Institutionalized elderly rehabilitation Improving balance ...
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Institutionalized elderly rehabilitation Improving balance ability with a platform technology Manuela Pimentel, Eugénia Mendes, André Novo, Leonel Preto School of Health, Polytechnic Institute of Bragança – Portugal Keywords: Aging, Balance, Fear of falling, Platform Games || [email protected] INTRODUCTION METHOD RESULTS Ageing is associated with a decrease in the functionality of all organic systems. One factor that affects the quality of life in the elderly is the decrease of balance that sometimes leads to falls and consequently the fear of falling. In this sense, it is essential to try to mitigate this progressive degeneration. Platform technology can be used to improve balance in elderly and thus enable them a better quality of life and well-being. A quasi-experimental study was design in which it was used a sociodemographic questionnaire, nine of the ten tests of Fullerton Balance Advanced Scale to assess balance and the Falls Efficacy Scale (FES) to assess fear of falling. The exercises program where performed on the platform, and applied in 10 minutes session three times a week for two months. CONCLUSION REFERENCES OBJECTIVE To investigate whether an exercise program, using platform games, improve balance in a group of institutionalized elderly. 20 elderly were included, 70% women, with an average age of 82.20 ± 4.92 years, 55% are widowed, 35% single and 10% are married. Results of the Fullerton Balance Advanced Scale evaluation showed that 17 elderly improved balance and 3 elderly decreased. Fear of falling results showed a statistically significant increase (Z = -2.875; p = .004) from the first to the second assessment moment (67.20 ± 12.07 vs 70.25 ± 12.94). The exercise program set up with the technology platform has improved balance and decreased fear of falling in the elderly who participated in this study. Platform games can be used in rehabilitation of elderly to improve balance and reduce fear of falling. Bainbridge E, BevansS., Keeley B., Oriel K. . (2011). The effects of the Nintendo Wii Fit on community-dwelling older adults with perceived balance deficits: A pilot study. Physical occupation Therapy in Geriatrics. Bieryla KA, Dold NM (2013 ). Feasibility of Wii Fit training to improve clinical measures of balance in older adults. Clin Intervent Aging, 8. H., Bateni. (2012). Changes in balance in older adults based on use of physical therapy vs the Wii Fit gaming system: A preliminary study. Physiotherapy 98(3), 211–216. Hernandez D, Rose DJ. (2008). Predicting which older adults will or will not fall using the fullerton advanced balance scale. Arch Phys Med Rehabil. Pigford T, Andrews AW. . (2010). Feasibility and benefit of using the Nintendo wii fit for balance rehabilitation in an enderly patient experiencing recurrent falls. Journal of student physical therapy research, 2(1), 12-20. Szturm, T., Betker. A. L., Moussavi, Z., Desai, A., Goodman, V. . (2011). Effects of an Interactive Computer Game Exercise Regimen on balance Impairment in frail Community-Dwelling Older Adults: A randomized Controlled Trial. Physical Therapy, 91(10), 1449-1462. Young W, Ferguson S, Brault S, Craig C. (2011). Assessing and training standing balance in older adults: a novel approach using the ‘Nintendo Wii’ Balance Board. Gait Posture, 33, 303–305. FES FES T1 T2 N 20 20 Mean 67,2 70,25 Median 70 72,5 Standard deviation 12,07 12,94 Z p -2,875 0,004 Last year number of falls N % 0 9 45 1 6 30 2 5 25 Total 20 100 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 T1 8 26 16 19 9 16 14 15 11 10 8 5 6 6 10 5 3 5 10 13 T2 13 32 23 25 7 19 20 21 12 18 3 11 7 7 18 1 10 13 15 22 0 5 10 15 20 25 30 35 Fullerton Balance Advanced Scale Data Collection Sociodemografic Falls Efficacy Scale Fullerton Balance Advanced Scale Test and select games which responds to the movements of the centre of mass 2 months, 3 times per week 10 minute per session Games: Hitting balloons with hips movements Sliding avoiding obstacles Heading soccer balls avoiding cleats and pandas heads Data Collection Falls Efficacy Scale Fullerton Balance Advanced Scale Program T2 T1
Transcript of Institutionalized elderly rehabilitation Improving balance ...
Institutionalized elderly rehabilitation
Improving balance ability with a platform technologyManuela Pimentel, Eugénia Mendes, André Novo, Leonel Preto
School of Health, Polytechnic Institute of Bragança – Portugal
Keywords: Aging, Balance, Fear of falling, Platform Games || [email protected]
INTRODUCTION
METHOD
RESULTS
Ageing is associated with a decrease in the functionality of all organic systems. One factor thataffects the quality of life in the elderly is the decrease of balance that sometimes leads to fallsand consequently the fear of falling. In this sense, it is essential to try to mitigate this progressivedegeneration. Platform technology can be used to improve balance in elderly and thus enablethem a better quality of life and well-being.
A quasi-experimental study was design in which it was used a sociodemographic questionnaire,nine of the ten tests of Fullerton Balance Advanced Scale to assess balance and the Falls EfficacyScale (FES) to assess fear of falling. The exercises program where performed on the platform,and applied in 10 minutes session three times a week for two months.
CONCLUSION
REFERENCES
OBJECTIVE
To investigate whether an exercise program, using platform games, improve balance in a groupof institutionalized elderly.
20 elderly were included, 70% women, with an average age of 82.20 ± 4.92 years, 55% arewidowed, 35% single and 10% are married. Results of the Fullerton Balance Advanced Scaleevaluation showed that 17 elderly improved balance and 3 elderly decreased. Fear of fallingresults showed a statistically significant increase (Z = -2.875; p = .004) from the first to thesecond assessment moment (67.20 ± 12.07 vs 70.25 ± 12.94).
The exercise program set up with the technology platform has improved balance and decreasedfear of falling in the elderly who participated in this study. Platform games can be used inrehabilitation of elderly to improve balance and reduce fear of falling.
Bainbridge E, BevansS., Keeley B., Oriel K. . (2011). The effects of the Nintendo Wii Fit on community-dwelling older adults with perceived balance deficits: A pilot study. Physical occupation Therapy inGeriatrics.Bieryla KA, Dold NM (2013 ). Feasibility of Wii Fit training to improve clinical measures of balance in older adults. Clin Intervent Aging, 8.H., Bateni. (2012). Changes in balance in older adults based on use of physical therapy vs the Wii Fit gaming system: A preliminary study. Physiotherapy 98(3), 211–216.Hernandez D, Rose DJ. (2008). Predicting which older adults will or will not fall using the fullerton advanced balance scale. Arch Phys Med Rehabil.Pigford T, Andrews AW. . (2010). Feasibility and benefit of using the Nintendo wii fit for balance rehabilitation in an enderly patient experiencing recurrent falls. Journal of student physical therapy research,2(1), 12-20.Szturm, T., Betker. A. L., Moussavi, Z., Desai, A., Goodman, V. . (2011). Effects of an Interactive Computer Game Exercise Regimen on balance Impairment in frail Community-Dwelling Older Adults: Arandomized Controlled Trial. Physical Therapy, 91(10), 1449-1462.Young W, Ferguson S, Brault S, Craig C. (2011). Assessing and training standing balance in older adults: a novel approach using the ‘Nintendo Wii’ Balance Board. Gait Posture, 33, 303–305.
FES FES
T1 T2
N 20 20
Mean 67,2 70,25
Median 70 72,5
Standard deviation 12,07 12,94
Z
p
-2,875
0,004
Last year
number of fallsN %
0 9 45
1 6 30
2 5 25
Total 20 100
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
T1 8 26 16 19 9 16 14 15 11 10 8 5 6 6 10 5 3 5 10 13
T2 13 32 23 25 7 19 20 21 12 18 3 11 7 7 18 1 10 13 15 22
0
5
10
15
20
25
30
35
Fullerton Balance Advanced Scale
Data CollectionSociodemografic
Falls Efficacy ScaleFullerton Balance Advanced Scale
Test and selectgames which
responds to themovements of the
centre of mass
2 months, 3 times per week10 minute per session
Games:Hitting balloons with hips movements
Sliding avoiding obstaclesHeading soccer balls avoiding cleats and pandas heads
Data CollectionFalls Efficacy ScaleFullerton Balance Advanced Scale
Program T2T1
