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Postural control among elderly women with and without osteoporosis: is there a difference? / Controle postural de idosas com e sem osteoporose: há diferenças?
Burke, Thomaz Nogueira; França, Fabio Jorge Renovato; Meneses, Sarah Rúbia Ferreira de; Cardoso, Viviam Inhasz; Pereira, Rosa Maria Rodrigues; Danilevicius, Camille Figueredo; Marques, Amélia Pasqual.
  • Burke, Thomaz Nogueira; s.af
  • França, Fabio Jorge Renovato; s.af
  • Meneses, Sarah Rúbia Ferreira de; s.af
  • Cardoso, Viviam Inhasz; s.af
  • Pereira, Rosa Maria Rodrigues; s.af
  • Danilevicius, Camille Figueredo; s.af
  • Marques, Amélia Pasqual; s.af
São Paulo med. j ; 128(4): 219-224, July 2010. ilus, graf, tab
Article in English | LILACS | ID: lil-566416
ABSTRACT
CONTEXT AND

OBJECTIVE:

Little is known about postural control among elderly individuals with osteoporosis and its relationship with falls. It has been suggested that elderly women with kyphosis and osteoporosis are at greater risk of falling. The aim of this study was to evaluate posture and postural control among elderly women with and without osteoporosis. DESIGN AND

SETTING:

Cross-sectional study conducted at the Physical Therapy and Electromyography Laboratory, School of Medicine, Universidade de São Paulo (USP).

METHODS:

Sixty-six elderly women were selected from the bone metabolism disorders clinic, Division of Rheumatology, USP, and were divided into two groups osteoporosis and controls, according to their bone mineral density (BMD). Postural control was assessed using the Limits of Stability (LOS) test and the Modified Clinical Test of Sensory Interaction and Balance (CTSIBm) and posture, using photometry.

RESULTS:

The elderly women with osteoporosis swayed at higher velocity on a stable surface with opened eyes (0.30 versus 0.20 degrees/second; P = 0.038). In both groups, the center of pressure (COP) was at 30 percent in the LOS, but with different placements 156° in the osteoporosis group and 178° in the controls (P = 0.045). Osteoporosis patients fell more than controls did (1.0 versus 0.0; P = 0.036).

CONCLUSIONS:

The postural control in elderly women with osteoporosis differed from that of the controls, with higher sway velocity and maximum displacement of COP. Despite postural abnormalities such as hyperkyphosis and forward head, the COP position was posteriorized.
RESUMO
CONTEXTO E

OBJETIVO:

Pouco se sabe sobre o controle postural de idosos com osteoporose e sua relação com as quedas. Foi sugerido que idosas cifóticas com osteoporose têm maior risco de quedas. Esta pesquisa teve como objetivo avaliar o controle postural e a postura em idosas com e sem osteoporose. TIPO DE ESTUDO E LOCAL Estudo transversal realizado no Laboratório de Avaliação Fisioterapêutica e Eletromiografia da Faculdade de Medicina da Universidade de São Paulo (USP).

MÉTODOS:

Sessenta e seis mulheres idosas foram selecionadas da Clínica de Doenças Osteometabólicas da Divisão de Reumatologia da Universidade de São Paulo e divididas em dois grupos osteoporose e controle, de acordo com a densidade mineral óssea (DMO). Foi avaliado o controle postural pelos testes Limite de Estabilidade (LOS) e Modified Clinical Test of Sensory Interaction and Balance (CTSIBm) e a postura pela fotometria.

RESULTADOS:

As idosas com osteoporose oscilaram com maior velocidade em superfície firme com olhos abertos (0,30 x 0,20 graus/segundo, P = 0,038). O COP (centro de pressão) de ambos os grupos encontrava-se a 30 por cento do LOS, porém com posicionamentos distintos 156° no grupo osteoporose e 178° no grupo controle (P = 0,045). As osteoporóticas caíram com maior frequência em comparação aos controles (1,0 x 0,0, P = 0,036).

CONCLUSÃO:

O controle postural de idosas com osteoporose diferiu dos controles, com maior velocidade de oscilação e máximo deslocamento do COP, e que apesar da presença de alterações posturais como hipercifose e anteriorização de cabeça, o COP se encontrou posteriorizado.
Subject(s)

Full text: Available Index: LILACS (Americas) Main subject: Osteoporosis / Posture / Postural Balance / Kyphosis Type of study: Etiology study / Observational study / Prevalence study / Risk factors Limits: Aged / Aged80 / Female / Humans Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2010 Type: Article / Project document

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Full text: Available Index: LILACS (Americas) Main subject: Osteoporosis / Posture / Postural Balance / Kyphosis Type of study: Etiology study / Observational study / Prevalence study / Risk factors Limits: Aged / Aged80 / Female / Humans Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2010 Type: Article / Project document