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 |
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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 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2312549366</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2371741674</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-a56867b226238c4c413da8a4d1e3ffc020fa949e595bbdb6e7f17a1e93534cf63</originalsourceid><addsrcrecordid>eNp9kU9PHSEUxYnR-K_9Al00JN10M8odYHgsG2NrExMTo2vCMJcnZmYYYSbmffvyfLY1LlwQuPA753JzCPkC7AwYU-dZMFmzioEui2tZsT1yDKpcrTjo_TfnI3KS8yNjAkpxSI44NBpAwjHZ3MY2zsHR1vZ2dEhtzpjzgONMw0hdHIZlDPOm6p6x78O4prHvMNEJ49QjfQ7zA-2C95i2inWyHWYaPQ3DZEN6sSnV9LDJwdm-yJKPadh2-kQOvO0zfn7dT8n9z8u7i6vq-ubX74sf15XjSs6Vlc2qUW1dNzVfOeHKCJ1dWdEBcu8dq5m3WmiUWrZt1zaoPCgLqLnkwvmGn5LvO98pxacF82yGkF0Zxo4Yl2xqDrUUmjdb9Ns79DEuaSy_K5QCJaBRolD1jnIp5pzQmymFwaaNAWa2wZhdMKYEY16CMayIvr5aL-2A3T_J3yQKwHdALk_jGtP_3h_Y_gFgmZqc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2371741674</pqid></control><display><type>article</type><title>Robotic balance assessment in community-dwelling older people with different grades of impairment of physical performance</title><source>SpringerLink Journals - AutoHoldings</source><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</creator><creatorcontrib>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</creatorcontrib><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 < 8,
n
= 29), intermediate performers (SPPB = 8–9,
n
= 29) and good 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.</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 & 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. 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 < 8,
n
= 29), intermediate performers (SPPB = 8–9,
n
= 29) and good 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.</description><subject>Balance</subject><subject>Disease</subject><subject>Falls</subject><subject>Fractures</subject><subject>Gait</subject><subject>Geriatrics</subject><subject>Geriatrics/Gerontology</subject><subject>Hospitals</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Older people</subject><subject>Original Article</subject><subject>Rehabilitation</subject><subject>Robotics</subject><subject>Studies</subject><issn>1720-8319</issn><issn>1594-0667</issn><issn>1720-8319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU9PHSEUxYnR-K_9Al00JN10M8odYHgsG2NrExMTo2vCMJcnZmYYYSbmffvyfLY1LlwQuPA753JzCPkC7AwYU-dZMFmzioEui2tZsT1yDKpcrTjo_TfnI3KS8yNjAkpxSI44NBpAwjHZ3MY2zsHR1vZ2dEhtzpjzgONMw0hdHIZlDPOm6p6x78O4prHvMNEJ49QjfQ7zA-2C95i2inWyHWYaPQ3DZEN6sSnV9LDJwdm-yJKPadh2-kQOvO0zfn7dT8n9z8u7i6vq-ubX74sf15XjSs6Vlc2qUW1dNzVfOeHKCJ1dWdEBcu8dq5m3WmiUWrZt1zaoPCgLqLnkwvmGn5LvO98pxacF82yGkF0Zxo4Yl2xqDrUUmjdb9Ns79DEuaSy_K5QCJaBRolD1jnIp5pzQmymFwaaNAWa2wZhdMKYEY16CMayIvr5aL-2A3T_J3yQKwHdALk_jGtP_3h_Y_gFgmZqc</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>Cella, Alberto</creator><creator>De Luca, Alice</creator><creator>Squeri, Valentina</creator><creator>Parodi, Sara</creator><creator>Puntoni, Matteo</creator><creator>Vallone, Francesco</creator><creator>Giorgeschi, Angela</creator><creator>Garofalo, Valentina</creator><creator>Zigoura, Ekaterini</creator><creator>Senesi, Barbara</creator><creator>De Michieli, Lorenzo</creator><creator>Saglia, Jody</creator><creator>Sanfilippo, Carlo</creator><creator>Pilotto, Alberto</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20200301</creationdate><title>Robotic balance assessment in community-dwelling older people with different grades of impairment of physical performance</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-a56867b226238c4c413da8a4d1e3ffc020fa949e595bbdb6e7f17a1e93534cf63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Balance</topic><topic>Disease</topic><topic>Falls</topic><topic>Fractures</topic><topic>Gait</topic><topic>Geriatrics</topic><topic>Geriatrics/Gerontology</topic><topic>Hospitals</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Older people</topic><topic>Original Article</topic><topic>Rehabilitation</topic><topic>Robotics</topic><topic>Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Aging clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cella, Alberto</au><au>De Luca, Alice</au><au>Squeri, Valentina</au><au>Parodi, Sara</au><au>Puntoni, Matteo</au><au>Vallone, Francesco</au><au>Giorgeschi, Angela</au><au>Garofalo, Valentina</au><au>Zigoura, Ekaterini</au><au>Senesi, Barbara</au><au>De Michieli, Lorenzo</au><au>Saglia, Jody</au><au>Sanfilippo, Carlo</au><au>Pilotto, Alberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic balance assessment in community-dwelling older people with different grades of impairment of physical performance</atitle><jtitle>Aging clinical and experimental research</jtitle><stitle>Aging Clin Exp Res</stitle><addtitle>Aging Clin Exp Res</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>32</volume><issue>3</issue><spage>491</spage><epage>503</epage><pages>491-503</pages><issn>1720-8319</issn><issn>1594-0667</issn><eissn>1720-8319</eissn><abstract>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 < 8,
n
= 29), intermediate performers (SPPB = 8–9,
n
= 29) and good 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.</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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source | SpringerLink Journals - AutoHoldings |
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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