Different interventions of physiotherapy in the improvement of planting sensitivity and balance of older people

Keywords: aging, physical therapy specialty, postural balance

Abstract

Objective: to compare the effects of two different physical therapy protocols in the treatment of plantar sensitivity and balance in community-dwelling elderly women from de municipality of Panambi.
Methods: pilot clinical trial, quantitative and descriptive. The participants answered a questionnaire about health conditions and self-perception of plantar sensitivity, after undergoing evaluation of plantar sensitivity with a Semmes-Weinstein esthesiometer. Only elderly women with reduced sensitivity were selected. Balance was assessed using the Berg Balance Scale and the Timed Up and Go test. The 13 selected participants were divided into a plantar sensitivity group and a proprioceptive group, with ten interventions performed with each group, with specific stimulus according to allocation in the groups. Afterwards, the participants were reassessed with an esthesiometer, Berg Balance Scale and Timed Up and Go. Comparisons of quantitative variables were performed using Student’s t test, with a significance level of 5% (p<0.05).
Results: twelve elderly women concluded the study, but only five reported noticing a decrease in plantar sensitivity. The plantar regions with the greatest loss of sensitivity were in the metatarsals, lateral region of the foot and calcaneus. The medial region, on the other hand showed less sensory loss. After training, both groups showed a statistically significant improvement in plantar sensitivity. In balance, the plantar sensitivity group showed statistically significant results in the Timed Up and Go test and the proprioceptive group in the Berg Balance Scale.
Conclusion: the training proved to be effective in the plantar sensitivity and balance of the participants, indicating that the combination of these interventions in the treatment of postural control is a good option for physical therapists.

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Author Biographies

Cátia Trennepohl, Universidade de Cruz Alta (UNICRUZ), Cruz Alta, RS, Brasil.

Pós-Graduada em Fisioterapia em Ortopedia e Traumatologia pela Universidade Regional do Noroeste do Estado do Rio Grande do Sul (UNIJUÍ), em Ijuí, RS, Brasil. Fisioterapeuta pela Universidade de Cruz Alta (UNICRUZ), em Cruz-Alta, RS, Brasil. 

Cristina Thum, Universidade de Cruz Alta (UNICRUZ), Cruz Alta, RS, Brasil.

Doutora em Gerontologia Biomédica pela Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), em Porto Alegre, RS, Brasil. Docente na Universidade de Cruz Alta (UNICRUZ), em Cruz Alta, RS, Brasil. Docente colaboradora do Programa de Mestrado de Atenção Integral à Saúde UNICRUZ/UNIJUÍ. 

Carolina Böettge Rosa, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil.

Doutora em Gerontologia Biomédica pela Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), em Porto Alegre, RS, Brasil. Pós-Doutoranda no Programa de Pós-Graduação em Gerontologia Biomédica da Escola de Medicina da PUC-RS, em Porto Alegre, RS, Brasil. 

Dinara Hansen Costa, Universidade de Cruz Alta (UNICRUZ), Cruz Alta, RS, Brasil.

Doutora em Gerontologia Biomédica pela Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), em Porto Alegre, RS, Brasil. Docente da Universidade de Cruz Alta (UNICRUZ), em Cruz Alta, RS, Brasil. 

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Published
2022-08-23
How to Cite
Trennepohl, C., Thum, C., Rosa, C. B., & Costa, D. H. (2022). Different interventions of physiotherapy in the improvement of planting sensitivity and balance of older people. PAJAR - Pan American Journal of Aging Research, 10(1), e42885. https://doi.org/10.15448/2357-9641.2022.1.42885