Efectividad de los miniplatos inestables para la mejora del equilibrio en pacientes geriátricos institucionalizados con síndrome de desequilibrio posterior. Ensayo clínico aleatorizado
- L. Moure Romero 1
- L. Guitard Sein-Echaluce 1
- X. Aguado Jódar 2
- L. Llurda Almuzara 1
- J. Casaña Granell 3
- R. Aiguadé Aiguadé 1
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1
Universitat de Lleida
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- 2 Universidad de Castilla-La Mancha, Toledo
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3
Universitat de València
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ISSN: 0211-5638
Año de publicación: 2018
Volumen: 40
Número: 5
Páginas: 249-256
Tipo: Artículo
Otras publicaciones en: Fisioterapia
Resumen
Introduction and objectives Backward disequilibrium syndrome is a postural disorder that involves a posterior shift of a person's centre of gravity relative to their base of support, which increases falling risks. This study aimed to determine whether a specific protocol with the use of unstable mini-boards can improve balance and motion in institutionalised elderly people diagnosed with backward disequilibrium syndrome. Materials and methods Single-blinded, 2-group, randomised controlled clinical trial. The patients were institutionalised adults, aged between 68 and 97, diagnosed with backward disequilibrium syndrome (n=77). The intervention group underwent a specific 12-week proprioception and balance exercise programme. The control group continued receiving the treatment they had been receiving so far. Outcomes we are assessed using the Timed Up and Go (TUG) scale, at baseline, weeks 6, 8 and 12. Results Size was 48 for the intervention group and 29 for the control group, which was considered well-balanced, for all the analysis factors. The results showed a mean reduction of 2.80s for the TUG in the intervention group in comparison with the control group. Conclusions The use of mini-boards proved to be a more effective method of treatment than conventional therapy, achieving greater improvements in balance. Results for TUG were satisfactory, given the characteristics of the target population. The low baseline TUG ratings determined less capacity to improve balance.