Multi-sensory training and wrist fractures: a randomized, controlled trial
| Autor: | Susan L. Whitney, Ella Kolbrun Kristinsdottir, Hannes Petersen, Brynjolfur Mogensen, Bergthora Baldursdottir, Alfons Ramel, Palmi V. Jonsson |
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| Přispěvatelé: | Læknadeild (HÍ), Faculty of Medicine (UI), Faculty of Food Science and Nutrition (UI), Matvæla- og næringarfræðideild (HÍ), Heilbrigðisvísindasvið (HÍ), School of Health Sciences (UI), Háskóli Íslands, University of Iceland |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Aging medicine.medical_specialty medicine.medical_treatment Úlnliðir Sensation Subgroup analysis Wrist Endurhæfing law.invention Fractures Bone 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Randomized controlled trial law medicine Hreyfing (heilsurækt) Humans Single-Blind Method 030212 general & internal medicine Functional ability Postural Balance Exercise Physical Therapy Modalities Aged Balance (ability) Rehabilitation Head shake business.industry Middle Aged Wrist Injuries Exercise Therapy medicine.anatomical_structure Fracture Accidental Falls Female Original Article Geriatrics and Gerontology Beinbrot business 030217 neurology & neurosurgery |
| Zdroj: | Aging Clinical and Experimental Research |
| Popis: | Publisher's version (útgefin grein). Background: Asymmetric vestibular function, decreased plantar sensation, postural control and functional ability have been associated with fall-related wrist fractures. Objective: To investigate whether multi-sensory training (MST) improves postural control, vestibular function, foot sensation and functional ability among people with fall-related wrist fractures compared to wrist stabilization training (WT). Methods: This was an assessor-blinded, randomized controlled trial. Ninety-eight participants, age 50–75 years, were randomized to MST or WT. Pre- and post-training measurements: Head Shake Test (HST), Video-Head Impulse Test (vHIT), Semmes–Weinstein Monofilaments (SWF), Biothesiometer (BT), Sensory Organization Test (SOT), 10-m Walk Test (10MWT), Five Times Sit to Stand Test (FTSTS), Activities-Specific Balance Confidence (ABC) and Dizziness Handicap Inventory Scales (DHI). The training period was 12 weeks, with six supervised sessions by a physical therapist and daily home exercises for both groups. Results: There were significant endpoint differences in SOT (p = 0.01) between the two groups, in favor of the MST group, but no changes were seen in other outcome variables. Subgroup analysis with participants below normal baseline SOT composite scores indicated that the MST was more effective in improving 10MWT fast (p = 0.04), FTSTS (p = 0.04), SWF (p = 0.04) and SOT scores (p = 0.04) than the WT. Conclusions: MST improves postural control among people with a fall-related wrist fracture. The results further suggest that the program is more effective for those with SOT balance scores below age-related norms. Acknowledgements The authors would like to thank the people with a fall-related wrist fracture, who gave up time to participate in the trial and the physical therapists, who delivered the trial interventions; Holmfridur H. Sigurdardóttir (MST) and Anne S. Melén (WT). Funding This study was funded by the St. Josef’s Hospital Fund (SJHF), Reykjavik, Iceland, the Icelandic Physiotherapy Association Research Fund (IPARF), the Landspítali Háskólasjúkrahús (Landspitali University Hospital) Research Fund (A-2014-076, A-2017-061, A-2018-067), the Icelandic Gerontological Society Research Fund (IGSRF) and the Helga Jónsdóttir and Sigurlidi Kristjánsson Geriatric Research Fund (HJSKGRF). |
| Databáze: | OpenAIRE |
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