Agreement Between Instruments for Assessment of Body Balance in Active Elderly Individuals

Abstract

RESUMOO objetivo do estudo foi analisar a correlação entre instrumentos utilizados à avaliação do equilíbrio corporal e a predição do risco de quedas de idosos ativos. Estudo transversal, observacional, realizado com 41 mulheres (69,24±5,24 anos) praticantes de exercícios físicos, em Petrolina-PE. Os instrumentos utilizados foram a Escala de Equilíbrio de Berg (EEB), o Índice de Marcha Dinâmica (DGI), o "Timed Up and Go" simples (TUG), o "Timed Up and Go" motor (TUGm), o "Timed Up and Go" cognitivo (TUGc) e o Teste de Equilíbrio Corporal (TEC). Foi observada correlação significativa entre TEC-DGI (r=0,469; p=0,032), EEB-DGI (r= 0,513; p=0,021), correlação significativa negativa entre DGI-TUG (r= -0,454; p˂0,017), DGI-TUGm (r= -0,516; p˂0,006), DGI-TUGc (r= -0,547; p˂0,003), MEEM-TUG (r= -,470; p=0,055), MEEM-TUGm (r= -,470; p=0,057) e correlação significativa e moderada entre TUG-TUGm (r=0,701; p=0,000), TUG-TUGc (r=0,713; <0,000) e TUGm-TUGc (r=0,761; <0,000). Conclui-se que os instrumentos são complementares. Recomenda-se sua aplicação conjunta à avaliação do equilíbrio corporal e à predição do risco de quedas em idosos ativos. Palavras-chaves: Equilíbrio Corporal. Idosos. Avaliação do Equilíbrio. ABSTRACTThe aim of this study was to analyze the correlation between the instruments used to assess body balance and prediction of the risk of falls of active seniors. Cross-sectional, observational study involving 41 women (69.24 ± 5.24 years) practitioners of physical exercises, in Petrolina-PE. The instruments used were the Berg Balance Scale (BBS), the Dynamic Gait Index (DGI), the "Timed Up and Go" simple (TUG), the "Timed Up and Go" motor (TUGm), the "Timed up and Go "cognitive (TUGc) and Body Balance Test (CET). Significant correlation was observed between TEC-DGI (r = 0.469; p = 0.032), BSE-DGI (r = 0.513; p = 0.021), a significant negative correlation between DGI-TUG (r = -0.454; ˂0,017), DGI -TUGm (r = -0.516; p˂0,006), DGI-TUGc (r = -0.547; ˂0,003), MMSE-TUG (r = -, 470; p = 0.055), MMSE-TUGm (r = -470; p = 0.057) and a significant and moderate correlation between TUG-TUGm (r = 0.701; p = 0.000), TUG-TUGc (r = 0.713; p = 0.000) and TUGm-TUGc (r = 0.761; p = 0.000). It is concluded that the instruments are complementary. It is recommended their joint application to the evaluation of the body balance and to predict the risk of falls in elderly active. Keywords: Body Balance. Elderly. Balance evaluation. IntroduçãoÀ medida que o indivíduo envelhece, ele se depara com uma série de alterações de ordem biopsicossocial e cultural, as quais dificultarão sua adaptação ao meio em que vive 1,2 . Entre essas, após os 45 anos de idade, há o declínio natural de sua habilidade para controlar a postura corporal, o que é denominado como equilíbrio 3 . O estudo de temáticas do equilíbrio é relevante, principalmente, junto à população idosa, visto que seu déficit deixa a pessoa mais suscetível à quedas e fraturas, que podem conduzir o indivíduo, até mesmo à morte prematura 4 .Quedas têm consequências graves, pois influenciam...

Use of the Berg Scale to Measure the Risk of Falls in the Elderly in Primary Health Care

“…In this Integrative Review, it was found that the application of the Berg Scale was varied, however, there was a predominance of execution in the community (18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,33,34,35,36,37,38,39,40,41,42), coexistence center (18,19,31,34), school clinic of Physical Therapy in the community (20,24,29,30,33), Primary Health Care.…”

“…The Berg Scale classified the condition of functional balance as safe for the groups that practice physical activity and do not practice physical activity (18,19,21,28,31,32). Furthermore, the calculated relative risk was 0.2, demonstrating that the practice of ballroom dancing is expressed as a protection factor for the Berg Scale lower than 45 (23).…”

Avaliação e intervenção do equilíbrio em idosos

“…This correlation shows the need to evaluate factors that detect balance deficits and risk of falls in the elderly. 60 Other instruments with greater evidence for this IR were observed, such as the Berg Balance Scale (BSE), used to assess the functional capacity of balance in the elderly 61 and the Time to Go Test (TUG) effective to reveal individuals at greater risk of falls, 62 the TUG emerges as an essential instrument to delimit the appropriate treatment for the improvement of the balance. 63 As well as the efficacy of BSE in relation to the evaluation of the balance in situations of the individual's daily life using few resources for his application.…”