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[Prediction of the risk of falls and fractures using stabilometric studies in the elderly.]
Y A Safonova1,2, E G Zotkin1,3, O A Klitsenko1
1I.I.Mechnikov Northwestern State Medical University, 41, Kirochnaya str., St. Petersburg, 191015, Russian Federation; е-mail: jula_safonova@mail.ru.
Abstract:
The purpose of our study was to evaluate the parameters of the stabilogram in people over 65 years of age and to identify the parameters of the stabilometric study, which had statistically significant connections with falls and fractures.The study included 308 patients older than 65 years, living in their own homes. To perform the research tests with open (OG) and eyes closed (MO). It uses the European approach positioning stop on the platform: the patient is installed in the position of the foot heels together, toes apart. Patients during the testing behavior did not use orthopedic vehicles as walkers, walking sticks.The study found gender differences in the speed V (p<0,01) and area S (p<0,01), the center of pressure stop (CD) on at Stabiloplatform conducting tests with open and closed eyes. At the age of 85 years found significant deviations of speed (V) CD stabilogram in open and closed eyes tests (p<0,01), corresponding to a high frequency of falls 61,36% (95% CI 45,5-75,6; p<0,05). In patients with rare (other) fractures, there were deviations in the mean direction of the oscillations during a sample with open eyes (OG) (p<0,05). There were no statistically significant differences in the stabilometric parameters in the presence of hip fractures and vertebral fractures (p>0,05). Thus, the stabilometry method can be used in elderly people for early detection of imbalance and the risk of developing falls that will prevent the development of fractures.
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