Navegando por Palavras-chave "postural balance"
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- ItemAcesso aberto (Open Access)Associação entre a ocorrência de quedas e o desempenho no Incremental Shuttle Walk Test em mulheres idosas(Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia, 2012-08-01) Bardin, Marcela Grigol [UNIFESP]; Dourado, Victor Zuniga [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: Because the incremental shuttle walk test (ISWT) requires agility in its performance, we hypothesized that the test may be associated with balance and risk of falls in the elderly. Objective: To evaluate and compare the association between the performance on the ISWT, the timed up and go (TUG) and the occurrence of falls in the elderly. METHOD: Thirty-three elderly individuals (68±7 years) performed the TUG and the ISWT. Balance was assessed using the Berg Scale (BBS). Participants who fell at least twice in the last 12 months were placed in the falls group (FG) and all other participants comprised the control group (CG). RESULTS: There were seventeen elderly women in the FG and 16 in the CG. Participants from the FG had a significant worse performance (p<0.05) on the TUG (8.01±0.22 vs. 6.22±0.21 s), BBS (51±3 vs. 55±1 points) and ISWT [313±79 (92±15%pred.) vs. 395±75 m (113±19%pred.)] than participants from the CG. The ISWT significantly correlated with the TUG (r=-0.75, p<0.001), BBS (r=0.50, p=0.002) and number of falls (r=0.36, p=0.031). After logistic regression, the TUG was determinant (p=0.03) and the ISWT showed a tendency to determine the occurrence of falls (p=0.05). CONCLUSION: The ISWT was a valid measure to assess the risk of falls and balance and therefore, may be useful for the simultaneous assessment of cardiorespiratory fitness and balance in older women.
- ItemAcesso aberto (Open Access)Body balance in elderly patients, 12 months after treatment for BPPV(Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial, 2013-01-01) Lanca, Solange Martiliano; Gazzola, Juliana Maria [UNIFESP]; Kasse, Cristiane Akemi [UNIFESP]; Alves Branco-Barreiro, Fatima Cristina; Vaz, Daniela Patricia; Scharlach, Renata Coelho [UNIFESP]; Dept Tech Projects & Campaigns Secretary Rights P; Universidade Federal de São Paulo (UNIFESP); Univ Bandeirante São Paulo; Metodo SchBenign Paroxysmal Positional Vertigo is highly prevalent in the elderly population, triggering major changes in body balance.Objective: To compare the results obtained from static posturography in the elderly before and after otoliths repositioning maneuvers and 12 months after treatment onset. Design: longitudinal, descriptive and analytical study.Method: Elderly patients with clinical diagnosis of BPPV submitted to Balance Rehabilitation Unit static posturography in 10 sensory conditions at three time intervals: before and after the repositioning maneuver and 12 months after the treatment.Results: We studied 23 subjects with a mean age of 68.74 years. Posturography revealed that the stability limit was not significantly different when the three time intervals were compared (p = 0.405). the center of pressure (CoP) showed a significant change in condition 2 (stable surface and closed eyes), because after the repositioning maneuver, the CoP significantly differed vis-a-vis the results before and 12 months after the treatment (p = 0.003). the values of body velocity sway (BVS) were significantly different in six sensoly conditions in these three time intervals.Conclusion: 12 months after the treatment for BPPV, the static posturography showed balance abnormalities similar to those found before treatment.
- ItemAcesso aberto (Open Access)Factors associated with functional balance and mobility among elderly diabetic outpatients(Sociedade Brasileira de Endocrinologia e Metabologia, 2009-10-01) Cordeiro, Renata Cereda [UNIFESP]; Jardim, José Roberto [UNIFESP]; Perracini, Monica Rodrigues; Ramos, Luiz Roberto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Cidade de São PauloOBJECTIVES: To characterize balance and mobility among diabetic elderly outpatients and to estimate the extent to which functional balance and mobility abnormalities can be influenced by sociodemographic, clinical and other functional factors in a cross-sectional study. METHODS: Ninety-one elderly (65+ years) outpatients were assessed. Mobility was evaluated by the Timed Up and Go Test (TUGT) and the balance, by the Berg Balance Scale (BS). RESULTS: TUGT mean score was 15.65 ± 5.9 seconds and BS mean score was 49.31 ± 7.3 points. Using linear regression analysis (α < 0.05), significant and independent positive relationships were obtained between TUGT and age, daily activities (ADL/IADL), step strategy, and proprioceptive sensitivity. Factors negatively associated with BS were: ADL/IADL, step strategy, proprioceptive sensitivity, orthostatic hypotension (OH) and conflictive sensory conditions. CONCLUSION: Elderly diabetic outpatients show abnormal balance and mobility related mainly to advanced age, disability, absence of step strategy, absence of proprioceptive sensitivity and presence of OH.
- ItemAcesso aberto (Open Access)The functional assessment Berg Balance Scale is better capable of estimating fall risk in the elderly than the posturographic Balance Stability System(Academia Brasileira de Neurologia - ABNEURO, 2013-01-01) Pereira, Vanessa Vieira; Maia, Roberto Alcantara [UNIFESP]; Silva, Sonia Maria Cesar De Azevedo [UNIFESP]; Instituto de Assistência Médica ao Servidor Público Estadual; Universidade Federal de São Paulo (UNIFESP)The purpose of this study was to verify which instrument better identifies recurrent falls in the elderly. Ninety-eight old people, with an average age of 80±4 years, were submitted to an assessment of balance and fall risk by means of the Berg Balance Scale (BBS) and the posturographic Balance Stability System (BSS). The BBS was correlated with the BSS (r=-0.27; p=0.008), age (r=-0.38; p<0.001) and number of falls (r=-0.25; p=0.013) and the analysis of logistical regression showed that the elderly classified with fall risk on the BBS presented 2.5 (95%CI 1.08-5.78) more chance of identifying who had two falls or more over the last year. The BBS identified that the greater the age the worse the functional balance and demonstrated a greater capacity to identify falls risk suffered over the last year when compared with the BSS.
- ItemAcesso aberto (Open Access)Patients with autosomal dominant spinocerebellar ataxia have more risk of falls, important balance impairment, and decreased ability to function(Academia Brasileira de Neurologia - ABNEURO, 2013-08-01) Aizawa, Carolina Yuri P. [UNIFESP]; Pedroso, Jose Luiz [UNIFESP]; Braga-neto, Pedro [UNIFESP]; Callegari, Marilia Rezende [UNIFESP]; Barsottini, Orlando Graziani Povoas [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVES: To assess balance and ability to function in patients with spinocerebellar ataxia. METHODS: A total of 44 patients with different spinocerebellar ataxia types 1, 2, 3, and 6 were evaluated using the Tinetti balance and gait assessment and the functional independence measure. The scale for the assessment and rating of ataxia and the international cooperative ataxia rating scale were used to evaluate disease severity. RESULTS: Most patients showed significant risk of falls. The balance scores were significantly different in spinocerebellar ataxia types. A significant positive correlation between balance and disease severity was found. CONCLUSION: Patients with spinocerebellar ataxia have important balance impairment and risk of falls that influence the ability to function such as self-care, transfers, and locomotion. Furthermore, the more severe ataxia is, the more compromised are postural balance, risk of falls, and ability to function.
- ItemAcesso aberto (Open Access)Posturografia do Balance Rehabilitation Unit (BRU TM) na vertigem posicional paroxística benigna(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2012-06-01) Monteiro, Silvia Roberta Gesteira; Ganança, Mauricio Malavasi [UNIFESP]; Ganança, Fernando Freitas [UNIFESP]; Ganança, Cristina Freitas [UNIFESP]; Caovilla, Heloisa Helena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Posturography has been used in the evaluation of patients with vestibular disorders. AIM: To evaluate balance control with the Balance Rehabilitation Unit (BRU TM) posturography in patients with Benign Paroxysmal Positional Vertigo. Study design: Prospective case-control. MATERIALS AND METHODS: A cross-sectional controlled study was carried out in 45 patients with BPPV, and a homogeneous control group consisting of 45 healthy individuals. Patients were submitted to a balance function evaluation by means of the Balance Rehabilitation Unit (BRU TM) posturography. RESULTS: The mean values of the ellipse area and the sway velocity in a firm surface and saccadic stimulation (p = 0.060). CONCLUSION: The Balance Rehabilitation Unit (BRU TM) posturography enables to identify postural control abnormalities in patients with BPPV.
- ItemAcesso aberto (Open Access)Posturografia estática em dependentes de drogas ilícitas e álcool(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2012-10-01) Moreira, Daniela Affonso; Ganança, Mauricio Malavasi [UNIFESP]; Caovilla, Heloisa Helena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)The use of illicit drugs and alcohol can affect body balance. AIM: To evaluate balance control with static posturography in individuals addicted to illicit drugs, with or without alcohol abuse. Study design: Case-control, prospective. METHODS: 47 users of illicit drugs, with or without alcohol abuse, and a homogeneous control group consisting of 47 healthy individuals were submitted to a neurotological evaluation including Balance Rehabilitation Unit posturography. RESULTS: The stability threshold mean values were significantly lower (p < 0.0001) in users of illicit drugs, with or without alcohol abuse when compared to the control group; the mean values for sway velocity and ellipse area in all evaluated conditions were significantly higher (p <0.05) in the experimental group when compared to the control group, except for the ellipse area in static force surface and opened eyes (p = 0.168). CONCLUSION: The balance control of individuals addicted to illicit drugs with or without alcohol abuse could present stability threshold, sway velocity and ellipse area abnormalities in static posturography.
- ItemAcesso aberto (Open Access)Processamento cognitivo e equilíbrio corporal em idosos com disfunção vestibular(Associação Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial, 2012-04-01) Caixeta, Giovanna Cristina dos Santos; Doná, Flávia [UNIFESP]; Gazzola, Juliana Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Bandeirante de São Paulo Programa de Mestrado em Reabilitação do Equilíbrio Corporal e Inclusão SocialAbnormal body balance and cognitive dysfunction may develop in elderly patients with chronic vestibular dysfunction. AIM: To evaluate the relationship between cognitive processing and body balance in elderly patients with chronic peripheral vestibular disease. Type of Study: Cross-sectional. METHODS: Seventy-six patients (> 60 years) with chronic peripheral vestibular dysfunction and dizziness for more than three months were enrolled. The tests for investigating body balance were: the Berg Balance Scale (BBS), Dynamic Gait Index (DGI), Timed Up and Go Test (TUGT) Timed Up and Go Test modified (TUGTm); the Mini Mental State Examination (MMSE), Test Clock (RT,) and Verbal Fluency Test (VF) were applied for assessing cognition. RESULTS: The mean age was 69.03 years (SD=6.21 years); most were female (82.9%). There was a significant negative correlation between the MMSE and the TUGT (ρ=-0.312; p=0.01), MMSE and TUGTm (ρ=-0.306; p=0.01), FV and TUGT (ρ=-0.346; p=0.01), and FV and TUGTm (ρ=-0.536; p=0.01); there was a significant positive correlation between the TR and BBS (ρ=0.343; p=0.01), TR and DGI (ρ=0.298; p=0.01), FV and BBS (ρ=0.299; p=0.01), and FV and DGI (ρ=0.306; p=0.01). CONCLUSION: Elderly patients with chronic peripheral vestibular disease and worse performance in body balance tests have functional impairment in cognitive skills.
- ItemSomente MetadadadosWater- versus land-based treatment for postural control in postmenopausal osteoporotic women: a randomized, controlled trial(Taylor & Francis Ltd, 2017) Chaves Aveiro, M. [UNIFESP]; Arias Avila, M.; Santos Pereira-Baldon, V.; Santa Barbara Ceccatto Oliveira, A.; Gramani-Say, K.; Oishi, J.; Driusso, P.Objective: To compare the effects of water-based and land-based physical therapy on postural control of older women with osteoporosis. Methods: Thirty-six postmenopausal women with osteoporosis were allocated into two groups: land based or water-based. Volunteers received 12 weeks of a supervised land-based or water-based physical therapy treatment. The outcome measure was postural control of the body during quiet standing on upright stance (eyes opened and closed), tandem and one-limb stance on a force plate. A two-way ANOVA with a Tukey HSD post-hoc test were used to highlight differences between pre- and post intervention evaluations. Effect sizes were measured with Cohen d coefficient. For all variables, a level of 5% of significance was adopted. Results: Significant improvements at tandem (p < 0.05, effect sizes from 0.67 to 1.35) and one-limb stance (p < 0.05, effect sizes from -0.76 to -1.03) for women carrying out water-based treatment were observed. Land-based treatment did not present significant improvement. Conclusions: Group-based water-based physical therapy treatment may be more effective than land based therapy to improve postural control at one-limb stance in women with osteoporosis.