Hydrokinesiotherapy on functionality, falls and musculoskeletal disorders in elderly women
DOI:
https://doi.org/10.15448/1983-652X.2019.3.33229Keywords:
elderly, hydrotherapy, balance, falls, functionality.Abstract
Objectives: To evaluate the effects of a hydrokinesiotherapy program on functionality, risk of falls and musculoskeletal changes of active elderly women who participate on the Universidade Aberta à Terceira Idade (Pontifícia Universidade Católica de Goiás – UNATI PUC-GO). Secondarily, we also aimed to correlate the epidemiological profile with the functionality.
Materials and Methods: Quasi-experimental study, with a sample of 60 elderly women who attended FISIOÁGUA workshop for four months, twice a week, by fifty minutes. The functionality was evaluated by the Short Physical Performance Battery (SPPB) and the risk of falls by the Quick Screen Clinical Falls Risk Assessment. The statistical analysis was performed using the SPSS. The Kolmogorov-Smirnov test was used to determinate the normality of the data, the Wilcoxon test for comparisons and to evaluate correlations the Pearson’s correlation index was used, with a significance level of p<0.05.
Results: The mean age was 67±6.0 years old, body mass index 28.88±6.0 kg/cm², of which 56.7% presented arthritis/arthrosis and 40% presented osteoporosis. Statistically significant differences were found after the intervention on functionality (p=0.0001) and risk of falls (p=0.0001). Through the subgroup analysis, after the intervention, the elderly with arthritis/arthrosis and osteoporosis presented significant improvement in the functionality (p=0.0001). It was observed a statistically significant, moderate and negative correlation between age and pre-intervention gait speed (r=-0.333, p=0.009). After the intervention (r=-0.202, p=0.122) the correlation was not significant.
Conclusion: It was observed that the hydrokinesiotherapy program was effective in improving the functionality, reducing the risk of falls and musculoskeletal alterations in active elderly women who presented or not arthritis and osteoporosis.
References
World Health Organization. Envelhecimento ativo: uma política de saúde. Brasília: Organização Pan-Americana da Saúde; 2005.
Nogueira SL, Ribeiro RCL, Rosado LEFPL, Franceschini SCC, Ribeiro AQ, Pereira ET. Fatores determinantes da capacidade funcional em idosos longevos. Rev Bras Fisioter. 2010;14(4):322- 29. http://dx.doi.org/10.1590/S1413-35552010005000019
Telarolli Júnior R, Loffredo LCM. Mortalidade de idosos em município do Sudeste brasileiro de 2006 a 2011. Ciênc Saúde Coletiva. 2014;19(3):975-84. http://dx.doi.org/10.1590/1413-81232014193.10482012
Ramos EC, Fonseca FF. Correlação entre fragilidade e risco de quedas em idosos da comunidade [trabalho de conclusão de curso]. Belo Horizonte: Universidade Federal de Minas Gerais; 2009. https://doi.org/10.17143/ciaed/xxiiciaed.2016.00299
Talley KM, Wyman JF, Gross CR, Lindquist RA, Gaugler JE. Change in balance confidence and its associations with increasing disability in older community-dwelling women at risk for falling. J Aging Health. 2014;26(4):616-36. https://doi.org/10.1177/0898264314526619
Toledo DR. Alterações sensoriais e motoras associadas ao envelhecimento e controle postural de idosos [dissertação]. Rio Claro: Universidade Estadual Paulista; 2008.
Xue QL. The frailty syndrome: definition and natural history. Clin Geriatr Med. 2011;27(1):1-15. https://doi.org/10.1016/j.cger.2010.08.009
Meereis ECW, Favretto C, Souza J, Marques CLS, Gonçalves MP, Mota CB. Análise do equilíbrio dinâmico de idosas institucionalizadas após hidrocinesioterapia. Rev Bras Geriatr Gerontol. 2013;16(1):41-7. http://dx.doi.org/10.1590/S1809-98232013000100005
Ruzene JRS, Navega MT. Avaliação do equilíbrio, mobilidade e flexibilidade em idosas ativas e sedentárias. Rev Bras Geriatr Gerontol. 2014;17(4):785-93. http://dx.doi.org/10.1590/1809-9823.2014.13105
Resende SM, Rassi CM, Viana FP. Efeitos da hidroterapia na recuperação do equilíbrio e prevenção de quedas em idosas. Rev Bras Fisioter. 2008;12(1):57-63. http://dx.doi.org/10.1590/S1413-35552008000100011
Cunha MF, Lazzareschi L, Gantus MC, Suman MR, Silva A, Parizi CC, Suarti AM, Iqueuti MM. A influência da fisioterapia na prevenção de quedas em idosos na comunidade: estudo comparativo. Motriz Rev Educ Fís. 2009;15(3):527-36.
Silva JMN, Barbosa MFS, Castro POCN, Noronha MM. Correlação entre o risco de queda e autonomia funcional em idosos institucionalizados. Rev Bras Geriatr Gerontol. 2013;16(2):337-46. http://dx.doi.org/10.1590/S1809-98232013000200013
Lourenço RA, Veras RP. Mini-exame do estado mental: características psicométricas em idosos ambulatoriais. Rev Saúde Pública. 2006;40(4):712-19. http://dx.doi.org/10.1590/S0034-89102006000500023
Perracini MR, Ramos LR. Fatores associados a quedas em uma coorte de idosos residentes na comunidade. Rev Saúde Pública. 2002;36(6):709-16. http://dx.doi.org/10.1590/S0034-89102002000700008
Nakano MM. Versão brasileira da Short Physical Performance Battery SPPB: adaptação cultural e estudo de confiabilidade [dissertação]. Campinas: Universidade Estadual de Campinas; 2007. https://doi.org/10.20396/ccfenf1201849
Tiedemann A, Lord SR, Sherrington C. The development and validation of a brief performance-based fall risk assessment tool for use in primary care. J Gerontol A Biol Sci Med Sci. 2010;65(8):896-903. https://doi.org/10.1093/gerona/glq067
World Health Organization. Obesity: preventing and managing the global epidemic. Geneva: WHO; 2000.
Aguiar JB, Paredes PFM, Gurgel LA. Análise da Efetividades de um programa sobre o equilíbrio, risco de quedas e o IMC de mulheres idosas. Rev Bras Ativ Fís Saúde. 2010;15(2): 115-9. https://doi.org/10.12820/rbafs.v.15n2p115-119
Costa AGS, Costa FBC, Oliveira ARS, Silva VM, Araujo TL. Ocorrência de quedas e índice de massa corporal em idosos. Rev Enferm. 2013;21(4):508-14.
Maciel ACC, Guerra RO. Prevalência e fatores associados ao déficit de equilíbrio em idosos. Rev Bras Ciên Mov. 2005;13(1):37-44. http://dx.doi.org/10.18511/rbcm.v13i1.610
Pavasini R, Guralnik J, Brown JC, di Bari M, Cesari M, Landi F, Vaes B, Legrand D, Verghese J, Wang C, Stenholm S, Ferrucci L, Lai JC, Bartes AA, Espaulella J, Ferrer M, Lim JY, Ensrud KE, Cawthon P, Turusheva A, Frolova E, Rolland Y, Lauwers V, Corsonello A, Kirk GD, Ferrari R, Volpato S, Campo G. Short physical performance battery and all-cause mortality: systematic review and metaanalysis. BMC Med. 2016;14(1):215. http://dx.doi.org/10.1186/s12916-016-0763-7
Kirkwood RN, Gomes HA, Sampaio RF, Furtado SRC, Moreira BS. Spatiotemporal and variability gait data in community-dwelling elderly women from Brazil. Braz J Phys Ther. 2016;20(3):258-66. https://doi.org/10.1590/bjpt-rbf.2014.0157
Fisken AL, Waters DL, Hing WA, Steele M, Keogh JW. Comparative effects of 2 aqua exercise programs on physical function, balance, and perceived quality of life in older adults with osteoarthritis. J Geriatr Phys Ther. 2015;38(1):17-27. http://dx.doi.org/10.1519/JPT.0000000000000019
Siqueira AF, Rebesco DB, Amaral FA, Maganhini CB, Dall Agnol SM, Furmann M, Mascarenhas LPG. Efeito de um programa de fisioterapia aquática no equilíbrio e capacidade funcional de idosos. Saude e Pesqui. 2017;10(2):331-8. https://doi.org/10.17765/1983-1870.2017v10n2p331-338
Franciulli PM, Souza GB, Albiach JF, Santos KCP, Barros LO, Santos NT, Souza FA, Bigongiari A, Barbanera M. Efetividade da hidroterapia e da cinesioterapia na reabilitação de idosos com histórico de quedas. Estud Interdiscipl Envelhec. 2015;20(3): 671-86.
Candeloro JM, Caromano FA. Efeito de um programa de hidroterapia na flexibilidade e na força muscular de idosas. Rev Bras Fisioter. 2007;11(4):303-9. http://dx.doi.org/10.1590/S1413-35552007000400010
Melo ACF, Nakatani AYK, Pereira LV, Menezes RL, Pagotto V. Prevalência de doenças musculoesqueléticas autorreferidas segundo variáveis demográficas e de saúde: estudo transversal de idosos de Goiânia/GO. Cad Saúde Colet. 2017;25(2): 138-43. http://dx.doi.org/10.1590/1414-462x201700010274
Santos FPV, Borges LL, Menezes RL. Correlação entre três instrumentos de avaliação para risco de quedas em idosos. Fisioter Mov. 2013;26(4):883-94. http://dx.doi.org/10.1590/S0103-51502013000400017
Zaslavsky C, Gus I. Idoso: doença cardíaca e comorbidades. Arq Bras Cardiol. 2002;79(6):635-39. http://dx.doi.org/10.1590/S0066-782X2002001500011
Barduzzi GO, Rocha Júnior PR, Souza Neto JC, Aveiro MC. Capacidade funcional de idosos com osteoartrite submetidos a fisioterapia aquática e terrestre. Fisioter Mov. 2013;26(2): 349-60. http://dx.doi.org/10.1590/S0103-51502013000200012
Arnold CM, Busch AJ, Schachter CL, Harrison EL, Olszynski WP. A randomized clinical trial of aquatic versus land exercise to improve balance, function, and quality of life in older women with osteoporosis. Physiother Can. 2008;60(4):296-306. https://doi.org/10.3138/physio.60.4.296
Devereux K, Robertson D, Briffa NK. Effects of a water-based program on women 65 years and over: a randomised controlled trial. Aust J Physiother. 2015;51(2):102-8. https://doi.org/10.1016/S0004-9514(05)70038-6
Silva JMN, Barbosa MFS, Castro POCN, Noronha MM. Correlação entre o risco de queda e autonomia funcional em idosos institucionalizados. Rev Bras Geriatr Gerontol. 2013;16(2):337-46. http://dx.doi.org/10.1590/S1809-98232013000200013
Pereira LC, Figueiredo MLF, Beleza CMF, Andrade EMLR, Silva MJ, Pereira AFM. Predictors for the functional incapacity of the elderly in primary health care. Rev Bras Enferm. 2017;70(1):106-12. http://dx.doi.org/10.1590/0034-7167-2016-0046
Pimenta FB, Pinho L, Silveira MF, Botelho ACC. Fatores associados a doenças crônicas em idosos atendidos pela estratégia de saúde da família. Ciênc Saúde Coletiva. 2015;20(8):2489-98. http://dx.doi.org/10.1590/1413-81232015208.11742014
Downloads
Published
Issue
Section
License
COPYRIGHT
The submission of originals to Ciência & Saúde implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Ciência & Saúde as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Ciência & Saúde , the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Ciência & Saúde endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.
