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Balance and older adults

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https://www.readbyqxmd.com/read/29139651/the-risk-for-fall-and-functional-dependence-in-polish-adults-60%C3%A2-87-years-old
#1
Jaroslaw Domaradzki, Slawomir Koziel, Zofia Ignasiak, Teresa Sławińska, Anna Skrzek, Małgorzata Kołodziej
The constantly rising percentage of the elderly (60+), who are particularly at risk of the dangerous consequence of falls, results not only in the loss of independence in daily life, but also in a serious threat to health and life. Therefore, many authors emphasize the necessity of conducting prophylaxis and prevention among senior citizens. The most important aspect of fall prophylaxis is care about the optimum level of agility. Exercise should focus on increasing muscular strength, balance and dexterity. The aim of the present study is to determine the relationship between functional fitness and the risk for falls of older people in the light of maintaining physical independence...
March 2017: Collegium Antropologicum
https://www.readbyqxmd.com/read/29137197/effect-of-age-on-glasgow-coma-scale-in-patients-with-moderate-and-severe-traumatic-brain-injury-an-approach-with-propensity-score-matched-population
#2
Cheng-Shyuan Rau, Shao-Chun Wu, Yi-Chun Chen, Peng-Chen Chien, Hsiao-Yun Hsieh, Pao-Jen Kuo, Ching-Hua Hsieh
Background: The most widely used methods of describing traumatic brain injury (TBI) are the Glasgow Coma Scale (GCS) and the Abbreviated Injury Scale (AIS). Recent evidence suggests that presenting GCS in older patients may be higher than that in younger patients for an equivalent anatomical severity of TBI. This study aimed to assess these observations with a propensity-score matching approach using the data from Trauma Registry System in a Level I trauma center. Methods: We included all adult patients (aged ≥20 years old) with moderate to severe TBI from 1 January 2009 to 31 December 2016...
November 13, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29135600/balance-and-functional-outcomes-for-older-community-dwelling-adults-who-practice-tai-chi-and-those-who-do-not-a-comparative-study
#3
Deborah Bubela, Laddie Sacharko, Judy Chan, Maegen Brady
BACKGROUND AND PURPOSE: A growing body of literature substantiates that Tai Chi is a form of exercise that may help older adults increase strength, improve balance, lower fall rates, and experience less fear of falling. Few studies, however, offer controlled experimental design and simultaneously investigate multiple factors known to contribute to fall risk. The purpose of this study was to compare performance on measures relating to fall risk (strength, balance, functional mobility, and fear of falling) in older community-dwelling adults who participated in a community-based Tai Chi program with a control group of their peers who had no Tai Chi training over the same time period...
November 9, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29135427/effect-of-bathroom-aids-and-age-on-balance-control-during-bathing-transfers
#4
Emily C King, Alison C Novak
Bathroom assistive devices are used to improve safety during bathing transfers, but biomechanical evidence to support clinical recommendations is lacking. This study evaluated the effectiveness of common bathroom aids in promoting balance control during bathing transfers. Twenty-six healthy adults (12 young, 14 older) stepped into and out of a slippery bathtub while using a vertical grab bar on the side wall, a horizontal grab bar on the back wall, a bath mat, a side wall touch, or no assistance. Balance control was characterized using center of pressure measures and showed greater instability for older adults...
November 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29132153/outcomes-of-dabigatran-and-warfarin-for-atrial-fibrillation-in-contemporary-practice-a-retrospective-cohort-study
#5
Alan S Go, Daniel E Singer, Sengwee Toh, T Craig Cheetham, Marsha E Reichman, David J Graham, Mary Ross Southworth, Rongmei Zhang, Rima Izem, Margie R Goulding, Monika Houstoun, Katrina Mott, Sue Hee Sung, Joshua J Gagne
Background: Dabigatran (150 mg twice daily) has been associated with lower rates of stroke than warfarin in trials of atrial fibrillation, but large-scale evaluations in clinical practice are limited. Objective: To compare incidence of stroke, bleeding, and myocardial infarction in patients receiving dabigatran versus warfarin in practice. Design: Retrospective cohort. Setting: National U.S. Food and Drug Administration Sentinel network...
November 14, 2017: Annals of Internal Medicine
https://www.readbyqxmd.com/read/29130977/effects-of-wearable-sensor-based-balance-and-gait-training-on-balance-gait-and-functional-performance-in-healthy-and-patient-populations-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#6
Katharina Gordt, Thomas Gerhardy, Bijan Najafi, Michael Schwenk
BACKGROUND: Wearable sensors (WS) can accurately measure body motion and provide interactive feedback for supporting motor learning. OBJECTIVE: This review aims to summarize current evidence for the effectiveness of WS training for improving balance, gait and functional performance. METHODS: A systematic literature search was performed in PubMed, Cochrane, Web of Science, and CINAHL. Randomized controlled trials (RCTs) using a WS exercise program were included...
November 1, 2017: Gerontology
https://www.readbyqxmd.com/read/29130477/transcranial-doppler-and-lower-extremity-function-in-older-adults-einstein-aging-study
#7
Ali Ezzati, Tatjana Rundek, Joe Verghese, Carol A Derby
OBJECTIVES: To determine whether transcranial Doppler ultrasound (TCD) measures of mean blood flow velocity (MBFV) in the major cerebral arteries are associated with measures of lower extremity function in community-dwelling older adults. DESIGN: Cross-sectional study. SETTING: Community sample. PARTICIPANTS: Individuals aged 70 and older (mean 79.5, 54% female) without dementia participating in the Einstein Aging Study (N = 200)...
November 11, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29129214/exercise-and-older-adults
#8
REVIEW
Jorge Camilo Mora, Willy M Valencia
Regular exercise is essential for healthy aging and offers many health benefits, including reduced risk of all-cause mortality, chronic disease, and premature death. Because physical inactivity is prevalent, greater focus is needed on integrating exercise into care plans and counseling, and developing partnerships that support exercise opportunities. Older adults should be as physically active as their abilities and conditions allow. For substantial health benefits, older adults need to do aerobic, muscle-strengthening, and stretching exercises weekly, and balance activities as needed...
February 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29124731/cardiovascular-risk-burden-and-future-risk-of-walking-speed-limitation-in-older-adults
#9
Emerald G Heiland, Chengxuan Qiu, Rui Wang, Giola Santoni, Yajun Liang, Laura Fratiglioni, Anna-Karin Welmer
OBJECTIVES: To explore the association between cardiovascular risk factor (CRF) burden and limitation in walking speed, balance, and chair stand and to verify whether these associations vary according to age and cognitive status. DESIGN: Longitudinal population-based study. SETTING: Urban area of Stockholm, Sweden. PARTICIPANTS: Individuals aged 60 and older who participated in the Swedish National Study on Aging and Care in Kungsholmen and were free of limitations in walking speed (n = 1,441), balance (n = 1,154), or chair stands (n = 1,496) at baseline (2001-04)...
November 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29114533/effects-of-whole-body-vibration-training-and-mental-training-on-mobility-neuromuscular-performance-and-muscle-strength-in-older-men
#10
Maryam Goudarzian, Samira Ghavi, Ardalan Shariat, Hossein Shirvani, Mostafa Rahimi
This study was designed to evaluate the effects of whole body vibration (WBV) exercise, mental training (MT), and the concurrent effect of WBV and MT on lower body balance, neuromuscular performance, and leg muscle strength in elderly men. In a randomized control trial study with parallel group design, 42 older men (mean±standard deviation age, 68±5.78 years) were randomly divided into four groups: WBV (n=11), MT (n=12), WBV+MT (n=10), and control (n=9) groups. The protocol of training consisted of three sessions per week for 8 weeks and about 30 min for each session...
October 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29107061/physical-activity-and-physical-fitness-of-nursing-home-residents-with-cognitive-impairment-a-pilot-study
#11
José Marmeleira, Soraia Ferreira, Armando Raimundo
Physical activity and physical fitness are important for health, functional mobility and performance of everyday activities. To date, little attention has been given to physical activity and physical fitness among nursing home residents with cognitive impairment. Therefore, the main aim of this study was to examine physical activity behavior and physical fitness of institutionalized older adults with cognitive impairment and to investigate their interrelations. Forty-eight older adults with cognitive impairment (83...
October 31, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/29095771/the-3-m-backwards-walk-and-retrospective-falls-diagnostic-accuracy-of-a-novel-clinical-measure
#12
Valerie Carter, Tarang Jain, Jodi James, Mark Cornwall, Anne Aldrich, Hendrik D de Heer
BACKGROUND AND PURPOSE: Several measures of fall risk have been previously developed and include forward walking, turning, and stepping motions. However, recent research has demonstrated that backwards walking is more sensitive at identifying age-related changes in mobility and balance compared with forward walking. No clinical test of backwards walking currently exists. Therefore, this article describes a novel clinical test of backwards walking, the 3-m backwards walk (3MBW), and assessed whether it was associated with 1-year retrospective falls in a population of healthy older adults...
November 1, 2017: Journal of Geriatric Physical Therapy
https://www.readbyqxmd.com/read/29095408/impact-of-iliac-instrumentation-on-the-quality-of-life-of-patients-with-adult-spine-deformity
#13
Mar Pérez Martin-Buitrago, Javier Pizones, Francisco Javier Sánchez Perez-Grueso, Mariana Díaz Almirón, Alba Vila-Casademunt, Ibrahim Obeid, Ahmet Alanay, Frank Kleinstück, Emre R Acaroglu, Ferran Pellisé
STUDY DESIGN: Retrospective comparative analysis of data collected prospectively in an adult spine deformity (ASD) multicenter database. OBJECTIVE: To evaluate the impact of the iliac screws on the quality of life of ASD patients compared with those instrumented above the pelvis (L5/S1/S2). SUMMARY OF BACKGROUND DATA: The impact on patient's daily activities and functions, of immobilizing the sacroiliac joint with iliac screws for the treatment of ASD is still underexplored...
October 31, 2017: Spine
https://www.readbyqxmd.com/read/29094888/bladder-cancer-diagnosis-and-treatment
#14
Katharine C DeGeorge, Harry R Holt, Stephanie C Hodges
Bladder cancer is the sixth most prevalent malignancy in the United States and causes more than 16,000 deaths annually. The most common clinical presentation is asymptomatic hematuria, which should prompt evaluation with cystoscopy, renal function testing, and upper urinary tract imaging in adults 35 years and older and in those with irritative voiding symptoms, risk factors for bladder cancer, or gross hematuria at any age. Transurethral resection of the bladder tumor allows for definitive diagnosis, staging, and primary treatment...
October 15, 2017: American Family Physician
https://www.readbyqxmd.com/read/29083433/effect-of-structured-physical-activity-and-nutritional-supplementation-on-physical-function-in-mobility-limited-older-adults-results-from-the-vive2-randomized-trial
#15
R A Fielding, T G Travison, D R Kirn, A Koochek, K F Reid, Å von Berens, H Zhu, S C Folta, J M Sacheck, M E Nelson, C K Liu, A C Åberg, M Nydahl, M Lilja, T Gustafsson, T Cederholm
OBJECTIVES: The interactions between nutritional supplementation and physical activity on changes in physical function among older adults remain unclear. The primary objective of this study was to examine the impact of nutritional supplementation plus structured physical activity on 400M walk capacity in mobility-limited older adults across two sites (Boston, USA and Stockholm, Sweden). DESIGN: All subjects participated in a physical activity program (3x/week for 24 weeks), involving walking, strength, balance, and flexibility exercises...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/29077911/gaming-for-health-systematic-review-and-meta-analysis-of-the-physical-and-cognitive-effects-of-active-computer-gaming-in-older-adults
#16
Sarah C Howes, Darryl K Charles, Joanne Marley, Katy Pedlow, Suzanne M McDonough
Background: Active computer gaming (ACG) is a method of facilitating physical activity in older people to improve health outcomes. Purpose: The purpose of this study was to update and extend a systematic review of the evidence for ACG to determine its effects on physical and cognitive health in older adults. Data Sources: MEDLINE, EMBASE, CENTRAL in the Cochrane Library, and PsycINFO databases were searched from the date of the previous review (2011) to May 2016...
August 30, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29074832/-update-on-recent-progress-in-vitamin-d-research-eldecalcitol-r-and-fall-prevention
#17
Takao Suzuki
In the elderly, vitamin D deficiency results not only in impaired bone mineralization, but also myopathy. Low vitamin D has also been shown to be associated with decline of muscle strength, sarcopenia, functional limitation, and disability. Several recent studies have shown that low serum vitamin D concentration is associated with lower physical function and falls in older adults. In this article, the author reviews a relationship between falls and serum vitamin D concentration of the elderly living in the community, and also introduces the major results from a recent randomized controlled trial on prevention of decline of fall-related balance performance by the treatment with newly developed active vitamin D(Eldecalcitol(R) )among the women with age 65 years old and over and diagnosed as osteoporosis...
2017: Clinical Calcium
https://www.readbyqxmd.com/read/29074307/the-role-of-conscious-control-in-maintaining-stable-posture
#18
Liis Uiga, Catherine M Capio, Donghyun Ryu, Mark R Wilson, Rich S W Masters
This study aimed to examine the relationship between conscious control of movements, as defined by the Theory of Reinvestment (Masters & Maxwell, 2008; Masters, Polman, & Hammond, 1993), and both traditional and complexity-based COP measures. Fifty-three young adults (mean age=20.93±2.53years), 39 older adults with a history of falling (mean age=69.23±3.84years) and 39 older adults without a history of falling (mean age=69.00±3.72years) were asked to perform quiet standing balance in single- and dual-task conditions...
October 23, 2017: Human Movement Science
https://www.readbyqxmd.com/read/29073822/equine-exercise-in-younger-and-older-adults-simulated-versus-real-horseback-riding
#19
Min Joo Kim, TaeYeong Kim, Sejun Oh, BumChul Yoon
Horseback riding is an effective exercise for improving postural control and balance. To reduce costs and improve accessibility, simulated horseback riding has been developed; but no differential effects of simulated and real horseback riding on muscle activation patterns in older adults have been studied. Thus, we compared muscle activation patterns for older and younger adults engaged in real and simulated horseback riding exercises, using surface electromyography recordings of the erector spinae, rectus abdominis, internal oblique abdominis, and rectus femoris muscles...
January 1, 2017: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/29069097/muscle-contributions-to-the-acceleration-of-the-whole-body-centre-of-mass-during-recovery-from-forward-loss-of-balance-by-stepping-in-young-and-older-adults
#20
David F Graham, Christopher P Carty, David G Lloyd, Rod S Barrett
The purpose of this study was to determine the muscular contributions to the acceleration of the whole body centre of mass (COM) of older compared to younger adults that were able to recover from forward loss of balance with a single step. Forward loss of balance was achieved by releasing participants (14 older adults and 6 younger adults) from a static whole-body forward lean angle of approximately 18 degrees. 10 older adults and 6 younger adults were able to recover with a single step and included in subsequent analysis...
2017: PloS One
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