Postural Balance
Conditions
Interventions
Only a group of elderly people will be included to investigate the effects of using Virtual Reality in the treatment of balance disorders and risk of falls in institutionalized elderly people. This is
Sponsors
Centro Universitário Presidente Tancredo de Almeida Neves
Centro Universitário Presidente Tancredo de Almeida Neves
Eligibility
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: Elderly people aged 60 or over; of both sexes; living in a long-term care facility
Exclusion criteria
Exclusion criteria: Bedridden; wheelchair users; who use walking aids; history of acute and chronic physical, cognitive and mental illnesses that may make exercise difficult; who have hearing and vision problems that make it difficult to perform exercise; who present in the Mini State Examination Mental scores lower than 13 points for illiterates, 18 points for low and medium schooling and 26 points for high schooling; who present any conditions that make it impossible for them to carry out the proposed procedures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A significant improvement in balance and a considerable reduction in the risk of falling for elderly participants is expected. The Berg balance scale is used to assess dynamic and static balance and the risk of falls in elderly people. It has 14 (fourteen) assessment items aimed at the individual's ability to sit, reach, turn around and stand, contains five response alternatives that vary between 0 and 4 points, with zero being the moderate or maximum need to perform the task and four the ability to perform the task without assistance during execution. The score differs according to the time taken to complete the activity and the assistance in carrying it out. The total score is 56 points and the risk of falls is defined when the score is below 45 points. The lower the score achieved by the person evaluated, the greater their risk of falling. The Tinetti Balance and Mobility Scale is used to assess balance and gait abnormalities, allowing the level of mobility and risk of falls for elderly people to be assessed. The test consists of 16 items, nine of which are used to measure body balance and seven items are used to measure gait. Regarding gait measurement, aspects such as speed, symmetry, standing balance, step distance and height, changes in direction and distance from the ankles are evaluated. The score for each exercise varies from 0 to 1 or from 0 to 2 with maximum score of 12 points. Regarding balance measurement, dynamic and static balance are assessed using nine items: sitting balance, attempts to stand up, standing balance, standing balance, three-stroke test, balance with eyes closed, and turning 360° and returning to sit, totaling a maximum score of 16 points. The total test score is 28 points, elderly people who present scores =19 points are at high risk for falls. Time Up and Go (TUG) is an easy-to-apply clinical test aimed at evaluating the functions of the lower limbs, mobility and risk of falling, as it analyzes movement and identifies different patt | — |
Secondary
| Measure | Time frame |
|---|---|
| No secondary outcomes are expected | — |
Countries
Brazil
Contacts
Public ContactWagner Moreira
Centro Universitário Presidente Tancredo de Almeida Neves
Outcome results
None listed