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The influence of balance exercise on gait pattern with or without association to dual-task in elderly

Grant number: 12/01770-1
Support type:Regular Research Grants
Duration: September 01, 2012 - February 28, 2015
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Principal Investigator:Daniela Cristina Carvalho de Abreu
Grantee:Daniela Cristina Carvalho de Abreu
Home Institution: Faculdade de Medicina de Ribeirão Preto (FMRP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil

Abstract

The aim of the present study is to evaluate the gait pattern associated or not to dual-task in elderly individuals with or without history of falls and/or fear of falling, besides the influence of balance exercise on the gait pattern. Both male and female subjects with 60 years or older will be randomized into three groups: Group A with 15 elderly who will perform 20 sessions of supervised balance exercises; Group B with 15 elderly who will perform 2 supervised balance exercises and 18 sessions of home balance exercises; Group C with 15 elderly who won't perform any balance exercise during 10 weeks (correspondent period of the intervention program). Anthropometric analysis (weight and height), Modified Baecke Questionnaire, which measures habitual physical activity in the elderly; Whoqol-bref to assess quality of life of the elderly; Falls Efficacy Scale - International (FES-I) - Brasil to assess fear of falling and questionnaire to evaluate the history of falls will be applied. The spatio-temporal gait variables (walk speed, step length, percentage of stance and percentage of single-leg stance) associated to the electromyography activity of vastus lateralis, tibialis anterior, biceps femoris, and gastrocnemius lateralis muscles will be evaluated during five conditions: walking with a self-selected velocity, gait with simple and complex cognitive tasks, gait with simple and complex motor tasks. The intervention balance program will consist of warm-up (10 minutes), , balance exercises (40 minutes) and relaxation part (5 minutes). The evaluations will be perform at baseline, after 10 weeks and with a follow-up of 3 months. For the statistical analysis, ANOVA, Pearson correlation test, linear regression model will be used. Univariate analyses and post-hoc tests (Tukey) will be employed whenever needed. The SPSS (SPSS for Windows - Version 11.0 - SPSS inc) will be used and differences were considered significant at p < 0.05. (AU)

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
MAGNANI, PAOLA ERRERA; FREIRE JUNIOR, RENATO CAMPOS; GRECCO ZANELLATO, NATHALIA FERNANDA; GENOVEZ, MAIARA BAENA; ALVARENGA, ISABELLA CAMARGO; CARVALHO DE ABREU, DANIELA CRISTINA. The influence of aging on the spatial and temporal variables of gait during usual and fast speeds in older adults aged 60 to 102 years. HUMAN MOVEMENT SCIENCE, v. 68, DEC 2019. Web of Science Citations: 0.
FREIRE JUNIOR, RENATO CAMPOS; PORTO, JAQUELINE MELLO; MARQUES, NISE RIBEIRO; MAGNANI, PAOLA ERRERA; CARVALHO DE ABREU, DANIELA CRISTINA. The effects of a simultaneous cognitive or motor task on the kinematics of walking in older fallers and non-fallers. HUMAN MOVEMENT SCIENCE, v. 51, p. 146-152, JAN 2017. Web of Science Citations: 8.
FREIRE JUNIOR, RENATO CAMPOS; PORTO, JAQUELINE MELLO; RODRIGUES, NATALIA CAMARGO; BRUNELLI, ROBERTA DE MATOS; PINTO BRAGA, LUIS FELIPE; CARVALHO DE ABREU, DANIELA CRISTINA. Spatial and temporal gait characteristics in pre-frail community-dwelling older adults. Geriatrics & Gerontology International, v. 16, n. 10, p. 1102-1108, OCT 2016. Web of Science Citations: 5.

Please report errors in scientific publications list by writing to: cdi@fapesp.br.