Fatores associados ao equilíbrio funcional em idosos com disfunção vestibular crônica
Juliana Maria Gazzola,Monica Rodrigues Perracini,Maurício Malavasi Ganança,Fernando Freitas Ganança +3 more
TLDR
Functional balance in the elderly with chronic vestibular disorders evaluated by the BBS is worse when associated with aging, with a more advanced age group (80 years or more), increasing number of illnesses, presence of five or more illnesses, use of multiple medications, recurrent falls, tendency to fall, central Vestibular syndromes, daily dizziness, mobility and gait impairments.Abstract:
Daily activities can be challenging for the elderly. AIM: To study the association between functional balance, evaluated by the Berg Balance Scale (BBS), sociodemographics, clinical and mobilility (Timed up and go test - TUGT, Dynamic Gait Index - DGI) variables in the elderly with chronic vestibular disorder. MATERIALS AND METHODS: A series study with one hundred and twenty elderly with chronic vestibular disorder. We performed the Mann-Whitney test, the Kruskal-Wallis test followed by Dunn test and the Spearman Coefficient (). RESULTS: Statistically significant associations and correlations were observed between total BBS score and age (=-0.354; p<0.001), age group (p<0.001), number off illnesses (p=0.030), number of illnesses (=-0.287; p=0.001), number of medications (p=0.014), number of medications (=-0.274; p=0.002), recurrent falls (p=0.010), tendency to fall (p=0.002), topographic diagnosis of central vestibular disorder (p<0.001) and periodicity of dizziness (p=0.039), TUGT (=-0.709; p<0.001) and DGI (=-0.748; p<0.001). CONCLUSIONS: Functional balance in the elderly with chronic vestibular disorders evaluated by the BBS is worse when associated with aging, with a more advanced age group (80 years or more), increasing number of illnesses, presence of five or more illnesses, use of multiple medications, recurrent falls, tendency to fall, central vestibular syndromes, daily dizziness, mobility and gait impairments.read more
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Revista Brasileira de Prescrição e Fisiologia do Exercício
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References
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Journal Article
Measuring balance in the elderly: validation of an instrument
TL;DR: Balance scores predicted the occurrence of multiple falls among elderly residents and were strongly correlated with functional and motor performance in stroke patients.
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Measuring balance in the elderly: preliminary development of an instrument
TL;DR: The goal for this study was to develop a measure of balance appropriate for elderly individuals and there was a high degree of internal consistency, a Cronbach's alpha of .96, which indicates the movements reflect a single underlying dimension.
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Predicting the Probability for Falls in Community-Dwelling Older Adults
TL;DR: A simple predictive model based on two risk factors can be used by physical therapists to quantify fall risk in community-dwelling older adults and Identification of patients with a high fall risk can lead to an appropriate referral into a fall prevention program.
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Clinical and laboratory measures of postural balance in an elderly population.
TL;DR: The Balance Scale was the most efficient measure to statistically discriminate between subjects according to their use of each type of mobility aide (walker, cane, no aids) and supports the validity of the Balance Scale in this geriatric population.