Banca de DEFESA: ADRIANA GUEDES CARLOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : ADRIANA GUEDES CARLOS
DATA : 22/12/2016
HORA: 08:30
LOCAL: Auditório do Departamento de Fisioterapia
TÍTULO:

FACTORS RELATED TO POSTURAL CONTROL IN ELDERLY WITH TYPE-2 DIABETES MELLITUS

PALAVRAS-CHAVES:

Elderly, Accident by Fall. Postural Balance. Diabetes Mellitus, Health Assessment.

PÁGINAS: 60
GRANDE ÁREA: Ciências da Saúde
ÁREA: Fisioterapia e Terapia Ocupacional
RESUMO:

Introduction: Diabetes Mellitus (DM) has been a risk factor for other comorbidities in elderly due to the functional abnormalities of the sensorial, motor and autonomic systems that are exposed to the lack of control of the carbohydrate metabolism, they can  compromise the Postural Control (PC) in the daily tasks, making them  most susceptible to falls. Objectives:  Verifying the association between the system of postural control, evaluated by the Mini BESTest, and sociodemographic, clinical, functional and psycho-cognitive data of the elderly with type-2 DM (DM2). Method: This is an observational, cross-sectional, observational study in which 90 male and female individuals,  aged 60 years or over were evaluated. The elderly were also evaluated through the Mini Mental State Test, Geriatric Depression Scale and WHODAS instruments. The Mann-Whitney tests, from Kruskal-Wallis followed by the Tukey's test and the Spearman's Correlation Coefficient (ρ), p <0.05, were applied. Results: The sample showed a female msjority (65.6%), with a mean age of 68.6 ± 7.5 years. The mean number of diseases associated with DM2 was 3.1 ± 0.7 and the mean number of drugs  was 5.8 ± 2.8. Most of the elderly reported having been diagnosed with DM more than ten years ago (51.2%). The average  of Mini BESTest was (74.3%), the worst performing session was Postural Responses (57.1%), while Sensory Orientation achieved the best performance (89.8%). There were significant associations between the total score of the Mini BESTest and the categories of variables: age range (p <0.001), schooling (p = 0.024), vision (p = 0.002), regular physical activity (P = 0.021), diseases of the respiratory system (p = 0.02), medications in use for the nervous system (p = 0.001), use of walking device (p = 0.001), number of mental and / or behavioral disorders (P = 0.026), pain in the lower limbs (p = 0.019), falls in the last year (p = 0.001), fear of falls (p = 0.006), P = 0.035), tendency to falls (p = 0.012), mobility and risk of falls (p <0.001), complaint of dizziness (p = 0.008) and depressive symptoms (p = 0.001). Significant correlations were found between the Mini BESTest score and the quantitative variables: age (ρ = -0.391, p <0.001), number of diseases (ρ = -0.278, p = 0.031), pain in MMII (ρ = -0.279; (P = 0.008), palmar grip strength (ρ = 0.227, p = 0.033), Mini Mental State Examination (ρ = -0.295, p = 0.005), Geriatric Depression Scale (ρ = -0.389, p <0.001) and Functional Performance (ρ = -0.504, p <0.001). Conclusions: The PC of elderly with type-2 diabetes mellitus is more compromised when associated with age, low schooling, greater number of diseases, worse visual perception, physical inactivity, decreased strength in the dominant upper limb, presence of behavioral and or mental illness and respiratory problems, use of medications for the nervous system, use of gaiters, greater number of changes in feet, calluses in feet, dermatological alterations, pain in lower members (MMI)I, recurrent falls, fear of falls, tendency to falls, risk Of falls, impairment in mobility, complaint of dizziness and presence of depressive symptoms

MEMBROS DA BANCA:
Interno - 2179208 - ANA RAQUEL RODRIGUES LINDQUIST
Externo à Instituição - FLÁVIA DONÁ SIMONE - UNIAN
Presidente - 2090691 - JULIANA MARIA GAZZOLA