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

• Grant number: 12/01770-1
• Support Opportunities: Regular Research Grants
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Daniela Cristina Carvalho de Abreu
• Grantee: Daniela Cristina Carvalho de Abreu
• Host 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

(10)

(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; ZANELLATO, NATHALIA FERNANDA GRECCO; GENOVEZ, MAIARA BAENA; ALVARENGA, ISABELLA CAMARGO; FAGANELLO-NAVEGA, FLAVIA ROBERTA; DE ABREU, DANIELA CRISTINA CARVALHO. sual and dual-task gait adaptations under visual stimulation in older adults at different age. AGING CLINICAL AND EXPERIMENTAL RESEARCH, v. 34, n. 2, SI, JUL 2021. (12/01770-1)

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. (16/24876-0, 12/01770-1)

DO AMARAL-FELIPE, KESIA MAISA; YAMADA, PATRICIA DE AGUIAR; CARVALHO DE ABREU, DANIELA CRISTINA; FREIRE JUNIOR, RENATO CAMPOS; ZULIANI STROPPA-MARQUES, ANA ELISA; FAGANELLO-NAVEGA, FLAVIA ROBERTA. Kinematic gait parameters for older adults with Parkinson's disease during street crossing simulation. HUMAN MOVEMENT SCIENCE, v. 70, APR 2020. (12/01770-1)

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. (12/01770-1)

CARVALHO DE ABREU, DANIELA CRISTINA; PORTO, JAQUELINE MELLO; TOFANI, PATRICIA SILVA; BRUNELLI BRAGHIN, ROBERTA DE MATOS; FREIRE JUNIOR, RENATO CAMPOS. Prediction of Reduced Gait Speed Using 5-Time Sit-to-Stand Test in Healthy Older Adults. JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION, v. 23, n. 5, p. 4-pg., 2022-04-27. (12/01770-1)

BRUNELLI BRAGHIN, ROBERTA DE MATOS; LIBARDI, ELISA CAVALHEIRO; JUNQUEIRA, CARINA; RODRIGUES, NATALIA CAMARGO; NOGUEIRA-BARBOS, MARCELLO HENRIQUE; MUNIZ RENNO, ANA CLAUDIA; CARVALHO DE ABREU, DANIELA CRISTINA. The effect of low-level laser therapy and physical exercise on pain, stiffness, function, and spatiotemporal gait variables in subjects with bilateral knee osteoarthritis: a blind randomized clinical trial. DISABILITY AND REHABILITATION, v. 41, n. 26, p. 8-pg., 2019-01-01. (12/01770-1, 13/18319-3)

YAMADA, PATRICIA DE AGUIAR; AMARAL-FELIPE, KESIA MAISA; SPINOSO, DEBORAH HEBLING; CARVALHO DE ABREU, DANIELA CRISTINA; ZULIANI STROPPA-MARQUES, ANA ELISA; FAGANELLO-NAVEGA, FLAVIA ROBERTA. Everyday tasks impair spatiotemporal variables of gait in older adults with Parkinson's disease. HUMAN MOVEMENT SCIENCE, v. 70, APR 2020. (12/01770-1)

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. (12/01770-1)

CARVALHO DE ABREU, DANIELA CRISTINA; FREIRE, JR., RENATO CAMPOS; PORTO, JAQUELINE MELLO; ERRERA MAGNANI, PAOLA; TOFANI PATRICIA, SILVA; RODRIGUES IOSIMUTA, NATALIA CAMARGO. Functional performance of older adults: A comparison between men and women. WOMEN & HEALTH, v. 61, n. 4, MAR 2021. (12/01770-1)

MAGNANI, PAOLA ERRERA; ZANELLATO, NATHALIA FERNANDA GRECCO; GENOVEZ, MAIARA BAENA; ALVARENGA, ISABELLA CAMARGO; FAGANELLO-NAVEGA, FLAVIA ROBERTA; DE ABREU, DANIELA CRISTINA CARVALHO. Usual and dual-task gait adaptations under visual stimulation in older adults at different ages. AGING CLINICAL AND EXPERIMENTAL RESEARCH, v. 34, n. 2, p. 7-pg., 2021-07-02. (12/01770-1)