[Home postural evaluation in the elderly: comparison between fallers and non fallers].
Identifieur interne : 001084 ( Main/Exploration ); précédent : 001083; suivant : 001085[Home postural evaluation in the elderly: comparison between fallers and non fallers].
Auteurs : V. Aufauvre [France] ; G. Kemoun ; P. Carette ; E. BergealSource :
- Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique [ 0168-6054 ] ; 2005.
Descripteurs français
- KwdFr :
- MESH :
- physiologie : Posture, Proprioception, Équilibre postural.
- statistiques et données numériques : Chutes accidentelles.
- Femelle, Humains, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Évaluation gériatrique.
English descriptors
- KwdEn :
- MESH :
- physiology : Postural Balance, Posture, Proprioception.
- statistics & numerical data : Accidental Falls.
- Aged, Aged, 80 and over, Female, Geriatric Assessment, Humans, Male.
Abstract
OBJECTIVES
To determine the main clinical and posturographic factors correlated with falls in elderly individuals and to specify the role of static posturography in this appraisal.
MATERIALS AND METHODS
The study involved 38 people living in an residential center who were autonomously ambulatory and had a Mini Mental Test score> or =24. Fallers (N = 15) had fallen within 1 month, and nonfallers (N = 23) had not fallen for at least a year. Assessment consisted of a series of questions, a complete clinical appraisal, specific independently validated tests, and static posturographic analysis different parameters of the stabilogram with the eyes first open and then closed, all carried out in the center.
RESULTS
From the clinical standpoint, spinal pathologic features and the scores on the Functional Reach Test were significantly different between the fallers and nonfallers. In static posturography, fallers' equilibrium was more precarious than that of nonfallers with eyes are closed: significant differences were observed in surface, X length and overall fast Fourier transform score. The comparison between results with open and closed eyes showed that the fallers had a pronounced tendency to retropulsion in the absence of visual participation: a significant difference as regards overall length, Y length, minimum Y and FFT Y (0.5-2 Hz).
CONCLUSIONS
To complement a satisfactorily conducted clinical examination, static posturography allows for rapid assessment of equilibrium and posture in elderly patients who fall? Performed at the place where an individual resides, this appraisal constitutes an original and pragmatic element. As an evaluation strategy, it can reveal nonnegligible information within the framework of an appraisal of such, and thereby allows for adjustment of the rehabilitation or compensatory strategy.
DOI: 10.1016/j.annrmp.2004.12.003
PubMed: 15848258
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Aufauvre, V" sort="Aufauvre, V" uniqKey="Aufauvre V" first="V" last="Aufauvre">V. Aufauvre</name>
<affiliation wicri:level="1"><nlm:affiliation>Service de médecine physique et de réadaptation, pavillon Maurice-Salles, CHU de Poitiers, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<author><name sortKey="Kemoun, G" sort="Kemoun, G" uniqKey="Kemoun G" first="G" last="Kemoun">G. Kemoun</name>
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<author><name sortKey="Carette, P" sort="Carette, P" uniqKey="Carette P" first="P" last="Carette">P. Carette</name>
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<series><title level="j">Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (statistics & numerical data)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Female (MeSH)</term>
<term>Geriatric Assessment (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Postural Balance (physiology)</term>
<term>Posture (physiology)</term>
<term>Proprioception (physiology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Chutes accidentelles (statistiques et données numériques)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Posture (physiologie)</term>
<term>Proprioception (physiologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Équilibre postural (physiologie)</term>
<term>Évaluation gériatrique (MeSH)</term>
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<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Posture</term>
<term>Proprioception</term>
<term>Équilibre postural</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term>
<term>Posture</term>
<term>Proprioception</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Accidental Falls</term>
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<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Chutes accidentelles</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Geriatric Assessment</term>
<term>Humans</term>
<term>Male</term>
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<term>Humains</term>
<term>Mâle</term>
<term>Sujet âgé</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>To determine the main clinical and posturographic factors correlated with falls in elderly individuals and to specify the role of static posturography in this appraisal.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b>
</p>
<p>The study involved 38 people living in an residential center who were autonomously ambulatory and had a Mini Mental Test score> or =24. Fallers (N = 15) had fallen within 1 month, and nonfallers (N = 23) had not fallen for at least a year. Assessment consisted of a series of questions, a complete clinical appraisal, specific independently validated tests, and static posturographic analysis different parameters of the stabilogram with the eyes first open and then closed, all carried out in the center.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>From the clinical standpoint, spinal pathologic features and the scores on the Functional Reach Test were significantly different between the fallers and nonfallers. In static posturography, fallers' equilibrium was more precarious than that of nonfallers with eyes are closed: significant differences were observed in surface, X length and overall fast Fourier transform score. The comparison between results with open and closed eyes showed that the fallers had a pronounced tendency to retropulsion in the absence of visual participation: a significant difference as regards overall length, Y length, minimum Y and FFT Y (0.5-2 Hz).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>To complement a satisfactorily conducted clinical examination, static posturography allows for rapid assessment of equilibrium and posture in elderly patients who fall? Performed at the place where an individual resides, this appraisal constitutes an original and pragmatic element. As an evaluation strategy, it can reveal nonnegligible information within the framework of an appraisal of such, and thereby allows for adjustment of the rehabilitation or compensatory strategy.</p>
</div>
</front>
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<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To determine the main clinical and posturographic factors correlated with falls in elderly individuals and to specify the role of static posturography in this appraisal.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">The study involved 38 people living in an residential center who were autonomously ambulatory and had a Mini Mental Test score> or =24. Fallers (N = 15) had fallen within 1 month, and nonfallers (N = 23) had not fallen for at least a year. Assessment consisted of a series of questions, a complete clinical appraisal, specific independently validated tests, and static posturographic analysis different parameters of the stabilogram with the eyes first open and then closed, all carried out in the center.</AbstractText>
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<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">To complement a satisfactorily conducted clinical examination, static posturography allows for rapid assessment of equilibrium and posture in elderly patients who fall? Performed at the place where an individual resides, this appraisal constitutes an original and pragmatic element. As an evaluation strategy, it can reveal nonnegligible information within the framework of an appraisal of such, and thereby allows for adjustment of the rehabilitation or compensatory strategy.</AbstractText>
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