Domínguez-Carrillo LG

Language: Spanish
References: 17
Page: 251-256
PDF size: 45.22 Kb.

ABSTRACT

Objective: To evaluate the changes in elderly patients with an exercise and postural program. Patients: Thirty-eight female and 12 male elderly patients with ( and SD) 74.8 ± 3.8 years of age who had suffered at least two falls in the last 12 months. Measurements: Initial and final measurements of mobility arches (ROM), gate speed, step longitude, unipodal stance time, quadricep and brachial tricep isometric strength, and relation mistake/skill in a coordination test. Results: Mobility arches of shoulders, hips, and knees were increased importantly (p = 0.05), dorsolumbaris mobility arches increased rotation but not significantly quadricep and tricep brachial isometric strength was increased 70% and 30%, respectively (p = 0.05), gate speed and cadence (steps per minute) changed from 102 to 118 and from 0.85 m. to 1.17 m, both with p = 0.0.5; step longitude changed from 0.46 m/s to 0.59 m/sec without significance. An exercise and posture program to improve coordination in elderly patients is important to increase gate speed and unipodal stance time such as muscular strengthening, which means a low risk for falls in the elderly.

REFERENCES

1. Clark S, Rose DJ. Evaluation of dynamic balance among community dwelling older adult fallers. Arch Phys Med Rehabil 2001;82:468-474.

2. Kerrigan DK, Todd MK, DellaCroce U, Lipsitz LA, Collins JJ. Biomechanical gait alterations in the elderly: evidence for specific limiting impairments. Arch Phys Med Rehabil 1998;79:317-322.

3. Bischoff HA, Stahecin HB, Urscheler N. Muscle strength in the elderly: its relation to vitamin D metabolites. Arch Phys Med Rehabil 1999;80:54-58.

4. Anianson D, Hedberg M, Henning G, Grimby G. Muscle morphology, enzymatic activity and strength in elderly men. Muscle Nerve 1986;9:585-591.

5. Kerrigan DC, Lee LW, Nieto TS, Markman JD, Collins JJ, Riley PO. Kinetic alterations independent of walking speed in elderly fallers. Arch Phys Med Rehabil 2000;81:730-735.

6. Hyatt RH, Marshall MN, Bhat A, Scott S, Maxwell JD. Association of muscle strength with functional status of elderly people. Age Ageing 1990;19:330-336.

7. Domínguez CL, Gutiérrez RA. Podografía en papel fax para la detección de anormalidades en los pies de preescolares. Rev Mex Reumatol 1997;12:217-222.

8. Poter JM, Evans AL, Duncan G. Gait speed and activities of daily living functions in geriatric patients. Arch Phys Med Rehabil 1998;79:317-322.

9. Watelain E, Barbier F, Allard P, Thevenon A, Angue JC. Gait pattern classification of healthy elderly men based on biomechanical data. Arch Phys Med Rehabil 2000;81:579-586.

10. Burnfiel JM, Josephson KR, Power CM, Rubenstein LZ. The influence of lower extremity joint torque on gait characteristic in elderly men. Arch Phys Med Rehabil 2000;81:1153-1117.

11. Larson L, Grimby G, Karlson J. Muscle strength and speed of movement in relation to age and muscle morphology. J Appl Physiol 1979;46:451-456.

12. Robinson MW, Krebs DE, Giorgetti MM. Functional reach does it really measure dynamic balance? Arch Phys Med Rehabil 1999;80:262-269.

13. Kerrigan DC, Lee LW, Collins JJ, Riley PO, Lipsitz LA. Reduced hip extension during walking: healthy elderly and fallers versus young adults. Arch Phys Med Rehabil 2000;81:26-30.

14. Hurvitz ED, Richardson JK, Werner RA, Ruhl A. Unipedal stance testing as an indicator of fall risk among older outpatients. Arch Phys Med Rehabil 2000;81:587-591.

15. Brown M, Sinacore DR, Ensani AA, Binder EF, Holloszy JO, Kohrt WM. Low intensity exercise as a modifier of physical frailty in older adults. Arch Phys Med Rehabil 2000;81:960-965.

16. Wong AM, Chou Lin CH, Chou SW, Tang FT, Wong PY. Coordination exercise and postural stability in elderly people: effect of tai chi chuan. Arch Phys Med Rehabil 2001;82:608-612.

17. Williams HG, McLenagham BA, Dickerson J. Spectral characteristics of postural control in elderly individuals. Arch Phys Med Rehabil 1997;78:737-744.