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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

Backward disequilibrium in elderly subjects.

Patrick Manckoundia¹, France Mourey, Dominic Pérennou

¹Department of Internal Medicine and Geriatrics, University Hospital, Dijon, France. patrick.manckoundia@chu-dijon.fr

Clinical Interventions in Aging

|March 14, 2009

Summary

Backward disequilibrium, a common postural disorder, involves a posterior center of mass shift, increasing fall risk in the elderly. This review covers its causes, consequences, and management strategies.

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Area of Science:

Gerontology
Neurology
Biomechanics

Background:

Backward disequilibrium is frequently observed in clinical practice but lacks epidemiological data.
It is defined by a posterior position of the center of mass relative to the base of support.
This postural disorder can lead to backward falls and a loss of autonomy.

Purpose of the Study:

To review backward disequilibrium in elderly subjects.
To discuss the causes, consequences, assessment, and management of this condition.

Main Methods:

Literature review of backward disequilibrium in the elderly.
Analysis of causes including somatic, psychosomatic, and psychological factors.
Examination of consequences, assessment methods, and management strategies.

Main Results:

Backward disequilibrium is associated with various neurological and psychological conditions.
Posterior trunk tilt is a common characteristic, increasing fall predisposition.
A cycle of falls and loss of autonomy is a primary consequence.

Conclusions:

Backward disequilibrium is a significant geriatric issue requiring comprehensive assessment and management.
Understanding the multifactorial causes is crucial for effective intervention.
Addressing backward disequilibrium can mitigate fall risk and preserve autonomy in older adults.