Avaliação funcional do equilíbrio e da sensibilidade cutânea plantar de idosos moradores na comunidade

Abstract

Impai red balance is one of several factors that increase an elderly's susceptibility to falls. Balance assessment can be performed using postural tests and plantar cutaneous sensitivity tests. Aim: To assess balance disorders and loss of plantar cutaneous sensitivity in the elderly and look for association between these alterations. Materials and Methods: A descriptive cross-sectional study involving 45 elderly submitted to the Berg Balance Scale (BBS) and the plantar sensitivity test with nylon monofilament. We used chi-square and Fisher's exact tests, and ROC curves were created in order to study the sensitivity and specificity of BBS. Results: Two and 4 individuals showed balance and cutaneous sensation disorders, respectively. There was a significant association between the complaint of impaired balance and loss of skin sensitivity (p = 0.047), and there was a reasonable agreement (Kappa: 0.6457) between the BBS and the sensorial test. A significant association was also found among 6 of the 14 BBS tasks and the sensitivity test. Conclusion: Most of the elderly living independently in the community showed normal balance and plantar cutaneous sensation. When impaired, these functions appeared associated in a way that if the tests are performed together, the accuracy of the evaluation of the balance increases.

Análise do equilíbrio em pacientes diabéticos por meio do sistema F-Scan e da Escala de Equilíbrio de Berg

“…Bretan et al (26) correlacionaram a EEB e a sensibilidade cutânea plantar e observaram que, além de a perda da sensibilidade cutânea plantar estar associada à queixa de desequilíbrio, utilizar a EEB como avaliação complementar em pacientes com NP poderia auxiliar na identificação de pacientes com risco significativo de quedas, para que possam adotar medidas e cuidados para evitar novos episódios, sendo este um teste simples, rápido e barato.…”

Comparação Da Ansiedade E Da Capacidade Cognitiva Entre Idosos Praticantes De Caminhada E Musculação

“…Estudos que avaliaram o risco de quedas em idosos revelam que uma possível explicação para a baixa incidência de quedas na população idosa ativa ocorre em virtude de serem mais saudáveis ou por apresentarem doenças mais controladas e por serem mais independentes (BRETAN et al, 2010), outro fator que nosso estudo não controlou, sendo considerado outra limitação. Contudo, o estudo torna-se relevante para que novas ações e políticas públicas possam ser implementadas com o intuito de promover mais saúde física e mental à população de idosos com aumento expressivo nos últimos anos.…”

Reprodutibilidade intra-avaliador do teste de discriminação de dois pontos na sola dos pés em idosos e jovens assintomáticos

“…The TPD test is commonly used to assess upper limbs and airways cutaneous perception in several populations [30][31][32][33] . Nylon monofilaments and the diapason test pitch have been used most often in the sensitivity evaluation of the lower limbs 11,[34][35][36][37] . Few studies have used the two-point discriminator for lower limbs, specifically for the sole of the feet 18,21 .…”

“…In fact, a better plantar cutaneous sensitivity, promoted by the use of proprioceptive insoles, improve the postural control during disturbances of balance, lateral stability during gait and reduce the incidence of falls 9,10 . Moreover, the loss of cutaneous sensitivity has been associated with complaints of imbalance in the elderly 11 .…”

“…The nylon monofilaments is one of the most widely used method to evaluate cutaneous sensitivity. Evaluations performed in lower limbs using this methodology have demonstrated interesting results such as the identification of an association between loss of plantar sensitivity with complaints of imbalance in the elderly 11 . However, some studies do not report the exact area of the sole on the foot for evaluation 12,13 .…”