A Prospective Study of Postural Balance and Risk of Falling in An Ambulatory and Independent Elderly Population

Maki, Brian E.; Holliday, Pamela J.; Topper, Anne

doi:10.1093/geronj/49.2.m72

Cited by 1,104 publications

(838 citation statements)

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“…15,16 Recent studies suggest that stabilometry are not always suitable to specify the anatomical region of the responsible focus; however, it can detect subtle vestibulospinal dysfunction. [17][18][19] The mean values of LNG, ENV-AREA, and REC-AREA in EC sessions of the migraine group were significantly greater than in controls, however, the degree of abnormality of stabilometric parameters were smaller than the results of ataxic patients in the literature. 20,21 Because we examined patients with migraine headache without any clinically apparent ataxic symptoms during the headache-free period, it is reasonable that we found only small difference in migrainous patients compared with ataxic patients.…”

Section: Discussionmentioning

confidence: 58%

Static stabilometry in patients with migraine and tension‐type headache during a headache‐free period

Ishizaki

Mori

Takeshima

et al. 2002

Psychiatry Clin Neurosci

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The vestibulospinal system was evaluated using a stabilometric method in patients with migraine and episodic tension-type headache during headache-free periods. Migraine patients often complain of dizziness or vertigo during headache attacks and some exhibit these symptoms between attacks. Computerized static stabilometry is a reliable and non-invasive technique to evaluate the equilibrium function in various diseases. The subjects consisted of 21 patients with migraine, 12 patients with episodic tension-type headache and, age-and sex-matched controls. We performed two sets of static stabilometric measurements with eyes open (EO) and eyes closed (EC) for 30 s. The averages of two sessions of the following six stabilometric parameters were used for the analysis: locus length (LNG), environmental area (ENV-AREA), rectangle area (REC-AREA), locus length per second, locus length per environ area (L/E), and root mean square area. Romberg quotients (EC/EO) of these six parameters were also analyzed. The mean values of LNG, ENV-AREA and REC-AREA in the EC session in the migraine group were significantly greater than those in the controls (P < 0.05, Mann-Whitney rank sum test). Romberg quotients of all stabilometric parameters except the L/E in the migraine group were significantly greater than in the controls. Patients with episodic tension-type headache did not show any differences in the stabilometric study from the controls. The present findings suggest that patients with migraine show a significant increase of the body sway during the EC session, which indicates an underlying dysfunction in the vestibulospinal system.

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Section: Discussionmentioning

confidence: 58%

Static stabilometry in patients with migraine and tension‐type headache during a headache‐free period

Ishizaki

Mori

Takeshima

et al. 2002

Psychiatry Clin Neurosci

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show abstract

“…A fall was defined as any time an individual came to rest unintentionally on the ground, floor, or other lower level. 6 Participants who fell were contacted by phone to complete a structured falls questionnaire, modified from one used by Maki and colleagues, 21 to gather more details about the circumstances surrounding the fall (e.g. what the participant was doing at the time, where, when and how the fall occurred, and the consequences of the fall, if any).…”

Section: Falls Monitoringmentioning

confidence: 99%

The Impact of Falls on Motor and Cognitive Recovery after Discharge from In-Patient Stroke Rehabilitation

Wong

Brooks

Inness

et al. 2016

Journal of Stroke and Cerebrovascular Diseases

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“…Rootmean-square (both for CP displacement and velocity) are often taken as measure of stability with greater RMS values indicating less stable subjects. 19 Center of pressure speed constitutes a good index of activity required to maintain stability 20,21 and has been often considered as a sensitive and discriminant variable of stability. 22,23 In addition, structural posturographic parameters were computed using a sway density plot approach.…”

Section: Data Analysesmentioning

confidence: 99%

Reducing weight increases postural stability in obese and morbid obese men

et al. 2006

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Objective: To investigate the effect of weight loss on balance control in obese and morbid obese men. Methods: In a longitudinal and clinical intervention study, postural stability was measured with a force platform before and after weight loss in men. Weight loss was obtained in obese men (mean body mass index (BMI) ¼ 33.0 kg/m 2 ) by hypocaloric diet until resistance and in morbid obese men (mean BMI ¼ 50.5 kg/m 2 ) by bariatric surgery. Morbid obese men were tested before surgery, and 3 and 12 months after surgery when they had lost 20 and nearly 50% of initial body weight, respectively. Normal weight individuals (mean BMI ¼ 22.7 kg/m 2 ) were tested twice within a 6-to 12-month period to serve as control. Body fatness and fat distribution measures, and posturographic parameters of the center of foot pressure (CP) along the antero-posterior and medio-lateral axes for conditions with and without vision were performed in all subjects. Results: Weight loss averaged 12.3 kg after dieting and 71.3 kg after surgery. Body weight remained unchanged in the control group. After weight loss, nearly all measures of postural stability were improved with and without vision (i.e., CP speed and range in antero-posterior and medio-lateral axes). A strong linear relationship was observed between weight loss and improvement in balance control measured from CP speed (adjusted R 2 ¼ 0.65, Po0.001). Conclusion: Weight loss improves balance control in obese men and the extent of the improvement is directly related to the amount of weight loss. This should decrease the habitual greater risk of falling observed in obese individuals.

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A Prospective Study of Postural Balance and Risk of Falling in An Ambulatory and Independent Elderly Population

Cited by 1,104 publications

References 0 publications

Static stabilometry in patients with migraine and tension‐type headache during a headache‐free period

Static stabilometry in patients with migraine and tension‐type headache during a headache‐free period

The Impact of Falls on Motor and Cognitive Recovery after Discharge from In-Patient Stroke Rehabilitation

Reducing weight increases postural stability in obese and morbid obese men

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