The relation between cognitive impairment severity and postural stability in the elderly

Abstract

Introduction. The purpose of this study was to evaluate the relationship between the severity of cognitive impairment and the results of stabilographic tests in elderly patients with cognitive impairment. Methods. The study involved 42 participants aged 62-84 (mean 73.4 ± 6.7) years. The assessment of cognitive status was carried out with the Mini-Mental State Examination (MMSE). included were subjects who obtained a score below 27, which is the cutoff score between the absence and presence of cognitive impairment. Postural stability was evaluated by using a force platform which registered the shifts of the centre of pressure (CoP) in the sagittal and frontal plane during two 32-second trials of quiet stance on a hard surface, with eyes open and with eyes closed. The CoP sway parameters were analysed. Results. in the eyes-open test, we obtained a weak negative correlation of the MMSE and the mean radius of the CoP sway (r =-0.37; p < 0.05). Considering the values achieved in each plane, a statistically significant correlation was observed in all the parameters analysed in the sagittal plane. The eyes-closed test revealed a clear negative correlation between the MMSE results and all the studied parameters. Conclusions. A significant relationship between the severity of cognitive impairment and the results of stabilographic parameters were noted. A negative correlation between the stabilographic parameters and the MMSE scores showed a linear deterioration of postural stability which progresses along with the decrease in cognitive functions.

The effect of pes planus on the biomechanics of the lower extremity, balance, fall risk, and performance

“…Some of these are the angulations observed in the subtalar joint as a result of the increase in loading to the medial, and thus, the pronation of the foot. The excessive pronation observed in the foot, together with pes planus, causes biomechanical changes in the ankle, knee, and hip joint [25,28]. Agoada et al [26] showed that subtalar angle was correlated with excessive pronated foot and pes planus as it can be seen in this study.…”

El control postural y la conciencia corporal en los trastornos mentales. Revisión de tema

“…Desde este punto, se hace necesario identificar, inicialmente, la importancia del control postural, entendido como la capacidad de poder controlar la posición del cuerpo en el espacio, determinada por una compleja interacción entre los sistemas musculoesquelético y neurológico (Cano de la Cuerda et al, 2016) y, que pretende conectar la relación entre la triada persona-tarea-entorno, para que el ser humano se mueva con un objetivo y sea funcional (Cieślik et al, 2019). Para lograr esta relación óptima, las FMS y los procesos psicológicos y comportamentales han sido destacados como aspectos fisiológicos fundamentales, debido al control superior que ejerce el SNC para poder generar movimiento controlado y voluntario.…”

Hubungan Fungsi Kognitif Terhadap Keseimbangan Pada Lansia Di Panti Sosial Tresna Werdha (Pstw) Budi Mulia 3 Jakarta

“…Di satu sisi, itu merupakan hasil dari tidak berfungsinya reseptor yang terlibat dalam proses menjaga keseimbangan. Di sisi lain, fenomena tersebut mungkin terkait dengan proses berpikir yang salah yang mengakibatkan pengambilan keputusan yang salah ketika berisiko jatuh (Cieślik et al, 2019). Pada penelitian yang dilakukan oleh Agrawal et al, (2020) mendemonstrasikan bahwa keterampilan kognitif spasial memburuk seiring dengan bertambahnya usia, yang mengarah pada kerusakan sistem vestibular.…”