Avaliação do equilíbrio de idosos vivendo na comunidade usando testes práticos de equilíbrio e de sensibilidade cutânea plantar
Carregando...
Data
2008-11-13
Autores
Pinheiro, Rafael Martins [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Estadual Paulista (Unesp)
Resumo
A avaliação do equilíbrio do idoso morador da comunidade pode ser realizada usando testes práticos do equilíbrio e da sensibilidade cutânea plantar. Verificar a ocorrência de desequilíbrio e perda da sensibilidade táctil plantar, observar se ocorre associação entre estas alterações e se a realização conjunta dos testes de equilíbrio e da sensibilidade plantar aumenta a precisão da avaliação. Serie de casos compreendendo 45 idosos testados através da escala de equilíbrio de Berg e do teste da sensibilidade cutânea plantar com monofilamentos de nylon. Foram utilizados os testes do qui quadrado, e exato de Fisher e elaboradas curvas ROC para estudo da sensibilidade e especificidade do teste de Berg. Idosos com alteração do equilíbrio e da sensibilidade plantar foram em número de 2 e de 4, respectivamente. Houve associação significante entre queixa de desequilíbrio e sensibilidade (p = 0,047) e houve concordância razoável (Kappa = 0,6457) entre a escala de Berg e o teste da sensibilidade, assim como verificou-se associação significativa entre 6 das 14 tarefas da escala e o teste da sensibilidade plantar. Idosos com vida independente na comunidade, em sua grande maioria, apresentam equilíbrio e sensibilidade cutânea plantar normais, havendo indícios de que as alterações destas funções estão associadas. A realização de testes práticos do equilíbrio e da sensibilidade cutânea plantar aumenta a precisão da avaliação do estado do equilíbrio do idoso.
Balance assessment in community-dwelling elderly can be performed by using clinical balance and plantar cutaneous sensation tests. To evaluate the occurrence of inbalance and loss of plantar tactile sensitivity as well as to observe the occurence of association between such alterations and whether the consoint performing of these tests increase the accuracy of the evaluation. A series of cases comprising 45 elderly individuals tested by the Berg balance scale and the plantar cutaneous sensation test with nylon monofilaments. Chi-square and Fisher’s Exact tests were used and ROC curves were designed to study the sensitivity and specificity of the Berg test. Two and 4 individuals showed alteration in balance and plantar sensation, respectively. There was a significant association between inbalance complaints and sensitivity (p = 0.047), and there was reasonable agreement (Kappa = 0.6457) between the Berg scale and the sensitivity test. A significant association was also found among 6 of the 14 tasks in the Berg scale and the plantar sensitivity test. Most of the elderly individuals leading an independent life in the community showed normal balance and plantar cutaneous sensation, and there was evidence that alterations in these functions are associated. The performance of practical balance and plantar cutaneous sensations tests increases accuracy in the evaluation of elderly individuals’ balance conditions.
Balance assessment in community-dwelling elderly can be performed by using clinical balance and plantar cutaneous sensation tests. To evaluate the occurrence of inbalance and loss of plantar tactile sensitivity as well as to observe the occurence of association between such alterations and whether the consoint performing of these tests increase the accuracy of the evaluation. A series of cases comprising 45 elderly individuals tested by the Berg balance scale and the plantar cutaneous sensation test with nylon monofilaments. Chi-square and Fisher’s Exact tests were used and ROC curves were designed to study the sensitivity and specificity of the Berg test. Two and 4 individuals showed alteration in balance and plantar sensation, respectively. There was a significant association between inbalance complaints and sensitivity (p = 0.047), and there was reasonable agreement (Kappa = 0.6457) between the Berg scale and the sensitivity test. A significant association was also found among 6 of the 14 tasks in the Berg scale and the plantar sensitivity test. Most of the elderly individuals leading an independent life in the community showed normal balance and plantar cutaneous sensation, and there was evidence that alterations in these functions are associated. The performance of practical balance and plantar cutaneous sensations tests increases accuracy in the evaluation of elderly individuals’ balance conditions.
Descrição
Palavras-chave
Idoso, Saúde do idoso, Equilibrio, Balance test, Foot sensitivity, Elderly
Como citar
PINHEIRO, Rafael Martins. Avaliação do equilíbrio de idosos vivendo na comunidade usando testes práticos de equilíbrio e de sensibilidade cutânea plantar. 2008. 47 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, 2008.