Posturographic measures did not improve the predictive power to identify recurrent falls in communitydwelling elderly fallers
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/168528 |
Resumo: | OBJECTIVE: This study aimed to evaluate if posturography can be considered a recurrent fall predictor in elderly individuals. METHODS: This was a cross-sectional study. A total of 124 subjects aged 60 to 88 years were evaluated and divided into two groups—the recurrent fallers (89) and single fallers (35) groups. Patients’ sociodemographic characteristics were assessed, and clinical testing was performed. The functional test assessment instruments used were timed up and go test (TUGT), Berg Balance Scale (BBS), five times sit-to-stand test, and Falls Efficacy Scale (to measure fear of falling). Static posturography was performed in a force platform in the following three different situations—eyes open (EO), eyes closed (EC), and EO dual task. RESULTS: There were significant differences between the single and recurrent fallers groups regarding the fear of falling, the Geriatric Depression Scale score, the mean speed calculated from the total displacement of the center point of pressure (COP) in all directions with EO, and the root mean square of the displacement from the COP in the mediolateral axis with EC. Based on the hierarchical logistic regression model, none of the studied posturographic variables was capable of significantly increasing the power of differentiation between the recurrent and single fallers groups. Only TUGT with a cognitive distractor (po0.05) and the BBS (po0.01) presented with significant independent predictive power. CONCLUSION: TUGT with a cognitive distractor and the BBS were considered recurrent fall predictors in elderly fallers. |
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Clinics |
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Posturographic measures did not improve the predictive power to identify recurrent falls in communitydwelling elderly fallersAccidental FallsAgingPostural BalanceRisk FactorsOBJECTIVE: This study aimed to evaluate if posturography can be considered a recurrent fall predictor in elderly individuals. METHODS: This was a cross-sectional study. A total of 124 subjects aged 60 to 88 years were evaluated and divided into two groups—the recurrent fallers (89) and single fallers (35) groups. Patients’ sociodemographic characteristics were assessed, and clinical testing was performed. The functional test assessment instruments used were timed up and go test (TUGT), Berg Balance Scale (BBS), five times sit-to-stand test, and Falls Efficacy Scale (to measure fear of falling). Static posturography was performed in a force platform in the following three different situations—eyes open (EO), eyes closed (EC), and EO dual task. RESULTS: There were significant differences between the single and recurrent fallers groups regarding the fear of falling, the Geriatric Depression Scale score, the mean speed calculated from the total displacement of the center point of pressure (COP) in all directions with EO, and the root mean square of the displacement from the COP in the mediolateral axis with EC. Based on the hierarchical logistic regression model, none of the studied posturographic variables was capable of significantly increasing the power of differentiation between the recurrent and single fallers groups. Only TUGT with a cognitive distractor (po0.05) and the BBS (po0.01) presented with significant independent predictive power. CONCLUSION: TUGT with a cognitive distractor and the BBS were considered recurrent fall predictors in elderly fallers.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2020-04-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/clinics/article/view/16852810.6061/clinics/2020/e1409Clinics; Vol. 75 (2020); e1409Clinics; v. 75 (2020); e1409Clinics; Vol. 75 (2020); e14091980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/168528/160169https://www.revistas.usp.br/clinics/article/view/168528/160170Copyright (c) 2020 Clinicsinfo:eu-repo/semantics/openAccessCabral, Kelem de NegreirosBrech, Guilherme CarlosAlonso, Angelica CastilhoSoares, Aline ThomazOpaleye, Davi CamaraGreve, Julia Maria D’AndreaJacob-Filho, Wilson2020-04-06T18:02:10Zoai:revistas.usp.br:article/168528Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2020-04-06T18:02:10Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Posturographic measures did not improve the predictive power to identify recurrent falls in communitydwelling elderly fallers |
title |
Posturographic measures did not improve the predictive power to identify recurrent falls in communitydwelling elderly fallers |
spellingShingle |
Posturographic measures did not improve the predictive power to identify recurrent falls in communitydwelling elderly fallers Cabral, Kelem de Negreiros Accidental Falls Aging Postural Balance Risk Factors |
title_short |
Posturographic measures did not improve the predictive power to identify recurrent falls in communitydwelling elderly fallers |
title_full |
Posturographic measures did not improve the predictive power to identify recurrent falls in communitydwelling elderly fallers |
title_fullStr |
Posturographic measures did not improve the predictive power to identify recurrent falls in communitydwelling elderly fallers |
title_full_unstemmed |
Posturographic measures did not improve the predictive power to identify recurrent falls in communitydwelling elderly fallers |
title_sort |
Posturographic measures did not improve the predictive power to identify recurrent falls in communitydwelling elderly fallers |
author |
Cabral, Kelem de Negreiros |
author_facet |
Cabral, Kelem de Negreiros Brech, Guilherme Carlos Alonso, Angelica Castilho Soares, Aline Thomaz Opaleye, Davi Camara Greve, Julia Maria D’Andrea Jacob-Filho, Wilson |
author_role |
author |
author2 |
Brech, Guilherme Carlos Alonso, Angelica Castilho Soares, Aline Thomaz Opaleye, Davi Camara Greve, Julia Maria D’Andrea Jacob-Filho, Wilson |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Cabral, Kelem de Negreiros Brech, Guilherme Carlos Alonso, Angelica Castilho Soares, Aline Thomaz Opaleye, Davi Camara Greve, Julia Maria D’Andrea Jacob-Filho, Wilson |
dc.subject.por.fl_str_mv |
Accidental Falls Aging Postural Balance Risk Factors |
topic |
Accidental Falls Aging Postural Balance Risk Factors |
description |
OBJECTIVE: This study aimed to evaluate if posturography can be considered a recurrent fall predictor in elderly individuals. METHODS: This was a cross-sectional study. A total of 124 subjects aged 60 to 88 years were evaluated and divided into two groups—the recurrent fallers (89) and single fallers (35) groups. Patients’ sociodemographic characteristics were assessed, and clinical testing was performed. The functional test assessment instruments used were timed up and go test (TUGT), Berg Balance Scale (BBS), five times sit-to-stand test, and Falls Efficacy Scale (to measure fear of falling). Static posturography was performed in a force platform in the following three different situations—eyes open (EO), eyes closed (EC), and EO dual task. RESULTS: There were significant differences between the single and recurrent fallers groups regarding the fear of falling, the Geriatric Depression Scale score, the mean speed calculated from the total displacement of the center point of pressure (COP) in all directions with EO, and the root mean square of the displacement from the COP in the mediolateral axis with EC. Based on the hierarchical logistic regression model, none of the studied posturographic variables was capable of significantly increasing the power of differentiation between the recurrent and single fallers groups. Only TUGT with a cognitive distractor (po0.05) and the BBS (po0.01) presented with significant independent predictive power. CONCLUSION: TUGT with a cognitive distractor and the BBS were considered recurrent fall predictors in elderly fallers. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-04-06 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/168528 10.6061/clinics/2020/e1409 |
url |
https://www.revistas.usp.br/clinics/article/view/168528 |
identifier_str_mv |
10.6061/clinics/2020/e1409 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/168528/160169 https://www.revistas.usp.br/clinics/article/view/168528/160170 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 75 (2020); e1409 Clinics; v. 75 (2020); e1409 Clinics; Vol. 75 (2020); e1409 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222764731203584 |