Techniques d’évaluation à domicile de la qualité de l’équilibre et de la force de préhension chez la personne âgée en perte d’autonomie

Michel-Pellegrino, Valérie; Li, K.; Hewson, David J.; Hogrel, Jean‐Yves; Duchêne, Jacques

doi:10.1016/j.irbm.2009.10.010

Cited by 3 publications

(2 citation statements)

References 53 publications

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“…As for the first research hypothesis, we wanted to determine whether participating in a physical activity program can, in time, lead to improved hand strength. Several studies acknowledge the fact that palm grip strength is an important biomechanical parameter representative of overall muscle strength as well as an indicator of those clinical conditions that influence selfsufficiency/frailty in older persons (Ishizaki, Watanabe, Suzuki, Shibata, & Haga, 2000;Michel-Pellegrino, Lia, Hewsona, Hogrel, & Duchêne, 2009;Tainaka, Takizawa, Katamoto, & Aoki, 2009). The data gathered through our investigation provide some interesting insight into this issue:…”

Section: Discussionmentioning

confidence: 81%

Physical Activity, Fine Manual Dexterity and a Coach’s Self-Efficacy in a Physical Activity Program for Older Persons Living in Residential Care Facilities

Liubicich¹,

Magistro²,

Candela³

et al. 2012

PSYCH

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This study aimed at assessing the efficacy of a physical activity intervention on a group of older elderly individuals living in residential care facilities, in terms of the functionality of their upper limbs, hands, and fingers. It also aimed at determining if the coaches' level of self-efficacy can contribute to the efficacy of the physical activity program. The project involved 44 institutionalized older persons: Their mean age was 84.3 (SD = 7.4) in the experimental group and 85 (SD = 6.6) in the control group; they were all self-sufficient. Seven female coaches, with degrees in physical education and an average age of 29 (SD = 4.4), conducted the physical activity program for 16 weeks. The participants were pre-and post-tested for hand and finger strength with dynamometers. The coaches' level of perceived self-efficacy was assessed through a self-reported questionnaire (Caprara, 2010). The results obtained by using non-parametric statistical techniques, due to the small sample size, confirmed that the physical activity intervention had positive effects on the fine manual dexterity of the elderly in the experimental group, and the high level of self-efficacy perceived by the coaches influenced the effects of the physical training. The results emphasize the importance of setting realistic objectives, and prove that the choice and training of coaches is fundamental for physical exercise practiced in a condition of frailty, such as that of older people living in residential care facilities.

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Section: Discussionmentioning

confidence: 81%

Physical Activity, Fine Manual Dexterity and a Coach’s Self-Efficacy in a Physical Activity Program for Older Persons Living in Residential Care Facilities

Liubicich¹,

Magistro²,

Candela³

et al. 2012

PSYCH

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show abstract

“…Via the app, older adults can receive information about their own balance scores, or changes in these scores. Furthermore, the data could be forwarded to a database that can be accessed by care professionals, which enables them to monitor the development of balance in their patients over time from a distance [ 17 , 18 ]. Older adults are able to use the modified bathroom scale for home-based self-monitoring of balance because it does not differ from a normal bathroom scale [ 13 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Balance Measured With a Modified Bathroom Scale and Falls and Disability in Older Adults: A 6-Month Follow-Up Study

Vermeulen¹,

Neyens²,

Spreeuwenberg³

et al. 2015

J Med Internet Res

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BackgroundThere are indications that older adults who suffer from poor balance have an increased risk for adverse health outcomes, such as falls and disability. Monitoring the development of balance over time enables early detection of balance decline, which can identify older adults who could benefit from interventions aimed at prevention of these adverse outcomes. An innovative and easy-to-use device that can be used by older adults for home-based monitoring of balance is a modified bathroom scale.ObjectiveThe objective of this paper is to study the relationship between balance scores obtained with a modified bathroom scale and falls and disability in a sample of older adults.MethodsFor this 6-month follow-up study, participants were recruited via physiotherapists working in a nursing home, geriatricians, exercise classes, and at an event about health for older adults. Inclusion criteria were being aged 65 years or older, being able to stand on a bathroom scale independently, and able to provide informed consent. A total of 41 nursing home patients and 139 community-dwelling older adults stepped onto the modified bathroom scale three consecutive times at baseline to measure their balance. Their mean balance scores on a scale from 0 to 16 were calculated—higher scores indicated better balance. Questionnaires were used to study falls and disability at baseline and after 6 months of follow-up. The cross-sectional relationship between balance and falls and disability at baseline was studied using t tests and Spearman rank correlations. Univariate and multivariate logistic regression analyses were conducted to study the relationship between balance measured at baseline and falls and disability development after 6 months of follow-up.ResultsA total of 128 participants with complete datasets—25.8% (33/128) male—and a mean age of 75.33 years (SD 6.26) were included in the analyses of this study. Balance scores of participants who reported at baseline that they had fallen at least once in the past 6 months were lower compared to nonfallers—8.9 and 11.2, respectively (P<.001). The correlation between mean balance score and disability sum-score at baseline was -.51 (P<.001). No significant associations were found between balance at baseline and falls after 6 months of follow-up. Baseline balance scores were significantly associated with the development of disability after 6 months of follow-up in the univariate analysis—odds ratio (OR) 0.86 (95% CI 0.76-0.98)—but not in the multivariate analysis when correcting for age, gender, baseline disability, and falls at follow-up—OR 0.94 (95% CI 0.79-1.11).ConclusionsThere is a cross-sectional relationship between balance measured by a modified bathroom scale and falls and disability in older adults. Despite this cross-sectional relationship, longitudinal data showed that balance scores have no predictive value for falls and might only have limited predictive value for disability development after 6 months of follow-up.

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Construct Validity of a Modified Bathroom Scale That Can Measure Balance in Elderly People

Vermeulen

Neyens

Spreeuwenberg

et al. 2012

Journal of the American Medical Directors Association

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Techniques d’évaluation à domicile de la qualité de l’équilibre et de la force de préhension chez la personne âgée en perte d’autonomie

Cited by 3 publications

References 53 publications

Physical Activity, Fine Manual Dexterity and a Coach’s Self-Efficacy in a Physical Activity Program for Older Persons Living in Residential Care Facilities

Physical Activity, Fine Manual Dexterity and a Coach’s Self-Efficacy in a Physical Activity Program for Older Persons Living in Residential Care Facilities

The Relationship Between Balance Measured With a Modified Bathroom Scale and Falls and Disability in Older Adults: A 6-Month Follow-Up Study

Construct Validity of a Modified Bathroom Scale That Can Measure Balance in Elderly People

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