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Balance and older adults

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https://www.readbyqxmd.com/read/28641096/hematopoietic-stem-cell-transplantation-for-sickle-cell-anemia-the-changing-landscape
#1
REVIEW
Adetola A Kassim, Deva Sharma
Allogeneic hematopoietic stem cell transplantation (HSCT) remains the only curative therapy for sickle cell disease (SCD); however, its use is limited by lack of suitable human leukocyte antigen (HLA)-matched donors and decreased application in older patients with significant morbidity. Myeloablative, HLA-identical sibling transplantation in children with SCD offers excellent long-term survival, with overall and event-free survival rates of 95% and 92%, respectively. However, the risk of graft-versus-host-disease, infections, infertility, and other long-term transplant complications, further limits its widespread use...
June 15, 2017: Hematology/oncology and Stem Cell Therapy
https://www.readbyqxmd.com/read/28633057/predicting-falls-in-community-dwelling-older-adults-using-the-activities-specific-balance-confidence-scale
#2
Kimberly Cleary, Elena Skornyakov
OBJECTIVES: Falls are a significant problem associated with aging, and can lead to serious consequences including injury and death. The purpose of this study was to determine whether balance confidence differed between future fallers and non-fallers, and whether the construct prospectively predicted falls. METHODS: Forty-five community dwelling older adults aged 65 or older completed the Activities-specific Balance Confidence scale (ABC) and reported falls experienced during the next 6 months...
June 13, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28627050/effects-of-a-community-disability-prevention-program-for-frail-older-adults-at-48-month-follow-up
#3
Hyuma Makizako, Hiroyuki Shimada, Takehiko Doi, Kota Tsutumimoto, Daisuke Yoshida, Takao Suzuki
AIM: The present prospective study was carried out to determine whether participation in community-based intervention studies exerted a positive impact on disability prevention in older adults with physical frailty. METHODS: A total of 514 community-dwelling older adults (aged ≥65 years) with physical frailty who had undergone baseline assessment and participated in community-based intervention studies (participants) or did not (non-participants) were included in the present study...
June 18, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28626848/older-adult-falls-prevention-behaviors-60-days-post-discharge-from-an-urban-emergency-department-after-treatment-for-a-fall
#4
Kalpana Narayan Shankar, Nicole J Treadway, Alyssa A Taylor, Alan H Breaud, Elizabeth W Peterson, Jonathan Howland
BACKGROUND: Falls are a common and debilitating health problem for older adults. Older adults are often treated and discharged home by emergency department (ED)-based providers with the hope they will receive falls prevention resources and referrals from their primary care provider. This descriptive study investigated falls prevention activities, including interactions with primary care providers, among community-dwelling older adults who were discharged home after presenting to an ED with a fall-related injury...
December 2017: Injury Epidemiology
https://www.readbyqxmd.com/read/28622188/differences-in-fundamental-sagittal-pelvic-parameters-based-on-age-sex-and-race
#5
Robert K Merrill, Jun S Kim, Dante M Leven, Joung Heon Kim, Joshua J Meaike, Rachel S Bronheim, Kelly I Suchman, Doug Nowacki, Sunder S Gidumal, Samuel K Cho
STUDY DESIGN: This is a retrospective cohort study. OBJECTIVE: To determine whether age, sex, and race have independent effects on sagittal pelvic parameters. SUMMARY OF BACKGROUND DATA: Pelvic parameters and sagittal balance correlate with health-related quality of life and are important for patient assessment and surgical planning. Age, sex, and race are 3 unalterable patient factors that may influence pelvic morphology. METHODS: We conducted a retrospective review of consecutive adult patients who presented to our radiology practice between 2010 and 2015 and had a standing, lateral lumbosacral radiograph...
June 15, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28621015/perturbation-based-balance-training-for-falls-reduction-among-older-adults-current-evidence-and-implications-for-clinical-practice
#6
REVIEW
Marissa H G Gerards, Christopher McCrum, Avril Mansfield, Kenneth Meijer
Falls are a leading cause of injury, hospitalization and even death among older adults. Although various strength and balance exercise interventions have shown moderate reductions in falls incidence among healthy older adults, no significant falls incidence improvements have been consistently seen in frail older adults or in patient groups with an increased falls risk (e.g. people with Parkinson's disease and stroke). This might be due to a lack of task specificity of previous exercise interventions to the recovery actions required to prevent a fall...
June 16, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28610969/relationship-between-head-turn-gait-speed-and-lateral-balance-function-in-community-dwelling-older-adults
#7
Harshvardhan Singh, Ozell Sanders, Sandy McCombe Waller, Woei-Nan Bair, Brock Beamer, Robert A Creath, Mark W Rogers
OBJECTIVE: To determine and compare gait speed during head-forward and side-to-side head-turn walking in individuals with lower versus greater lateral balance. DESIGN: Cross-sectional study SETTING: University research laboratory PARTICIPANTS: Ninety-three older adults (42 men and 51 women) aged 73 ± 6.08 years who could walk independently participated in this study. MAIN OUTCOME MEASURES: 1) 'balance tolerance limit' (BTL), defined as the lowest perturbation intensity where a multistep balance recovery pattern was first evoked in response to randomized lateral waist-pull perturbations of standing balance to the left and right sides, at six different intensities (range from level two: 4...
June 10, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28610947/impaired-balance-is-related-to-the-progression-of-diabetic-complications-in-both-young-and-older-adults
#8
Daisuke Kukidome, Takeshi Nishikawa, Miki Sato, Yoshiko Nishi, Risa Shimamura, Junji Kawashima, Seiya Shimoda, Hiroshi Mizuta, Eiichi Araki
AIMS: To investigate the balance ability in younger and older adults with diabetes and evaluate the associations between balance ability and microvascular complications. METHODS: This cross-sectional observational study compared 162 participants and 177 controls with and without type 2 diabetes, respectively. Balance ability was assessed using two static (one-legged stance and postural sway area) and two dynamic (Timed Up and Go [TUG] and Functional Reach) tests...
June 4, 2017: Journal of Diabetes and its Complications
https://www.readbyqxmd.com/read/28610676/dance-movement-therapy-and-falls-prevention
#9
REVIEW
Nicola Veronese, Stefania Maggi, Patricia Schofield, Brendon Stubbs
Falls are a leading cause of morbidity, healthcare use and mortality. Dance is a popular form of physical activity among older people and previous research has suggested that it may improve various health outcomes in this population, including balance, gait and muscle performance. A systematic review of the potential benefits of dance on falls and fear of falling is lacking. Thus, we conducted a systematic review considering all randomized controls trials (RCTs) investigating if dance can reduce falls and improve fear of falling in older adults...
August 2017: Maturitas
https://www.readbyqxmd.com/read/28610582/behavioral-and-neural-adaptations-in-response-to-five-weeks-of-balance-training-in-older-adults-a-randomized-controlled-trial
#10
Jan Ruffieux, Audrey Mouthon, Martin Keller, Michael Wälchli, Wolfgang Taube
BACKGROUND: While the positive effect of balance training on age-related impairments in postural stability is well-documented, the neural correlates of such training adaptations in older adults remain poorly understood. This study therefore aimed to shed more light on neural adaptations in response to balance training in older adults. METHODS: Postural stability as well as spinal reflex and cortical excitability was measured in older adults (65-80 years) before and after 5 weeks of balance training (n = 15) or habitual activity (n = 13)...
June 13, 2017: Journal of Negative Results in Biomedicine
https://www.readbyqxmd.com/read/28609164/the-recommended-threshold-limit-values-for-heat-exposure-fail-to-maintain-body-core-temperature-within-safe-limits-in-older-working-adults
#11
Dallon T Lamarche, Robert D Meade, Andrew W D'Souza, Andreas D Flouris, Stephen G Hardcastle, Ronald J Sigal, Pierre Boulay, Glen P Kenny
PURPOSE: The American Conference of Governmental and Industrial Hygienists (ACGIH) Threshold Limit Values (TLVs) for work in the heat consist of work-rest (WR) allocations designed to ensure a stable core temperature that does not exceed 38°C. However, in their prescription the TLVs have not been validated in older workers. This is an important shortcoming given that older adults as young as 40 years demonstrate impairments in their ability to dissipate heat. We therefore evaluated body temperature responses in older adults during work performed in accordance to the TLVs...
June 13, 2017: Journal of Occupational and Environmental Hygiene
https://www.readbyqxmd.com/read/28608776/short-term-effectiveness-of-a-community-implemented-falls-prevention-referral-service
#12
Andrea Christoforou, Marietta L van der Linden, Pelagia Koufaki
PURPOSE: To evaluate the effectiveness of the 16-week evidence-based Steady Steps exercise referral scheme at improving physical function, balance confidence, and quality of life (QoL) of community-dwelling older adults at risk of falling. METHOD: A non-experimental, practice-based study involving a retrospective analysis of participant outcomes. Pre-post comparisons of three performance-based measures of gait and balance and of person-reported outcomes for balance confidence and QoL were performed...
June 13, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28606546/advanced-multi-targeted-composite-biomaterial-dressing-for-pain-and-infection-control-in-chronic-leg-ulcers
#13
Ovidio Catanzano, Rachael Docking, Patricia Schofield, Joshua Boateng
This study aimed to develop advanced biomaterial polysaccharide based dressings to manage pain associated with infected chronic leg ulcers in older adults. Composite carrageenan (CARR) and hyaluronic acid (HA) dressings loaded with lidocaine (LID) and AgNPs were formulated as freeze-dried wafers and functionally characterized for porous microstructure (morphology), mechanical strength, moisture handling properties, swelling, adhesion and LID release. Antimicrobial activity of AgNPs was evaluated (turbidity assay) against Escherichia coli, Pseudomonas aeruginosa and Staphylococcus aureus whilst cell viability studies (MTT) was performed on normal adult human primary epidermal keratinocyte cells...
September 15, 2017: Carbohydrate Polymers
https://www.readbyqxmd.com/read/28599623/-reliability-of-the-norwegian-version-of-the-short-physical-performance-battery-in-older-people-with-and-without-dementia
#14
Cecilie Fromholt Olsen, Astrid Bergland
BACKGROUND: The purpose of the study was to establish the test-retest reliability of the Norwegian version of the Short Physical Performance Battery (SPPB). METHODS: This was a cross- sectional reliability study. A convenience sample of 61 older adults with a mean age of 88.4(8.1) was tested by two different physiotherapists at two time points. The mean time interval between tests was 2.5 days. The Intraclass Correlation Coefficient model 3.1 (ICC, 3.1) with 95% confidence intervals as well as the weighted Kappa (K) were used as measures of relative reliability...
June 9, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28599140/instruments-to-evaluate-mobility-capacity-of-older-adults-during-hospitalization-a-systematic-review
#15
REVIEW
Karla Vanessa Rodrigues Soares Menezes, Claudine Auger, Weslley Rodrigues de Souza Menezes, Ricardo Oliveira Guerra
Independent mobility is a key factor in predicting morbidity and determining hospital discharge readiness for older patients. The main objective was identify and appraise relevant instruments for the measurement of mobility of hospitalized geriatric patients. A systematic review was performed in two consecutive steps. Based on the definition of mobility of the International Classification of Functioning (ICF). Step 1 identified mobility measurement instruments used to assess patients 60 years of age and over hospitalized in acute care or intensive geriatric rehabilitation unit...
May 27, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28594513/minimally-invasive-lateral-approach-for-the-management-of-adult-degenerative-scoliosis
#16
Adam M Wegner, David M Prior, Eric O Klineberg
Minimally invasive lateral releases for the correction of lumbar scoliosis are becoming an increasingly common treatment alternative to posterior osteotomies or surgery via an open anterior approach. Minimally invasive approaches minimize blood loss and morbidity, which may be important in older patients who often have substantial comorbidities. Anterior column realignment allows lumbar lordosis to be restored via a minimally invasive lateral approach, which restores sagittal balance and is correlated with improvements in health-related quality of life...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28590900/the-association-between-hearing-loss-postural-control-and-mobility-in-older-adults-a-systematic-review
#17
REVIEW
Maayan Agmon, Limor Lavie, Michail Doumas
BACKGROUND: Degraded hearing in older adults has been associated with reduced postural control and higher risk of falls. Both hearing loss (HL) and falls have dramatic effects on older persons' quality of life (QoL). A large body of research explored the comorbidity between the two domains. PURPOSE: The aim of the current review is to describe the comorbidity between HL and objective measures of postural control, to offer potential mechanisms underlying this relationship, and to discuss the clinical implications of this comorbidity...
June 2017: Journal of the American Academy of Audiology
https://www.readbyqxmd.com/read/28590815/the-evaluation-of-a-strength-and-balance-exercise-program-for-falls-prevention-in-community-primary-care
#18
Helen Hawley-Hague, Amy Roden, Jo Abbott
We aimed to evaluate a strength and balance program delivered in the community. There is little evidence of implementation of evidence-based exercise in practice. The program was a step-down model, designed to encourage long-term exercise in community classes. The program consisted of a fully funded referral only evidence-based 12-week strength and balance (Community Otago) class, followed by an evidence-based continuous open-access community strength and balance class (Active Always). The program was offered to patients: 1) after formal falls rehabilitation (falls and fracture service); 2) after falls rehabilitation in intermediate care; and 3) referred by a GP who were not eligible for rehabilitation (preventative measure)...
June 7, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28589659/validity-and-reliability-of-abbreviated-mental-test-score-amts-among-older-iranian
#19
Mahshid Foroughan, Lars-Olof Wahlund, Zahra Jafari, Mehdi Rahgozar, Ida G Farahani, Vahid Rashedi
BACKGROUND: Cognitive impairment is common among older people and is associated with increased morbidity and mortality. The main aim of this study was to evaluate the validity of the Persian version of the Abbreviated Mental Test Score (AMTS) as a screening tool for dementia. METHODS: Data were obtained from a cross-sectional study. One hundred and one older adults who were members of Iranian Alzheimer Association and 101 of their siblings were entered into this study by convenient sampling...
June 6, 2017: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://www.readbyqxmd.com/read/28588477/associations-between-mobility-cognition-and-brain-structure-in-healthy-older-adults
#20
Naiara Demnitz, Enikő Zsoldos, Abda Mahmood, Clare E Mackay, Mika Kivimäki, Archana Singh-Manoux, Helen Dawes, Heidi Johansen-Berg, Klaus P Ebmeier, Claire E Sexton
Mobility limitations lead to a cascade of adverse events in old age, yet the neural and cognitive correlates of mobility performance in older adults remain poorly understood. In a sample of 387 adults (mean age 69.0 ± 5.1 years), we tested the relationship between mobility measures, cognitive assessments, and MRI markers of brain structure. Mobility was assessed in 2007-2009, using gait, balance and chair-stands tests. In 2012-2015, cognitive testing assessed executive function, memory and processing-speed; gray matter volumes (GMV) were examined using voxel-based morphometry, and white matter microstructure was assessed using tract-based spatial statistics of fractional anisotropy, axial diffusivity (AD), and radial diffusivity (RD)...
2017: Frontiers in Aging Neuroscience
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