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- ItemAcesso aberto (Open Access)Associação entre a ocorrência de quedas e o desempenho no Incremental Shuttle Walk Test em mulheres idosas(Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia, 2012-08-01) Bardin, Marcela Grigol [UNIFESP]; Dourado, Victor Zuniga [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: Because the incremental shuttle walk test (ISWT) requires agility in its performance, we hypothesized that the test may be associated with balance and risk of falls in the elderly. Objective: To evaluate and compare the association between the performance on the ISWT, the timed up and go (TUG) and the occurrence of falls in the elderly. METHOD: Thirty-three elderly individuals (68±7 years) performed the TUG and the ISWT. Balance was assessed using the Berg Scale (BBS). Participants who fell at least twice in the last 12 months were placed in the falls group (FG) and all other participants comprised the control group (CG). RESULTS: There were seventeen elderly women in the FG and 16 in the CG. Participants from the FG had a significant worse performance (p<0.05) on the TUG (8.01±0.22 vs. 6.22±0.21 s), BBS (51±3 vs. 55±1 points) and ISWT [313±79 (92±15%pred.) vs. 395±75 m (113±19%pred.)] than participants from the CG. The ISWT significantly correlated with the TUG (r=-0.75, p<0.001), BBS (r=0.50, p=0.002) and number of falls (r=0.36, p=0.031). After logistic regression, the TUG was determinant (p=0.03) and the ISWT showed a tendency to determine the occurrence of falls (p=0.05). CONCLUSION: The ISWT was a valid measure to assess the risk of falls and balance and therefore, may be useful for the simultaneous assessment of cardiorespiratory fitness and balance in older women.
- ItemAcesso aberto (Open Access)Desenvolvimento de um sistema de alerta para prevenção de quedas em pacientes hospitalizados(Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo, 2000-07-01) Marin, Heimar de Fatima [UNIFESP]; Bourie, Patricia; Safran, Charles; Universidade Federal de São Paulo (UNIFESP); Harvard Medical School Clinical ComputingThe present study describes the analysis of an online patient assessment system developed to prevent inpatients falls. A chart review was performed in order to identify risk factors present in the Nursing Assessment tool. The identified variables were Functional status including walking, transferring and toilet, sex and patients self-care ability. Authors developed a system using these variables, that is available since February 1997. In a second phase of this study, authors aim to evaluate the effectiveness of this computerized intervention.
- ItemSomente MetadadadosEquilíbrio, medo de cair e presença de fatores predisponentes ao risco de quedas domiciliares em idosos(Universidade Federal de São Paulo (UNIFESP), 2014-10-29) Barboza, Flavia Yara Alves [UNIFESP]; Lombardi Júnior, Imperio [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Population aging is a reality in our country, and it is known that aging is an individual process, set by a number of changes, transformations in the many organic systems, making the elderly more prone to falls. The Goal of this study is to evaluate the individual?s balance, the fear of falling and correlate them to the domestic environmental hazard. Methodology: It is an observational analytical study in the transversal cut. Observing the inclusion and exclusion criteria of this study, 306 elderly of both genders were evaluated, with an average age of 66.5 years old. Elderly were evaluated regarding the Mini Mental State Exam (MMSE), Berg Balance Scale (BBS), Falls Efficacy Scale ? International in Brazilian elderly (FES-IBRASIL), Self-Evaluation Scale of Functional Capacity SPIRDUSO, Environmental Scale of Falls Hazard, International Physical Activity Questionnaire ? IPAQ and the presence of depression symptoms. Results: The study demonstrated moderate correlation between the variables FES-I-BRASIL and Self-Evaluation Scale of Functional Capacity, as well as between the variables FES-I-BRASIL and BBS to the feminine gender, although this has not been one of our goals. Regarding the correlation between FES-I-BRASIL and Environmental Scale of Falls Hazard there was a weak positive correlation. Between BBS and Environmental Scale of Falls Hazard our study demonstrated a weak negative correlation. To BBS 64% of the evaluated elderly has shown to be prone to falls; with regard to the fear of falling evaluated by FES-I-BRASIL, the sporadic association to falls and to reoccurring fallings they were respectively 46% and 13% which, when added, 59% indicated more than half of the studied population. Conclusion: Elderly presented a balance deficit and fear of falling. The evaluated houses presented a slow risk of falls, even though it has prevailed the lack of slip resistant area, support bars and sentinel light.