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Relação entre equilíbrio e a amplitude de movimento do tornozelo em idosos institucionalizados
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 11555 | 821.17 KB | Adobe PDF |
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Abstract(s)
O envelhecimento da população, e consequente aumento da esperança de vida, assume-se como uma nova realidade que caracteriza os países desenvolvidos e em desenvolvimento. A institucionalização em lares de terceira idade é também uma realidade crescente sendo, por isso, necessário que se encontrem formas de potenciar a qualidade de vida e as competências das pessoas idosas neste contexto. De acordo com a revisão da literatura ocorre uma diminuição do equilíbrio decorrente do processo de envelhecimento, que poderá potenciar um aumento do número de quedas, provocando maior dependência nas atividades da vida diária, podendo conduzir à institucionalização e causar uma diminuição da qualidade de vida. Assim, tornou-se pertinente averiguar se a amplitude de movimento do tornozelo influencia o equilíbrio dos idosos, pelo que, este estudo tem como objetivos: averiguar se ocorrem alterações de equilíbrio corporal nos idosos institucionalizados e verificar se existe alguma relação entre o equilíbrio dos idosos e a amplitude de movimento do tornozelo. A amostra foi constituída por 40 idosos, 20 do sexo feminino e 20 do sexo masculino, institucionalizados e com idade igual ou superior a 65 anos. Para medir a amplitude de movimento do tornozelo foi utilizado o Goniómetro Universal, para avaliar o equilíbrio recorremos ao Teste de Tinetti e aplicamos um questionário individual para proceder à recolha de dados. Após a avaliação e análise dos dados, observaram-se correlações positivas e significativas entre a amplitude de movimento do tornozelo e o equilíbrio corporal dos idosos institucionalizados. As correlações mais elevadas, embora moderadas, são entre o equilíbrio e a flexão dorsal ativa (FDA) (r=0,627 e p<0,05) e a flexão dorsal passiva (FDP) (r=0,611 e p<0,05) do tornozelo esquerdo com o joelho fletido. Este estudo sugere que todas as amplitudes de movimento da articulação do tornozelo desempenham um papel fundamental no equilíbrio.
Population ageing with subsequent increase in life expectation is a new reality faced by both developed and developing countries. The increasing number of care home residents creates the need to increase quality of life and competences for the users of these institutions. According to the literature, the ageing process can lead to a decrease in balance. This can increase the number of falls leading to greater dependence in daily life activities, force individuals to move to a care home and decrease quality of life. For these reasons it was considered relevant to investigate if the ankle range of motion has an influence on elderly individuals balance. The goals of this study are to test if there are changes in the balance when individuals move to a care home and check if there is a correlation between elderly people balance and ankle range of motion. The sample for this study consists of 40 care home users with age above 65 years of which 20 are male and 20 female. The Universal Goniometer was used to measure ankle range of motion. To test balance the Tinetti Test was used and an individual questionnaire was used to collect data on the individuals. The gathered data shows significant and positive correlation between ankle range of motion and the balance of care home users. The strongest correlations, although moderate, are between the active dorsiflexion (r=0,627, p<0,05) and passive dorsiflexion (r=0,611, p<0,05) of the left ankle with flexed knee and the balance. This study suggests that all the ranges of motion for the ankle articulation play an important role in balance.
Population ageing with subsequent increase in life expectation is a new reality faced by both developed and developing countries. The increasing number of care home residents creates the need to increase quality of life and competences for the users of these institutions. According to the literature, the ageing process can lead to a decrease in balance. This can increase the number of falls leading to greater dependence in daily life activities, force individuals to move to a care home and decrease quality of life. For these reasons it was considered relevant to investigate if the ankle range of motion has an influence on elderly individuals balance. The goals of this study are to test if there are changes in the balance when individuals move to a care home and check if there is a correlation between elderly people balance and ankle range of motion. The sample for this study consists of 40 care home users with age above 65 years of which 20 are male and 20 female. The Universal Goniometer was used to measure ankle range of motion. To test balance the Tinetti Test was used and an individual questionnaire was used to collect data on the individuals. The gathered data shows significant and positive correlation between ankle range of motion and the balance of care home users. The strongest correlations, although moderate, are between the active dorsiflexion (r=0,627, p<0,05) and passive dorsiflexion (r=0,611, p<0,05) of the left ankle with flexed knee and the balance. This study suggests that all the ranges of motion for the ankle articulation play an important role in balance.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Envelhecimento Idoso Institucionalização Equilíbrio Amplitude de movimento Tornozelo Ageing Elderly Care home residents Balance Range of motion Ankle