2021, Number 4
Concordance between static unipodal stability tests concerning risk of falling in chilean aged adults
Language: Spanish
References: 25
Page: 1-15
PDF size: 618.02 Kb.
ABSTRACT
Introduction: Postural balance is part of the functional assessment for risk of falling in aged adults. The Chilean Ministry of Health applies the Unipodal Station Test to assess static unipodal stability as a health prevention tool.Objective: To determine concordance or diagnostic equivalence between the Unipodal Station Test and the Unipodal Test for static body stability, in the open eyes modality.
Methods: Cross-sectional study of diagnostic concordance applied in sixty self-supporting aged adults belonging to sports workshops of the Olympic Gymnasium of San Miguel, in the Metropolitan Region of Chile, who voluntarily completed two static unipodal stability tests and answered a consultation instrument at the end of the assessment concerning the Unipodal Test for static body stability.
Results: Between the two unipodal stability tests, in the open eyes modality, a significant concordance was present upon assessing good or poor stability (p = 0.0005). The aged adults who underwent assessment perceived the Unipodal Test for static body stability as a test of easy application and low level of physical risk and fatigue, as well as declared their intention to complete it again if their stability needed to be reassessed.
Conclusion: Both the Unipodal Station Test and the Unipodal Test for static body stability, in the open eyes modality, were effective methods to classify good stability or poor stability correctly in the aged adults who underwent assessment. Therefore, they are equivalent and concordant for the diagnosis of static stability with unipodal support.
REFERENCES
Hager A, Mathieu N, Lenoble C, Swanenburg J, de Bie R, Hilfiker R. Effects of three home-based exercise programmes regarding falls, quality of life and exercise-adherence in older adults at risk of falling: protocol for a randomized controlled trial. BMC Geriatrics. 2019;19:13. DOI: https://doi.org/10.1186/s12877-018-1021-y
Riva D, Fani M, Benedetti M, Scarsini A, Rocca F, Mamo C. Effects of high-Frequency proprioceptive training on single stance stability in older adults: implications for fall prevention. BioMed Research International. 2019 [acceso: 01/05/2020];(2):1-11. Disponible en: Disponible en: http://downloads.hindawi.com/journals/bmri/2019/2382747.pdf
Tanaka E, Santos P, Reis J, Rodrigues N, Moraes R, Abreu D. Is there a relationship between complaints of impaired balance and postural control disorder in community-dwelling elderly women? A cross-sectional study with the use of posturography. Brazilian Journal of Physical Therapy. 2015 [acceso: 01/05/2020];19(3):186-193. Disponible en: Disponible en: https://www.scielo.br/pdf/rbfis/v19n3/1413-3555-rbfis-2014-0086.pdf .
Allali G, Ayers E, Holtzer R, Verghese J. The role of postural instability/gait difficulty and fear of falling in predicting falls in non-demented older adults. Archives Gerontology and Geriatrics. 2017 [acceso: 01/05/2020];69:15-20. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5186402/pdf/nihms830874.pdf .
Avelar B, Costa J, Safons M, Dutra M, Bottaro M, Gobbi S, et al. Balance exercises circuit improves muscle strenth, balance, and functional performance in older women. AGE. 2016 [acceso: 01/05/2020];38:14. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005874/pdf/11357_2016_Article_9872.pdf
Cohen R, Baer J, Ravichandra R, Kral D, McGowan C, Cacciatore T. Lighten up! postural instructions affect static and dynamic balance in healthy older adults. Innovation in Aging. 2020 [acceso: 01/05/2020]; 4(2):1-10. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7092748/pdf/igz056.pdf
Hong C, Guo L, Song R, Nagurka M, Sung J, Yen C. Assessing postural stability via the correlation patterns of vertical ground reaction force components. BioMedical Engineering OnLine. 2016 [acceso: 01/05/2020];15:90. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969977/pdf/12938_2016_Article_212.pdf
Goel R, De Dios Y, Gadd N, Caldwell E, Peters B, Reschke M, Bloomberg J, Oddsson L, Mulavara A. Assessing somatosensory utilization during unipedal postural control. Frontiers in Systems Neuroscience 2017 [acceso: 15/04/2020];; 11:21. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5387047/pdf/fnsys-11-00021.pdf
Pelosin E, Bisio A, Pozzo T, Lagravinese G, Crisafulli O, Marchese R, Abbruzzese G, Avanzino L. Postural stabilization strategies to motor contagion induced by action observation are impaired in Parkinson’s disease. Frontiers in Neurology. 2018 [acceso: 01/05/2020]; 9:105. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5837984/pdf/fneur-09-00105.pdf
Bonora G, Mancini M, Carpinella I, Chiari L, Ferrarin M, Nutt J, Horak F. Investigation of anticipatory postural adjustments during one-leg stance using inertial sensors: evidence from subjects with parkinsonism. Frontiers in Neurology. 2017 [acceso: 01/05/2020];8:361. Disponible en: Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5524831/pdf/fneur-08-00361.pdf
Springer B, Marin R, Cyhan T, Roberts H, Gill N. Normative values for the unipedal stance test with eyes open and closed. Journal of Geriatric Physical Therapy. 2007 [acceso: 02/05/2020];30(1):8-15. Disponible en: Disponible en: https://geriatrictoolkit.missouri.edu/balance/Normative_Values_for_the_Unipedal_Stance_Test_Springer-JGPT.pdf