Evaluation and Modification of the Risk of Falling in the Elderly by Means of Computerized Dynamic Posturography
DOI:
https://doi.org/10.25759/spmfr.18Abstract
Introduction: Falls in the elderly are associated with considerable mortality, morbidity, loss of function and premature institutionalization. They represent the main risk factor for fractures. Exercise programs reduce the risk of falling in the elderly and may be cost-effective. Computerized Dynamic Posturography is a method used in the evaluation of postural control. Although it also allows balance training, this has been scarcely investigated.
Objectives: To assess the risk of falling and its modification by means of a balance training program with Computerized Dynamic Posturography.
Methods: 22 individuals, aged over 65 years, were evaluated. An initial evaluation was performed, including the “timed up and go” test, the Portuguese version of the Activities-specific Balance Confidence Scale and Computerized Dynamic Posturography. Balance training with Computerized Dynamic Posturography was then performed. Finally, all individuals were reevaluated by repeating some of the initial proceedings. The obtained values were compared trough the calculation of their evolution. The Shapiro-Wilk test was used to assess the normality of each variable in each evaluation and the Wilcoxon test was used to compare the results obtained in the first and second evaluations.
Results: There was a significant evolution of the “timed up and go” test between evaluations. There was a significant evolution of the score of the Portuguese version of the Activities-specific Balance Confidence Scale. Computerized Dynamic Posturography testing showed a significant evolution of several test results: modified Clinical Test of Sensory Interaction on Balance, Limits of Stability, Sit to Stand and Walk Across.
Conclusions: The individuals engaged in the study presented a significant and beneficial evolution of several parameters connected to the risk of falling. This evolution may entail clinical benefits, with a reduction in the risk of falling which may be due to the balance training program that was performed.
Keywords: Aged; Postural Balance; Diagnosis, Computer-Assisted; Accidental Falls.
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