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Balance and older adults

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https://www.readbyqxmd.com/read/28941936/the-effect-of-the-probalance-programme-on-health-related-quality-of-life-of-community-dwelling-older-adults-a-randomised-controlled-trial
#1
Bruna R Gouveia, Élvio R Gouveia, Andreas Ihle, Helena G Jardim, Maria M Martins, Duarte L Freitas, Matthias Kliegel
BACKGROUND: Health-related quality of life (HRQoL) is an important health outcome in older adults. This study aimed to assess the efficacy of the ProBalance rehabilitation programme on HRQoL of community-dwelling older adults with balance impairments and to investigate whether effects differ between age groups and/or HRQoL components. METHODS: A single-blind, randomised controlled trial included community-dwelling older adults, aged 65-85, with balance impairments...
September 13, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28933612/do-virtual-reality-games-improve-mobility-skills-and-balance-measurements-in-community-dwelling-older-adults-systematic-review-and-meta-analysis
#2
Silvia Gr Neri, Jefferson R Cardoso, Lorena Cruz, Ricardo M Lima, Ricardo J de Oliveira, Maura D Iversen, Rodrigo L Carregaro
OBJECTIVE: To summarize evidence on the effectiveness of virtual reality games and conventional therapy or no-intervention for fall prevention in the elderly. DATA SOURCES: An electronic data search (last searched December 2016) was performed on 10 databases (Web of Science, EMBASE, PUBMED, CINAHL, LILACS, SPORTDiscus, Cochrane Library, Scopus, SciELO, PEDro) and retained only randomized controlled trials. REVIEW METHOD: Sample characteristics and intervention parameters were compared, focusing on clinical homogeneity of demographic characteristics, type/duration of interventions, outcomes (balance, reaction time, mobility, lower limb strength and fear of falling) and low risk of bias...
October 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/28931994/efficacy-of-ankle-control-balance-training-on-postural-balance-and-gait-ability-in-community-dwelling-older-adults-a-single-blinded-randomized-clinical-trial
#3
Kyeongjin Lee, Yong Woo Lee
[Purpose] This study was conducted to investigate the effects of ankle control balance training (ACBT) on postural balance and gait ability in community-dwelling older adults. [Subjects and Methods] Fifty-four subjects were randomly divided into two groups, with 27 subjects in the ACBT group and 27 subjects in the control group. Subjects in the ACBT group received ACBT for 60 minutes, twice per week for 4 weeks, and all subjects had undergone fall prevention education for 60 minutes, once per week for 4 weeks...
September 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28931988/the-relationship-between-ground-reaction-force-in-sit-to-stand-movement-and-lower-extremity-function-in-community-dwelling-japanese-older-adults-using-long-term-care-insurance-services
#4
Shaoshuai Shen, Takumi Abe, Taishi Tsuji, Keisuke Fujii, Jingyu Ma, Tomohiro Okura
[Purpose] The purpose of this study was to investigate which of the four chair-rising methods has low-load and the highest success rate, and whether the GRF parameters in that method are useful for measuring lower extremity function among physically frail Japanese older adults. [Subjects and Methods] Fifty-two individuals participated in this study. The participants voluntarily attempted four types of Sit-to-stand test (one variation without and three variations with the use of their arms). The following parameters were measured: peak reaction force (F/w), two force development rate parameters (RFD1...
September 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28925664/preventing-falls-in-older-persons
#5
Lainie Van Voast Moncada, L Glen Mire
The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. The U.S. Preventive Services Task Force and American Academy of Family Physicians recommend exercise or physical therapy and vitamin D supplementation to prevent falls in community-dwelling older adults who are at increased risk of falls. Although the U.S. Preventive Services Task Force and American Academy of Family Physicians do not recommend routine multifactorial intervention to prevent falls in all community-dwelling older adults, they state that it may be appropriate in individual cases...
August 15, 2017: American Family Physician
https://www.readbyqxmd.com/read/28922312/maximum-step-length-test-performance-in-people-with-parkinson-disease-a-cross-sectional-study
#6
Ryan P Duncan, Marie E McNeely, Gammon M Earhart
BACKGROUND AND PURPOSE: The Maximum Step Length Test (MSLT), a measure of one's capacity to produce a large step, has been studied in older adults, but not in people with Parkinson disease (PD). We characterized performance and construct validity of the MSLT in PD. METHODS: Forty participants (mean age: 65.12 ± 8.20 years; 45% female) with idiopathic PD completed the MSLT while "OFF" and "ON" anti-PD medication. Construct validity was investigated by examining relationships between MSLT and measures of motor performance...
October 2017: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/28919542/ageing-reduces-light-touch-and-vibrotactile-sensitivity-on-the-anterior-lower-leg-and-foot-dorsum
#7
R L Mildren, M C Yip, C R Lowery, C Harpur, S H M Brown, L R Bent
Cutaneous mechanoreceptors in the anterior lower leg and foot dorsum provide important information about contact with objects and movement at the knee and ankle. This cutaneous feedback contributes to static and dynamic balance control. We conducted experiment 1 to determine the effects of ageing on anterior lower leg cutaneous feedback. We measured light touch (monofilament) perceptual thresholds (MPT) at seven skin sites across the anterior lower leg and foot dorsum in 12 young (5 male, aged 21-28) and 13 older adults (8 male, aged 73-92)...
September 15, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28914718/balance-evaluation-of-prefrail-and-frail-community-dwelling-older-adults
#8
Larissa Tomasauskas Marques, Natalia Camargo Rodrigues, Emanuella Oliveira Angeluni, Fernanda Pinheiro Amador Dos Santos Pessanha, Natália Maira da Cruz Alves, Renato Campos Freire Júnior, Eduardo Ferriolli, Daniela Cristina Carvalho de Abreu
BACKGROUND AND PURPOSE: With the increase in the percentage of the population in older adulthood, issues such as frailty syndrome need to be considered. The aim of the present study was to evaluate the ability of the Balance Evaluation Systems Test (BESTest) and center of pressure (COP) in their ability to discriminate between nonfrail, prefrail, and frail older adults. The proposed hypothesis is that frail older adults would show poorer performance in BESTest tasks and higher oscillation of COP on a force platform...
September 13, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/28910814/feasibility-and-effectiveness-of-intervention-programmes-integrating-functional-exercise-into-daily-life-of-older-adults-a-systematic-review
#9
Michaela Weber, Nacera Belala, Lindy Clemson, Elisabeth Boulton, Helen Hawley-Hague, Clemens Becker, Michael Schwenk
BACKGROUND: Traditionally, exercise programmes for improving functional performance and reducing falls are organised as structured sessions. An alternative approach of integrating functional exercises into everyday tasks has emerged in recent years. OBJECTIVES: Summarising the current evidence for the feasibility and effectiveness of interventions integrating functional exercise into daily life. METHODS: A systematic literature search was conducted including articles based on the following criteria: (1) individuals ≥60 years; (2) intervention studies of randomised controlled trials (RCTs) and non-randomised studies (NRS); (3) using a lifestyle-integrated approach; (4) using functional exercises to improve strength, balance, or physical functioning; and (5) reporting outcomes on feasibility and/or effectiveness...
September 15, 2017: Gerontology
https://www.readbyqxmd.com/read/28910255/better-strength-better-balance-partnering-to-deliver-a-fall-prevention-program-for-older-adults
#10
Darcie Taing, Kelly McKay
SETTING: Falls incur significant health and economic costs, particularly among older adults. Physical activity has been found to be the single most important fall prevention behaviour an older adult can do. This manuscript describes Ottawa Public Health's (OPH) experience implementing the Better Strength, Better Balance! (BSBB) program, a fall prevention exercise program for older adults, through an innovative partnership with the local Recreation, Cultural & Facility Services (RCFS) Department...
September 14, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/28901021/optimisation-of-chemotherapy-and-radiotherapy-for-untreated-hodgkin-lymphoma-patients-with-respect-to-second-malignant-neoplasms-overall-and-progression-free-survival-individual-participant-data-analysis
#11
REVIEW
Jeremy Franklin, Dennis A Eichenauer, Ingrid Becker, Ina Monsef, Andreas Engert
BACKGROUND: Efficacy and the risk of severe late effects have to be well-balanced in treatment of Hodgkin lymphoma (HL). Late adverse effects include secondary malignancies which often have a poor prognosis. To synthesise evidence on the risk of secondary malignancies after current treatment approaches comprising chemotherapy and/or radiotherapy, we performed a meta-analysis based on individual patient data (IPD) from patients treated for newly diagnosed HL. OBJECTIVES: We investigated several questions concerning possible changes in the risk of secondary malignancies when modifying chemotherapy or radiotherapy (omission of radiotherapy, reduction of the radiation field, reduction of the radiation dose, use of fewer chemotherapy cycles, intensification of chemotherapy)...
September 13, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28899731/combined-physical-cognitive-training-enhances-postural-performances-during-daily-life-tasks-in-older-adults
#12
Rabeb Laatar, Hiba Kachouri, Rihab Borji, Haithem Rebai, Sonia Sahli
Physical-cognitive interventions seem promising to improve balance and gait performances and prevent falls in the elderly. Although these beneficial effects, it is still not clear whether these physical-cognitive training modalities leads to more general non-specific adaptations that can be transferred to some measures reflecting every day abilities. This randomized controlled trial examined postural (center of pressure oscillations), physical (lower body strength, gait speed, functional mobility, dynamic balance) and cognitive performances (reaction time) and postural performance during daily life tasks (walking while conversing on a phone and maintaining an upright standing posture while buttoning a shirt) in older adults (66...
September 9, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28893391/the-effects-of-early-stages-of-aging-on-postural-sway-a-multiple-domain-balance-assessment-using-a-force-platform
#13
Adriana M Degani, Charles T Leonard, Alessander Danna-Dos-Santos
Technical advancements in instrumentation and analytical methods have improved the ability of assessing balance control. This study investigated the effects of early stages of aging on postural sway using traditional and contemporary postural indices from different domains. Eleven healthy young adults and fourteen healthy non-faller older adults performed two postural tasks: (a) functional limits of stability and (b) unperturbed bipedal stance for 120s. Postural indices from spatial, temporal, frequency, and structural domains were extracted from the body's center of pressure (COP) signals and its Rambling and Trembling components...
September 5, 2017: Journal of Biomechanics
https://www.readbyqxmd.com/read/28893312/the-validity-and-reliability-of-the-four-square-step-test-in-different-adult-populations-a-systematic-review
#14
Martha Moore, Karen Barker
BACKGROUND: The four square step test (FSST) was first validated in healthy older adults to provide a measure of dynamic standing balance and mobility. The FSST has since been used in a variety of patient populations. The purpose of this systematic review is to determine the validity and reliability of the FSST in these different adult patient populations. METHODS: The literature search was conducted to highlight all the studies that measured validity and reliability of the FSST...
September 11, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28893187/does-dual-task-training-improve-walking-performance-of-older-adults-with-concern-of-falling
#15
B Wollesen, S Schulz, L Seydell, K Delbaere
BACKGROUND: Older adults with concerns of falling show decrements of gait stability under single (ST) and dual task (DT) conditions. To compare the effects of a DT training integrating task managing strategies for independent living older adults with and without concern about falling (CoF) to a non-training control group on walking performance under ST and DT conditions. METHODS: Single center parallel group single blind randomized controlled trial with group-based interventions (DT-managing balance training) compared to a control group (Ninety-five independent living older adults; 71...
September 11, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28889172/service-learning-enhances-physical-therapy-students-ability-to-examine-fall-risk-in-older-adults
#16
Amy Nordon-Craft, Brandy Schwarz, Victoria Kowalewski, Jessica Hartos, Jennifer Jurado Severance, Nicoleta Bugnariu
Service-learning (SL) is one educational methodology that provides students opportunities to practice and refine affective, cognitive and psychomotor skills in a community-based setting. PURPOSE: The aims of this study were: 1) to investigate the impact of SL on physical therapy (PT) students' attitudes and perceived clinical competence when working with older adults, and 2) to evaluate the difference between perceptions of students who developed and implemented the SL activity vs those who implemented only...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/28885115/a-9-week-jaques-dalcroze-eurhythmics-intervention-improves-single-and-dual-task-gait-speed-in-community-dwelling-older-people
#17
Lisa Ferguson-Stegall, Mandy Vang, Anthony S Wolfe, Kathy M Thomsen
BACKGROUND: Falls are a major public health concern among older adults, and most occur while walking, especially under dualtask conditions. Jaques-Dalcroze eurhythmics (JDE) is a music-based movement training program that emphasizes multitask coordinated movement. A previous 6-mo JDE study in older people demonstrated improved gait and balance; however, the effects of short-term JDE interventions on fall risk-related outcomes are largely unknown. We conducted a preliminary investigation on whether a 9-week JDE intervention improved gait and stability in a community-dwelling older cohort, hypothesizing that improvements would occur in all outcome measures...
September 2017: Journal of Physical Activity & Health
https://www.readbyqxmd.com/read/28883717/assessing-balance-through-the-use-of-a-low-cost-head-mounted-display-in-older-adults-a-pilot-study
#18
Santiago J Saldana, Anthony P Marsh, W Jack Rejeski, Jack K Haberl, Peggy Wu, Scott Rosenthal, Edward H Ip
INTRODUCTION: As the population ages, the prevention of falls is an increasingly important public health problem. Balance assessment forms an important component of fall-prevention programs for older adults. The recent development of cost-effective and highly responsive virtual reality (VR) systems means new methods of balance assessment are feasible in a clinical setting. This proof-of-concept study made use of the submillimeter tracking built into modern VR head-mounted displays (VRHMDs) to assess balance through the use of visual-vestibular conflict...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28883555/associations-between-trunk-muscle-morphology-strength-and-function-in-older-adults
#19
Behnaz Shahtahmassebi, Jeffrey J Hebert, Mark D Hecimovich, Timothy J Fairchild
Skeletal muscle plays an important role in performing activities of daily living. While the importance of limb musculature in performing these tasks is well established, less research has focused on the muscles of the trunk. The purpose of the current study therefore, was to examine the associations between functional ability and trunk musculature in sixty-four community living males and females aged 60 years and older. Univariate and multivariate analyses of the a priori hypotheses were performed and reported with correlation coefficients and unstandardized beta coefficients (β) respectively...
September 7, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28880935/post-fatigue-recovery-of-power-postural-control-and-physical-function-in-older-women
#20
Stephen A Foulis, Stephanie L Jones, Richard E van Emmerik, Jane A Kent
Low muscle power, particularly at high velocities, has been linked to poor physical function in older adults. Any loss in muscle power following fatiguing exercise or daily activities could impact physical function and postural control until power has fully recovered. To test the overall hypothesis that a common task such as walking can result in prolonged power loss and decreased physical function and balance, 17 healthy older (66-81 years) women completed a 32-min walking test (32MWT) designed to induce neuromuscular fatigue, followed by 60min of recovery (60R)...
2017: PloS One
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