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do Nascimento LM, da Cruz TGC, Silva JFDLE, Silva LP, Inácio BB, Sadamitsu CMO, Scheicher ME. Use of Intrinsic Capacity Domains as a Screening Tool in Public Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4227. [PMID: 36901237 PMCID: PMC10002144 DOI: 10.3390/ijerph20054227] [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: 12/20/2022] [Revised: 02/16/2023] [Accepted: 02/20/2023] [Indexed: 06/18/2023]
Abstract
The World Health Organization (WHO) created the concept of Integrated Care for Older People and one of its constructs is intrinsic capacity (IC). The study aimed to carry out a screening with the tools designated by the WHO to assess the IC domains and whether they can be used as indicators for decision-making on integrated care for older people based on risk categorization. The interaction between the risk category and the domain scores was verified. One hundred and sixty three (163) community-dwelling older people of both genders were evaluated. Domains assessed: cognitive, psychological, vitality, locomotion, and sensory. Scores indicating a low, moderate and high risk were assigned to each domain. For all domains, there were individuals in all risk groups. Effect of risk on the domains: cognitive [χ2(2) = 134.042; p < 0.001], psychological [χ2(2) = 92.865; p < 0.001], vitality [χ2(2) = 129.564; p < 0.001], locomotion [χ2(2) = 144.101; p < 0.001], and sensory [χ2(2) = 129.037; p < 0.001]. Scores of the CI domains were affected by the risk category. There were individuals in all risk groups, demonstrating the importance of screening as a public health strategy, making it possible to know which risk category each elderly person belongs to and thus develop strategies in the short-, medium- and long-term.
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Affiliation(s)
- Livia Maria do Nascimento
- Graduate Program in Human Development and Technologies, Institute of Biosciences, Paulista State University—UNESP, Rio Claro 13506-900, SP, Brazil
| | - Thainá Gabriele Camargo da Cruz
- Graduate Program in Human Development and Technologies, Institute of Biosciences, Paulista State University—UNESP, Rio Claro 13506-900, SP, Brazil
| | | | - Letícia Prado Silva
- Department of Physical Therapy and Occupational Therapy, Paulista State University—UNESP, Marília1 7525-900, SP, Brazil
| | - Beatriz Bigatão Inácio
- Department of Physical Therapy and Occupational Therapy, Paulista State University—UNESP, Marília1 7525-900, SP, Brazil
| | - Carolina Masumi Oki Sadamitsu
- Department of Physical Therapy and Occupational Therapy, Paulista State University—UNESP, Marília1 7525-900, SP, Brazil
| | - Marcos Eduardo Scheicher
- Graduate Program in Human Development and Technologies, Institute of Biosciences, Paulista State University—UNESP, Rio Claro 13506-900, SP, Brazil
- Department of Physical Therapy and Occupational Therapy, Paulista State University—UNESP, Marília1 7525-900, SP, Brazil
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Quialheiro A, Bobinski F, Haefliger JDG, Del Antonio R, Lins EF, Martins DF, d'Orsi E, Xavier AJ, Peres MA. A comprehensive program of cognitive stimulation with digital inclusion, physical activity and social interaction can modify BDNF levels and improve cognition in adults over 50: a randomized controlled pilot study. Aging Ment Health 2022; 26:1979-1987. [PMID: 34405737 DOI: 10.1080/13607863.2021.1966742] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
OBJECTIVES To analyze the effect of a comprehensive program of cognitive stimulation with digital inclusion, physical activity and social interaction, called "Oficina da Lembrança" (OL), on the cognitive status and concentration of biomarkers of neuroplasticity, neurodegeneration in adults aged 50 years and over attending a Memory Clinic. METHODS In this pilot randomized controlled study, 64 patients without dementia aged 45 to 79 years, seen at a University Memory Clinic in Southern Brazil, were randomly allocated to the intervention and control groups. The intervention consisted of participation in OL for 12 weeks. Serum biomarkers (brain-derived neurotrophic factor [BDNF], S100β, and neuron-specific enolase [NSE]) and cognitive status were analyzed as primary and secondary outcomes. The Wilcoxon test and Generalized Estimating Equations (GEE) were applied. RESULTS Of the 64 patients invited to participate in the study, 33 (intervention: 17, control: 16) completed the study with all data. Improvement of cognitive status was significant in the intervention group (22.6 to 24.5) but not in the control group (20.1 to 21.1). There was a significant reduction of BDNF in OL participants, but no significant change was observed in the neurodegenerative biomarkers S100β or NSE. The concentration of BDNF decreased significantly post-OL in the intervention group (-288.1, 95%CI -362.1 to -94.1), even after adjusting for sex, age, and educational level. Cognitive status was significantly improved in OL participants. CONCLUSION The OL program improved cognitive status, reduced serum BDNF levels, and empowered digitally excluded older adults. There was no effect of this intervention on S100β or NSE. CLINICAL TRIAL REGISTRATION This study has a Universal Trial Number (UTN) U1111-1195-2642 and was registered in the Brazilian Clinical Trials Registry (ReBEC), number RBR-38X665.
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Affiliation(s)
- Anna Quialheiro
- Postgraduate Program in Public Health, Federal University of Santa Catarina (UFSC), Florianopolis, Brazil.,Physiotherapy Course, University of Southern Santa Catarina (UNISUL), Palhoca, Brazil.,Life and Health Sciences Research Institute (ICVS), Medicine School, University of Minho, Portugal
| | - Franciane Bobinski
- Experimental Neuroscience Laboratory (LaNex), Postgraduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Palhoca, Brazil
| | | | - Renata Del Antonio
- Hospital of the Federal University of Santa Catarina (UFSC), Florianopolis, Brazil
| | - Elisa Flores Lins
- Experimental Neuroscience Laboratory (LaNex), Postgraduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Palhoca, Brazil
| | - Daniel Fernandes Martins
- Experimental Neuroscience Laboratory (LaNex), Postgraduate Program in Health Sciences, University of Southern Santa Catarina (UNISUL), Palhoca, Brazil
| | - Eleonora d'Orsi
- Postgraduate Program in Public Health, Federal University of Santa Catarina (UFSC), Florianopolis, Brazil
| | - André Junqueira Xavier
- Postgraduate Program in Public Health, Federal University of Santa Catarina (UFSC), Florianopolis, Brazil.,Medicine Course, University of Southern Santa Catarina (UNISUL), Palhoca, Brazil
| | - Marco Aurélio Peres
- National Dental Research Institute Singapore, National Dental Centre Singapore, Oral Health ACP, Health Services and Systems Research Programme, Duke-NUS Medical School, Singapore, Singapore
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Pires LA, Almeida ALMD, Paraízo MDA, Corrêa JODA, Dias DDS, Fernandes NDS, Ezequiel DGA, Paula RBD, Fernandes NMDS. Cross-sectional assessment of mild cognitive impairment in pre-dialysis chronic kidney disease and its association with inflammation and changes seen on MRI: what the eyes cannot see. J Bras Nefrol 2022; 44:336-348. [PMID: 35167646 PMCID: PMC9518633 DOI: 10.1590/2175-8239-jbn-2021-0194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2021] [Accepted: 09/11/2021] [Indexed: 12/05/2022] Open
Abstract
Introduction: Mild cognitive impairment (MCI) is a prevalent and underdiagnosed condition in chronic kidney disease (CKD), that shares common pathophysiological factors such as chronic inflammation. Objective: To evaluate the association of MCI in CKD stages 1-5 using inflammatory markers and changes by magnetic resonance imaging (MRI). Patients and Methods: Cross-sectional study in adult patients with pre-dialysis CKD. MCI was assessed by the Montreal Cognitive Assessment (MoCA) and the estimated glomerular filtration rate (eGFR) by the Chronic Kidney Disease Epidemiology Collaboration equation. Sociodemographic and clinical data were collected from medical records. The cytokines IL-4, IL-6, IL-17, TNF-α and hs-CRP were determined. Brain MRI was performed in a 1.5 Tesla device, without paramagnetic contrast. A descriptive analysis followed by a comparison of abnormal versus normal MoCA scores among all studied variables. A linear regression analysis was performed using MoCA as a dependent variable, adjusted for confounding factors. Results: Of 111 invited patients, eighty completed the neuropsychological assessment and 56 underwent MRI, and were included in the study. Mean age was 56.3 ± 8.3 years and 51.8% (n = 29) had altered MoCA. When compared to the group with normal MoCA, the group with altered MoCA had higher levels of IL-6 and IL-17. There was no correlation between altered MoCA with eGFR or with MRI abnormalities. Conclusão: MCI assessed by MoCA was prevalent in patients with pre-dialysis CKD, it was associated with inflammation and showed no correlation with MRI changes.
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Affiliation(s)
- Leopoldo Antônio Pires
- Universidade Federal de Juiz de Fora, Brasil; Universidade Federal de Juiz de Fora, Brasil
| | | | | | | | - Débora dos Santos Dias
- Universidade Federal de Juiz de Fora, Brasil; Universidade Federal de Juiz de Fora, Brasil
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Callais Franco do Nascimento T, Martins Gervásio F, Pignolo A, Augusto Santos Bueno G, Araújo do Carmo A, Martins Ribeiro D, D’Amelio M, Augusto dos Santos Mendes F. Assessment of the Kinematic Adaptations in Parkinson's Disease Using the Gait Profile Score: Influences of Trunk Posture, a Pilot Study. Brain Sci 2021; 11:1605. [PMID: 34942907 PMCID: PMC8699192 DOI: 10.3390/brainsci11121605] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 11/29/2021] [Accepted: 11/29/2021] [Indexed: 01/14/2023] Open
Abstract
INTRODUCTION Postural abnormalities are common in patients with Parkinson's disease (PD) and lead to gait abnormalities. Relationships between changes in the trunk posture of PD patients and gait profile score (GPS) and gait spatiotemporal parameters are poorly investigated. The aim of the current study was to investigate the relationships between trunk posture, GPS, and gait spatiotemporal parameters, in patients with PD. MATERIALS AND METHODS Twenty-three people with PD and nineteen age-matched healthy people participated in this study. A 3D gait kinematical analysis was applied to all participants using the Plug-In Gait Full BodyTM tool. Trunk and limb kinematics patterns and gait spatio-temporal parameters of patients with PD and the control group were compared. Additionally, correlations between trunk kinematics patterns, gait spatio-temporal parameters, and GPS of the PD group were tested. RESULTS Cadence, opposite foot off, step time, single support, double support, foot off, gait speed, trunk kinematics, and GPS showed significant differences between the two groups (p ≤ 0.05). Posture of the trunk during gait was not related to the spatio-temporal parameters and gait profile score in the PD group. The trunk flexor pattern influenced GPS domains, mainly of the ankle and the knee. DISCUSSION AND CONCLUSIONS Flexed posture of the trunk in patients with PD seems to influence both ankle and knee movement patterns during the gait. The GPS analysis provided direct and simplified kinematic information for the PD group. These results may have implications for understanding the importance of considering the positioning of the trunk during gait.
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Affiliation(s)
- Tauana Callais Franco do Nascimento
- Graduate Program in Rehabilitation Sciences, University of Brasília, Federal District, Brasília 72220-275, DF, Brazil; (T.C.F.d.N.); (F.A.d.S.M.)
| | - Flavia Martins Gervásio
- Department of Physiotherapy and Physical Education, College of Sport, State University of Goiás, Goiânia 74075-110, GO, Brazil;
| | - Antonia Pignolo
- Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, 90129 Palermo, Italy;
| | - Guilherme Augusto Santos Bueno
- Graduate Program in Sciences and Health Technologies, University of Brasília, Federal District, Brasília 72220-275, DF, Brazil;
| | - Aline Araújo do Carmo
- Department of Physiotherapy, University of Brasília, Federal District, Brasília 72220-275, DF, Brazil;
| | - Darlan Martins Ribeiro
- Henrique Santillo State Center of Rehabilitation and Readaptation, Goiânia 74653-230, GO, Brazil;
| | - Marco D’Amelio
- Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, 90129 Palermo, Italy;
| | - Felipe Augusto dos Santos Mendes
- Graduate Program in Rehabilitation Sciences, University of Brasília, Federal District, Brasília 72220-275, DF, Brazil; (T.C.F.d.N.); (F.A.d.S.M.)
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Influence of Different Dual-Task Conditions During Straight or Curved Walking on Gait Performance of Physically Active Older Women With Cognitive Decline. J Aging Phys Act 2021; 30:411-420. [PMID: 34510022 DOI: 10.1123/japa.2021-0099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2021] [Revised: 07/02/2021] [Accepted: 07/03/2021] [Indexed: 11/18/2022]
Abstract
Real-world walking requires shifting attention from different cognitive demands to adapt gait. This study aims to evaluate the effect of dual tasking on spatiotemporal gait parameters of older adults. Participants were asked to perform a primary complex single-walking task, consisting of a fast-paced linear and a curved gait. Primary task was performed separately and simultaneously with different motor and cognitive secondary tasks. Spatiotemporal gait parameters, walk ratio, and walk stability ratio were measured. Apart from stride length, which stood relatively unchanged, gait speed and cadence were strongly affected by cognitive dual tasking. Cadence seems to be the most impacted by dual tasking during curved gait as it combines challenges of both primary and secondary tasks. Also, during curved phase, walking ratio was significantly lower and stability ratio was greater demonstrating that participants adopted a cautious gait where maintenance of stability took preference over efficiency.
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Feichtenberger PRP, Rocha MRL, Puga MEDS, Martinez JE. Screening for cognitive impairment among individuals aged 60 years or over: scoping review. SAO PAULO MED J 2021; 139:520-534. [PMID: 34287510 PMCID: PMC9632536 DOI: 10.1590/1516-3180.2020.0635.150321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 03/15/2021] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Growth in aging of the population has led to increasing numbers of elderly people presenting cognitive impairment and evolution to dementia. There is still no consensus within primary care on the best strategy for screening for cognitive impairment among elderly people. Standardization of a simple but reasonably accurate instrument for a brief cognitive test, in primary care environments, would enable healthcare professionals to identify individuals who require a more in-depth assessment of cognition. OBJECTIVES To investigate the instruments used by healthcare professionals in studies conducted worldwide and ascertain the most suitable instruments for screening for cognitive impairment among individuals aged 60 years or over, in the Brazilian population. DESIGN AND SETTING Scoping review developed at Pontifícia Universidade Católica de São Paulo, Brazil. METHOD A systematic search of the literature was conducted for primary studies using instruments to screen for cognitive impairment among individuals aged 60 years or over, in the MEDLINE, EMBASE, Cochrane Central and LILACS databases. RESULTS A total of 983 articles were identified by two independent reviewers, from which 49 were selected for full-text reading, based on the criteria defined for this review. From this, 16 articles adhering to the theme of screening for cognitive impairment among the elderly were selected for in-depth analysis. CONCLUSION The Mini-Mental State Examination was the instrument most cited in these studies. The Pfeffer Functional Activities Questionnaire and the Verbal Fluency Test (semantic category) present characteristics favoring further studies, for testing as screening instruments for cognitive impairment among elderly people in Brazil.
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Affiliation(s)
| | - Maura Regina Laureano Rocha
- MD, PhD. Speech Therapist, Audiology Specialist and Technical director, FONEC - Fonoaudiologia e Neurociência, Itapetininga (SP), Brazil.
| | - Maria Eduarda dos Santos Puga
- MD, PhD. Librarian, Information specialist at Cochrane Center in Brazil, São Paulo (SP), Brazil; and Director, Library Network, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
| | - José Eduardo Martinez
- MD, PhD. Rheumatologist and Full Professor, Department of Internal Medicine, Pontifícia Universidade Católica de São Paulo (PUC-SP), Sorocaba (SP), Brazil.
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Quialheiro A, Maestri T, Zimermann TA, Ziemann RMDS, Silvestre MV, Maio JMB, Xavier AJ, Villeneuve P, Salgado ASI, Viseux FJF, Martins DF. Stabilometric analysis as a cognitive function predictor in adults over the age of 50: A cross-sectional study conducted in a Memory Clinic. J Bodyw Mov Ther 2021; 27:640-646. [PMID: 34391300 DOI: 10.1016/j.jbmt.2021.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Revised: 03/18/2021] [Accepted: 04/18/2021] [Indexed: 11/15/2022]
Abstract
BACKGROUND The aging process reduces adaptive balance responses. Two-thirds of older adults with cognitive problems suffer at least one fall every year, a rate three times higher than that observed in older adults without dementia. This cross-sectional study aims to analyze the relationship between balance and cognitive status in adults older than 50 years. METHODS Individuals over the age of 50, who attended a Memory Clinic, were evaluated for balance changes using stabilometry, with analysis of the center of pressure (CoP). The following CoP parameters were assessed using an S-Plate pressure platform: 1) sway length, 2) sway area, and 3) anteroposterior and laterolateral sway (width, mean deviation, and speed). The individuals were evaluated with eyes open and closed for 30 s in each test. The Montreal Cognitive Assessment (MoCA) was used to assess cognitive status. RESULTS Eighty-seven subjects participated in the study. The average age was 67.8 years, 81.4% were female, and the average MoCA score was 19.8 points. Greater CoP oscillation was observed in the eyes closed condition, demonstrating greater postural imbalance. We found a significant and direct effect of MoCA score on the CoP area in the eyes open condition. CONCLUSION The results suggest that stabilometric analysis may be a predictor of cognitive function.
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Affiliation(s)
- Anna Quialheiro
- Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal; University of Southern Santa Catarina (UNISUL), Palhoça, SC, Brazil.
| | - Thaynara Maestri
- University of Southern Santa Catarina (UNISUL), Palhoça, SC, Brazil.
| | | | | | - Michelli Vitória Silvestre
- Postgraduate Program in Public Health, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil.
| | | | - André Junqueira Xavier
- University of Southern Santa Catarina (UNISUL), Palhoça, SC, Brazil; Postgraduate Program in Public Health, Federal University of Santa Catarina (UFSC), Florianópolis, SC, Brazil.
| | | | | | - Frederic Jean Francois Viseux
- Centre d'Evaluation et de Traitement de la Douleur (CETD), Centre Hospitalier de Valenciennes (CHV), Valenciennes, France.
| | - Daniel Fernandes Martins
- Postgraduate Program in Health Sciences, University of Southern Santa Catarina, Florianópolis, SC, Brazil.
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Vicentini JE, Weiler M, Casseb RF, Almeida SR, Valler L, de Campos BM, Li LM. Subacute functional connectivity correlates with cognitive recovery six months after stroke. NEUROIMAGE-CLINICAL 2020; 29:102538. [PMID: 33385880 PMCID: PMC7779317 DOI: 10.1016/j.nicl.2020.102538] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 11/19/2020] [Accepted: 12/15/2020] [Indexed: 12/27/2022]
Abstract
Stroke disrupts ipsilesional and inter-hemispheric functional connectivity of DMN. Subacute cognition correlated to inter-hemispheric and ipsilesional DMN connectivity. Subacute cognition correlated to weaker contralesional SN connectivity. Functional connectivity remapping was not observed after six months. Cognitive recovery correlated to DMN and SN connectivity from the subacute phase.
Background and purpose Cognitive impairment is a common consequence of stroke, and the rewiring of the surviving brain circuits might contribute to cognitive recovery. Studies investigating how the functional connectivity of networks change across time and whether their remapping relates to cognitive recovery in stroke patients are scarce. We aimed to investigate whether resting-state functional connectivity was associated with cognitive performance in stroke patients and if any alterations in these networks were correlated with cognitive recovery. Methods Using an fMRI ROI-ROI approach, we compared the ipsilesional, contralesional and interhemispheric functional connectivity of three resting-state networks involved in cognition – the Default Mode (DMN), Salience (SN) and Central Executive Networks (CEN), in subacute ischemic stroke patients (time 1, n = 37, stroke onset: 24.32 ± 7.44 days, NIHSS: 2.66 ± 3.45) with cognitively healthy controls (n = 20). Patients were reassessed six months after the stroke event (time 2, n = 20, stroke onset: 182.05 ± 8.17 days) to verify the subsequent reorganization of functional connections and whether such reorganization was associated with cognitive recovery. Results At time 1, patients had weaker interhemispheric connectivity in the DMN than controls; better cognitive performance at time 1 was associated with stronger interhemispheric and ipsilesional DMN connectivity, and weaker contralesional SN connectivity. At time 2, there were no changes in functional connectivity in stroke patients, compared to time 1. Better cognitive recovery measured at time 2 (time 2 – time 1) was associated with stronger functional connectivity in the DMN, and weaker interhemispheric subacute connectivity in the SN, both from time 1. Conclusions Stroke disrupts the functional connectivity of the DMN, not only at the lesioned hemisphere but also between hemispheres. Six months after the stroke event, we could not detect the remapping of networks. Cognitive recovery was associated with the connectivity of both the DMN and SN of time 1. Our findings may be helpful for facilitating further understanding of the potential mechanisms underlying post-stroke cognitive performance.
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Affiliation(s)
- Jéssica Elias Vicentini
- Brazilian Institute of Neuroscience and Neurotechnology - Brainn, Department of Neurology, Faculty of Medical Sciences - University of Campinas (UNICAMP), Brazil
| | - Marina Weiler
- Neurocognitive Aging Section, Laboratory of Behavioral Neuroscience, National Institute on Aging, National Institutes of Health (NIA/NIH), Intramural Research Program, United States
| | | | - Sara Regina Almeida
- Brazilian Institute of Neuroscience and Neurotechnology - Brainn, Department of Neurology, Faculty of Medical Sciences - University of Campinas (UNICAMP), Brazil
| | - Lenise Valler
- Brazilian Institute of Neuroscience and Neurotechnology - Brainn, Department of Neurology, Faculty of Medical Sciences - University of Campinas (UNICAMP), Brazil
| | - Brunno Machado de Campos
- Brazilian Institute of Neuroscience and Neurotechnology - Brainn, Department of Neurology, Faculty of Medical Sciences - University of Campinas (UNICAMP), Brazil
| | - Li Min Li
- Brazilian Institute of Neuroscience and Neurotechnology - Brainn, Department of Neurology, Faculty of Medical Sciences - University of Campinas (UNICAMP), Brazil.
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Effectiveness of a Treadmill Training Programme in Improving the Postural Balance on Institutionalized Older Adults. J Aging Res 2020; 2020:4980618. [PMID: 32148960 PMCID: PMC7013321 DOI: 10.1155/2020/4980618] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2019] [Revised: 10/20/2019] [Accepted: 01/04/2020] [Indexed: 11/18/2022] Open
Abstract
Background Institutionalized older adults have increased gait and balance impairment compared with community-dwelling older adults. The use of the treadmill for the rehabilitation process has been studied in different groups, but not in the institutionalized elderly. Objectives The objective of this study was to assess the effects of a treadmill walking workout program on the postural balance of institutionalized older adults. Methods Postural balance was assessed by the Berg Balance Scale (BBS), Short Physical Performance Battery (SPPB), gait speed, and Timed Up and Go Test (TUG) on 37 institutionalized older adults (23 in the intervention group and 14 in the control group). Training consisted of a 20-minute treadmill walking workout carried out twice a week for 10 weeks. Measurements were obtained before and after 10 weeks and with 1 month of follow-up for the intervention group. For the control group, the data were obtained before and after the training period. Results Significant improvement occurred in all motor function parameters (BBS: p < 0.01; gait speed: p < 0.01; gait speed: p < 0.01; gait speed: p < 0.01; gait speed: Conclusions The present results permit us to conclude that a treadmill walking program had positive effects on the postural balance of institutionalized older adults.
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