Clinical Medicine Journal
Articles Information
Clinical Medicine Journal, Vol.1, No.4, Oct. 2015, Pub. Date: Jun. 17, 2015
Differences in Dynamic Posturography Results Between Older-Adult and Oldest-Old
Pages: 115-121 Views: 1564 Downloads: 445
Authors
[01] Cristina Loureiro Chaves Soldera, Department of Speech and Audiology, Federal University of Health Sciences of Porto Alegre, Porto Alegre, Brazil.
[02] Gabriela Guimaraes Oliveira, Institute of Geriatrics and Gerontology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
[03] Angelo Jose Goncalves Bos, Graduate Program on Biomedical Gerontology, Institute of Geriatrics and Gerontology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
Abstract
Background: Aging brings body functional and structural changes, reducing vitality and increasing multimorbidity, causing changes in the balance, characterized by dizziness, vertigo, imbalance, and fall. Basically three sensory systems are involved in maintaining body balance: visual, somatosensory, and vestibular. Adequate diagnosis allows better rehabilitation planning. Most fast growing age group in Brazil and many other countries are the oldest-old (80 years and older). Objective: compare body balance maintenance systems performance between oldest-old and younger older adults. Design: observational cross-sectional analytical study. Settings: from a Worker Association and Outpatient Clinic of a University Hospital. Subjects: involved two groups: older-adults (60 to 69 years-old) and oldest-olds. Methods: Subjects responded to a socio-demographic and clinical questionnaire and Foam-Laser Dynamic Posturography to perform the Sensory Organization Test (SOT) in six different conditions, to assess the three balance systems. Results: The sample included 62 participants, 32 older-adults and 30 oldest-old (80 to 96 y.o.). We observed that the oldest-old had worse performance and greater variability than the older-adults in all SOT conditions. There were significant differences between age groups in the visual and vestibular analysis (p<0.001) and in the visual preference (p=0.007), but not in the somatosensory system (p=0.741). Conclusion: the mechanisms for maintaining body balance most affected in the older-adult and oldest-old are vestibular and visual, which were higher than expected. Otherwise, the somatosensory system did not show the difference that would be expected to arise between the age groups.
Keywords
Oldest-Old, Aging, Body Balance Maintenance Systems, Dynamic Posturography
References
[01] DATASUS. Mortalidade em Idosos por Quedas 1997 – 2007. Regiões do Brasil. [Mortality in the elderly by falls 1997 to 2007. Brazilian regions] 2007 [captured 2010 Set 10] Available in: http://www.datasus.gov.br.
[02] Pedalini MEB, Cruz OLM, Bittar RSM, Lorenzi MC, Grasel SS. Sensory organization test in older-adult patients with and without vestibular dysfunction. Acta Otolaryngol. 2009; 129:962-965.
[03] Shumway-Cook A, Woollacott MH. Normal Postural Control. In: Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 157-86.
[04] Piirtola M, Era P. Force platform measurements as predictors of falls among older people – a review. Gerontology. 2006; 52:1-16.
[05] Castagno LA. A new method for sensory organization tests: the foam-laser dynamic posturography. Rev Bras Otorrinolaringol. 1994; 60(4):287-296.
[06] Nashner LM, Peters JF. Dynamic posturography in the diagnosis and management of dizziness and balance disorders. Neurol Clin. 1990 May; 8(2):331-349.
[07] IBGE - Instituto Brasileiro de Geografia e Estatística. Características da população. [Brazilian Institute of Geography and Statistics. Population Characteristics] accessed in Oct 21st, 2012. http://www.ibge.gov.br/home/estatistica/populacao/censo2010/caracteristicas_da_populacao/caracteristicas_da_populacao_tab_pdf.shtm
[08] Lee WC, Ory MG. The Engagement in Physical Activity for Middle-Aged and Older Adults with Multiple Chronic Conditions: Findings from a Community Health Assessment. J Aging Res. 2013. [captured 2013 Out 02]; 2013. Available in: http://dx.doi.org/10.1155/2013/152868.
[09] Maciel ACC, Guerra RO. Prevalência e fatores associados ao déficit de equilíbrio em idosos. [Prevalence and associated factors of balance deficit in older-adults] R Bras Ci e Mov. 2005; 13(1):37-44.
[10] Man'kovskii NB, Mints AYa, Lysenyuk VP. Regulation of the preparatory period for complex voluntary movement in old and extreme old age. Hum Physiol. 1980 Jan-Feb; 6(1):46-50.
[11] Nashner LM. Computerized dynamic posturography: clinical applications. In: Jacobson GP, Newman CW, Kartush JM. The handbook of balance function testing. St.Louis: Mosby-Year Book; 1993: 308-333.
[12] Cohen H, Heaton LG, Congdon SL, Jenkins HA. Changes in sensory organization test scores with age. Age Ageing. 1996; 25: 39-44.
[13] Whipple R, Wolfson L, Derby c, Singh D, Tobin J. Altered sensory function and balance in older persons. J Gerontol. 1993 Sep; 48 (special issue):71-6.
[14] Teixeira CS, Dorneles PP, Lemos LFC, Pranke GI, Rossi AG, Mota CB. Avaliação da influência dos estímulos sensoriais envolvidos na manutenção do equilíbrio corporal em mulheres idosas.[Evaluation of the influence of the sensory stimulus involved in the maintenance of the body balance in older-adult women] Rev Bras Geriatr Gerontol. 2011b; 14 (3):453-60.
[15] Gustafson AS, Noaksson L, Kronhed ACG, Möller M, Möller C. Changes in balance performance in physically active older-adult people aged 73-80. Scand J Rehab Med. 2000; 32: 168-72.
[16] Wolfson L, Whipple R, Derby CA, Amerman P, Nashner L. Gender diferences in the balance of healthy elderly as demonstrated by dynamic posturography. J Gerontol. 1994; 49 (4):M160-M167.
[17] Camicioli R, Panzer VP, Kaye J. Balance in the healthy elderly. Arch Neurol.1997; 54: 976-981.
[18] Era P, Sainio P, Koskinen S, Haavisto P, Vaara M, Aromaa A. Postural balance in a random sample of 7,979 subjects aged 30 years and over. Gerontology. 2006; 52: 204-13.
[19] Shumway-Cook A, Woollacott MH. Aging and Postural Control. In: Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 212-32.
[20] Bronstein A, Lempert T. Essential Anatomy and functions of the balance system. In: Bronstein A, Lempert T. Dizziness: a practical approach to diagnoses and management. New York: Cambridge University Press; 2007. p. 1-22.
[21] Walther LE, Westhofen M. Presbyvertigo-aging of otoconia and vestibular sensory cells. J Vestib Res. 2007; 17: 89-92.
[22] Barozzi S, Giuliano DA, Giordano GP, Cesarani A. Dynamic stabilometric findings in equilibrium disorders of the older-adult. Acta Otorhinolaryngol Ital. 2005; 25: 220-3.
600 ATLANTIC AVE, BOSTON,
MA 02210, USA
+001-6179630233
AIS is an academia-oriented and non-commercial institute aiming at providing users with a way to quickly and easily get the academic and scientific information.
Copyright © 2014 - 2017 American Institute of Science except certain content provided by third parties.