Characteristic of Older Adult with Balance Disorder in Rehabilitation Clinic Dr. Hasan Sadikin General Hospital 2014

Ku Shi Yun; Irma Ruslina Defi; Lazuardhi Dwipa

Characteristic of Older Adult with Balance Disorder in Rehabilitation Clinic Dr. Hasan Sadikin General Hospital 2014

Ku Shi Yun, Irma Ruslina Defi, Lazuardhi Dwipa

Abstract

Background: Older adult population is increasing worldwide. Balance has an important role in conducting daily activities and mobility, with impaired balance it can lead to negative impacts for example fall. This study is conducted to obtain common factors and characteristics of older adults with balance disorder to provide better rehabilitation services.

Method: A descriptive study was conducted in the Physical Medicine and Rehabilitation Clinic of Dr. Hasan Sadikin General Hospital, Bandung from August-October 2014 using total sampling method and a 5 times sit-to-stand (5STS) test was conducted. The total sample obtained was 34.

Result: The characteristics of older adult with balance disorder in this study were mostly from young old (n=17), male gender (n=19), and mean 5STS test is 18.48 seconds. Most of the patients had high blood pressure (n=29), normal body mass index (BMI) (n=22), independent activity of daily living (ADL) (n=21), and use of greater than 3 medication (n=21).The most common disease found is musculoskeletal disease and majority of patients had one medical disease.

Conclusion: Older adults categorized as young old has the greatest frequency of having balance disorder. Increase in age, increases the duration of 5STS test conducted. The most common problem among older adult is high blood pressure, musculoskeletal disease and hypertension and majority of the patients consume greater than 3 medication. Lastly, most of the BMI and the ADL of the older adults were normal.

DOI: 10.15850/amj.v3n1.718

Keywords

Balance disorder, five time-sit -to-stand, older adult

Full Text:

PDF

References

World Health Organization. Global health and ageing. Geneva: WHO; 2011.

Badan Pusat Statistik Republik Indonesia. Statistik penduduk lanjut usia Indonesia tahun 2010. 2010 [cited 2013 April 13]; Available from: http://www.bps.go.id/hasil_publikasi/stat_lansia_2010/index3.php?pub=Statistik%20Penduduk%20Lansia%20Indonesia%202010%20%28Hasil%20SP%202010%29.

Stuart-Hamilton I. The psychology of ageing: an introduction. 5th ed. Philsdelphia: Jessica Kingsley. 2012.

Lin HW, Bhattacharyya N. Balance disorders in the elderly: epidemiology and functional impact. Laryngoscope. 2012;122(8):1858–61.

Roberts DS, Lin HW, Bhattacharyya N. Health care practice patterns for balance disorders in the elderly. Laryngoscope. 2013;123(10):2539–43.

National Institute on Deafness and other Communication Disorders. Balance disorders. 2009 [cited 2013 February 20]; Available from: http://www.nidcd.nih.gov/health/balance/pages/balance_disorders.aspx.

Steven KN, Lang IA, Guralnik JM, Melzer D. Epidemiology of balance and dizziness in a national population: findings from the english longitudinal study of aging. Age Ageing. 2008;37(3):300–5.

Tiedemann A, Shimada H, Sherrington C, Murray S, Lord S. The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing. 2008;37(4):430–5.

Jönsson R, Sixt E, Landahl S, Rosenhall U. Prevalence of dizziness and vertigo in an urban elderly population. J Vestib Res. 2004;14(1):47–52.

Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Redfern MS, Furman JM. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. PhysTher. 2005;85(10):1034–45.

Pasma JH, Bijsma AY, Klip JM, Stijntjes M, Blauw GJ, Muller M, et al. Blood pressure associates with standing balance in eldery outpatients. PLoS ONE. 2014;9(9):1–9.

Hart EC, Joyner MJ, Wallin BG, Charkoudian N. Sex, ageing and resting blood pressure: gaining insights from the integrated balance of neural and haemodynamic factors. J Physiol (Lond). 2012;590(9):2069–79.

Lang IA, Llewellyn DJ, Alexander K, Melzer D. Obesity, physical function, and mortality in older adults. J Am Geriatr Soc. 2008;56(8):1474–8.

Villareal DT, Chode S, Parimi N, Sinacore DR, Hilton T, Armamento-Villareal R, et al. Weight loss, exercise, or both and physical function in obese older adults. N Engl J Med. 2011;364(13):1218–29.

Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health. Clin Interv Aging. 2010;5:207–16.

Porto HCD, Pechak CM, Smith DR, Reed-Jones JR. Biomechanical Effects of Obesity on Balance. Int J Exerc Sci. 2012;(4):301–9.

Ziere G, Dieleman JP, Hofman A, Pols HAP, van der Cammen TJ, Stricker BHCH. Polypharmacy and falls in the middle age and elderly population. Br J Clin Pharmacol. 2006;61(2):218–23.

Pan HH, Li CY, Chen TJ, Su TP, Wang KY. Association of polypharmacy with fall-related in older Taiwanese people: age - and gender - specific analyses. BMJ Open. 2013;4(3):1–7.

Salzman B. Gait and Balance Disorders in Older Adults. Am Fam Physician. 2010;82(1):61–8.

Thaweewannakij T, Wilaichit S, Chuchot R, Yuenyong Y, Saengsuwan J, Siriatiwat W, et al. Reference values of physical performance in elderly thai people who are functioning well and dwelling in the community. Phys Ther. 2013;93(10):1312–20.