Falls, loss of functional capacity, balance and strength
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: To have functional independence through the Barthel index; Be over 65 years of age; Cognition above 30 points in the mini mental state examination, any gender
Exclusion criteria
Exclusion criteria: against absolute and relative indications for the six-minute walk test; limiting orthopedic disorders; fracture in the last six months; indication or previous surgery column; Bracing dependence for locomotion as a wheelchair; walker; Crutches; Flares; uncontrolled hypertension ; indication or thoracic surgery in the last six months; dependence on oxygen therapy and cognitive , auditory or visual changes to limit the understanding of assessments and interventions .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected outcome1: the population is expected to gain muscle strength after the intervention. Strength checked through the Kendall scale with strength gradient from 0 to 5 and the sit and stand test where the individual sits and lifts 5 times counting the seconds in which he takes to perform the task;Outcome 1: significant improvement in the muscular strength of the intervention group in the intragroup analysis in adductors and abductors of the right leg with p of 0.02. In the analysis between groups, the improvement occurred in right abductors with p 0.03. It was adopted a level of significance of p less than or equal to 0.05 power of 80 percent;Expected outcome2: the population is expected to improve quality of life after the intervention. Quality of life verified through the Whoqool-old questionnaire specific to the elderly population where there are 6 facets with questions, each facet has a score of 4 to 20, the closer to 20, the better quality of life has the individual ;Outcome found2: significant improvement in the quality of life of the control group and intervention both intra- and between groups with a p of 0.04 in both. It was adopted a level of significance of p less than or equal to 0.05 power of 80 percent;Expected outcome3: the population is expected to achieve improved balance after the intervention. Balance checked through the Berg scale where it contains tasks with closed eyes, stand on one foot and count seconds in which tasks are performed and your score is up to 36 points considered 100 percent risk of falls, from 36 to 54 regular and 56 points excellent balance;Outcome found3: significant improvement in the balance of the intervention group in the intragroup analysis with p less than 0.01. It was adopted a level of significance of p less than or equal to 0.05 power of 80 percent | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected outcome1: expected improvement in cardiorespiratory function. Cardiorespiratory fitness verified through the six-minute walk test where the individual walks non-stop in a 30-meter runner for six minutes, before and after the test measurements are performed such as oxygen saturation, systolic and diastolic blood pressure and perception of fatigue respiratory and muscular. An equation is obtained to know the score of each patient, for men it is: DC6m = (7.57 x height, cm) - (5.02 x age, years) - 1.76 x weight, kg - 309m Lower limit of normality = -153m. For women: DC6m = (2.11 x height, cm) - (2.29 x weight, kg) - (5.78 x age, years) + 667m Lower limit of normality = 139m;Outcome 1: improvement of functional capacity in the intervention group intra and between groups with p of both less than 0.01. It was adopted a level of significance of p less than or equal to 0.05 power of 80 percent;Expected outcome2: expected occurrence of falls is expected. Falls through reminder of falls delivered to individuals before and after interventions, without punctuation, only by patient information in the recall;Outcome found2: decrease in occurrences of falls within the 3-month intervention period | — |
Countries
Brazil
Contacts
Centro Universitário Metodista IPA/ Federação de Faculdades Metodista do Sul