The comparison of postural balance in elderly active, sedentary and with vestibulopathy
Oliveira, Marcio Rogério de; Matos, Luana da Silva; Simon, Paula Thamirys Chaves; Silva Jr, Rubens Alexandre da; Costa, Viviane de Souza Pinho
Introduction: To be sedentary and have any disease with regard to vestibular pathology can compromise the performance of the postural control and increases the risk of falls. Objective: This study aimed to compare the postural control of elderly active, sedentary and vestibular pathology. Methods: The sample consisted of 45 elderly separated according to their current health condition: elderly active, sedentary and with vestibulopathy. The postural balance tests were performed in bipedal support, eyes open and the variables measured by the force platform were the center of pressure and average speeds of postural sway in the directions, anteroposterior (A/P) and medial-lateral (M/L). Results: Elderly with vestibulopathy presented significantly poorer postural balance (P <0.05) that active and sedentary group, with large size effect: in mean d >0.80. Conclusion: Elderly with vestibulopathy have poor postural balance that elderly active and sedentary. These findings have any implications for programs of rehabilitation for vestibular disorders.
1. Ninu P, Raghavan R. Aging and Injury: Alterations in Cellular Energetics and Organ Function. Aging Dis. 2014;5(2):101–108.
2. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age Ageing. 2006;35(2):7-11. 3. Lord SR, Sherrington C, Menz HB. Falls in older people at home: risk factors and intervention strategies. Je Hum-Envir System. 2008;1:37-42.
4. Lima TJV, Arcieri RM, Garbin CAS, Moimaz SAS. Humanização na Atenção à Saúde do Idoso. Saúde Soc. São Paulo. 2010;19(4)866-877.
5. Pimentel RM, Scheicher ME. Comparação do risco de queda em idosos ativos sedentários e ativos por meio da escala de equilíbrio de Berg. FisioterPesqui. 2009;16(1):6-10.
6. Gervais T, Burling N, Krull J, Lugg C, Lung M, Straus S, et al. Understanding Approaches to Balance Assessment in Physical Therapy Practice for Elderly Inpatients of a Rehabilitation Hospital. Physiotherapy Canada 2014;66(1):6–14.
7. de Oliveira MR, da Silva RA, Dascal JB, Teixeira DC. Effect of different types of exercise on postural balance in elderly women: a randomized controlled trial. Arch Gerontol Geriatr. 2014;59(3):506-14.
8. Silva RA, Martin B, Parreira RB, Teixeira DC, Amorim CF. Age-related differences in time-limit performance and force platform-based balance measures during one-leg stance. J ElectromyogrKinesiol. 2013;23(3):634-
9. Iwasaki S, Yamasoba T. Dizziness and Imbalance in the Elderly: Age-related Decline in the Vestibular System. Aging Dis. 2014;6(1):38-47.
10. Macedo C, Gazzola JM, Ricci NA, Doná F, Ganança FF. Influence of sensory information on static balance in older patients with vestibular disorder. Braz J Otorhinolaryngol. 2015;81(1):50-7.
11. Pedalini ME, Cruz OL, Bittar RS, Lorenzi MC, Grasel SS. Sensory organization test in elderly patients with and without vestibular dysfunction. Acta Otolaryngol. 2009;13:1-4.
12. Ruwer SL, Rossi AG, Simon LF. Balance in the elderly. Braz J Otorhinolaryngol. 2005;71(3):298-303.
13. Mraz M, Curzytek M, Mraz MA, Gawron W, Czerwosz L, Skolimowski T. Body balance in patients with systemic vertigo after rehabilitation exercise. J Physiol Pharmacol. 2007;58(5):427-36.
14. Lesinski M, Hortobágyi T, Muehlbauer T, Gollhofer A, Granacher U. Effects of Balance Training on Balance Performance in Healthy Older Adults: A Systematic Review and Meta-analysis. Sports Med. 2015;45(12):1721-38.