ResumoIntrodução: Quedas são um problema clínico comum nos idosos, que pode reduzir sua mobilidade e independência. O uso de instrumentos simples para detecção do risco de quedas é fundamental para prevenção e tratamento de tais eventos. Não há, porém, consenso quanto aos testes mais adequados para cada situação. A revisão mostrou que os dois testes podem ser bons preditores de quedas, mas os artigos diferiram quanto à definição de queda e caidor, tipo de estudo, quantidade e característica da amostra e avaliação de quedas, levando a diferentes resultados quanto a nota de corte, sensibilidade, especificidade e predição de quedas. Há controvérsias quanto à capacidade de predição em perfis específicos, como os idosos ativos. Conclusão: Os testes avaliados são eficazes para predição de quedas, desde que adaptados para cada perfil. Novos estudos devem ser realizados com metodologia homogênea, a fim de favorecer a comparação de resultados sobre a eficácia desses testes.
AbstractIntroduction: Fall is a common problem in the elderly and it can reduce their mobility and independence. The use of simple tools to detect risk of falls is essential to prevent and treat such events. However, there is no consensus about the most appropriate tools for each situation. Objective: To review studies about efficacy, sensitivity and specificity of Timed Up and Go Test (TUGT) and Berg Balance Scale (BBS) in order to ascertain which is the most appropriate to predict falls in the elderly. Methods: We performed a literature review from MEDLINE, PubMed, ISI, LILACS and Portal de Periódicos
People with Intellectual Disabilities (ID) are aging and accompanied the process are co-morbidities and disabilities. Have limitations in mental function and performance of activities, prior to 18 years and aging tend to exacerbate disabilities and increase dependency. Analyze the functional profile of the population enrolled in service for people with ID in the aging process by measuring and comparing the degree of dependency to perform everyday activities. Descriptive cross-sectional study, conducted between January to August 2014, with 112 men and women between 36 and 65 years, diagnosed with DI Used the Functional Independence Measure (FIM) to measure functional independence in six areas of life. The majority are male (68.55%), with 46.6 years, unspecified etiology (47%), degree of impairment of moderate disability (34.65%) and modified to full independence, FIM = 105.64 (72 %). In the analysis by areas, identified greater needs for supervision and minimal-moderate aid in communication and social-cognition and greater independence in self-care, sphincter control, mobility and locomotion. These data show the description of the literature in relation to major adaptive disabilities of DI for communication, cognition and social interaction, and even favorable predisposing factors of aging and dementias such as Alzheimer's type. Highlights the importance of expanding this research to longitudinal monitoring functionality, contributing to the understanding of the aging of the population, with associated co-mobidades and dementia syndromes. This study try to contribute to this knowledge of the aging population and to promote research for prevention and health promotion.
People with Intellectual Disabilities (ID) are aging and accompanied the process are the co-morbidities and disabilities. Have limitations in mental function and performance of activities, prior to 18 years and aging tend to exacerbate disabilities and increase dependency. Analyze and compare the functional profile of people with DI aged to the degree of prejudice to the deficiency diagnosed during childhood-adolescence. Descriptive cross-sectional study, conducted between January to August 2014, with 124 men and women between 36 and 65 years, diagnosed with DI and enrolled in a specialized service. We used the Functional Independence Measure (FIM) to measure the functional independence and chart review for the collection of diagnostic data. Most are men, 46.6 years, non-specified etiology, degree of impairment of moderate functional disability and independent (105.64 points). The functional level ranged from complete dependence to the modified independence, communication and social cognition being the most limiting. The comparison of results between MIF and diagnostics data records proved conflicting as to the degree of mild and moderate impairment. People with moderate impairment showed higher levels of independence than light. It is believed that some factors influence these findings, nondiagnostic update, the influence of the quantity and quality of stimuli during life and the aging process. Highlights the importance of expanding the search for the longitudinal monitoring of the functionality of these people, contributing to the understanding of the aging process, the diagnostic changes in the degree of compromise of the DI and the promotion and prevention of health and functionality.
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