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Balance and older adults

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https://www.readbyqxmd.com/read/29340245/effects-of-the-visual-feedback-based-force-platform-training-with-functional-electric-stimulation-on-the-balance-and-prevention-of-falls-in-older-adults-a-randomized-controlled-trial
#1
Zhen Li, Xiu-Xia Wang, Yan-Yi Liang, Shu-Yan Chen, Jing Sheng, Shao-Jun Ma
Background: Force platform training with functional electric stimulation aimed at improving balance may be effective in fall prevention for older adults. Aim of the study is to evaluate the effects of the visual-feedback-based force platform balance training with functional electric stimulation on balance and fall prevention in older adults. Methods: A single-centre, unblinded, randomized controlled trial was conducted. One hundred and twenty older adults were randomly allocated to two groups: the control group (n = 60, one-leg standing balance exercise, 12 min/d) or the intervention group (n = 60, force platform training with functional electric stimulation, 12 min/d)...
2018: PeerJ
https://www.readbyqxmd.com/read/29338695/novel-sensing-technology-in-fall-risk-assessment-in-older-adults-a-systematic-review
#2
Ruopeng Sun, Jacob J Sosnoff
BACKGROUND: Falls are a major health problem for older adults with significant physical and psychological consequences. A first step of successful fall prevention is to identify those at risk of falling. Recent advancement in sensing technology offers the possibility of objective, low-cost and easy-to-implement fall risk assessment. The objective of this systematic review is to assess the current state of sensing technology on providing objective fall risk assessment in older adults. METHODS: A systematic review was conducted in accordance to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement (PRISMA)...
January 16, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29337017/management-of-diabetes-in-older-adults
#3
G Sesti, R Antonelli Incalzi, E Bonora, A Consoli, A Giaccari, S Maggi, G Paolisso, F Purrello, G Vendemiale, N Ferrara
Type 2 diabetes prevalence is high in older adults and is expected to rise in the next decades. Diabetes in the population of frail older adults is accompanied by functional disability, several comorbidities, and premature mortality. A comprehensive geriatric assessment, including functional, cognitive, mental and social status, is advisable for identifying the glycemic targets and glucose-lowering therapies, focused on patient preferences, needs, and risks. The therapeutic options for older adults with diabetes are like those for the adult population...
December 7, 2017: Nutrition, Metabolism, and Cardiovascular Diseases: NMCD
https://www.readbyqxmd.com/read/29336735/effect-of-low-cost-resistance-training-on-lower-limb-strength-and-balance-in-institutionalized-seniors
#4
Seyedeh Ameneh Motalebi, Loke Seng Cheong, Jamileh Amirzadeh Iranagh, Fatemeh Mohammadi
Background/Study Context: Given the rapid increase in the aging population worldwide, fall prevention is of utmost importance. It is essential to establish an efficient, simple, safe, and low-cost intervention method for reducing the risk of falls. This study examined the effect of 12 weeks of progressive elastic resistance training on lower-limb muscle strength and balance in seniors living in the Rumah Seri Kenangan, social welfare home in Cheras, Malaysia. METHODS: A total of 51 subjects qualified to take part in this quasi-experimental study...
January 2018: Experimental Aging Research
https://www.readbyqxmd.com/read/29334945/blood-pressure-change-does-not-associate-with-center-of-pressure-movement-after-postural-transition-in-geriatric-outpatients
#5
Sjoerd T Timmermans, Esmee M Reijnierse, Jantsje H Pasma, Marijke C Trappenburg, Gerard J Blauw, Andrea B Maier, Carel G M Meskers
BACKGROUND: Orthostatic hypotension (OH), a blood pressure drop after postural change, is associated with impaired standing balance and falls in older adults. This study aimed to assess the association between blood pressure (BP) and a measure of quality of standing balance, i.e. Center of Pressure (CoP) movement, after postural change from supine to standing position in geriatric outpatients, and to compare CoP movement between patients with and without OH. METHODS: In a random subgroup of 75 consecutive patients who were referred to a geriatric outpatient clinic, intermittent BP measurements were obtained simultaneously with CoP measurements in mediolateral and anterior-posterior direction directly after postural change during 3 min of quiet stance with eyes open on a force plate...
January 15, 2018: BMC Geriatrics
https://www.readbyqxmd.com/read/29326087/a-multicomponent-exercise-program-improves-physical-function-in-long-term-nursing-home-residents-a-randomized-controlled-trial
#6
Haritz Arrieta, Chloe Rezola, Idoia Zarrazquin, Iñaki Echeverria, Jose Javier Yanguas, Miren Iturburu, Susana Maria Gil, Ana Rodriguez-Larrad, Jon Irazusta
To investigate the impact of a multicomponent exercise program on anthropometry, physical function, and physical activity on older adults living in long-term nursing homes (LTNH), we conducted a randomized controlled trial involving 112 participants aged 84.9 ± 6.9 years. Participants were randomly assigned to an intervention (IG) or control group (CG). The IG participated in a 3-month multicomponent exercise intervention focused on strength, balance, stretching exercises, and walking recommendations...
January 8, 2018: Experimental Gerontology
https://www.readbyqxmd.com/read/29324510/reliability-and-validity-of-computerized-force-platform-measures-of-balance-function-in-healthy-older-adults
#7
Cathy C Harro, Chelsea Garascia
BACKGROUND AND PURPOSE: Postural control declines with aging and is an independent risk factor for falls in older adults. Objective examination of balance function is warranted to direct fall prevention strategies. Force platform (FP) systems provide quantitative measures of postural control and analysis of different aspects of balance. The purpose of this study was to examine the reliability and validity of FP measures in healthy older adults. METHODS: This study enrolled 46 healthy elderly adults, mean age 67...
January 10, 2018: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29324408/assessing-dynamic-balance-performance-during-exergaming-based-on-speed-and-curvature-of-body-movements
#8
Venustiano Soancatl Aguilar, Jasper J van de Gronde, Claudine J C Lamoth, Natasha M Maurits, Jos B T M Roerdink
Improving balance performance among the elderly is of utmost importance because of the increasing number of injuries and fatalities caused by fall incidences. Digital games controlled by body movements (exergames) have been proposed as a way to improve balance among older people. However, the assessment of balance performance in real-time during exergaming remains a challenging task. This assessment could be used to provide instantaneous feedback and automatically adjust the exergame difficulty. Such features could potentially increase the motivation of the player, thus augmenting the effectiveness of exergames...
January 2018: IEEE Transactions on Neural Systems and Rehabilitation Engineering
https://www.readbyqxmd.com/read/29323832/influences-of-a-church-based-intervention-on-falls-risk-among-seniors
#9
Morgan Briggs, Jeffrey A Morzinski, Julie Ellis
BACKGROUND AND OBJECTIVES: Prior studies illustrate that community-based programs effectively decrease falls risk in older adults and that faith-based programs improve health behaviors. The literature is unclear whether faith-based initiatives reduce seniors' fall risks. To tackle this gap, a long-term partnership led by 10 urban churches, a nearby nursing school, and a medical school developed a study with 3 objectives: determine baseline health concerns associated with falls (eg, depression, polypharmacy), implement a nurse-led, faith-based health education initiative for community-dwelling African American seniors at-risk of hospitalization, and assess pre- to post -program fall frequency...
August 2017: WMJ: Official Publication of the State Medical Society of Wisconsin
https://www.readbyqxmd.com/read/29322491/influence-of-prehospital-function-and-strength-on-outcomes-of-critically-ill-older-adults
#10
D Clark Files, Rebecca Neiberg, Julia Rushing, Peter E Morris, Michael P Young, Hilsa Ayonayon, Tamara Harris, Anne Newman, Susan Rubin, Eric Shiroma, Denise Houston, Michael E Miller, Stephen B Kritchevsky
OBJECTIVES: To understand the influence of prehospital physical function and strength on clinical outcomes of critically ill older adults. DESIGN: Secondary analysis of prospective cohort study. SETTING: Health, Aging and Body Composition (Health ABC) Study. PARTICIPANTS: Of 3,075 older adult Health ABC participants, we identified 575 (60% white, 61% male, mean age 79) with prehospital function or grip strength measurements within 2 years of an intensive care unit stay...
January 11, 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29316334/geriatric-assessment-of-physical-and-cognitive-functioning-in-a-diverse-cohort-of-systemic-lupus-erythematosus-patients-a-pilot-study
#11
Laura Plantinga, Benjamin D Tift, Charmayne Dunlop-Thomas, S Sam Lim, C Barrett Bowling, Cristina Drenkard
OBJECTIVE: To use multi-domain functional assessment, commonly performed in geriatric patients but novel among SLE patients, to better understand functional impairment in SLE. METHODS: We recruited 60 adult participants [aged 20-39 (26.7%), 40-59 (50.0%), and ≥60 (23.3%); 80.0% black; 90.0% female] from an existing cohort of SLE patients. During in-person visits (10/16-4/17), we evaluated physical performance (range 0-4; higher scores = better performance); cognitive performance (five fluid cognition domains; adjusted t-scores); and self-reported measures including physical functioning (t-scores), activities of daily living (ADLs), falls, and life-space mobility...
January 5, 2018: Arthritis Care & Research
https://www.readbyqxmd.com/read/29315181/cochlear-implant-surgery-and-the-risk-of-falls-in-an-adult-population
#12
Julia Louza, Caspar Leon Klappert, Georg Ledderose, Robert Gürkov, Eike Krause
OBJECTIVE: To determine the effect of cochlear implant surgery on the balance and risk of falls in an adult patient population using a mobile posturograph. DESIGN: Prospective clinical pilot study. SETTING: Cochlear implant center at a tertiary referral hospital. SUBJECTS AND METHODS: Twenty adult patients undergoing cochlear implant surgery were tested using a mobile posturograph (VertiGuard). The standard balancing deficit test, or the geriatric standard balancing deficit test protocol (for patients older than 60 yr), was performed both 1 day before and 3 to 5 days after surgery...
February 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29308931/age-dependent-sympathetic-neural-responses-to-%C3%AE-1-selective-beta-blockade-in-untreated-hypertension-related-tachycardia
#13
Dagmara Hering, Wiesława Kucharska, Marzena Chrostowska, Krzysztof Narkiewicz
BACKGROUND: Elevated heart rate (HR) increases cardiovascular morbidity and mortality in hypertension. The impact of beta-blockers on patient prognosis in hypertension is controversial. This study examined the age-related effects of betaxolol on HR, muscle sympathetic nerve activity (MSNA), blood pressure (BP) and sympathovagal balance in untreated males with hypertension and tachycardia. METHODS: Ten young (age 26 ± 1 years) and seven older (age 50 ± 4 years) males underwent measurement of BP, HR, HR variability (Poincare plot) and MSNA before and after 8 weeks treatment with betaxolol at the initial starting dose of 10 mg/day, which was increased to 20 mg/day once daily after 4 weeks in all subjects...
January 8, 2018: Blood Pressure
https://www.readbyqxmd.com/read/29306146/reactive-balance-control-in-older-adults-with-diabetes
#14
Pei-Yun Lee, Yi-Ju Tsai, Yu-Ting Liao, Yi-Ching Yang, Fen-Hwa Lu, Sang-I Lin
Diabetes mellitus is a major health problem for older adults worldwide and could be associated with impaired ability to recover balance after postural disturbances. This study compared reactive balance control in three groups of adults, young (YA), healthy non-diabetes older (nonDM-OA) and diabetes older (DM-OA). Twenty participants in each group completed a series of vision, plantar cutaneous sensitivity, grip power and lower limb strength tests. In the reactive balance test, participants stood on a force platform and used the dominant hand to pull the handle of a cord that could be suddenly released to create an imbalancing force...
December 30, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29304507/perturbation-exercises-during-treadmill-walking-improve-pelvic-and-trunk-motion-in-older-adults-a-randomized-control-trial
#15
Yoav Gimmon, Raziel Riemer, Ilan Kurz, Amir Shapiro, Ronen Debbi, Itshak Melzer
BACKGROUND: Most falls among older adults occur while walking. Pelvic and trunk motions are required to maintain stability during walking. We aimed to explore whether training that incorporates unexpected loss of balance during walking that evokes balance recovery reactions will improve pelvic, thorax, and trunk kinematics at different walking speeds. METHODS: Fifty-three community-dwelling older adults (age 80.1 ± 5.6 years) were randomly allocated to an intervention group (n = 27) or a control group (n = 26)...
December 27, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29300415/physical-performance-and-serum-25-oh-vitamin-d-status-in-community-dwelling-old-mobility-limited-adults-a-cross-sectional-study
#16
Å von Berens, T Cederholm, R A Fielding, T Gustafsson, D Kirn, J Laussen, M Nydahl, T G Travison, K Reid, A Koochek
OBJECTIVES: To examine the potential association between serum 25(OH) vitamin D and the performance on the Short Physical Performance Battery (SPPB) including the sub-components; five repeated chair stands test, 4 meters walk test and balance in older mobility-limited community-dwelling men and women. DESIGN: A cross sectional study was performed in American and Swedish subjects who were examined for potential participation in a combined exercise and nutrition intervention trial...
2018: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29300193/inability-to-perform-the-repeated-chair-stand-task-predicts-fall-related-injury-in-older-primary-care-patients
#17
Cristina A Shea, Rachel E Ward, Sarah A Welch, Dan K Kiely, Richard Goldstein, Jonathan F Bean
OBJECTIVE: To examine whether the chair stand component of the Short Physical Performance Battery (SPPB) predicts fall-related injury among older adult primary care patients. DESIGN: 2-year longitudinal cohort study of 430 Boston-area primary care patients aged ≥65 years screened to be at risk for mobility decline. The three components of the SPPB (balance time, gait speed, and chair stand time) were measured at baseline. Participants reported incidence of fall-related injuries quarterly for two years...
January 3, 2018: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/29291129/does-dynamic-stability-govern-propulsive-force-generation-in-human-walking
#18
Michael G Browne, Jason R Franz
Before succumbing to slower speeds, older adults may walk with a diminished push-off to prioritize stability over mobility. However, direct evidence for trade-offs between push-off intensity and balance control in human walking, independent of changes in speed, has remained elusive. As a critical first step, we conducted two experiments to investigate: (i) the independent effects of walking speed and propulsive force (FP) generation on dynamic stability in young adults, and (ii) the extent to which young adults prioritize dynamic stability in selecting their preferred combination of walking speed and FP generation...
November 2017: Royal Society Open Science
https://www.readbyqxmd.com/read/29289541/supervised-balance-training-and-wii-fit-based-exercises-lower-falls-risk-in-older-adults-with-type-2-diabetes
#19
Steven Morrison, Rachel Simmons, Sheri R Colberg, Henri K Parson, Aaron I Vinik
OBJECTIVES: This study examined the benefits of and differences between 12 weeks of thrice-weekly supervised balance training and an unsupervised at-home balance activity (using the Nintendo Wii Fit) for improving balance and reaction time and lowering falls risk in older individuals with type 2 diabetes mellitus (T2DM). DESIGN: Before-after trial. SETTING: University research laboratory, home environment. PARTICIPANTS: Sixty-five older adults with type 2 diabetes were recruited for this study...
December 27, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/29288962/assessing-dynamic-postural-control-during-exergaming-in-older-adults-a-probabilistic-approach
#20
V Soancatl Aguilar, C J C Lamoth, N M Maurits, J B T M Roerdink
Digital games controlled by body movements (exergames) have been proposed as a way to improve postural control among older adults. Exergames are meant to be played at home in an unsupervised way. However, only few studies have investigated the effect of unsupervised home-exergaming on postural control. Moreover, suitable methods to dynamically assess postural control during exergaming are still scarce. Dynamic postural control (DPC) assessment could be used to provide both meaningful feedback and automatic adjustment of exergame difficulty...
December 16, 2017: Gait & Posture
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