Robotic balance assessment in community-dwelling older people with different grades of impairment of physical performance

Background Impaired physical performance is common in older adults and has been identified as a major risk factor for falls. To date, there are no conclusive data on the impairment of balance parameters in older subjects with different levels of physical performance. Aims The aim of this study was t...

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Veröffentlicht in:Aging clinical and experimental research 2020-03, Vol.32 (3), p.491-503
Hauptverfasser: Cella, Alberto, De Luca, Alice, Squeri, Valentina, Parodi, Sara, Puntoni, Matteo, Vallone, Francesco, Giorgeschi, Angela, Garofalo, Valentina, Zigoura, Ekaterini, Senesi, Barbara, De Michieli, Lorenzo, Saglia, Jody, Sanfilippo, Carlo, Pilotto, Alberto
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container_end_page 503
container_issue 3
container_start_page 491
container_title Aging clinical and experimental research
container_volume 32
creator Cella, Alberto
De Luca, Alice
Squeri, Valentina
Parodi, Sara
Puntoni, Matteo
Vallone, Francesco
Giorgeschi, Angela
Garofalo, Valentina
Zigoura, Ekaterini
Senesi, Barbara
De Michieli, Lorenzo
Saglia, Jody
Sanfilippo, Carlo
Pilotto, Alberto
description Background Impaired physical performance is common in older adults and has been identified as a major risk factor for falls. To date, there are no conclusive data on the impairment of balance parameters in older subjects with different levels of physical performance. Aims The aim of this study was to investigate the relationship between different grades of physical performance, as assessed by the Short Physical Performance Battery (SPPB), and the multidimensional balance control parameters, as measured by means of a robotic system, in community-dwelling older adults. Methods This study enrolled subjects aged ≥ 65 years. Balance parameters were assessed by the hunova robot in static and dynamic (unstable and perturbating) conditions, in both standing and seated positions and with the eyes open/closed. Results The study population consisted of 96 subjects (62 females, mean age 77.2 ± 6.5 years). According to their SPPB scores, subjects were separated into poor performers (SPPB  9, n  = 38). Poor performers displayed significantly worse balance control, showing impaired trunk control in most of the standing and sitting balance tests, especially in dynamic (both with unstable and perturbating platform/seat) conditions. Conclusions For the first time, multidimensional balance parameters, as detected by the hunova robotic system, were significantly correlated with SPPB functional performances in community-dwelling older subjects. In addition, balance parameters in dynamic conditions proved to be more sensitive in detecting balance impairments than static tests.
doi_str_mv 10.1007/s40520-019-01395-0
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To date, there are no conclusive data on the impairment of balance parameters in older subjects with different levels of physical performance. Aims The aim of this study was to investigate the relationship between different grades of physical performance, as assessed by the Short Physical Performance Battery (SPPB), and the multidimensional balance control parameters, as measured by means of a robotic system, in community-dwelling older adults. Methods This study enrolled subjects aged ≥ 65 years. Balance parameters were assessed by the hunova robot in static and dynamic (unstable and perturbating) conditions, in both standing and seated positions and with the eyes open/closed. Results The study population consisted of 96 subjects (62 females, mean age 77.2 ± 6.5 years). According to their SPPB scores, subjects were separated into poor performers (SPPB &lt; 8, n  = 29), intermediate performers (SPPB = 8–9, n  = 29) and good performers (SPPB &gt; 9, n  = 38). Poor performers displayed significantly worse balance control, showing impaired trunk control in most of the standing and sitting balance tests, especially in dynamic (both with unstable and perturbating platform/seat) conditions. Conclusions For the first time, multidimensional balance parameters, as detected by the hunova robotic system, were significantly correlated with SPPB functional performances in community-dwelling older subjects. In addition, balance parameters in dynamic conditions proved to be more sensitive in detecting balance impairments than static tests.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-019-01395-0</identifier><identifier>PMID: 31691151</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Balance ; Disease ; Falls ; Fractures ; Gait ; Geriatrics ; Geriatrics/Gerontology ; Hospitals ; Medicine ; Medicine &amp; Public Health ; Older people ; Original Article ; Rehabilitation ; Robotics ; Studies</subject><ispartof>Aging clinical and experimental research, 2020-03, Vol.32 (3), p.491-503</ispartof><rights>Springer Nature Switzerland AG 2019</rights><rights>Aging Clinical and Experimental Research is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-a56867b226238c4c413da8a4d1e3ffc020fa949e595bbdb6e7f17a1e93534cf63</citedby><cites>FETCH-LOGICAL-c375t-a56867b226238c4c413da8a4d1e3ffc020fa949e595bbdb6e7f17a1e93534cf63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40520-019-01395-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40520-019-01395-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31691151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cella, Alberto</creatorcontrib><creatorcontrib>De Luca, Alice</creatorcontrib><creatorcontrib>Squeri, Valentina</creatorcontrib><creatorcontrib>Parodi, Sara</creatorcontrib><creatorcontrib>Puntoni, Matteo</creatorcontrib><creatorcontrib>Vallone, Francesco</creatorcontrib><creatorcontrib>Giorgeschi, Angela</creatorcontrib><creatorcontrib>Garofalo, Valentina</creatorcontrib><creatorcontrib>Zigoura, Ekaterini</creatorcontrib><creatorcontrib>Senesi, Barbara</creatorcontrib><creatorcontrib>De Michieli, Lorenzo</creatorcontrib><creatorcontrib>Saglia, Jody</creatorcontrib><creatorcontrib>Sanfilippo, Carlo</creatorcontrib><creatorcontrib>Pilotto, Alberto</creatorcontrib><title>Robotic balance assessment in community-dwelling older people with different grades of impairment of physical performance</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description>Background Impaired physical performance is common in older adults and has been identified as a major risk factor for falls. 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Poor performers displayed significantly worse balance control, showing impaired trunk control in most of the standing and sitting balance tests, especially in dynamic (both with unstable and perturbating platform/seat) conditions. Conclusions For the first time, multidimensional balance parameters, as detected by the hunova robotic system, were significantly correlated with SPPB functional performances in community-dwelling older subjects. 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To date, there are no conclusive data on the impairment of balance parameters in older subjects with different levels of physical performance. Aims The aim of this study was to investigate the relationship between different grades of physical performance, as assessed by the Short Physical Performance Battery (SPPB), and the multidimensional balance control parameters, as measured by means of a robotic system, in community-dwelling older adults. Methods This study enrolled subjects aged ≥ 65 years. Balance parameters were assessed by the hunova robot in static and dynamic (unstable and perturbating) conditions, in both standing and seated positions and with the eyes open/closed. Results The study population consisted of 96 subjects (62 females, mean age 77.2 ± 6.5 years). According to their SPPB scores, subjects were separated into poor performers (SPPB &lt; 8, n  = 29), intermediate performers (SPPB = 8–9, n  = 29) and good performers (SPPB &gt; 9, n  = 38). Poor performers displayed significantly worse balance control, showing impaired trunk control in most of the standing and sitting balance tests, especially in dynamic (both with unstable and perturbating platform/seat) conditions. Conclusions For the first time, multidimensional balance parameters, as detected by the hunova robotic system, were significantly correlated with SPPB functional performances in community-dwelling older subjects. In addition, balance parameters in dynamic conditions proved to be more sensitive in detecting balance impairments than static tests.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>31691151</pmid><doi>10.1007/s40520-019-01395-0</doi><tpages>13</tpages></addata></record>
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subjects Balance
Disease
Falls
Fractures
Gait
Geriatrics
Geriatrics/Gerontology
Hospitals
Medicine
Medicine & Public Health
Older people
Original Article
Rehabilitation
Robotics
Studies
title Robotic balance assessment in community-dwelling older people with different grades of impairment of physical performance
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