全部 标题 作者
关键词 摘要


Postural Balance in the Elderly with Mild Cognitive Impairment: Relationship to Accidental Falls

DOI: 10.4236/ojtr.2016.42006, PP. 67-75

Keywords: Postural Balance, Accidental Falls, Elderlies, Mild Cognitive Impairment

Full-Text   Cite this paper   Add to My Lib

Abstract:

This study analyzed postural balance in the elderly with mild cognitive impairment and its relationship to accidental falls. A quantitative and quasi-experimental method was used in a sample of 43 elderlies between 64 and 88 years old, mostly females. Data collection was performed in two Basic Health Units in the city of Rio de Janeiro in 2014. The instruments used were the Mini-Mental State Examination (MMSE), Tinetti scale, Motor Scale for the Elderly (EMTI) scale, and Elderly Falls Diary. The data were analyzed with the SAS statistical software version 9.3.1. The scales were applied before and after the psychomotor interventions. A significant difference was observed between the evaluating moments. Balance improvements were observed in all age groups, suggesting that all elderlies, regardless of age, showed satisfactory responses to the implemented psychomotor activities. The elderlies who fell more frequently were those between 60 and 69 years old. It is noteworthy that the age group with the lowest incidence of falls was that of elderlies between 70 and 79 years old. It was concluded that psychomotor activities are beneficial, regardless of age, proving their effectiveness when continued stimuli with cognitive and psychomotor activities are carried out.

References

[1]  Manfrim, A. and Schmidt, S.L. (2011) Diagnóstico diferencialdas demências. In: Freitas, E.V., et al., Eds., Tratado de geriatria e gerontologia, 3rd Edition, Guanabara Koogan, Rio de Janeiro, Chapter 13, 158-168.
[2]  Canineu, P.R., Samara, A.B. and Stella, F. (2011) Transtorno Cognitivoleve. In: Freitas, E.V., et al., Eds., Tratado de geriatria e gerontologia, 3rd Edition, Guanabara Koogan, Rio de Janeiro, Vol. 14, 170-177.
[3]  Rabelo, D.F. (2009) Comprometimento cognitivo leve em idosos: avaliação, fatores associados e possibilidades de intervenção. Revista Kairós Gerontologia, São Paulo (SP), 12, 65-79.
[4]  Costa, M., Rocha, L. and Oliveira, S. (2012) Educação em saúde: Estratégia de promoção da qualidade de vida na terceira idade. Revista Lusófona de Educação, Lisboa, 22, 123-140.
http://revistas.ulusofona.pt/index.php/rleducacao/article/viewFile/3285/2434
[5]  Boushon, B., Nielsen, G., Quingley, P., et al. (2012) How to Guide: Reducing Patient Injuries from Falls. Institute for Healthcare Improvement, Cambridge, MA. www.ihi.org
[6]  Ministério da Saúde (BR) (2013) Anexo 01: Protocolo prevenção de quedas, Protocolo integrante do Programa Nacional de Segurança do Paciente. Brasília (DF).
[7]  Lourenço, T., Lenardt, M.H., Kletemberg, D.F., Seima, M.D., Tallmann, A.E.C. and Neu, D.K.M. (2012) Capacidade funcional no idoso longevo: Uma revisão integrativa. Revista Gaúcha de Enfermagem, 33, 176-185. http://www.seer.ufrgs.br/index.php/RevistaGauchadeEnfermagem/article/view/20717/19509
[8]  Freitas, R., Santos, S.S.C., Hammerschmidt, K.S.A., Silva, M.E. and Pelzer, M.T. (2011) Cuidado de enfermagem para prevenção de quedas em idosos: Proposta para ação. Rev Bras Enferm, 64, 478-485.
http://www.scielo.br/pdf/reben/v64n3/v64n3a11.pdf
[9]  Folstein, M.F., Folstein, S.E. and Mchugh, P.R. (1975) Mini-Mental State: A Practical Method for Grading the Cognitive State of Patients for the Clinician. Journal of Psychiatric Research, 12, 189-198.
www.ncbi.nlm.nih.gov/pubmed/1202204
[10]  Bertolucci, P.H., Bruck, S.M., Campacci, S.R. and Juliano, Y. (1994) The Mini-Mental State Examination in a General Population: Impact of Educational Status. Arquivos de Neuro-Psiquiatria, 52, 1-7.
http://www.ncbi.nlm.nih.gov/pubmed/8002795
[11]  Tinetti, M.E. (1986) Performance-Oriented Assessment of Mobility Problems in Elderly Patients. Journal of the American Geriatrics Society, 34, 119-126. http://dx.doi.org/10.1111/j.1532-5415.1986.tb05480.x
[12]  Rosa Neto, F., Sakae, T.M. and Poeta, L.S. (2011) Validação dos parametros motores na terceira idade. Revista Brasileira de Ciência e Movimento, 19, 20-25.
[13]  Universidade de São Paulo (2010) Hospital Universitário, Grupo de Prevenção de Queda, Diário de quedas do idoso. São Paulo.
http://www.redehumanizasus.net/67010-grupo-de-prevencao-de-quedas-do-hospital-universitario
-da-universidade-de-sao-paulo
[14]  Neto, R., et al. (2009) Manual de Avaliação Motora para Terceira Idade. Artmed, Porto Alegre.
[15]  Instituto Brasileiro de Geografia e Estatística (2010) Censo 2010: População do Brasil é de 190.732.694 pessoas..
http://censo2010.ibge.gov.br/pt/noticias-censo?view=noticias&id=3&pagina=3&paginar=1&quantidade=10&busca=1.
[16]  Brucki, S.M.D., Nitrini, R., Caramelli, P., Bertolucci, P.H.F. and Okamoto, I.H. (2003) Sugestões para o uso do mini- exame do estado mental no Brasil. Arquivos de Neuro-Psiquiatria, 61, 777-781.
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2003000500014&lng=en http://dx.doi.org/10.1590/S0004-282X2003000500014
[17]  Oliveira, G.C. (2002) Psicomotricidade: Educação e reeducação um enfoque psicopedagógico. 7th Edition, Vozes, Rio de Janeiro.
[18]  Granacher, U., Gollhofer, A., Hortobágyi, T., Kressig, R.W. and Muehlbauer, T. (2013) The Importance of Trunk Muscle Strength for Balance, Functional Performance, and Fall Prevention in Seniors: A Systematic Review. Sports Med, 43, 627-641. http://link.springer.com/article/10.1007/s40279-013-0041-1
[19]  Freire Jr., R.C., Arêas, G.P.T., Arêas, F.Z.S. and Barbosa, L.G. (2013) Estudo da acessibilidade de idosos ao centro da cidade de Caratinga, MG. Revista Brasileira de Geriatria e Gerontologia, 16, 541-558. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232013000300012&lng=en http://dx.doi.org/10.1590/S1809-98232013000300012
[20]  Mendes, T.A. and Valsecchi, V.L.A. (2007) Armadilhas do espaço urbano. Einstein, São Paulo (SP), 5, 99-104. http://apps.einstein.br/revista/arquivos/PDF/388-Einstein5-2_Online_AO388_pg99-104.pdf

Full-Text

comments powered by Disqus