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Influence of the length of institutionalization on older adults' postural balance and risk of falls: a transversal study.

作者信息

Batista Wagner Oliveira, Alves Junior Edmundo de Drummond, Porto Flávia, Pereira Fabio Dutra, Santana Rosimere Ferreira, Gurgel Jonas Lírio

机构信息

Escola de Enfermagem Aurora de Afonso Costa, Universidade Federal Fluminense, Niterói, RJ, Brazil.

Instituto de Educação Física, Universidade Federal Fluminense, Niterói, RJ, Brazil.

出版信息

Rev Lat Am Enfermagem. 2014 Jul-Aug;22(4):645-53. doi: 10.1590/0104-1169.3515.2463.

DOI:10.1590/0104-1169.3515.2463
PMID:25296149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4292658/
Abstract

OBJECTIVE

to ascertain the influence of the length of institutionalization on older adults' balance and risk of falls.

METHOD

to evaluate the risk of falls, the Berg Balance Scale and the Timed Get Up and Go test were used; and for measuring postural balance, static stabilometry was used, with acquisition of the elliptical area of 95% and mean velocities on the x and y axes of center of pressure displacement. Parametric and nonparametric measures of association and comparison (α<0.05) were used.

RESULTS

there was no significant correlation between the length of institutionalization and the tests for evaluation of risk of falling, neither was there difference between groups and within subgroups, stratified by length of institutionalization and age. In the stabilometric measurements, there was a negative correlation between the parameters analyzed and the length of institutionalization, and difference between groups and within subgroups.

CONCLUSION

this study's results point to the difficulty of undertaking postural control tasks, showing a leveling below the clinical tests' reference scores. In the stabilometric behavior, one should note the reduction of the parameters as the length of institutionalization increases, contradicting the assumptions. This study's results offer support for the development of a multi-professional model for intervention with the postural control and balance of older adults living in homes for the aged.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f10/4292658/7d1f48be7e8d/0104-1169-rlae-22-04-00645-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f10/4292658/7d1f48be7e8d/0104-1169-rlae-22-04-00645-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f10/4292658/7d1f48be7e8d/0104-1169-rlae-22-04-00645-gf01.jpg

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Dynamic parameters of balance which correlate to elderly persons with a history of falls.与有跌倒史的老年人相关的平衡动态参数。
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Association of depressive symptoms with recurrent falls: a cross-sectional elderly population based study and a systematic review.抑郁症状与反复跌倒的关联:一项基于老年人群的横断面研究和系统评价。
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用于监测健康老年人在静态和动态任务中跌倒的可穿戴传感器的类型和位置:综述。
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Functional, balance and health determinants of falls in a free living community Amazon riparian elderly.自由生活社区亚马孙河沿岸老年人跌倒的功能、平衡和健康决定因素。
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Postural stability and history of falls in cognitively able older adults: the Canton Ticino study.认知能力正常的老年人的姿势稳定性和跌倒史:提契诺州研究。
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Timed Up and Go test and risk of falls in older adults: a systematic review.计时起立行走测试与老年人跌倒风险:系统评价。
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A screening tool with five risk factors was developed for fall-risk prediction in community-dwelling elderly.开发了一种具有五个风险因素的筛查工具,用于预测社区居住的老年人的跌倒风险。
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