Improvement of postural balance in elderly women with the use of additional sensory information
DOI:
https://doi.org/10.1590/1809-2950/16753224012017Keywords:
Aged, Gait, Postural Balance, BandagesAbstract
The natural process of human aging has morphological and physiological changes, such as balance and gait, increasing the risk of falling. Some studies have investigated the use of additional sensory information to improve body balance using a soft touch on a rigid and stationary surface, which showed a significant reduction in the body oscillation. Effects of the additional sensory information were evaluated during gait on elderly women. We evaluated 30 elderly women aged 60 or older. Sensory information was added by an infrapatellar bandage. Participants performed the tests proposed by the Dynamic Gait Index (DGI), the Timed Up and Go (TUG), and the 10-Meter Walk Test (10MWT), with and without infrapatellar bandage. Data comparisons were carried out by using paired t test and Wilcoxon test with p ≤ 0.05. There was a significant difference in the TUG (without bandage: 10.13 ± 2.1, with bandage: 9.71 ± 2.1, p = 0.0007) and DGI test (without bandage: 20.65 ± 2 1; with bandage: 22.1 ± 2.1, p = 0.002). There was no significant difference in the use of 10MWT sensory addition. The results showed that the use of additional sensory information generated by the infrapatellar bandage promoted improvement of functional mobility and physical performance in elderly women.Downloads
References
Rosa TSM, Moraes AB, Peripolli A, Santos Filha VAV. Perfil
epidemiológico de idosos que foram a óbito por queda no
Rio Grande do Sul. Rev Bras Geriatr Gerontol. 2015;18(1):59-
doi: 10.1590/1809-9823.2015.14017.
Freitas MG, Bonolo PF, Moraes EN, Machado CJ.
Elderly patients attended in emergency health
services in Brazil: a study for victims of falls and traffic
accidents. Ciênc Saúde Coletiva. 2015;20(3):701-12. doi:
1590/1413-81232015203.19582014.
Toledo DR, Barela JA. Diferenças sensoriais e motoras entre
jovens e idosos: contribuição somatossensorial no controle
postural. Rev Bras Fisioter. 2010;14(3):267-75. doi: 10.1590/
S1413-35552010000300004.
Carvalho IF, Bortolotto TB, Fonseca LCS, Scheicher
ME. Uso da bandagem infrapatelar no desempenho
físico e mobilidade funcional de idosas com história de
quedas. Rev Bras Geriatr Gerontol. 2015;18(1):119-27. doi:
1590/1809-9823.2015.14002.
Ganança FF, Gazzola JM, Ganança CF, Caovilla HH, Ganança
MM, Cruz OLM. Quedas em idosos com vertigem posicional
paroxística benigna. Braz J Otorhinolaryngol. 2010;76(1):113-
doi: 10.1590/S1808-86942010000100019.
Karuka AH, Silva JAMG, Navega MT. Análise da concordância
entre instrumentos de avaliação do equilíbrio corporal em
idosos. Rev Bras Fisioter. 2011;15(6):460-6. doi: 10.1590/
S1413-35552011000600006.
Botelhos DC, Bonfim TR. Influência da informação sensorial
adicional no treinamento sensório-motor. Fisioter Pesqui.
;19(3):268-74. doi: 10.1590/S1809-29502012000300013.
Jeka JJ, Lackner JR. Fingertip contact influences human
postural control. Exp Brain Res. 1994;100(3):495-502. doi:
1007/BF00229188
Jeka JJ, Lackner JR. The role of haptic cues from rough and
slippery surfaces in human postural control. Exp Brain Res.
;103(2):267-76.
Bonfim TR, Barela JA. Efeito da manipulação da informação
sensorial na propriocepção e no controle postural. Fisioter
Mov. 2007;20(2):107-17.
Hughes MA, Duncan PW, Rose DK, Chandler JM, Studenski
AS. 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.
Callaghan MJ, McKie S, Richardson P, Oldham JA. Effects
of patellar taping on brain activity during knee joint
proprioception tests using functional magnetic resonance
imaging. Phys Ther. 2012;92(6):821-30. doi: 10.2522/
ptj.20110209.
Felicio LR, Masullo CL, Saad MC, Bevilaqua-Grossi D. The
effect of a patellar bandage on the postural control of
individuals with patellofemoral pain syndrome. J Phys Ther
Sci. 2014;26(3):461-4. doi: 10.1589/jpts.26.461.
Aveiro MC, Driusso P, Barham EJ, Pavarini SCI, Oishi
J. Mobilidade e risco de quedas de população idosa
da comunidade de São Carlos. Ciênc Saúde Colet.
;17(9):2481-8. doi: 10.1590/S1413-81232012000900028.
Brucki SMD, Nitrini R, Caramelli P, Bertolucci P, Okamoto IH.
Sugestões para o uso do mini-exame do estado mental no
Brasil. Arq Neuro-Psiquiatr. 2003;61(3B):777-81. doi: 10.1590/
S0004-282X2003000500014.
Ansai JH, Glisoi SFN, Oliveira T, Soares AT, Cabral KN,
Sera CTN et al. Revisão de dois instrumentos clínicos de
avaliação para predizer risco de quedas em idosos. Rev
Bras Geriatr Gerontol. 2014;17(1):177-89. doi: 10.1590/
S1809-98232014000100017.
Schoene D, Wu SM, Mikolaizak AS, Menant JC, Smith ST,
Delbaere K et al. Discriminative ability and predictive validity
Leme et al. Informação sensorial no equilíbrio postural em idosos
of the timed up and go test in identifying older people who
fall: systematic review and meta-analysis. J Am Geriatr Soc.
;61(2):202-8. doi: 10.1111/jgs.12106.
Novaes RD, Miranda AS, Dourado VZ. Usual gait speed
assessment in middle-aged and elderly Brazilian
subjects. Braz J Phys Ther. 2011;15(2):117-22. doi: 10.1590/
S1413-35552011000200006.
De Castro SM, Perracini MR, Ganança FF. Versão brasileira do
dynamic gaitindex. Rev Bras Otorrinolaringol. 2006;72(6):817-
doi: 10.1590/S0034-72992006000600014.
United Nations. 2015 Revision of world population prospects
[Internet]. [Acesso em 18 maio 2016]. Disponível em: http://
esa.un.org/wpp/
Gillespie LD, Robertson MC, Gillespie WJ, Lamb SE, Gates S,
Cumming RG et al. Interventions for preventing falls in older
people living in the community. Cochrane Database Syst Rev.
;15(2):CD007146. doi: 10.1002/14651858.CD007146.pub2.
Heinrich S, Rapp K, Rissmann U, Becker C, König HH.
Cost of falls in old age: a systematic review. Osteoporos Int.
;21(6):891-902. doi: 10.1007/s00198-009-1100-1.
Miotto JM, Chodzko-Zajko WJ, Reich JL, Supler MM.
Reliability and validity of the fullerton functional fitness
test: an independent replication study. J Aging Phys Activ.
; 7(4):339-53. doi: 10.1123/japa.7.4.339.
Schenkman M, Hughes MA, Samsa G, Studenski S. The
relative importance of strength and balance in chair rise
by functionally impaired older individuals. J Am Geriatr
Soc.1996;44(12):1441-6. doi: 10.1111/j.1532-5415.1996.tb04068.x.
Callaghan MJ. What does proprioception testing tell us about
patellofemoral pain? Musculoskelet Sci Pract. 2011;16(1):46-7.
doi: 10.1016/j.math.2010.06.013.
Bonfim TR, Grossi DB, Paccola CAJ, Barela JA. Effect of
additional sensory information in the proprioception and
postural control of individuals with ACL lesion. Acta Ortop Bras.
;17(5):291-6. doi: 10.1590/S1413-78522009000500008.
Pegoretti KS, Moraes R, Masullo CL, Chagas-Neto FA,
Miranda A, Kfuri M Jr et al. Additional sensory input
improves the strategy of stepping over obstacle in individuals with knee osteoarthritis. J Back Musculoskelet
Rehabil. 2015;28(4):689-97. doi: 10.3233/BMR-140570.
Baldan AM, Alouche SR, Araujo IM, Freitas SM. Effect of
light touch on postural sway in individuals with balance
problems: a systematic review. Gait Posture. 2014; 40(1):1-10.
doi: 10.1016/j.gaitpost.2013.12.028.
Cabreira TS, Coelho KHV, Quemelo PRV. Efeito da Kinesio
Taping no equilíbrio postural de idosos. Fisioter Pesqui.
;21(4):333-8. doi: 10.590/1809-2950/12320821042014.
Santos AS, Tribess S, Pinto LLT, Ribeiro MCL, Rocha SV,
Virtuoso Jr JS. Velocidade de caminhada como indicador
para a incapacidade funcional em idosos. Motricidade.
;10(3):50-60. doi: 10.6063/motricidade.10(3).3186.
Pamoukdjian F, Paillaud E, Zelek L, Laurent M, Lévy
V, Landre T. Measurement of gait speed in older adults to
identify complications associated with frailty: a systematic
review. J Geriatr Oncol. 2015;6(6):484-96. doi: 10.1016/j.
jgo.2015.08.006.
Singh DL, Pillai SG, Tan ST, Sharar S. Association between
physiological falls risk and physical performance tests
among community-dewling older adults. Clin Interv Aging.
;10:1319-26. doi: 10.2147/CIA.S79398
Verghese J, Holtzer R, Lipton RB, Wang C. Quantitative gait
markers and incident fall risk in older adults. J Gerontol A
Biol Sci Med Sci. 2009;64A(8):896-901. doi: 10.1093/gerona/
glp033.
Marques NR, Laroche DP, Hallal CZ, Crozara LF, Morcelli
MH, Karuka AH et al. Association between energy
cost of walking, muscle activation, and biomechanical
parameters in older female fallers and non-fallers. Clin
Biomech (Bristol, Avon). 2013;28(3):330-6. doi: 10.1016/j.
clinbiomech.2013.01.004.
Moreira MA, Oliveira BS, Moura KQ, Tapajós DM, Maciel ACC.
A velocidade de marcha pode identificar idosos com medo
de cair? Rev Bras Geriatr Gerontol. 2013;16(1):71-80. doi:
1590/S1809-98232013000100008
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