Avaliação do equilíbrio postural através do Teste de Integração Sensorial Modificado em uma população de não-caidores
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i2a226101Palavras-chave:
Equilíbrio Postural, Idosos, Acidentes por Quedas, SmartphoneResumo
O equilíbrio postural estático depende da integração das aferências sensoriais de diversos sistemas. A perda desse controle postural aumenta o risco de quedas. Objetivo: Avaliar o equilíbrio postural através da medida da oscilação em graus durante o Teste Clínico de Integração Sensorial e Equilíbrio modificado (mCTSIB) em indivíduos não-caidores. Métodos: Estudo observacional transversal. Cento e sete indivíduos foram submetidos ao mCTSIB em três tipos de superfície com a mensuração da oscilação por meio de um smartphone fixo ao tronco. O desempenho no teste foi medido pela oscilação média e máxima do tronco, em graus. Análises de correlação, regressão, ANOVA e curvas ROC foram realizadas, dividindo o grupo em adultos jovens e adultos mais velhos. Resultados: A oscilação foi afetada pela superfície de apoio e pela privação da visão (p < 0,0001). O desempenho no teste é pior em adultos mais velhos e o risco de quedas cresce em 6% a cada aumento de 1 ano na idade (IC 95%: 1,02-1,10). As variáveis de média de oscilação total no teste e de média de oscilação com os olhos abertos apresentaram valores de corte com boa sensibilidade e especificidade para predizer o risco de quedas. Conclusão: A aplicação do mCTSIB com avaliação da oscilação medida em graus através de uso de dispositivo móvel forneceu uma avaliação objetiva e quantitativa do equilíbrio postural que pode ser utilizada em âmbito ambulatorial como ferramenta de baixo custo, fácil aplicação e alta acessibilidade a fim de discriminar o risco de quedas.
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