Predicting Fall Risks in an Elderly Population: Computer Dynamic Posturography Versus Electronystagmography Test Results

Girardi, Marian; Konrad, Horst R.; Amin, Manali; Hughes, Larry F.

doi:10.1097/00005537-200109000-00008

Cited by 68 publications

(32 citation statements)

References 13 publications

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“…It has been reported that limits of stability can be used as a significant predictor of performance in functional activities, such as climbing a flight of 27 stairs, crossing a street, and getting onto a bus (Topp et al 1998). Also, limits of stability were reported to play a significant role in indicating susceptibility to falls (Girardi et al 2001). In the FICSIT study, TCC benefited elderly practitioners by maintaining balance gains following a 3-month balance training course, and established a trend toward further improvement in balance (Wolfson et al 1996).…”

Section: Discussionmentioning

confidence: 99%

Is Tai Chi Chuan effective in improving lower limb response time to prevent backward falls in the elderly?

Wong

Pei

Lan

et al. 2009

AGE

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To evaluate the training effect of Tai Chi Chuan (TCC) in postural control and backward fall prevention in the elderly, balance assessment and visually guided lower limb response time were analyzed in a case-control study conducted in a community setting. Thirty-one elderly subjects (mean age: 68.2±6.8 years) participated in the TCC group, 30 community-dwelling elderly subjects with matched age and body composition served as the elderly control group, with 13 young adults (mean age: 27.5±3.8 years) serving as young controls. The TCC group had practiced TCC regularly five times per week, for over 30 min per day for at least 4 years. Lower limb response time were measured using a computerized dance machine that we developed, which contains two blocks during testing: single and dual feet. The motor planning of the latter is more complex than the former. Postural control was assessed by computerized posturography (Smart Balance Master). Compared to the elderly controls, the TCC group demonstrated significantly better balance performance in sway-referenced support, which is more challenging. Moreover, the TCC group had better dual feet response than the elderly controls in the forward-backward, forward-right and forwardleft directions. Practicing TCC may improve motor responses and postural control in the elderly, particularly in more challenging situations. Subjects showed better postural responses to unexpected perturbation in the forward-backward and forward-sideways direction than sideways or backward-sideways directions, which may have clinical relevance.

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Section: Discussionmentioning

confidence: 99%

Is Tai Chi Chuan effective in improving lower limb response time to prevent backward falls in the elderly?

Wong

Pei

Lan

et al. 2009

AGE

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“…15 Tests of postural stability using force-plate posturography can identify, independently of age, those individuals living in the community who are at risk of falls and fall-related injuries 16 and can assist in the development of effective strategies for prevention and treatment. 17 Posturography is a more sensitive test than electronystagmography for identifying the possibility of falling 18 and is a more direct screen for risk of falls than electromyography. 19 Posturography promotes the establishment of early intervention programs and effective strategies for fall prevention and treatment.…”

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confidence: 99%

Posturographic Changes Associated with Music Listening

Frederick

Oggero

Pagnacco

2007

The Journal of Alternative and Complementary Medicine

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Objectives: The aim of this study was to ascertain whether listening to music might cause changes in human stability and be useful in fall prevention and rehabilitation. The aim was also to find what percentage of subjects without neurologic signs or symptoms associated with falling had less than ideal stability.Design: Computer dynamic posturography (CDP) provided stability scores in 266 subjects without a history of falls or vertigo. Subjects were randomized into several different music listening groups and one control group. The music listening groups were given a daily specific music listening task and CDP was obtained 10 minutes, 1 week, and 1 month after the subject's treatment in a blinded fashion.Results: Tests of postural stability have shown that 73% of 266 subjects without neurologic signs or symptoms were found to have balance abnormalities associated with an increased probability of falling. We have demonstrated positive changes in stability scores in these subjects who underwent a variety of music listening tasks, with the music of Nolwenn Leroy found to be significantly superior to other music tested.Conclusions: Listening to certain types of music has the potential to change human stability and promote change in the field of fall prevention and rehabilitation with a potential to decrease disability. 519

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“…The latter can be used to assess the recovery of daily voluntary actions such as holding objects by leaning the body and extending the arm without changes in the contact plane, and postural-control ability when the possibility of falls is predicted. In fact, this type of CDP was reported to be useful for predicting falls in the elderly [9]. However, only one study has evaluated the recovery of dynamic balance after intravenous sedation by CDP with intentional sway of the center of gravity as a task [5].…”

mentioning

confidence: 99%

Recovery of intentional dynamic balance function after intravenous sedation with midazolam in young and elderly subjects

Fujisawa

Takuma

Koseki

et al. 2006

European Journal of Anaesthesiology

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Predicting Fall Risks in an Elderly Population: Computer Dynamic Posturography Versus Electronystagmography Test Results

Abstract: For this population, CDP was determined to be a more sensitive test for identifying patients who have fallen, with limits of stability testing the most significant part of the CDP battery; for ENG studies, the best falls indicator was the ocular motor battery.

Cited by 68 publications

References 13 publications

Is Tai Chi Chuan effective in improving lower limb response time to prevent backward falls in the elderly?

Is Tai Chi Chuan effective in improving lower limb response time to prevent backward falls in the elderly?

Posturographic Changes Associated with Music Listening

Recovery of intentional dynamic balance function after intravenous sedation with midazolam in young and elderly subjects

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