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Relationship Between Mobility and Arousal Level After Waking Up.
Masahiko Wakasa1, Sachiko Uemura, Wakako Ito
11Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita, Hondo, Japan. 2Department of Neuropsychiatry Section of Neuro and Locomotor Science, Akita University Graduate School of Medicine, Akita, Hondo, Japan.
Older adults experience reduced mobility and increased sleepiness after waking, potentially increasing fall risk. Monitoring arousal levels can aid in early morning fall prevention strategies.
Area of Science:
- Gerontology
- Sleep Medicine
- Biomechanics
Background:
- Falls are a significant concern for older adults, particularly in the morning.
- Limited research exists on morning falls linked to arousal and immediate post-awakening mobility.
Purpose of the Study:
- To investigate the relationship between arousal levels, mobility, and falls in older adults during early morning hours.
Main Methods:
- Evaluated arousal and mobility in 14 older adults using Timed Up and Go, Functional Reach, postural sway, and critical frequency of fusion tests.
- Measured subjective sleepiness using the Stanford Sleepiness Scale.
- Assessed changes from 4:00 AM to 2:00 PM, comparing post-awakening to pre-sleep baseline.
Main Results:
- Significant decreases in Timed Up and Go test speed and increased sleepiness (Stanford Sleepiness Scale) were observed after waking compared to before sleep.
- Morning mobility was slower, and sleepiness levels were higher in participants post-awakening.
Conclusions:
- Reduced arousal levels in the early morning appear to negatively impact mobility in older adults.
- Awareness and monitoring of arousal levels may enhance fall prevention strategies for this demographic in the morning.
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