The effects of the predictability of an arm reaching target on seated postural stability, reaching time and selected minimum data set for nursing home residents.

Objectives:(1) to examine the effects of the predictability of a reaching target on postural stability and reaching time; (2) to determine the relationship of postural stability with cognitive decision-making and the ability to walk. Methods: An electronmechanical system measured body stability and...

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Publicado en:Physical & Occupational Therapy in Geriatrics Vol. 22; no. 2; pp. 1 - 14
Autores principales: Abreu BC, Heyn P, Reistetter TA, Zhang L, Milton S, Masel B, Ottenbacher KJ
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd 2003
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: The effects of the predictability of an arm reaching target on seated postural stability, reaching time and selected minimum data set for nursing home residents.
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          Abreu BC
          Heyn P
          Reistetter TA
          Zhang L
          Milton S
          Masel B
          Ottenbacher KJ
        affil: Division of Rehabilitation Sciences, School of Occupational Therapy, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-1028; babreu@tlc-galveston.org
      sug:
        subj:
          Balance, Postural In Old Age
          Sitting In Old Age
          Activities of Daily Living In Old Age
          Forecasting
          Time Factors In Old Age
          Cognition In Old Age
          Walking In Old Age
          Functional Status In Old Age
          Pilot Studies
          Reliability and Validity
          Biophysical Instruments
          Aged
          Aged, 80 and Over
          Gerontologic Care
          Male
          Female
          Descriptive Statistics
          Nursing Home Residents In Old Age
          Minimum Data Set
          Analysis of Variance
          Effect Size
          Statistical Significance
          Body Weights and Measures In Old Age
          Geriatric Functional Assessment
          Data Analysis, Computer Assisted
          Sensitivity and Specificity
          Equipment Reliability
          Spearman's Rank Correlation Coefficient
          Data Analysis Software
          Funding Source
          Human
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Objectives:(1) to examine the effects of the predictability of a reaching target on postural stability and reaching time; (2) to determine the relationship of postural stability with cognitive decision-making and the ability to walk. Methods: An electronmechanical system measured body stability and reaching time of 38 nursing home residents = 75 years old during a reaching task. Comparisons between predictability, reaching time, cognitive and walking skills were calculated to determine the strength of the relationships. A Sidak statistical adjustments was used to minimize possible errors from multitude statistical tests. Results: Participants showed significant differences between their reaching time and walking stability (p<.01), between their cognitive ability and seated postural stability (p<.021), and between their walking ability and seated postural stability (p<.022) in the unpredictable condition. The findings do not support the hierarchical postural control evaluation and treatment model traditionall used in the clinic. The clinical implication of this study is that predictable and variable practices may be used simultaneously, not sequentially, in the rehabilitation of older adults. These results illustrate the compelxity and the non-hierarchical relationship of reaching predictability, cognitive and walking skills, and postural stability. Research on the relationship of environmental predictability and its effect on postural stability, as well as the exploration of the relationship of postural stability with cognitive decision-making and the ability to walk in nursing home residents, is warranted to expand the understanding of seated postural control in older adults.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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