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https://repositorio.ufms.br/handle/123456789/4908| Tipo: | Artigo de Periódico |
| Título: | Impacto da cognição sobre o equilíbrio em idosos com e sem doença de Alzheimer |
| Autor(es): | Silva, Aliny de Paula Araújo, Priscilla de Figueiredo Amaral, Fernanda França Sobrinho Jr, Sidney Afonso Burke, Thomaz Nogueira Christofoletti, Gustavo |
| Resumo: | Objetivo: Investigar a funcionalidade e o equilíbrio de idosos com e sem doença de Alzheimer (DA) submetidos a diversas bases de apoio e informações visuais, e analisar se as funções cognitivas impactam o equilíbrio de forma similar no idoso com e sem DA. Métodos: Vinte e seis idosos, sendo 10 com DA e 16 controles saudáveis participaram desse estudo. Os participantes foram submetidos a testes cognitivos gerais (Mini-Exame do Estado Mental) e específicos para funções cognitivas pré-frontais (Bateria de Avaliação Frontal, Teste do Desenho do Relógio e Teste de Fluência Verbal Semântica). A análise da funcionalidade ocorreu por meio do Índice de Pfeffer. Testes de equilíbrio foram realizados na plataforma de força, diante de bases de apoio de 30 e 10 cm, e informações visuais presentes e ausentes. A análise estatística envolveu os testes U-Mann Whitney, Friedman e índice de correlação de Spearman, sob significância de 5% (p<0,05). Resultados: Os resultados apontam que idosos com DA apresentam maior declínio cognitivo e funcional que idosos saudáveis. Os testes da plataforma de força indicaram semelhança do equilíbrio entre grupos, mas com impacto diferente das simulações de bases de apoio e informações visuais. Testes cognitivos pré-frontais mostraram associação significativa entre cognição e tarefas motores, sobretudo nas tarefas mais desafiadores. Conclusão: O declínio funcional e cognitivo na DA tende a impactar o equilíbrio de forma diferente que em idosos saudáveis. Associação entre teste cognitivos pré-frontais e tarefas motores demonstra necessidade do fisioterapeuta abordar situações desafiadoras durante sessões de tratamento. |
| Abstract: | Objective: To investigate the functionality and the balance of older adults with and without Alzheimer's disease (AD) submitted to various support bases and visual information, and to analyze whether cognitive functions influence balance similarly in subjects with and without AD. Methods: Twenty-six older adults, 10 with AD and 16 healthy controls peers were enrolled in this study. Participants underwent general cognitive tests (Mini-Mental State Examination) and specific cognitive prefrontal tests (Frontal Assessment Battery, Clock Drawing Test, and Semantic Verbal Fluency Test). Functionality was performed by Pfeffer Index. Balance tests were accomplished on the force platform, under 30 and 10 cm support bases, and present and absent visual information. Statistical analysis involved the Mann Whitney U-test, Friedman and Spearman correlation index, with significance level of 5% (p<0.05). Results: The results showed that older adults with AD have greater cognitive and functional decline than healthy control peers. Force platform tests indicated similarity between groups for balance, but with different impact of support base and visual information in each group. Prefrontal cognitive tests showed significant association between cognition and motor tasks, especially when more challenging the tasks are. Conclusion: The functional and cognitive decline of AD tends to impact balance differently than healthy older adults. The association between prefrontal cognitive tests and motor functions demonstrates the need of physiotherapists to address challenging situations during treatment sessions. |
| Palavras-chave: | Doença de Alzheimer Saúde do Idoso Equilíbrio postural Cognição |
| CNPq: | Fisioterapia e Terapia Ocupacional |
| Idioma: | por |
| País: | Brasil |
| Editor: | Universidade Estadual de Goiás |
| Sigla da Instituição: | UEG |
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| Tipo de acesso: | Acesso Aberto Attribution-NoDerivs 3.0 Brazil |
| metadata.dc.rights.uri: | http://creativecommons.org/licenses/by-nd/3.0/br/ |
| Identificador DOI: | https://www.revista.ueg.br/index.php/movimenta/article/view/9563 |
| URI: | https://repositorio.ufms.br/handle/123456789/4908 |
| Data do documento: | 2-Mar-2020 |
| Aparece nas coleções: | INISA - Artigos publicados em periódicos |
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