scholarly journals Assessment of the risk of falling with the use of timed up and go test in the elderly with lower extremity osteoarthritis

2015 ◽  
pp. 1289 ◽  
Author(s):  
Ewa Zasadzka ◽  
Adrianna Maria Borowicz ◽  
Mariola Pawlaczyk ◽  
Magdalena Roszak
Keyword(s):  
Lower Extremity ◽  
The Elderly ◽  
Risk Of Falling ◽  
Timed Up And Go

scholarly journals Risk of Falling in a Timed Up and Go Test Using an UWB Radar and an Instrumented Insole

Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 722
Author(s):  
Johannes C. Ayena ◽  
Lydia Chioukh ◽  
Martin J.-D. Otis ◽  
Dominic Deslandes
Keyword(s):  
Data Transfer ◽  
Wearable Sensors ◽  
The Elderly ◽  
The Body ◽  
Risk Scores ◽  
Risk Of Falling ◽  
Radar Sensor ◽  
Timed Up And Go ◽  
Consumption Data ◽  
The One

Previously, studies reported that falls analysis is possible in the elderly, when using wearable sensors. However, these devices cannot be worn daily, as they need to be removed and recharged from time-to-time due to their energy consumption, data transfer, attachment to the body, etc. This study proposes to introduce a radar sensor, an unobtrusive technology, for risk of falling analysis and combine its performance with an instrumented insole. We evaluated our methods on datasets acquired during a Timed Up and Go (TUG) test where a stride length (SL) was computed by the insole using three approaches. Only the SL from the third approach was not statistically significant (p = 0.2083 > 0.05) compared to the one provided by the radar, revealing the importance of a sensor location on human body. While reducing the number of force sensors (FSR), the risk scores using an insole containing three FSRs and y-axis of acceleration were not significantly different (p > 0.05) compared to the combination of a single radar and two FSRs. We concluded that contactless TUG testing is feasible, and by supplementing the instrumented insole to the radar, more precise information could be available for the professionals to make accurate decision.

scholarly journals Multiscale Entropy Analysis of Postural Stability for Estimating Fall Risk via Domain Knowledge of Timed-Up-And-Go Accelerometer Data for Elderly People Living in a Community

Entropy ◽  
2019 ◽  
Vol 21 (11) ◽  
pp. 1076 ◽  
Author(s):  
Wu ◽  
Lee ◽  
Jiang ◽  
Sun
Keyword(s):  
At Risk ◽  
Elderly People ◽  
Fall Risk ◽  
Postural Stability ◽  
Domain Knowledge ◽  
The Elderly ◽  
Multiscale Entropy ◽  
Risk Of Falling ◽  
Timed Up And Go ◽  
Not At Risk

As people in developed countries live longer, assessing the fall risk becomes more important. A major contributor to the risk of elderly people falling is postural instability. This study aimed to use the multiscale entropy (MSE) analysis to evaluate postural stability during a timed-up-and-go (TUG) test. This test was deemed a promising method for evaluating fall risk among the elderly in a community. The MSE analysis of postural instability can identify the elderly prone to falling, whereupon early medical rehabilitation can prevent falls. Herein, an objective approach is developed for assessing the postural stability of 85 community-dwelling elderly people (aged 76.12 ± 6.99 years) using the short-form Berg balance scale. Signals were collected from the TUG test using a triaxial accelerometer. A segment-based TUG (sTUG) test was designed, which can be obtained according to domain knowledge, including “Sit-to-Walk (STW),” “Walk,” “Turning,” and “Walk-to-Sit (WTS)” segments. Employing the complexity index (CI) of sTUG can reveal information about the physiological dynamics’ signal for postural stability assessment. Logistic regression was used to assess the fall risk based on significant features of CI related to sTUG. MSE curves for subjects at risk of falling (n = 19) exhibited different trends from those not at risk of falling (n = 66). Additionally, the CI values were lower for subjects at risk of falling than those not at risk of falling. Results show that the area under the curve for predicting fall risk among the elderly subjects with complexity index features from the overall TUG test is 0.797, which improves to 0.853 with the sTUG test. For the elderly living in a community, early assessment of the CI for sTUG using MSE can help predict the fall risk.

Assessment of the Therapeutic Effect of Physiotherapy on Minimizing Imbalances of Geriatric Patients

2020 ◽  
Vol 62 (2) ◽  
pp. 86-91
Author(s):  
Justyna Pawlak ◽  
Małgorzata Dudkiewicz ◽  
Łukasz Kikowski
Keyword(s):  
Quality Of Life ◽  
Therapeutic Effect ◽  
Body Mass ◽  
Geriatric Patients ◽  
The Elderly ◽  
Risk Of Falling ◽  
Increased Risk ◽  
Climbing Stairs ◽  
Tinetti Test

Introduction: The progressing aging process and comorbidities worsen the efficiency of the balance system in the elderly, which leads to a weakening of stability and, as a consequence, to falls and injuries. The first ones lead to: worsening of functioning, reduced mobility, an increased risk of disease and mortality, therefore systematic physical activity and shaping the balance using physiotherapy, which can prevent dangerous falls is very important. Aim: Assessment of the therapeutic effect of physiotherapy on minimizing imbalances in geriatric patients. M aterial and Methods: The study group consisted of 46 people, including 32 women (69.6%) and 14 men (30.4%); average age of respondents – 72.5 years. They were patients of the Department of Rehabilitation of Poddębice Health Center, Ltd. The researchers used a self-made questionnaire, body mass to height index (BMI) and the Tinetti Test. Results: Patients with an elevated BMI (89.1%), as well as those taking more than 4 medication (78.3%), have had more falls over the past year (respectively 91.4% and 81.4%). After the use of comprehensive therapy, none of the patients achieved a worse result than before the physiotherapy while 91.3% of the respondents had an increase in the number of points scored in the Tinetti Test. The percentage of patients at high risk of falling reduced from 67.4% to 37%. There was also a decrease in the fear of walking (in 58.7%), falling (in 57.7%) and climbing stairs (in 47.9%). According to 78.3% of respondents, physiotherapy positively affected their independence and quality of life. Conclusions: The use of comprehensive physiotherapy reduces the fear of walking, climbing stairs and falling, which can be a good predictor of prevention. Both polypragmasia and an elevated body mass index (BMI) increase the risk of falling. Comprehensive physiotherapy of geriatric patients helps to improve balance and gait stereotype. Physiotherapy for the elderly helps improve the quality of life, independence, minimize imbalances, and thus reduce the risk of falls. Balance exercises play an important role in preventing falls.

scholarly journals Effects of Balance Shoes on Balance and Postural Stability in the Elderly: A Crossover, Controlled, Randomized Single-Blind Study

Healthcare ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 179
Author(s):  
Nicolas Amiez ◽  
Carole Cometti ◽  
Éric Mouillon ◽  
Marie José Teisseire ◽  
Pascal Chenut ◽  
...  
Keyword(s):  
Elderly People ◽  
Postural Stability ◽  
The Elderly ◽  
Risk Of Falling ◽  
Limits Of Stability ◽  
Healthy Elderly ◽  
Falling Risk ◽  
Familiarization Period ◽  
Healthy Elderly People ◽  
Single Blind

The risk of falling increases with age. Individuals wearing unadapted shoes present an aggravating risk factor. The objective of this study was to determine the effectiveness of specifically designed balance shoes on balance and postural stability in healthy elderly people compared to that of their usual shoes. In total, 21 healthy individuals aged 65–84 years (76.0 ± 8.0 years) performed balance tests (bipedal with open or closed eyes, unipedal with open eyes, limits of stability, and step cadence) while wearing their (i) personal shoes or (ii) balance shoes (Axis Comfort Development©). Three test sessions were conducted with personal and balance shoes. The first served as the baseline, and the other two were performed after a familiarization period of several days with the personal or balance shoes. The perception of balance shoe efficiency was documented using a questionnaire. The balance shoes significantly improved bipedal balance with closed eyes. Moreover, the familiarization period significantly improved unipedal balance with open eyes. Most subjects felt safer and stabler using balance shoes. The investigated specifically designed balance shoes were effective in elderly individuals in improving postural balance compared to personal shoes. The balance shoes could, therefore, reduce the falling risk in healthy elderly people.

scholarly journals Virtual Reality Gait Training to Promote Balance and Gait Among Older People: A Randomized Clinical Trial

Geriatrics ◽  
2020 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Kyeongjin Lee
Keyword(s):  
Virtual Reality ◽  
The Elderly ◽  
Gait Training ◽  
Control Group ◽  
Timed Up And Go ◽  
Elderly Individuals ◽  
Functional Reach Test ◽  
Balance Ability ◽  
Standing Test ◽  
The One

Falls are the leading cause of injury and injury-related death in the elderly. This study evaluated the effect of virtual reality gait training (VRGT) with non-motorized treadmill on balance and gait ability of elderly individuals who had experienced a fall. Fifty-six elderly individuals living in local communities participated in this study. Subjects who met the selection criteria were randomly divided into a VRGT group (n = 28) and a control group (n = 28). The VRGT group received VRGT with non-motorized treadmill for 50 min a day for 4 weeks and 5 days a week. The control group received non-motorized treadmill gait training without virtual reality for the same amount of time as the VRGT group. Before and after the training, the one-leg-standing test, Berg Balance Scale, Functional Reach test, and Timed Up and Go test were used to assess balance ability, and the gait analyzer system was used to evaluate the improvement in gait spatiotemporal parameters. In the VRGT group, the balance ability variable showed a significant decrease in the one-leg-standing test and a significant improvement in the Timed Up and Go test. With respect to spatiotemporal gait parameters, velocity and step width decreased significantly in the VRGT group (p < 0.05), and stride length and step length were significantly improved in the VRGT group (p < 0.05). VRGT with non-motorized treadmill has been shown to improve balance and gait ability in the elderly. This study is expected to provide basic data on exercise programs for the elderly to prevent falls.

scholarly journals Multisensory integration involved in the body perception of community-dwelling older adults

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
M. Hide ◽  
Y. Ito ◽  
N. Kuroda ◽  
M. Kanda ◽  
W. Teramoto
Keyword(s):  
Older Adults ◽  
Multisensory Integration ◽  
Fall Risk ◽  
Community Dwelling ◽  
The Body ◽  
Risk Of Falling ◽  
Body Perception ◽  
Rubber Hand ◽  
Timed Up And Go ◽  
Community Dwelling Older Adults

AbstractThis study investigates how the multisensory integration in body perception changes with increasing age, and whether it is associated with older adults’ risk of falling. For this, the rubber hand illusion (RHI) and rubber foot illusion (RFI) were used. Twenty-eight community-dwelling older adults and 25 university students were recruited. They viewed a rubber hand or foot that was stimulated in synchrony or asynchrony with their own hidden hand or foot. The illusion was assessed by using a questionnaire, and measuring the proprioceptive drift and latency. The Timed Up and Go Test was used to classify the older adults into lower and higher fall-risk groups. No difference was observed in the RHI between the younger and older adults. However, several differences were observed in the RFI. Specifically, the older adults with a lower fall-risk hardly experienced the illusion, whereas those with a higher fall-risk experienced it with a shorter latency and no weaker than the younger adults. These results suggest that in older adults, the mechanism of multisensory integration for constructing body perception can change depending on the stimulated body parts, and that the risk of falling is associated with multisensory integration.

scholarly journals PENURUNAN RISIKO JATUH MELALUI PENILAIAN TINETTI PERFORMANCE ORIENTED MOBILITY ASSESSMENT (POMA) DENGAN LATIHAN KESEIMBANGAN FISIK PADA LANSIA

2019 ◽  
Vol 9 (1) ◽  
pp. 56-61
Author(s):  
Asti Nuraeni ◽  
Sri Hartini
Keyword(s):  
Random Sampling ◽  
Balance Training ◽  
Simple Random Sampling ◽  
The Elderly ◽  
Normal Function ◽  
T Test ◽  
P Value ◽  
Risk Of Falling ◽  
Mobility Assessment ◽  
Paired T Test

Proses menua merupakan proses menghilangnya secara perlahan kemampuan jaringan untuk memperbaiki diri atau mengganti dan mempertahankan fungsi normalnya sehingga tidak dapat bertahan terhadap infeksi dan perbaikan kerusakan yang diderita. Masalah kesehatan yang sering terjadi pada lansia salah satunya adalah muskuloskeletal, yaitu penurunan massa dan tonus otot, serat otot berkurang ukurannya, kekuatan otot berkurang. Insiden jatuh di Indonesia tercatat dari 115 penghuni panti sebanyak 30 lansia atau sekitar 43,47%. Salah satu upaya mencegah terjadinya jatuh pada lansia yaitu dengan cara latihan keseimbangan fisik. Tujuan dari penelitian ini adalah menganalisis pengaruh latihan keseimbangan fisik dengan penilaian Tinetti POMA terhadap penurunan kejadian lansia jatuh. Desain penelitian ini menggunakan pre-eksperimental dengan metode one group pretest posttest design. Teknik sampling pada penelitian ini menggunakan metode simple random sampling dan besar sampel menggunakan Roschoe dengan jumlah sampel 30 responden. Hasil penelitian menunjukan bahwa Sebelum diberikan intervensi, menunjukan hasil bahwa responden lansia  yang memiliki risiko jatuh tinggi sebanyak 9 responden (30,0%), dan responden dengan risiko jatuh sedang sebanyak 21 responden (70,0%). Sedangkan setelah diberikan intervensi menunjukan hasil yang sama besar yaitu sebanyak 15 responden (50%) memiliki risiko jatuh sedang dan 15 responden (50%) memiliki risiko jatuh rendah. Hasil statistik dengan uji paired t test menunjukkan ada pengaruh latihan keseimbangan fisik lansia dengan kajian jatih pada lansia dengan P value 0,000. Perawat diharapkan mampu mencegah risiko jatuh pada lansia dengan memberikan bekal ilmu pengetahuan kepada petugas panti/ kader tentang pengkajian lansia yang beresiko jatuh yang kemudian untuk melakukan pencegahan pada lansia dengan diberikan latihan keseimbangan fisik.   Kata kunci : Tinetti POMA, latihan keseimbangan fisik   RISK DECREASING FALLS THROUGH TINETTI PERFORMANCE ORIENTED MOBILITY ASSESSMENT (POMA) ASSESSMENT WITH EXERCISEPHYSICAL BALANCE IN ELDERLY   ABSTRACT Aging is a process of slowly disappearing the ability of tissue to repair itself or replace and maintain its normal function so it cannot withstand infections and repair damage suffered. Health problems that often occur in the elderly, one of which is musculoskeletal, which is a decrease in muscle mass and tone, muscle fiber decreases in size, muscle strength decreases. The falling incident in Indonesia was recorded by 115 orphanage residents as many as 30 elderly or around 43.47%. One effort to prevent falls in the elderly is by physical balance training. The purpose of this study was to analyze the effect of physical balance training with the Tinetti POMA assessment of the decline in the incidence of elderly falls. The design of this study used a pre-experimental method with one group pretest posttest design. The sampling technique in this study used a simple random sampling method and the sample size used Roschoe with a sample of 30 respondents. The results showed that before the intervention was given, the results showed that elderly respondents who had a high risk of falling were 9 respondents (30.0%), and respondents with a moderate risk of falling were 21 respondents (70.0%). Whereas after being given the intervention showed the same results as many as 15 respondents (50%) had a risk of moderate fall and 15 respondents (50%) had a risk of falling low. Statistical results with paired t test showed that there was an effect of elderly physical balance training with a jatih study on the elderly with P value 0,000. Nurses are expected to be able to prevent the risk of falling on the elderly by providing knowledge to nursing staff / cadres about the study of elderly people who are at risk of falling who then to prevent the elderly by being given physical balance training. Keywords: POMA Tinetti, physical balance training

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