1
|
Phapatarinan K, Sremakaew M, Uthaikhup S. Stimulated cervical afferent input increases postural instability in older people with chronic neck pain: a cross-sectional study. BMC Geriatr 2024; 24:153. [PMID: 38355412 PMCID: PMC10865695 DOI: 10.1186/s12877-024-04695-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 01/10/2024] [Indexed: 02/16/2024] Open
Abstract
BACKGROUND Several potential causes can impair balance in older people. The neck torsion maneuver may be useful in demonstrating impaired balance caused by the stimulation of cervical proprioceptive input. Whereas evidence suggests impaired standing balance in older people with chronic neck pain, balance impairment during the neck torsion position and its relationship with clinical characteristics have not yet been investigated in this population. The aims of this study were to investigate whether the neck torsion position could significantly influence balance responses in older people with chronic non-specific neck pain and to determine the relationships between the balance responses and characteristics of neck pain. METHODS Sixty-eight older people (34 with chronic non-specific neck pain and 34 controls) participated in the study. Balance was tested using a force plate during comfortable stance with eyes open under four conditions: neutral head on a firm surface, neutral head on a soft surface, neck torsion to left and right on a firm surface and neck torsion to left and right on a soft surface. Balance outcomes were anterior-posterior (AP) and medial-lateral (ML) displacements, sway area and velocity. Characteristics of neck pain were intensity, duration and disability. RESULTS Overall, the neck pain group exhibited greater AP and ML displacements, sway area and velocity in the neck torsion position on firm and soft surfaces compared to controls (partial eta squared (η²p) = 0.06-0.15, p < 0.05). The neck pain group also had greater AP displacement, sway area and velocity in the neutral position on a soft surface compared to controls (η²p = 0.09-0.16, p < 0.05). For both groups, the neck torsion position displayed overall greater postural sway compared to the neutral position (η²p = 0.16-0.69, p < 0.05). There were no relationships between the postural sway outcomes and characteristics of neck pain (p > 0.05). CONCLUSION The neck torsion maneuver, stimulating the receptors resulted in increased postural sway in older people, with a more pronounced effect in those with neck pain. The study provides evidence supporting the use of neck torsion for assessing impaired balance related to abnormal cervical input in older people with chronic non-specific neck pain.
Collapse
Affiliation(s)
- Korawat Phapatarinan
- Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, 50200, Chiang Mai, Thailand
| | - Munlika Sremakaew
- Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, 50200, Chiang Mai, Thailand
| | - Sureeporn Uthaikhup
- Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, 50200, Chiang Mai, Thailand.
| |
Collapse
|
2
|
Ni Y, Li S, Lv X, Wang Y, Xu L, Xi Y, Sun Y, Bao J, Liao S, Li Y. Efficacy of sensory-based static balance training on the balance ability, aging attitude, and perceived stress of older adults in the community: a randomized controlled trial. BMC Geriatr 2024; 24:49. [PMID: 38212725 PMCID: PMC10782606 DOI: 10.1186/s12877-023-04596-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 12/13/2023] [Indexed: 01/13/2024] Open
Abstract
BACKGROUND This study explores the effect of sensory-based static balance training on the balance ability, aging attitude, and perceived stress of older adults in the community. It provides a practical basis for the in-depth implementation and revision of the community health management model. METHODS A randomized controlled intervention study was conducted from 2022 to 2023. A total of 72 older adults were recruited and randomly divided into an intervention group (36 individuals) and a control group (36 individuals). Balance ability (measured by the Short Physical Performance Battery and One Leg Stand Test), aging attitudes, and perceived stress were assessed at baseline and at the 12-week and 24-week follow-ups. Repeated-measures ANOVA and generalized estimating equations were used to compare outcome measures. RESULTS Sensory-based static balance training was beneficial for balance ability and aging attitude among participants in the intervention group. At the end of the intervention, participants in the intervention group showed significant improvements in SPPB scores and OLST scores compared with the control group (FSPPB = 12.347, P = 0.001, Waldχ2OLST = 45.530, P < 0.001), as well as significant differences in aging attitudes (FAAQ = 18.549, P < 0.001). Multiple comparisons at different time points in the intervention group reveal a significant intervention effect (FSPPB = 29.211, Waldχ2OLST = 80.428, FAAQ = 45.981, all P < 0.05). However, the difference in perceived stress before and after the intervention was not significant (FCPSS = 2.876, P = 0.095). CONCLUSIONS Sensory-based static balance training significantly improved balance ability and aging attitudes among older adults in the community. The effect on perceived stress among older adults in the community was not significant. TRIAL REGISTRATION Registered in the Chinese Clinic on 04/06/2022. The registration number is ChiCTR2200060541.
Collapse
Affiliation(s)
- Yingyuan Ni
- Department of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road, Huzhou City, Zhejiang Province, 313000, China
| | - Shasha Li
- Department of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road, Huzhou City, Zhejiang Province, 313000, China.
| | - Xiaoying Lv
- Department of Nursing, Huzhou Central Hospital, No. 1558 Sanhuan North Road, Wuxing District, Huzhou, Zhejiang, 313000, China
| | - Yuecong Wang
- Department of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road, Huzhou City, Zhejiang Province, 313000, China
| | - Lijun Xu
- Department of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road, Huzhou City, Zhejiang Province, 313000, China
| | - Yingxue Xi
- Department of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road, Huzhou City, Zhejiang Province, 313000, China
| | - Yanhua Sun
- Department of Nursing, Huzhou Central Hospital, No. 1558 Sanhuan North Road, Wuxing District, Huzhou, Zhejiang, 313000, China
- Department of Orthopedics, Huzhou Central Hospital, Huzhou, No. 1558 Sanhuan North Road, Wuxing District, Zhejiang, 313000, China
| | - Jianyi Bao
- Department of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road, Huzhou City, Zhejiang Province, 313000, China
| | - Shufang Liao
- Department of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road, Huzhou City, Zhejiang Province, 313000, China
| | - Yue Li
- Department of Nursing, College of Medical Science, Huzhou University, No. 759 Second Ring Road, Huzhou City, Zhejiang Province, 313000, China
| |
Collapse
|
3
|
Xia Q, Zhou P, Li X, Li X, Zhang L, Fan X, Zhao Z, Jiang Y, Zhu J, Wu H, Zhang M. Factors associated with balance impairments in the community-dwelling elderly in urban China. BMC Geriatr 2023; 23:545. [PMID: 37679669 PMCID: PMC10486131 DOI: 10.1186/s12877-023-04219-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 08/05/2023] [Indexed: 09/09/2023] Open
Abstract
BACKGROUND Identification of factors relevant to balance performance impairments in the elderly population was critical for developing effective interventions and preventions. However, there have been very limited data available based on large scale studies. The present study identified factors that independently contributed to performance impairments in overall balance, domains of static balance, postural stability, and dynamic balance, and individual items. METHODS A total of 1984 community-dwelling Chinese elderly from urban areas of Shanghai were recruited. Information on demographic characteristic, exercise, and health status were collected with a face-to-face interview. Balance performances were assessed on site by trained investigators based on the X16 balance testing scale. To identify the effectors, ordinal logistic regression analysis was applied for overall balance, static balance, postural stability, and dynamic balance. Binary logistic regression analysis was used for 16 items. RESULTS The community-dwelling elderly residents were aged from 60 to 97 years old. With increases of age, risks of impairments in overall balance increased gradually (ORs from 1.26 to 3.20, all P < 0.01). In the elderly with overweight and obesity, there was higher proportion of balance impairments compared to the elderly with normal BMI (OR = 1.26, P < 0.001). Regular exercise every week was associated with reduced risks of balance impairments (ORs from 0.63 to 0.73, all P < 0.001). Presences with vision lesion (ORs from 1.28 to 1.59, all P < 0.001), moderate hearing impairment (OR = 1.54, P < 0.001), somesthesis dysfunction (ORs from 1.59 to 13.26, all P < 0.001), and cerebrovascular disease (OR = 1.45, P = 0.001) were related to increased risks of balance impairments. Likewise, age, exercise, vision, hearing, somesthesis, and cerebrovascular disease were significantly associated with static balance, postural stability, and dynamic balance. Both overweight and obesity and underweight were associated with higher proportions of dynamic balance impairments. Regular exercise was significantly related to reduced risks of impairments in 15 out of the 16 items. CONCLUSIONS In the elderly, age, overweight and obesity, exercise, vision, hearing, somesthesia, and cerebrovascular disease were dominant factors associated with impairments in overall balance, domains of static balance, postural stability, and dynamic balance, and most individual items. TRIAL REGISTRATION Not applicable.
Collapse
Affiliation(s)
- Qinghua Xia
- Changning Center for Disease Control and Prevention, Shanghai, 200051, China
| | - Peng Zhou
- Changning Center for Disease Control and Prevention, Shanghai, 200051, China
| | - Xia Li
- Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, 200032, China
| | - Xiaofen Li
- Institute of Nutrition and Diseases, Department of Preventive Medicine, Wenzhou Medical University, Wenzhou, 325035, China
| | - Lei Zhang
- Changning Center for Disease Control and Prevention, Shanghai, 200051, China
| | - Xuefei Fan
- Institute of Nutrition and Diseases, Department of Preventive Medicine, Wenzhou Medical University, Wenzhou, 325035, China
| | - Zhoulan Zhao
- Institute of Nutrition and Diseases, Department of Preventive Medicine, Wenzhou Medical University, Wenzhou, 325035, China
| | - Yu Jiang
- Changning Center for Disease Control and Prevention, Shanghai, 200051, China
| | - Jianhong Zhu
- Institute of Nutrition and Diseases, Department of Preventive Medicine, Wenzhou Medical University, Wenzhou, 325035, China
| | - Hongmei Wu
- Institute of Nutrition and Diseases, Department of Preventive Medicine, Wenzhou Medical University, Wenzhou, 325035, China.
| | - Mengdi Zhang
- Institute of Nutrition and Diseases, Department of Preventive Medicine, Wenzhou Medical University, Wenzhou, 325035, China.
| |
Collapse
|
4
|
Zhou J, Liu B, Ye H, Duan JP. A prospective cohort study on the association between new falls and balancing ability among older adults over 80 years who are independent. Exp Gerontol 2023; 180:112259. [PMID: 37473970 DOI: 10.1016/j.exger.2023.112259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2023] [Revised: 07/13/2023] [Accepted: 07/14/2023] [Indexed: 07/22/2023]
Abstract
OBJECTIVE The purpose of this study was to prospectively investigate the relationship between new falls and the balancing ability of older adults aged ≥80 years who are independent and evaluate the validity of the assessment tools as a predictor of falls. METHODS We enrolled a total of 160 participants (104 males and 56 females) aged 80 years or older. During the 12 months of observation, we investigated underlying diseases and drug use and performed a comprehensive geriatric assessment (including self-care ability, muscle strength, action ability, cognition, emotional state, and other aspects), as well as computerized dynamic posturography to assess balance and gait functions. We further analyzed the relationship between new falls and multiple internal risk factors. RESULTS A total of 159 participants were included for statistical analysis, and there were 108 new falls among the 59 participants. Fall history and visual preference (PREF) scores on the sensory integration test showed a positive correlation with new falls. The composite equilibrium score (SOTcom), left total hip bone mineral density, left directional control, and end point deviation were all found to be negatively correlated with new falls (P < 0.05). The cut-off point of the timed "up and go" test (TUG) in predicting new falls in this cohort was >12.03 s, with a sensitivity of 78.0 %, a specificity of 51.5 %, and an AUC of 0.667 (P < 0.001, 95 % CI: 0.567-0.721). The cut-off point of SOTcom in predicting new falls was ≤52, with a sensitivity of 40.7 %, a specificity of 84.0 %, and an AUC of 0.606 (P = 0.028, 95 % CI: 0.525-0.682). CONCLUSIONS The decline of balance sensory input function (mainly vestibular and visual sense), skeletal muscle motor function, and related postural control ability constituted the main risk factors for new falls in older adults who were independent. The combined use of TUG and SOT was useful in further improving the accuracy of predicting new falls in this population and providing a direction for effective intervention and rehabilitation measures.
Collapse
Affiliation(s)
- Jian Zhou
- Department of Geriatrics, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, China
| | - Bo Liu
- Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, China; Beijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery, Ministry of Education, Beijing 100730, China.
| | - Hui Ye
- Department of Geriatrics, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, China
| | - Jin-Ping Duan
- Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, China Capital Medical University, Beijing 100730, China
| |
Collapse
|
5
|
Muanjai P, Namsawang J, Satkunskienė D, Kamandulis S. Associations between Muscle-Tendon Morphology and Functional Movements Capacity, Flexibility, and Balance in Older Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16099. [PMID: 36498173 PMCID: PMC9738910 DOI: 10.3390/ijerph192316099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 11/24/2022] [Accepted: 11/29/2022] [Indexed: 06/17/2023]
Abstract
Loss of functional movement capacity in older adults is related to adverse changes in musculotendinous morphology, but this relationship is poorly understood. This study examined the associations between musculotendinous morphology and functional movements, flexibility, and balance ability. Ninety-nine older women (66.6 ± 4.6 years, body mass index 23.5 ± 3.3 kg∙m−2) were recruited from Chonburi Province, Thailand. During one 90-min visit, muscle ultrasound imaging of vastus lateralis, biceps femoris, and medial gastrocnemius muscles, and tendon ultrasonography of the Achilles tendon and patellar tendon were performed. Measures were also obtained for the straight leg raise, passive dorsiflexion, balance, and functional tests (Five Times Sit to Stand (5TSTS), Timed Up and Go (TUG), 10-Meter Fast Walk Test (10-MFWT), and 6-Minute Walk Test (6-MWT)). The results specify that functional movement performance correlates most strongly with medial gastrocnemius muscle thickness (5TSTS (r = −0.26), TUG (r = −0.44), 10-MFWT (r = 0.41), and 6-MWT (r = 0.48) all p < 0.05) and that vastus lateralis muscle thickness and medial gastrocnemius muscle thickness correlate positively with balance ability (r = 0.24, 0.34; p < 0.05) and negatively with fear of falling. It appears that muscle mass, rather than other morphological parameters, such as muscle quality or fascicle length, is the main factor affecting the susceptibility of older women to frailty.
Collapse
Affiliation(s)
- Pornpimol Muanjai
- Department of Physical Therapy, Allied Health Sciences Faculty, Burapha University, Chonburi 20131, Thailand
- Exercise and Nutrition Innovation and Sciences Research Unit, Burapha University, Chonburi 20131, Thailand
| | - Juntip Namsawang
- Department of Physical Therapy, Allied Health Sciences Faculty, Burapha University, Chonburi 20131, Thailand
- Exercise and Nutrition Innovation and Sciences Research Unit, Burapha University, Chonburi 20131, Thailand
| | - Danguole Satkunskienė
- Institute of Sport Science and Innovations, Lithuanian Sports University, 44221 Kaunas, Lithuania
| | - Sigitas Kamandulis
- Institute of Sport Science and Innovations, Lithuanian Sports University, 44221 Kaunas, Lithuania
| |
Collapse
|
6
|
Li H, Qiu X, Yang Z, Zhang Z, Wang G, Kim Y, Kim S. Effects of Cha-Cha Dance Training on the Balance Ability of the Healthy Elderly. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13535. [PMID: 36294115 PMCID: PMC9603652 DOI: 10.3390/ijerph192013535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 10/11/2022] [Accepted: 10/17/2022] [Indexed: 06/16/2023]
Abstract
Neuro-musculo-skeletal degradations with advancing age are generally accompanied with mobility problems and poor health status, contributing to impaired physical function and increased risk of falls. In an effort to diminish a fall-related risk such as unstable balance, a variety of interventions have been studied and implemented. Yet, there have been few studies to evaluate the effect of Cha-cha dance training on postural balance or balance performance of the elderly. The Cha-cha dance is composed of moderate rhythm and symmetrical movements and is easy to master and even easier for the elderly to begin. The purpose of this study was to intervene the fitness exercise through 12-week Cha-cha dance training, evaluate its impact on the balance ability of the elderly, and provide a scientific experimental basis for the elderly to participate in the Cha-cha dance exercise. Forty healthy elderly people with no difference in balance ability were randomly divided into two groups. The Cha-cha training group (CTG, n = 20) regularly participated in Cha-cha dance class, 3 times a week, 90 min each time, for a total of 12 weeks, and the control group (CONG, n = 20) did not participate in the class and engaged to their regular daily life. Dynamic and static balance were measured at pre and post intervention. Overall, the results showed that dynamic balance and static balance in CTG were significantly improved after the intervention. In addition, the results showed that the improvement was more significant in trials in left foot than right foot, and trials in closed eyes than open eyes, respectively. In conclusion, a 12-week Cha-cha dance class or program alone can be an effective intervention to improve balance of the elderly.
Collapse
Affiliation(s)
- Han Li
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Korea
- Department of Physical Education, Huaiyin Normal University, Huaian 223000, China
| | - Xuan Qiu
- Department of Physical Education, Yichun University, Yichun 336000, China
| | - Zhitao Yang
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Korea
- Department of Mechanical and Electrical Engineering, Zhoukou Normal University, Zhoukou 466000, China
| | - Zhengxiao Zhang
- Department of Physical Education, Yichun University, Yichun 336000, China
| | - Gang Wang
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Korea
- Department of Physical Education, Xinyang Normal University, Xinyang 464000, China
| | - Youngsuk Kim
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Korea
| | - Sukwon Kim
- Department of Physical Education, Jeonbuk National University, Jeonju 54896, Korea
| |
Collapse
|
7
|
Yan J, Luan F, Wang M, Dong W, Zhang X, Li M, Cao Y. Prospective association between standing balance and cognitive function in middle-aged and older Chinese adults. Front Psychol 2022; 13:931216. [PMID: 36225682 PMCID: PMC9549916 DOI: 10.3389/fpsyg.2022.931216] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 08/18/2022] [Indexed: 11/13/2022] Open
Abstract
Objective To investigate the association of standing balance with cognitive functions and the rate of cognitive decline among middle-aged and older Chinese adults. Methods Participants were selected from China’s Health and Retirement Longitudinal Study. A total of 8,499 subjects aged ≥45 years who participated in wave 1 to wave 3 surveys were included in the final analysis. Standing balance was measured using the tandem test, and participants were categorized into two groups according to their ability to maintain standing balance. Cognitive functions were assessed in three domains: episodic memory, mental status, and global cognition. The associations between standing balance scores, cognitive scores, and the rate of cognitive decline were evaluated using linear regression and linear mixed models. Results Compared with participants who successfully completed the standing balance test, those who were unable to complete the test had lower scores on episodic memory [β = −0.18; 95% confidence interval (CI): −0.24, −0.11], mental status (β = −0.28; 95% CI: −0.37, −0.19), and global cognition (β = −0.51; 95% CI: −0.65, −0.38) after 4 years of follow-up. In addition, the rate of decline in mental status and global cognition increased by 0.10 (β = 0.10; 95% CI: 0.07, 0.13) and 0.08 (β = 0.08; 95% CI: 0.04, 0.12) units, respectively, in participants who were unable to complete the test compared with their counterparts. Conclusion Good standing balance was significantly associated with higher cognitive function and a lower decline in mental status and global cognition in middle-aged and older Chinese adults.
Collapse
Affiliation(s)
- Jingzheng Yan
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Fangyun Luan
- Department of Emergency, Qilu Hospital, Shandong University, Jinan, China
| | - Meijuan Wang
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Wenshuo Dong
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Xinyue Zhang
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Mengli Li
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China
| | - Yingjuan Cao
- School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China
- Department of Nursing, Qilu Hospital, Shandong University, Jinan, China
- *Correspondence: Yingjuan Cao,
| |
Collapse
|
8
|
Magalhães GV, Razuk M, Vieira LA, Rinaldi NM. Postural control performance of active and inactive older adults assessed through postural tasks with different levels of difficulty. MOTRIZ: REVISTA DE EDUCACAO FISICA 2022. [DOI: 10.1590/s1980-657420220015421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|