scholarly journals Assessment of anxiety and postural balance in strategy for health care for elderly women

2020 ◽  
Vol 99 (6) ◽  
pp. 631-637
Author(s):  
A. B. Gudkov ◽  
Valery P. Chashchin ◽  
A. V. Dyomin ◽  
O. N. Popova ◽  
N. M. Frolova

Introduction. The relevance of the study is determined by the tasks set in the National Project “Demography” (Federal Project “Senior Generation”), and consists in the need for registration of functional characteristics of the organism of older age groups in the accounting system of measures to preserve their health.Aim of the study is to establish the characteristics of anxiety and components of the postural balance (CPB) in elderly women with the risk of recurrent falls.Material and methods. We examined 232 women aged 55-69 years who reported that they experienced two or more falls over the past 12 months. The first age group included women whose calendar age was in the range of 55-64 years (n = 72), the second - women aged 65-69 years (n = 160). Using the self-assessment diagnostic technique by Spielberger, Ch. D., and Khanin, Yu. L. we determined the level of situational (SA) and personal (PA) anxiety. To assess the features of the CPB, a US-manufactured computerized dynamic posturography complex Smart Equitest Balance Manager was used. Sensory Organization Test (SOT) and Motor Control Test (MCT) tests were conducted. Results. When analyzing anxiety scale values, a high level of PA was revealed in both groups of women, however, the SA indices in women 55-64 years old were lower than for women 65-69 years old (p = 0.005). All this indicates that the development of recurrent falls among women older 64 years will be accompanied by mental tension and pronounced emotional responses to postural changes. According to computerized dynamic posturography testing, age-related differences in CPB have been revealed. There was a decrease in the quality of the equilibrium function by test 5 SOT and vestibular information in postural control found in women of age group 55-64, whereas for women in the age group 65-69 there was a decrease in the quality of equilibrium function by test 4 and visual information in balance control. In the latter, there was also found an increase in the time of coordinated motor response by the test of unexpected external impact on the shift of the center of gravity capable of enhancing the risks of stuttering and falls when walking fast.Conclusion. The suggested criteria for assessing the risk of falls in elderly women can be used to develop individual health programs to prevent serious consequences in such events.

Author(s):  
A. B. Gudkov ◽  
A. V. Dyomin ◽  
O. N. Popova ◽  
A. V. Gribanov

Relevance.Compared with economically developed countries, Russia has a high risk of fires. In 2005–2017 in (175.8 ± 9.0) thousand fires were reported in Russia annually, with (81.1 ± 5.3) thousand people rescued, (12.6 ± 0.9) thousand died and (12.1 ± 0.4) thousand injured. The average annual direct damage from fires was (13.4 ± 1.1) billion rubles. The experienced extreme and emergency situations have a particularly significant impact on the functional status and health of an older person.Intention.The purpose of this work is to identify the features of the components of postural balance in older women who have survived a fire.Methodology.94 women aged 60–69 years were examined. The study group included women who, as a result of the fire, lost (in part or in full) their possessions and housing (fire victims). The comparison group randomly included women without any extreme situations (fire hazard, crime, road traffic, as well as the death of close relatives) over the past two years. To assess the quality of the equilibrium function, posture control strategy and sensory organization of postural control, we conducted the Sensory Organization Test (SOT) of the computer dynamic posturographic complex Smart Equitest Balance Manager.Results and discussion.Based on the SOT analysis, it was found that stressful situations associated with extreme or emergency situations experienced by older women influence the components of their postural balance. These changes included a decrease in the quality of the equilibrium function in functional tests 1, 2, 3, 5, 6 for fire victims; a decrease in the postural strategy in tests 5 and 6; a decrease in the resulting assessments of both the quality of the equilibrium function and the strategies for maintaining the posture of the entire SOT, as well as the degree of participation of vestibular information in the balance control.Conclusions.In female fire victims, the components of postural control change: the quality of the equilibrium function decreases, the strategy of maintaining posture deteriorates.


2005 ◽  
Vol 84 (4) ◽  
pp. 212-214 ◽  
Author(s):  
Robert T. Sataloff ◽  
Mary J. Hawkshaw ◽  
Heidi Mandel ◽  
Amy B. Zwislewski ◽  
Jonathan Armour ◽  
...  

The complexities of the balance system create difficulties for professionals interested in testing equilibrium function objectively. Traditionally, electronystagmography (ENG) has been used for this purpose, but it provides information on only a limited portion of the equilibrium system. Computerized dynamic posturography (CDP) is less specific than ENG, but it provides more global insight into a patient's ability to maintain equilibrium under more challenging environmental circumstances. CDP also appears to be valuable in obtaining objective confirmation of an abnormality in some dizzy patients whose ENG findings are normal. Our review of 33 patients with normal ENG results and abnormal CDP findings suggests that posturography is useful for confirming or quantifying a balance abnormality in some patients whose complaints cannot be confirmed by other tests frequently used by otologists.


2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 383-393 ◽  
Author(s):  
Daniel Dominguez Ferraz ◽  
Karen Trippo ◽  
Adriana Dominguez ◽  
Adriana Santos ◽  
Jamary Oliveira Filho

Abstract Introduction: Postural instability affects balance control in Parkinson disease (PD) patients and increases the particular risk of falling compared with healthy older adults. Video games with not immersive virtual reality have been used in neurological disorders rehabilitation process. Objective: To evaluate the effectiveness of the video game console Nintendo Wii (NW) on postural balance and mobility treatment of adults with PD in Hoehn and Yahr stages I to III. Methods: The following databases were searched electronically on MEDLINE, Cochrane Library, PEDro, CAPES Periodic, BIREME, and LILACS databases. The search period for this review was January 2010 to June 2016. The assessment of methodological quality was performed using the PEDro Scale as reference. Results: 12 original studies were selected, but only 3 were randomized controlled trials (RCTs). Conclusion: Some of the studies analysed suggest that NW can provide improvement in balance and mobility of adults with PD. These benefits should be interpreted with caution because of the low methodological quality of the included trials, and the lack of common assessment of treatment effects. There is little evidence to ensure the effectiveness and support the inclusion of the treatment with NW of patients with PD.


2014 ◽  
Vol 2 (4) ◽  
pp. 626-631
Author(s):  
Douaa M. Mosalem ◽  
Abeer M. El Shabrawy ◽  
Aziz Alfeeli ◽  
Ayyoub B. Baqer ◽  
Mohieldin M. Ahmed

BACKGROUND: Posture and gait instability may cause of morbidity in individuals with progressive supranuclear palsy (PSP). OBJECTIVE: To quantitatively measure balance control by using computerized dynamic posturography (CDP) and to assess gait analysis in early PSP.CASE REPORT: She was evaluated for Berge balance scale, Functional Independence Measure (FIM) and postural stability using CDP device in early PSP with still able to walk or stand unassisted. Also, Gait analysis was conducted using an 8 M-camera Vicon 612 data capturing system set. Berge balance scale improved from 41/56 to 48/56. The score of FIM improved from 71/126 points to 95/126 points in early PSP. In CDP analysis, there was a decrease of composite equilibrium score (38 %). There was an increase of composite equilibrium score (59%) after three months of treatment. In gait analysis, there was no difference of gait parameters after three months of treatment in early PSP.CONCLUSIONS: Both CDP and gait analysis are important quantitative tools in the assessment of posture and gait instability as well as allow for early disclosure of the failure of the postural control system in early PSP.


2014 ◽  
Vol 2 (2) ◽  
pp. 271-276
Author(s):  
Mohieldin M. Ahmed ◽  
Douaa M. Mosalem ◽  
Wafaa A. Tarshouby ◽  
Aziz K. Alfeeli ◽  
Ayyoub B. Baqer ◽  
...  

BACKGROUND: Diabetic peripheral neuropathy (DPN) often has reduced stability during standing conditions.AIM: To compare balance control in diabetic patients and normal subjects using computerized dynamic posturography and to assess effect of visual feedback-based balance training in DPN.MATERIALS AND METHODS: A total of 57 patients of type 2 diabetes mellitus and 30 age-matched normal control subjects were recruited. The sensory organization test was done before and after the training program.RESULTS: There was a significant decrease of mean (± SD) of composite equilibrium score and somatosensory ratio score between subgroups of DPN and control healthy group (p < 0.05).  There was a significant increase of mean (± SD) of composite equilibrium score and the somatosensory ratio score after treatment as compared to results before training (p < 0.05) in mild DPN.  Moreover, there were a significant correlation between composite equilibrium score and disease duration before training in the severe DPN (r = 0.368, p < 0.05). CONCLUSIONS: Computerized dynamic posturography is an important quantitative tool in the assessment of posture instability and allows for early disclosure of the failure of the postural control system. Visual feedback-based balance training was shown to be a promising method for fall prevention among early diabetes mellitus with peripheral neuropathy.


Author(s):  
A. B. Gudkov ◽  
V. P. Chashchin ◽  
A. V. Demin ◽  
O. N. Popova

Introduction. The relevance of the study is determined by the tasks set in the National project “Demography” (Federal project “Older generation”), and is the need to take into account the functional and psycho-physiological characteristics of older age groups in the system of measures to preserve their health and efficiency in connection with the upcoming increase in the age, giving the right to retire for the majority of the working population.The aim of study was to determine the main patterns in the changes in indicators characterizing the quality of life (QL) and postural balance in women of older age groups who continue to work in their profession.Materials and methods. 166 working women aged 55–64 years (mean age 59±2.8 years) were examined. The sample included women who agreed to participate in the study and who, 12 months after the survey, continued to work and did not plan to stop working during the following year. The first age group (AG) consisted of women whose calendar age (CA) was within 55–59 years (n=89), the second — women aged 60–64 years (n=77). The physical (PCS) and psychological (MCS) components of health-related QOL were determined by the SF–36v2 questionnaire. To evaluate the components of postural balance (CPB), a sensory Organization Test (SOT) was conducted using a computer posturographic (stabilometric) complex “Smart Equitest Balance Manager”.Results. It was found that all medians of QL components in the examined women were above 50 points, i.e. exceeded the general population norm. Comparison of PCS values in AG 55–59 years and 60–64 years showed differences at the level of statistical trend (0.05>p≤0.1). When comparing MCS, no statistically significant differences between the groups were found. The study of the SOT PBC revealed that women aged 60–64 had a slight decrease in the quality of the equilibrium function in functional samples 1 (p=0.008) and 2 (p=0.009), but the quality of the equilibrium function in sample 6 (p=0.005) was higher than in women aged 55–59, which makes it possible to consider this indicator as a predictor that has a positive eff ecton the continuation of employment over 59 years.Conclusions. Thus, the physical and psychological components of QL in working women 55–64 years exceed the general population norm. However, after 59 years there is a decrease in the physical component of QL and there is no decrease in the psychological component of QL, which suggests that the psychological health of women 60 years and older becomes crucial in predicting retirement. After 59 years, working women experience a decrease in the quality of the equilibrium function in functional samples 1 and 2, indicating the beginning of age-related changes in the PBC, which justifies the need to develop and implement physical education and health programs aimed at maintaining the postural balance in 60-year-old women.


2020 ◽  
Vol 21 (1) ◽  
pp. 49
Author(s):  
Augusto Baumhardt Guidoti ◽  
Ângelo Pereira Cattani ◽  
Cintia Laura De Araujo ◽  
Fernanda Beatriz Costa Delacoste ◽  
Guilherme Scotta Hentschke ◽  
...  

The Glittre ADL-test (TGlittre) has been designed and validated to measure functional capacity during daily living activities in patients with chronic obstructive pulmonary disease (COPD) but is now used in several other situations. The aim of this study was to evaluate the applicability of TGlittre in a sample of overweight and obese eutrophic elderly. This was an experimental and cross-sectional study, which included 21 elderly women, allocated by BMI, in eutrophic (n = 8), overweight (n = 6) and obese (n = 7) groups. They were assessed for functional capacity (TGlittre and 6MWT), quality of life (QOL) with the questionnaire World Health Organization Quality of Life for Older People (WHOQOL-OLD) and handgrip strength (HGS). TGlittre correlated with age (p = 0.0040) and with 6MWT (p = 0.0086), but no statistical difference was found in TGlittre's performance time and the distance covered in 6MWT between groups. TGlittre did not correlate with HGS (p = 0.1493) and WHOQOL-Old (p = 0.0905). The data obtained in the present study corroborate that TGlittre is used as a functional measurement variable in the elderly population.Keywords: aged, obesity, exercise intolerance.­­­


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Teguh Erawati

The research is to examine the influence of the understanding of local financial accounting system, capacity of human resource and the utility of information tecnology toward the quality of financial report information of yogyakarta government.The used data for the research is primer data. It is the result from questionnaires spreading. The respondence of this research is manager of financial report of yogyakarta local government. The questionnair is spread to 90 respondents, meanwhile that can be proccesd are 63 questionnaires. The method of sample taking is using purposive sampling. Analytic technique of data in this research is using double linier regretion technique.The result of regretion test shows that the local government financial accounting system understanding and the capacity of human resource are not influenced significantly to the quality of local government financial report information, meanwhile the utility of technology is influenced positively to the quality of local government financial report information.keyword: the understanding of local financial accounting system, capacity of human resource, the utility of information technology and quality of local government financial report information.


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