pp. 557
Author(s):  
Victor Z. Dourado ◽  
Evandro Sperandio ◽  
Ana Esther Oliveira ◽  
Marcello Romiti ◽  
Antônio Gagliardi ◽  
...  

Author(s):  
Dahlan D. Ahmad ◽  
Rostinah Rostinah ◽  
Rini Hendari ◽  
Nurbaety Nurbaety

The Elderly has the risk of falling due to physical weakness resulting in disruption of body balance which can be improved through regular balance exercises to increase the strength of the lower limb muscles. This research aimed at analyzing the effect of before and after gymnastic balance against the risk of falling the elderly at Social Center Meci Angi Bima. The research design that was utilized was a quasi-experimental research design by one group pretest-posttest design. Based on the Paired t-test with a probability value of 95%, ? = 0.05 showed that p = 0.000 (p ?0.05). The result showed that in this study there is a significant effect between balance gymnastics and the risk of falling in the elderly.


2014 ◽  
Vol 15 (5) ◽  
pp. 579-587 ◽  
Author(s):  
Sang-I Lin ◽  
Ku-Chou Chang ◽  
Hsuei-Chen Lee ◽  
Yi-Ching Yang ◽  
Jau-Yih Tsauo

2019 ◽  
Vol 23 ◽  
pp. 1-7
Author(s):  
Maria da Conceição Lopes Ribeiro ◽  
Lélia Lessa Teixeira Pinto ◽  
Andreza Soares dos Santos ◽  
Joilson Menegucci ◽  
Jair Sindra Virtuoso Junior ◽  
...  

The aim of the study was to describe the logical model of a home intervention using a motivational strategy to improve physical fitness components in female older adults. A quasi-experimental study was conducted with 91 elderly women between 61 and 80 years old, divided into intervention (IG) and control (CG) groups. The participants also answered a questionnaire with sociodemographic information, stage of behaviour change, physical activity and physical performance tests, before and after 12 weeks of intervention. The intervention was performed using a guide with home-based physical exercise associated with motivational strategies (telephone calls and home visits). e intervention with reduced interaction was planned to have a low financial cost, both in relation to the physical space and the materials necessary to practice the home-based physical activities, making feasible the applicability in different places. The logical model provides insight into the intervention and its phases of planning, implementation, and evaluation.


2018 ◽  
Vol 26 (4) ◽  
pp. 599-607
Author(s):  
Dylan Brennan ◽  
Aleksandra A. Zecevic ◽  
Shannon L. Sibbald ◽  
Volker Nolte

Objectives: The risk of falling increases in adults aged 65 years and older. A common barrier to take up physical activity in sedentary older adults is the fear of falls and injury. Experiences of master athletes can provide insights into management of the risk of falling. The purpose of this phenomenological study was to explore the fall-risk experience of masters athletes actively competing in sport. Methods: Masters athletes aged 55 years and older (N = 22) described their experiences in semistructured interviews. Data were analyzed through an interpretive–constructivist paradigm using inductive content analysis. Results: Five dominant themes emerged: acceptance, learning, awareness, resilience, and self-fulfillment. Participants of this study reported an acceptance of the risk they take in sport for falls and injuries in their pursuits for self-fulfillment. Discussion: Findings indicate that master athletes accept the risk for falls and injuries in sport, find ways to adapt, and continue to compete because it is self-fulfilling. Sharing their experiences might inspire other older adults to get active as a rewarding means of remaining independent.


2021 ◽  
Vol 12 ◽  
pp. 204062232110159
Author(s):  
Jung Eun Yoo ◽  
Dahye Kim ◽  
Hayoung Choi ◽  
Young Ae Kang ◽  
Kyungdo Han ◽  
...  

Background: The aim of this study was to investigate whether physical activity, sarcopenia, and anemia are associated an with increased risk of tuberculosis (TB) among the older population. Methods: We included 1,245,640 66-year-old subjects who participated in the National Screening Program for Transitional Ages for Koreans from 2009 to 2014. At baseline, we assessed common health problems in the older population, including anemia and sarcopenia. The subjects’ performance in the timed up-and-go (TUG) test was used to predict sarcopenia. The incidence of TB was determined using claims data from the National Health Insurance Service database. Results: The median follow-up duration was 6.4 years. There was a significant association between the severity of anemia and TB incidence, with an adjusted hazard ratio (aHR) of 1.28 [95% confidence interval (CI), 1.20–1.36] for mild anemia and 1.69 (95% CI, 1.51–1.88) for moderate to severe anemia. Compared with those who had normal TUG times, participants with slow TUG times (⩾15 s) had a significantly increased risk of TB (aHR 1.19, 95% CI, 1.07–1.33). On the other hand, both irregular (aHR 0.88, 95% CI 0.83–0.93) and regular (aHR 0.84, 95% CI, 0.78–0.92) physical activity reduced the risk of TB. Male sex, lower income, alcohol consumption, smoking, diabetes, and asthma/chronic obstructive pulmonary disease increased the risk of TB. Conclusion: The risk of TB among older adults increased with worsening anemia, sarcopenia, and physical inactivity. Physicians should be aware of those modifiable predictors for TB among the older population.


Author(s):  
Esther García-Esquinas ◽  
Rosario Ortolá ◽  
Iago Gine-Vázquez ◽  
José A. Carnicero ◽  
Asier Mañas ◽  
...  

We used data from 3041 participants in four cohorts of community-dwelling individuals aged ≥65 years in Spain collected through a pre-pandemic face-to-face interview and a telephone interview conducted between weeks 7 to 15 after the beginning of the COVID-19 lockdown. On average, the confinement was not associated with a deterioration in lifestyle risk factors (smoking, alcohol intake, diet, or weight), except for a decreased physical activity and increased sedentary time, which reversed with the end of confinement. However, chronic pain worsened, and moderate declines in mental health, that did not seem to reverse after restrictions were lifted, were observed. Males, older adults with greater social isolation or greater feelings of loneliness, those with poorer housing conditions, as well as those with a higher prevalence of chronic morbidities were at increased risk of developing unhealthier lifestyles or mental health declines with confinement. On the other hand, previously having a greater adherence to the Mediterranean diet and doing more physical activity protected older adults from developing unhealthier lifestyles with confinement. If another lockdown were imposed during this or future pandemics, public health programs should specially address the needs of older individuals with male sex, greater social isolation, sub-optimal housing conditions, and chronic morbidities because of their greater vulnerability to the enacted movement restrictions.


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