Comparison of postural control in five tasks of balance and relation of risk of falls between older and young adult women

Authors

  • André Wilson de Oliveira Gil Universidade Norte do Paraná
  • Rubens Alexandre da Silva Universidade Norte do Paraná
  • Marcio Rogério de Oliveira Universidade Norte do Paraná. PR. Brasil
  • Carlos Eduardo Carvalho Universidade Norte do Paraná. PR. Brasil
  • Deise Aparecida de Almeida Pires Oliveira Universidade Norte do Paraná. PR. Brasil

DOI:

https://doi.org/10.1590/1809-2950/15804424022017

Keywords:

Postural Balance, Accidental Falls, Aging

Abstract

Aging is a natural process, which involves intrinsic and extrinsic changes in the organism. The objective is to analyze five tasks of postural balance in older women through the strength platform, correlating them with risk of falls evaluated by the Timed Up and Go (TUG) test. Participants of this study were 43 older women and 40 young adult women. They were evaluated on a force platform with a standard protocol: barefoot with arms along the body in Semi-Tandem and bipedal stances, with both eyes open and then closed, unipedal support using the postural sway of the center of pressure (COP) and the velocities in the anteroposterior axis (AP) and medial-lateral (ML). After 5 minutes of rest, TUGT was applied. The results showed that older women had greater postural instability (p<0.05) than younger women. The most challenging task for balance was unipedal support COP: 10.02(cm2); AP velocity: 3.00 (cm/s); ML velocity: 3.32 (cm/s). Older women needed a mean time of 9.01 seconds in the TUGT, considering a low risk of falls. Conclusion: Older women present a higher deficit in their balance compared with young women, so as Unipedal Stance Test (UPST) task was the most challenging for postural control of the two populations. Healthy older women presented a low risk for falls. No correlation was found between postural balance through the force platform and risk of falls during the TUGT.

Downloads

Download data is not yet available.

References

Bloss CS, Pawlikowska L, Schork NJ. Contemporary human

genetic strategies in aging research. Ageing Res Rev.

;10(2):191-200. doi: 10.1016/j.arr.2010.07.005.

Carvalho ET Filho. Fisiologia do envelhecimento. In: Papaleo

M Neto. Gerontologia: a velhice e o envelhecimento em visão

globalizada. São Paulo: Atheneu; 2005. p. 60-9.

Vieira ER, Freund-Heritage R, Costa BR. Risk factors for

geriatric patient falls in rehabilitation hospital settings:

a systematic review. Clin Rehabil. 2011;25(9):788-99. doi:

1177/0269215511400639.

Kannus P, Sievanen H, Palvanen M, Jarvinen T, Parkkari

J. Prevention of falls and consequent injuries in elderly

people. Lancet. 2005;366(9500):1885-93. doi: 10.1016/

S0140-6736(05)67604-0.

Bergeron E, Clement J, Lavoie A, Ratte S, Bamvita JM, Aumont

F, et al. A simple fall in the elderly: not so simple. J Trauma.

;60(2):268-73. doi: 10.1097/01.ta.0000197651.00482.c5.

Tinetti ME, Kumar C. The patient who falls: “It’s always

a trade-off”. JAMA. 2010;303(3):258-66. doi: 10.1001/

jama.2009.2024.

Cote KP, Brunet ME, Gansneder BM, Shultz SJ. Effects of

pronated and supinated foot postures on static and dynamic

postural stability. J Athl Train. 2005;40(1):41-6.

Sabchuk RAC, Bento PCB, Rodacki ALF. Comparação entre

testes de equilíbrio de campo e plataforma de força. Rev

Bras Med Esporte. 2012;18(6):404-8.

Duarte M, Freitas SMSF. Revisão sobre posturografia baseada

em plataforma de força para avaliação do equilíbrio. Rev

Bras Fisioter. 2010;14(3):183-92.

Gil AWO, Oliveira MR, Coelho VA, Carvalho CE, Teixeira DC,

da Silva RA Jr. Relationship between force platform and two

functional tests for measuring balance in the elderly. Rev

Bras Fisioter. 2011;15(6):429-35.

Silva RA, Bilodeau M, Parreira RB, Teixeira DC, Amorim CF.

Age-related differences in time-limit performance and force

platform-based balance measures during one-leg stance. J

Electromyogr Kinesiol. 2013;23(3):634-9.

Burke TN, França FJR, Meneses SR, Cardoso VI, Pereira

RM, Danilevicius CF, et al. Postural control among elderly

women with and without osteoporosis: is there a difference?

Sao Paulo Med J. 2010;128(4):219-24. doi: 10.1590/

S1516-31802010000400009.

Brasil. Ministério da Saúde. Envelhecimento e saúde da

pessoa idosa. Brasília: Ministério da Saúde; 2007.

Oliveira MR, Silva RA, Dascal JB, Teixeira DC. Effect of

different types of exercise on postural balance in elderly

women: randomized controlled trial. Arch Gerontol Geriatr.

;59(3):506-14. doi: 10.1016/j.archger.2014.08.009.

Shumway-Cook A, Brauer S, Woollacott M. Predicting the

probability for falls in community-dwelling older adults using

the Timed Up & Go test. Phys Ther. 2000;80(9):896-903.

Landry M, Campbell SA, Morris K, Aguilar CO. Dynamics of

an inverted pendulum with delayed feedback control. SIAM J

Appl Dyn Syst. 4(2), 333-51. doi: 10.1137/030600461.

Winter DA. Human balance and posture control during

standing and walking. Gait Posture. 1995;3(4):193-214. doi:

1016/0966-6362(96)82849-9.

Silva RA, Lariviere C, Arsenault AB, Nadeau S, Plamondon

A. The comparison of wavelet- and Fourier-based

electromyographic indices of back muscle fatigue during

dynamic contractions: validity and reliability results.

Electromyogr Clin Neurophysiol. 2008;48(3-4):147-62.

Fisioter Pesqui. 2017;24(2):120-126

Cnyrim C, Mergner T, Maurer C. Potential roles of force cues

in human stance control. Exp Brain Res. 2009;194(3):419-33.

doi: 10.1007/s00221-009-1715-7.

Michikawa T, Nishiwaki Y, Takebayashi T, Toyama Y. Oneleg standing test for elderly population. J Orthop Sci.

;14(5):675-85. doi: 10.1007/s00776-009-1371-6.

Parreira RB, Amorim CF, Gil AW, Teixeira DC, Bilodeau M, da

Silva RA. Effect of trunk extensor fatigue on the postural

balance of elderly and young adults during unipodal

task. Eur J Appl Physiol. 2013;113(8):1989-96. doi: 10.1007/

s00421-013-2627-6.

Hughes MA, Duncan PW, Rose DK, Chandler JM, Studenski

SA. The relationship of postural sway to sensorimotor

function, functional performance, and disability in the elderly.

Arch Phys Med Rehabil. 1996;77(6):567-72. doi: 10.1016/

S0003-9993(96)90296-8.

Nguyen UD, Kiel DP, Li W, Galica AM, Kang H, Casey VA, et al.

Correlations of clinical and laboratory measures of balance

in older men and women. Arthritis Care Res (Hoboken).

;64(12):1895-902. doi: 10.1002/acr.21783.

Hayashi D, Gonçalves CG, Parreira RB, Fernandes KB, Teixeira

DC, da Silva RA, et al. Postural balance and physical activity in

daily life (PADL) in physically independent older adults with

different levels of aerobic exercise capacity. Arch Gerontol

Geriatr. 2012;55(2):480-5. doi: 10.1016/j.archger.2012.04.009.

Lin D, Seol H, Nussbaum MA, Madigan ML. Reliability of COPbased postural sway measures and age-related differences. Gait

Posture. 2008;28(2):337-42. doi: 10.1016/j.gaitpost.2008.01.005.

Bohannon R. Reference values for the timed up and go

test: a descriptive meta-analysis. J Geriatr Phys Ther.

;29(2):64-8.

Podsiadlo D, Richardson S. The timed Up & Go: a test of basic

functional mobility for frail elderly persons. J Am Geriatr Soc.

;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.

Alfieri FM, Ribeiro 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.

Published

2017-07-07

Issue

Section

Original Research

How to Cite

Comparison of postural control in five tasks of balance and relation of risk of falls between older and young adult women. (2017). Fisioterapia E Pesquisa, 24(2), 120-126. https://doi.org/10.1590/1809-2950/15804424022017