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Clinical Section

Posturography and Risk of Recurrent Falls in Healthy Non-Institutionalized Persons Aged Over 65

Buatois S.a, b · Gueguen R.c · Gauchard G.C.a, d · Benetos A.b, e · Perrin P.P.a, d, f

Author affiliations

aBalance Control and Motor Performance, UFR STAPS, Henri Poincaré University-Nancy 1, Villers-lès-Nancy, bCentre d’Etudes et de Formation sur le Vieillissement (E.FOR.VIE. Centre), cCentre for Preventive Medicine, dNational Institute for Health and Medical Research (INSERM), ERI 11 [EP]2R, Faculty of Medicine, eDepartment of Geriatrics, University Hospital of Nancy, and fDepartment of ENT, University Hospital of Nancy, Vandoeuvre-lès-Nancy, France

Related Articles for ""

Gerontology 2006;52:345–352

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Article / Publication Details

First-Page Preview
Abstract of Clinical Section

Received: March 03, 2006
Accepted: April 02, 2006
Published online: October 31, 2006
Issue release date: October 2006

Number of Print Pages: 8
Number of Figures: 2
Number of Tables: 3

ISSN: 0304-324X (Print)
eISSN: 1423-0003 (Online)

For additional information: http://www.karger.com/GER

Abstract

Background: A poor postural stability in older people is associated with an increased risk of falling. The posturographic tool has widely been used to assess balance control; however, its value in predicting falls remains unclear. Objective: The purpose of this prospective study was to determine the predictive value of posturography in the estimation of the risk of recurrent falls, including a comparison with standard clinical balance tests, in healthy non-institutionalized persons aged over 65. Methods: Two hundred and six healthy non-institutionalized volunteers aged over 65 were tested. Postural control was evaluated by posturographic tests, performed on static, dynamic and dynamized platforms (static test, slow dynamic test and Sensory Organization Test [SOT]) and clinical balance tests (Timed ‘Up & Go’ test, One-Leg Balance, Sit-to-Stand-test). Subsequent falls were monitored prospectively with self-questionnaire sent every 4 months for a period of 16 months after the balance testing. Subjects were classified prospectively in three groups of Non-Fallers (0 fall), Single-Fallers (1 fall) and Multi-Fallers (more than 2 falls). Results: Loss of balance during the last trial of the SOT sensory conflicting condition, when visual and somatosensory inputs were distorted, was the best factor to predict the risk of recurrent falls (OR = 3.6, 95% CI = 1.3–10.11). Multi-Fallers showed no postural adaptation during the repetitive trials of this sensory condition, contrary to Non-Fallers and Single-Fallers. The Multi-Fallers showed significantly more sway when visual inputs were occluded. The clinical balance tests, the static test and the slow dynamic test revealed no significant differences between the groups. Conclusion: In a sample of non-institutionalized older persons aged over 65, posturographic evaluation by the SOT, especially with repetition of the same task in sensory conflicting condition, compared to the clinical tests and the static and dynamic posturographic test, appears to be a more sensitive tool to identify those at high-risk of recurrent falls.

© 2006 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Clinical Section

Received: March 03, 2006
Accepted: April 02, 2006
Published online: October 31, 2006
Issue release date: October 2006

Number of Print Pages: 8
Number of Figures: 2
Number of Tables: 3

ISSN: 0304-324X (Print)
eISSN: 1423-0003 (Online)

For additional information: http://www.karger.com/GER


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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