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Frailty in the older people: multidisciplinary care / Julien Courau in Revue du podologue, N° 102 (novembre-décembre 2021)
[article] Frailty in the older people: multidisciplinary care [texte imprimé] / Julien Courau, Auteur . - 2021 . - p. 31-32.
Langues : Français (fre)
in Revue du podologue > N° 102 (novembre-décembre 2021) . - p. 31-32
Catégories : DÉMOGRAPHIE
Personne âgée
SOCIOLOGIE
Activité physique
MOTS OUTILS
RandomisationUtilisation du hasard dans la constitution d'un échantillon pour une étude ou une enquête.
PSYCHOLOGIE
VulnérabilitéTags : exercise falls frail elderly older people randomised controlled trial Résumé : Frailty in the older people is defined by the decline in multiple physiologic processes. It can cause adverse health outcomes like falls, fall-related fracture and reduced mobility. The literature has shown strong evidence for the establishment of multifactorial interventions and exercise interventions in the prevention of falls. But the effect of interventions on falls and risk factors for falls in frail older people is unclear. En ligne : http://www.em-premium.com/produit/REVPOD Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=19461 [article]Disease-related outcomes influence prevalence of falls in people with rheumatoid arthritis / Juliana Zonzini Gaino in Annals of physical and rehabilitation medicine, Vol. 62 n° 2 (March 2019)
[article] Disease-related outcomes influence prevalence of falls in people with rheumatoid arthritis [texte imprimé] / Juliana Zonzini Gaino, Auteur ; Manoel Barros Bértolo, Auteur ; C. Silva Nunes, Auteur . - 2019 . - p. 84-91.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 62 n° 2 (March 2019) . - p. 84-91
Catégories : PATHOLOGIE
Arthrite
SOCIOLOGIE
Handicap
SANTÉ PHYSIQUE
ChuteTags : Rheumatoid Arthritis Falls Disease activity Disability Physical performance tests Résumé : Background: Patients with rheumatoid arthritis (RA) are at increased risk of falls, with potential adverse outcomes. There is a considerable variation across studies regarding the prevalence of falls and its correlation with clinical data, disease-related outcomes and physical performance tests.
Objective: The aim of this study was to evaluate the prevalence of falls and its association with clinical data, disease-related outcomes and physical performance tests.
Methods: In this cross-sectional study, 113 RA patients were divided into 3 groups — “non-fallers”, “sporadic fallers” and “recurrent fallers” — and compared in terms of clinical data, Clinical Disease Activity Index (CDAI), lower-limb tender and swollen joint count, disability (Health Assessment Questionnaire-Disability Index [HAQ-DI]), Foot Function Index (FFI), Berg Balance Scale (BBS), Timed-up-and-go Test (TUG) and 5-Time Sit Down-To-Stand Up Test (SST5). Logistic regression analysis was performed to analyze the associations between the studied variables and the occurrence of falls, estimating odds ratios (ORs). We also analyzed the correlation between disease outcome measures (HAQ-DI and CDAI) and physical tests (BBS, TUG, SST5).
Results: Falls and fear of falling were reported by 59 (52.21%) and 71 (64.5%) patients, respectively. Significant associations were found between “recurrent fallers” and vertigo (OR=3.42; P =0.03), fear of falling (OR=3.44; P =0.01), low income (OR=2.02; P =0.04), CDAI (OR=1.08; P <0.01), HAQ-DI (OR=3.66; P <0.01), Lower-limb HAQ (OR=3.48; P <0.01), FFI-pain (OR=1.24; P =0.03), FFI-total (OR=1.23; P =0.04), lower-limb tender joint count (OR=1.22; P <0.01), BBS score (OR=1.14; P <0.01), TUG score (OR=1.13; P =0.03) and SST5 score (OR=1.06; P =0.02). On multivariate analysis, CDAI was the only significant predictor of recurrent falls (OR=1.08; P <0.01). Physical performance test scores (BBS, TUG, SST5) were correlated with the CDAI and HAQ-DI.
Conclusion: The prevalence of falls in RA is high, most influenced by disease-related outcomes and linked to worse performance on physical tests (BBS, TUG and SST5).En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=16699 [article]Predicting falls with the cognitive timed up-and-go dual task in frail older patients / Charlotte Cardon-Verbecq in Annals of physical and rehabilitation medicine, Vol. 60 n° 2 (April 2017)
[article] Predicting falls with the cognitive timed up-and-go dual task in frail older patients [texte imprimé] / Charlotte Cardon-Verbecq, Auteur ; Marine Loustau, Auteur ; Emilie Guitard, Auteur . - 2017 . - p. 83-86.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60 n° 2 (April 2017) . - p. 83-86
Catégories : PRATIQUE MÉDICALE
Test
SANTÉ PHYSIQUE
Chute
PSYCHOLOGIE
Fonction cognitive
DÉMOGRAPHIE
Personne âgée
PATHOLOGIE
MalnutritionTags : TUG Dual task TUG Falls Older age Malnutrition Handgrip strength Frailty Résumé : Background: The cognitive timed up-and-go dual task (CogTUG) has been proposed to improve the performance of the timed up-and-go (TUG) test for predicting falls in older patients and as a screening tool for early detection of frailty. We aimed to determine whether the CogTUG score is associated with a history of falls in frail older outpatients with gait disorders.
Methods: This retrospective study involved outpatients >75 years old with or without previous falls who were admitted from 2012 to 2014 to a geriatric day hospital for gait disorders. Patients took the TUG and CogTUG tests on the day of comprehensive geriatric assessment.
Results: Among the 161 patients included (157 analyzed; mean age 84.4±6.2 years; 72% women), 84 (53.5%) had fallen in the previous year: 105 (66.9%) were considered pre-frail and 52 (33.1%) frail. As compared with non-fallers, fallers had lower Tinetti balance scores (P= 0.0004) and handgrip strength (P= 0.03), more lost weight (P= 0.04), and they took longer to perform the TUG test (P= 0.04). Fallers and non-fallers did not differ in time taken to perform the CogTUG test (30.7±11.2 vs. 28.5±10.2s, P= 0.20). History of falls was associated with only weight loss (odds ratio 3.43; 95% CI 1.13–11.30, P= 0.03) and handgrip strength (0.88; 0.78–0.97, P= 0.02) on multivariate analysis.
Conclusion: Unlike TUG scores, the CogTUG score was not associated a history of falls in frail older outpatients with gait disorders. Our results underline that weight loss and low muscle strength are related to falls.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=14810 [article]Tai Chi for improving balance and reducing falls: An overview of 14 systematic reviews / Dongling Zhong in Annals of physical and rehabilitation medicine, Vol. 63 n° 6 (November 2020)
[article] Tai Chi for improving balance and reducing falls: An overview of 14 systematic reviews [texte imprimé] / Dongling Zhong, Auteur ; Qiwei Xiao, Auteur ; Xili Xiao, Auteur . - 2020 . - p. 505-517.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 63 n° 6 (November 2020) . - p. 505-517
Catégories : PHYSIOLOGIE
Équilibration
INFORMATION & COMMUNICATION
Revue sommaire
SANTÉ PHYSIQUE
ChuteTags : Tai Chi Balance Falls AMSTAR 2 ROBIS PRISMA GRADE Overview Résumé : Background: Falls play a pivotal role in the cause of injury or death and have become a public health problem, especially for older people. Tai Chi may be an effective approach to improving balance and reducing falls. However, the conclusions of systematic reviews (SRs) have been inconsistent and the quality needs to be appraised critically.
Objective: To provide an overview of the methodological quality, risk of bias and reporting quality as well as quality of evidence of SRs of Tai Chi for improving balance and reducing falls.
Methods: We conducted a systematic search of English- and Chinese-language SRs in 8 electronic databases, from inception to October 2019. The methodological quality, risk of bias, reporting quality and the quality of evidence were independently assessed by 2 reviewers who used the A Measurement Tool to Assess Systematic Reviews 2 (AMSTAR 2), Risk of Bias in Systematic reviews (ROBIS), the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Grades of Recommendations, Assessment, Development and Evaluation (GRADE). Primary outcomes were fall rate and the Berg Balance Scale score in older people and people with Parkinson disease. Secondary outcomes included these outcomes in stroke, osteoarthritis and heart failure.
Results: A total of 14 relevant SRs were included: 13 were rated critically low quality and 1 was rated low quality by AMSTAR 2. By the ROBIS, all SRs were rated low risk in Phase 1 (assessing relevance) and Domain 1 of Phase 2 (study eligibility criteria). With regard to Domain 2, assessing the identification and selection of studies, 3 (21.4%) SRs were rated low risk. Eleven (71.4%) were rated low risk in Domain 3 (data collection and study appraisal), 11 (71.4%) were rated low risk in Domain 4 (synthesis and findings), and 9 (64.3%) were rated low risk in Phase 3 (risk of bias in the review). According to PRISMA, the reporting was relatively complete, but there were still some reporting flaws in the topic of protocol and registration (2/14, 14.3%), search strategy (5/14, 35.7%), risk of bias (6/14, 42.9%), additional analyses (6/14, 42.9%) and funding (4/14, 28.6%). Among the 14 SRs, Tai Chi had benefits for improving balance and reducing falls in older people and people with Parkinson disease; however, no definitive conclusions could be drawn for its effectiveness in stroke, osteoarthritis and heart failure. The level of evidence for fall rate was “moderate” to “high” for older people and “low” for those with Parkinson disease. The level of evidence of the Berg Balance Scale was “low” to “moderate” for older people and “low” for those with Parkinson disease. Among the downgraded factors, imprecision was the most common, followed by inconsistency and publication bias.
Conclusions: Tai Chi may be beneficial for improving balance and reducing falls in older people and those with Parkinson disease. Because of limitations and inconsistent conclusions, further rigorous, normative and comprehensive SRs are needed to provide robust evidence for definitive conclusions.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=18571 [article]Direction-specific impairments of limits of stability in individuals with multiple sclerosis / Mohan Ganesan in Annals of physical and rehabilitation medicine, Vol. 58 n° 3 (June 2015)
[article] Direction-specific impairments of limits of stability in individuals with multiple sclerosis [texte imprimé] / Mohan Ganesan, Auteur ; Neeta Kanekar, Auteur ; Alexander S. Aruin, Auteur . - 2015 . - p. 145-150.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 58 n° 3 (June 2015) . - p. 145-150
Catégories : PATHOLOGIE
Sclérose plaque
SANTÉ PHYSIQUE
ChuteTags : Multiple sclerosis Balance Limits of stability Dynamic posturography Falls Résumé : Objectives : Impaired postural control in individuals with multiple sclerosis (MS) is associated with falls. The objective was to evaluate the direction-specific limits of stability in people with MS.
Methods : Balance control of 18 individuals with relapsing-remitting MS and 18 healthy controls was assessed using instrumented (Limits of Stability (LOS) test) and clinical (Berg Balance Scale (BBS) and Activities-specific Balance Confidence (ABC) scale) tests.
Results : There were significant differences in reaction time, movement velocity, endpoint excursion, maximum excursion, and directional control measures of the LOS test between individuals with MS and healthy controls. The BBS and ABC clinical balance measures were significantly lower in individuals with MS compared to control subjects. The directional control impairment was seen in the right side and backward diagonals (backward-right and backward-left) directions. A significant difference between the fallers and non-fallers was found on all the components of the LOS test. There was a significant correlation between the BBS and ABC scores and different components of the LOS test.
Conclusions : Direction-specific impairment of limits of stability components was observed in individuals with MS. This information could be used in balance rehabilitation of people with MS.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=12419 [article]