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慢性前庭障碍老年人的身体平衡与功能能力的相关性。

Correlation between the body balance and functional capacity from elderly with chronic vestibular disorders.

机构信息

Programa de Mestrado em Reabilitação do Equilíbrio Corporal e Inclusão Social, Universidade Bandeirante de São Paulo, Brasil.

出版信息

Braz J Otorhinolaryngol. 2011 Nov-Dec;77(6):791-8. doi: 10.1590/S1808-86942011000600017.

DOI:10.1590/S1808-86942011000600017
PMID:22183287
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9443897/
Abstract

UNLABELLED

Vestibular disorders are common among the elderly, mainly resulting in dizziness and imbalance--symptoms which can impact daily routine activities.

AIM

To study the correlation between body balance and functional capacity and a comparison of risk of falls, actual falls and the functional capacity of the elderly with chronic vestibular dysfunctions.

MATERIALS AND METHODS

A cross-sectional, clinical and experimental study with 50 senior citizens--60 to 86 years, with chronic peripheral vestibular dysfunction. These participants underwent body balance assessment by the Dynamic Gait Index (DGI) and functional capacity assessment by the Functional Independence Measure (FIM). The data was tested using the Spearman correlation and comparison tests, Mann-Whitney and Kruskal-Wallis, being α=5% (0.05).

RESULTS

There was a significant correlation between the total DGI score and all FIM scores, especially the total score (r=0.447; p<0.001) and loss of functional capacity in elderly patients with the highest risk of falling (p<0.001).

CONCLUSION

There is a positive correlation between body balance and functional capacity in elderly patients with peripheral vestibular disorders, that is: the better the balance, the better the individual's functional capacity. In addition, a worse functional capacity increases the individual's risk of falling.

摘要

未加标签

前庭障碍在老年人中很常见,主要导致头晕和失衡——这些症状会影响日常生活活动。

目的

研究身体平衡与功能能力之间的相关性,并比较慢性前庭功能障碍老年人的跌倒风险、实际跌倒和功能能力。

材料和方法

这是一项横断面、临床和实验研究,共有 50 名 60 至 86 岁的老年人患有慢性周围前庭功能障碍。这些参与者接受了动态步态指数(DGI)的身体平衡评估和功能性独立测量(FIM)的功能能力评估。使用 Spearman 相关和比较检验、Mann-Whitney 和 Kruskal-Wallis 检验对数据进行了测试,α=5%(0.05)。

结果

DGI 总分与所有 FIM 评分均呈显著相关,尤其是总分(r=0.447;p<0.001)和具有最高跌倒风险的老年患者功能丧失(p<0.001)。

结论

周围性前庭障碍老年患者的身体平衡与功能能力之间存在正相关,即平衡越好,个体的功能能力越好。此外,功能能力越差会增加个体跌倒的风险。

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Usefulness of some current balance tests for identifying individuals with disequilibrium due to vestibular impairments.一些当前平衡测试对于识别因前庭功能障碍而失衡的个体的有用性。
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Dynamic Gait Index--Brazilian version.动态步态指数——巴西版
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Clinical evaluation of elderly people with chronic vestibular disorder.老年慢性前庭疾病患者的临床评估
Braz J Otorhinolaryngol. 2006 Jul-Aug;72(4):515-22. doi: 10.1016/s1808-8694(15)30998-8.
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Personalized vestibular rehabilitation: medical chart survey with patients seen at the ambulatory of otoneurology of I.S.C.M.S.P.个性化前庭康复:对在圣保罗市联邦医学科学院耳神经科门诊就诊的患者进行病历调查
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