Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/S1413-35552006000400011 http://hdl.handle.net/11449/211553 |
Resumo: | OBJECTIVE: To compare the risk of falls among elderly people with Parkinson's disease (PD) and Alzheimer's dementia (AD) and among healthy peers (controls). In addition, the aim was to analyze relationships between risk of falls and cognitive decay and between risk of falls and physical activity. METHOD: Twenty subjects were assessed: seven with PD (69.57 ± 2.40 years), six with AD (77.5 ± 2.32 years) and seven healthy peers (74.71 ± 2.58 years). The following instruments were used: Berg Balance Scale (BBS), Timed Up and Go test (TUG), Mini-Mental State Examination (MMSE) and Modified Baecke Questionnaire for Older Adults (MBQOA). RESULTS: The Kruskal-Wallis (KW) test indicated significant differences between the groups, relating to BBS (KW = 9.67, p<0.01) and TUG (KW = 9.14, p<0.01, for time expended, and KW = 10.04, p<0.01, for number of steps). Bonferroni post-hoc pairs analysis showed that balance was highly compromised in the AD group, such that lower MMSE values were observed. The PD group was characterized by presenting higher levels of physical activity. Spearman's test produced low correlations between MMSE and BBS (r s=0.59); MMSE and TUG (r s=-0.52 and r s=-0.62); MBQOA and BBS (r s=0.54); and MBQOA and TUG (r s=-0.39 and r s=-0.42). CONCLUSION: These low correlations must be analyzed carefully, because these variables are influenced by multiple factors. In the AD group, the cognitive decay can be positively associated with greater risk of falls. In the PD group, physical activity may have assisted in maintaining the risk of falls at similar levels to the control group. |
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Repositório Institucional da UNESP |
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Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversalRisk of falls among elderly people with Parkinson's disease and Alzheimer's dementia: a cross-sectional studyrisk of fallsParkinson's diseaseAlzheimer's dementiarisco de quedasdoença de Parkinsondemência de AlzheimerOBJECTIVE: To compare the risk of falls among elderly people with Parkinson's disease (PD) and Alzheimer's dementia (AD) and among healthy peers (controls). In addition, the aim was to analyze relationships between risk of falls and cognitive decay and between risk of falls and physical activity. METHOD: Twenty subjects were assessed: seven with PD (69.57 ± 2.40 years), six with AD (77.5 ± 2.32 years) and seven healthy peers (74.71 ± 2.58 years). The following instruments were used: Berg Balance Scale (BBS), Timed Up and Go test (TUG), Mini-Mental State Examination (MMSE) and Modified Baecke Questionnaire for Older Adults (MBQOA). RESULTS: The Kruskal-Wallis (KW) test indicated significant differences between the groups, relating to BBS (KW = 9.67, p<0.01) and TUG (KW = 9.14, p<0.01, for time expended, and KW = 10.04, p<0.01, for number of steps). Bonferroni post-hoc pairs analysis showed that balance was highly compromised in the AD group, such that lower MMSE values were observed. The PD group was characterized by presenting higher levels of physical activity. Spearman's test produced low correlations between MMSE and BBS (r s=0.59); MMSE and TUG (r s=-0.52 and r s=-0.62); MBQOA and BBS (r s=0.54); and MBQOA and TUG (r s=-0.39 and r s=-0.42). CONCLUSION: These low correlations must be analyzed carefully, because these variables are influenced by multiple factors. In the AD group, the cognitive decay can be positively associated with greater risk of falls. In the PD group, physical activity may have assisted in maintaining the risk of falls at similar levels to the control group.OBJETIVO: Comparar o risco de quedas entre idosos com doença de Parkinson (DP), demência de Alzheimer (DA) e saudáveis (controle). Além disso, pretendeu-se analisar as relações do risco de quedas com declínio cognitivo e com nível de atividade física. MÉTODO: vinte idosos, sendo sete com DP (69,57 ± 2,40 anos), seis com DA (77,5 ± 2,32 anos) e sete saudáveis (74,71 ± 2,58 anos), foram avaliados por meio dos seguintes instrumentos: Escala de Equilíbrio Funcional de Berg (EEFB), Timed Up and Go test (TUG), Mini-Exame do Estado Mental (MEEM) e Questionário Baecke Modificado para Idosos (QBMI). RESULTADOS: O teste de Kruskal-Wallis apontou diferença significativa entre os grupos, tanto em relação à EEFB (KW=9,67, p<0,01), quanto em relação ao TUG (KW=9,14, p<0,01, para tempo despendido, e KW=10,04, p<0,01, para número de passos). A análise aos pares do teste post-hoc de Bonferroni apontou comprometimento maior do equilíbrio no grupo DA, no qual também foram observados menores valores no MEEM. O grupo DP foi caracterizado por apresentar um maior nível de atividade física. A análise de correlação de Spearman apontou correlação baixa entre MEEM e EEFB (r s=0,59); entre MEEM e TUG (r s=-0,62 e r s=-0,52); entre QBMI e EEFB (r s=0,54); e entre QBMI e TUG (r s=-0,39 e r s=-0,42). CONCLUSÕES: As baixas correlações observadas devem ser analisadas com cautela, pois tais variáveis sofrem influência de múltiplos fatores. No grupo DA, o declínio cognitivo pode estar relacionado ao maior risco de quedas e, no grupo DP, a atividade física pode ter auxiliado a manter um risco de quedas próximo ao grupo controle.Universidade Estadual Paulista, Instituto de BiociênciasUniversidade Estadual de Campinas, Hospital das ClínicasUniversidade Estadual Paulista, Instituto de BiociênciasAssociação Brasileira de Pesquisa e Pós-Graduação em FisioterapiaUniversidade Estadual Paulista (Unesp)Universidade Estadual de Campinas (UNICAMP)Christofoletti, G [UNESP]Oliani, Mm [UNESP]Gobbi, Ltb [UNESP]Gobbi, S [UNESP]Stella, F [UNESP]2021-07-14T10:26:08Z2021-07-14T10:26:08Z2006-12info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article429-433application/pdfhttp://dx.doi.org/10.1590/S1413-35552006000400011Brazilian Journal of Physical Therapy. São Carlos, SP, Brazil: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia, v. 10, n. 4, p. 429-433, 2006.1413-35551809-9246http://hdl.handle.net/11449/21155310.1590/S1413-35552006000400011S1413-35552006000400011S1413-35552006000400011.pdfSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporBrazilian Journal of Physical Therapyinfo:eu-repo/semantics/openAccess2023-10-14T06:10:07Zoai:repositorio.unesp.br:11449/211553Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-10-14T06:10:07Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal Risk of falls among elderly people with Parkinson's disease and Alzheimer's dementia: a cross-sectional study |
title |
Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal |
spellingShingle |
Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal Christofoletti, G [UNESP] risk of falls Parkinson's disease Alzheimer's dementia risco de quedas doença de Parkinson demência de Alzheimer |
title_short |
Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal |
title_full |
Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal |
title_fullStr |
Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal |
title_full_unstemmed |
Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal |
title_sort |
Risco de quedas em idosos com doença de Parkinson e demência de Alzheimer: um estudo transversal |
author |
Christofoletti, G [UNESP] |
author_facet |
Christofoletti, G [UNESP] Oliani, Mm [UNESP] Gobbi, Ltb [UNESP] Gobbi, S [UNESP] Stella, F [UNESP] |
author_role |
author |
author2 |
Oliani, Mm [UNESP] Gobbi, Ltb [UNESP] Gobbi, S [UNESP] Stella, F [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Universidade Estadual de Campinas (UNICAMP) |
dc.contributor.author.fl_str_mv |
Christofoletti, G [UNESP] Oliani, Mm [UNESP] Gobbi, Ltb [UNESP] Gobbi, S [UNESP] Stella, F [UNESP] |
dc.subject.por.fl_str_mv |
risk of falls Parkinson's disease Alzheimer's dementia risco de quedas doença de Parkinson demência de Alzheimer |
topic |
risk of falls Parkinson's disease Alzheimer's dementia risco de quedas doença de Parkinson demência de Alzheimer |
description |
OBJECTIVE: To compare the risk of falls among elderly people with Parkinson's disease (PD) and Alzheimer's dementia (AD) and among healthy peers (controls). In addition, the aim was to analyze relationships between risk of falls and cognitive decay and between risk of falls and physical activity. METHOD: Twenty subjects were assessed: seven with PD (69.57 ± 2.40 years), six with AD (77.5 ± 2.32 years) and seven healthy peers (74.71 ± 2.58 years). The following instruments were used: Berg Balance Scale (BBS), Timed Up and Go test (TUG), Mini-Mental State Examination (MMSE) and Modified Baecke Questionnaire for Older Adults (MBQOA). RESULTS: The Kruskal-Wallis (KW) test indicated significant differences between the groups, relating to BBS (KW = 9.67, p<0.01) and TUG (KW = 9.14, p<0.01, for time expended, and KW = 10.04, p<0.01, for number of steps). Bonferroni post-hoc pairs analysis showed that balance was highly compromised in the AD group, such that lower MMSE values were observed. The PD group was characterized by presenting higher levels of physical activity. Spearman's test produced low correlations between MMSE and BBS (r s=0.59); MMSE and TUG (r s=-0.52 and r s=-0.62); MBQOA and BBS (r s=0.54); and MBQOA and TUG (r s=-0.39 and r s=-0.42). CONCLUSION: These low correlations must be analyzed carefully, because these variables are influenced by multiple factors. In the AD group, the cognitive decay can be positively associated with greater risk of falls. In the PD group, physical activity may have assisted in maintaining the risk of falls at similar levels to the control group. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-12 2021-07-14T10:26:08Z 2021-07-14T10:26:08Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S1413-35552006000400011 Brazilian Journal of Physical Therapy. São Carlos, SP, Brazil: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia, v. 10, n. 4, p. 429-433, 2006. 1413-3555 1809-9246 http://hdl.handle.net/11449/211553 10.1590/S1413-35552006000400011 S1413-35552006000400011 S1413-35552006000400011.pdf |
url |
http://dx.doi.org/10.1590/S1413-35552006000400011 http://hdl.handle.net/11449/211553 |
identifier_str_mv |
Brazilian Journal of Physical Therapy. São Carlos, SP, Brazil: Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia, v. 10, n. 4, p. 429-433, 2006. 1413-3555 1809-9246 10.1590/S1413-35552006000400011 S1413-35552006000400011 S1413-35552006000400011.pdf |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Brazilian Journal of Physical Therapy |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
429-433 application/pdf |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia |
publisher.none.fl_str_mv |
Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia |
dc.source.none.fl_str_mv |
SciELO reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1803649415808811008 |