Abstract
AbstractPurposeDecline of the sensory and motor systems in older people negatively affects postural control. This increases the risk of falls, which is dangerous for older people in long-term care. Being aware of the quality of postural control and the factors affecting it among elderly people, is crucial in implementing an effective fall-prevention program. This study aimed to measure postural control and the demographic, health-related, and functional factors presumed to be correlated with it among nursing home residents. Another aim was to find valid screening tools based on these factors.Materials and methodsSeventy one nursing home residents were included. Postural control was measured using the Berg Balance Scale. Grip strength, the 30-s chair stand test, and the Timed Up and Go test were used to measure global muscle strength, and functional mobility, respectively. The results of these functional tests were dichotomized using age-specific reference values.ResultsPostural control was significantly worse in those who did not reach the age-specific reference values in any of the three functional tests. Effect sizes were large for functional mobility and medium for muscle strength. Multimorbidity and gender had no effect on postural control in our sample.ConclusionsAmong nursing home residents, postural control is related to functional mobility and muscle strength. Thus, routine testing of these skills among elderly people is an important task of the physiotherapist.
Highlights
Postural control, which is the basis of all human movement, compensates both the external forces acting on the body and internal forces occurring during movements [1]
Scores on the Berg Balance Scale (BBS) were significantly lower in those whose functional mobility did not reach age-specific reference values published in the literature
In our study, conducted among long-term-care institution residents, we investigated the relationships postural control has with functional mobility, global muscle strength of the upper and lower body, multimorbidity, and gender
Summary
Postural control, which is the basis of all human movement, compensates both the external forces acting on the body and internal forces occurring during movements [1]. The success of postural control depends on the integrity and efficiency of multiple organ systems: based on sensory information, the nervous system perceives and evaluates the spatial position of the body under both static and dynamic conditions. In this way, postural control continually adjusts body posture according to the purpose of the movements [2]. Improving postural control of the elderly is an essential component of many fall-prevention exercise programs They are most effective if we involve older people at risk as early as possible [5]
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