Postural control and the fear of falling in frail elderly and the role of a falls prevention program
DOI:
https://doi.org/10.5935/0104-7795.20160022Keywords:
Frail Elderly, Exercise, Balance Postural, Accidental Falls/prevention & controlAbstract
Objective: To investigate and analyze the effects produced by a multisensorial exercise program associated with instructions on falls prevention, on postural control and fear of falling in the frail elderly, treated at a rehabilitation service. Methods: A sample of 105 individuals aged over 60 years of both sex were recruited during a screening at the Polyclinic which verified their osteoarticular comorbidities. The volunteers were subjected to evaluations: Timed Up and Go (TUG); Unipedal stance test; Berg Balance Test; and the Falls Efficacy Scale International (FES-I). Those with fragility and risk of falling were invited to participate in a therapeutic program. The falls prevention program consisted of two orientation sessions on prevention and risks of falls and 10 sessions of Multisensorial exercises. Data were analyzed with the help of statistical package Graphy Pad In Stat using the Student t test or Wilcoxon (p < 0.05). Results: Of the 28 elderlies who entered the program, 24 concluded all sessions. Reevaluated after completion of the program, the elderlies showed significant improvements in tests: TUG, Unipedal stance test, Berg Scale, and FES-I. Conclusion: It can be concluded that the intervention program for preventing falls provided improvements on postural control and reduced the fear of falling of these elderlies
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Bulat T, Hart-Hughes S, Ahmed S, Quigley P, Palacios P, Werner DC, et al. Effect of a group-based exercise program on balance in elderly. Clin Interv Aging. 2007;2(4):655-60.
Abellan van Kan G, Rolland Y, Bergman H, Morley JE, Kritchevsky SB, Vellas B. The I.A.N.A Task Force on frailty assessment of older people in clinical practice. J Nutr Health Aging. 2008;12(1):29-37.
Alfieri FM, Riberto M, Gatz LS, Ribeiro CP, Lopes JA, Battistella LR. Comparison of multisensory and strength training for postural control in the elderly. Clin Interv Aging. 2012;7:119-25. DOI: http://dx.doi.org/10.2147/CIA.S27747
Cunha MF, Lazzareschi L, Gantus MC, Suman MR, Silva A, Parizi CC, et al. A influência da fisioterapia na prevenção de quedas em idosos na comunidade: estudo comparativo. Motriz. 2009;3(15)527-36.
Labra C, Guimaraes-Pinheiro C, Maseda A, Lorenzo T, Millán-Calenti JC. Effects of physical exercise interventions in frail older adults: a systematic review of randomized controlled trials. BMC Geriatr. 2015;15:154. DOI: http://dx.doi.org/10.1186/s12877-015-0155-4
Borges PL, Bretas RP, Azevedo SF, Barbosa JM. A profile of elderly members of community groups in Belo Horizonte, Minas Gerais State, Brazil. Cad Saude Publica. 2008;24(12):2798-808. DOI: http://dx.doi.org/10.1590/S0102-311X2008001200008
Arantes PMM, Alencar MA, Dias RC, Dias JMD, Pereira LSM. Atuação da fisioterapia na síndrome de fragilidade: revisão sistemática. Rev Bras Fisioter. 2009;5(13)365-74. DOI: http://dx.doi.org/10.1590/S1413-35552009005000061
Runge M, Hunter G. Determinants of musculoskeletal frailty and the risk of falls in old age. J Musculoskelet Neuronal Interact. 2006;6(2):167-73.
Battistella LR, Alfieri FM. Unidade de quedas: uma possibilidade de prevenção de quedas em idosos. Acta Fisiatr. 2011;18(1):45-8.
Alfieri FM, Riberto M, Abril-Carreres A, Boldó-Alcaine M, Rusca-Castellet E, Garreta-Figuera R, et al. Effectiveness of an exercise program on postural control in frail older adults. Clin Interv Aging. 2012;7:593-8. DOI: http://dx.doi.org/10.2147/CIA.S36027
Podsiadlo D, Richardson S. The timed Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc.1991;39(2):142-8. DOI: http://dx.doi.org/10.1111/j.1532-5415.1991.tb01616.x
Gustafson AS, Noaksson L, Kronhed AC, Möller M, Möller C. Changes in balance performance in physically active elderly people aged 73-80. Scand J Rehabil Med. 2000;32(4):168-72.
Bogle Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther. 1996;76(6):576-83.
Miyamoto ST, Lombardi Junior I, Berg KO, Ramos LR, Natour J. Brazilian version of the Berg balance scale. Braz J Med Biol Res. 2004;37(9):1411-21. DOI: http://dx.doi.org/10.1590/S0100-879X2004000900017
Camargos FFO, Dias RC, Dias JMD, Freire MTF. Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International Among Elderly Brazilians (FES-I-BRAZIL). Rev Bras Fisioter. 2010;14(3):237-43. DOI: http://dx.doi.org/10.1590/S1413-35552010000300010
Rogers ME, Rogers NL, Takeshima N, Islam MM. Methods to assess and improve the physical parameters associated with fall risk in older adults. Prev Med. 2003;36(3):255-64. DOI: http://dx.doi.org/10.1016/S0091-7435(02)00028-2
Alfieri FM, Riberto M, Gatz LS, Ribeiro CPC, Battistella LR. Uso de testes clínicos para verificação do controle postural em idosos saudáveis submetidos a programas de exercícios físicos. Acta Fisiatr. 2010;17(4):153-8.
Costa JN, Avelar BP, Sanfons MP, Gonçalves CD, Pereira MM. Efeitos do circuito de equilíbrio sobre o equilíbrio funcional e a possibilidade de quedas em idosas. Motricidade.2012;8(S2):485-92.
Aveiro MC, Driusso P, Barham EJ, Pavarini SCI, Oishi J. Mobilidade e risco de quedas de população idosa da comunidade de São Carlos. Ciência & Saúde Coletiva. 2012;17(9):2481-8. DOI: http://dx.doi.org/10.1590/S1413-81232012000900028
Breta O, Silva Júnior JE, Ribeiro OR, Corrente JE. Risco de queda em idosos da comunidade: avaliação com o teste Timed up and go. Braz J Otorhinolaryngol. 2013;79(1):18-21.
Pinheiro RS, Viacava F, Travassos C, Brito AS. Gênero, morbidade, acesso e utilização de serviços de saúde no Brasil. Ciência & Saúde Coletiva. 2002;7(4):687-707. DOI: http://dx.doi.org/10.1590/S1413-81232002000400007
Ribeiro MCSA, Barata RB, Almeida MF, Silva ZP. Perfil sociodemográfico e padrão de utilização de serviços de saúde para usuários e não-usuários do SUS - PNAD 2003. Ciência & Saúde Coletiva. 2006;11(4):1011-22. DOI: http://dx.doi.org/10.1590/S1413-81232006000400022
Andrade VS, Pereira LSM. Influência da tecnologia assistiva no desempenho funcional e na qualidade de vida de idosos comunitários frágeis: uma revisão bibliográfica. Rev Bras Geriatr Gerontol. 2009;12(1):113-22. DOI: http://dx.doi.org/10.1590/1809-9823.2009120110
Fernandes HCL, Gaspar JC, Yamashita CH, Amendola F, Alvarenga MRM, Oliveira MAC. Avaliação da fragilidade de idosos atendidos em uma unidade da Estratégia Saúde da Família. Texto Contexto Enferm. 2013;22(2):423-31. DOI: http://dx.doi.org/10.1590/S0104-07072013000200019
Nunes C, Frade J, Barbosa P, Cardoso S. Depressão no idoso: sintomas em indivíduos institucionalizados e não-institucionalizados. Rev Enf Ref. 2015;4:41-9.
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-56. DOI: http://dx.doi.org/10.1093/gerona/56.3.M146
Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci. 2004;59(3):255-63. DOI: http://dx.doi.org/10.1093/gerona/59.3.M255
Figueiredo KMOB, Lima KC, Guerra RO. Instrumentos de avaliação do equilíbrio corporal em idosos. Rev Bras Cineantropom Desempenho Hum. 2007;9(4):408-13.
Ramsbottom R, Ambler A, Potter J, Jordan B, Nevill A, Williams C. The effect of 6 months training on leg power, balance, and functional mobility of independently living adults over 70 years old. J Aging Phys Act. 2004;12(4):497-510. DOI: http://dx.doi.org/10.1123/japa.12.4.497
Alfieri FM, Teodori RM, Montebelo MIL. Mobilidade funcional de idosos submetidos à intervenção fisioterapêutica. Saúde Rev. 2004;6(14):45-60.
Nagy E, Feher-Kiss A, Barnai M, Domján-Preszner A, Angyan L, Horvath G. Postural control in elderly subjects participating in balance training. Eur J Appl Physiol. 2007;100(1):97-104. DOI: http://dx.doi.org/10.1007/s00421-007-0407-x
Islam MM, Nasu E, Rogers ME, Koizumi D, Rogers NL, Takeshima N. Effects of combined sensory and muscular training on balance in Japanese older adults. Prev Med. 2004;39(6):1148-55. DOI: http://dx.doi.org/10.1016/j.ypmed.2004.04.048
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