Força de pés e mãos e a relação da independência em idosos

Lia  Hausen; Joana Cortelete Fuhr; Maria Eduarda Kegler  Ramos; Luciano de

doi:10.23925/1984-4840.2022v24i1/4a2

Autores/as

Lia Hausen Universidade de Passo Fundo https://orcid.org/0000-0001-6565-9672
Joana Cortelete Fuhr Universidade de Passo Fundo
Maria Eduarda Kegler Ramos Universidade de Passo Fundo https://orcid.org/0000-0002-5164-9470
Luciano de Universidade de Passo Fundo https://orcid.org/0000-0002-0415-2226

DOI:

https://doi.org/10.23925/1984-4840.2022v24i1/4a2

Palabras clave:

força da mão, terapia por exercício, equilíbrio postural, acidentes por quedas, idoso fragilizado

Resumen

A fragilidade em idosos é uma condição multifatorial muito comum, é influenciada por perturbações de marcha e problemas no equilíbrio resultando em quedas e perda de independência, principalmente em mulheres. Objetivo: O objetivo do presente estudo é analisar a relação dos distúrbios da marcha, dos problemas de equilíbrio, da fragilidade e da força de preensão manual com a queda em idosos, além da importância da prática de atividades físicas para auxiliar no processo de manutenção destas valências. Método: Para isso, realizou-se uma revisão sistemática nas bases de dados ScienceDirect, SciELO e MEDLINE/PubMed utilizando descritores e operadores booleanos para otimizar a busca, com o objetivo de avaliar e reunir informações sobre quedas, fragilidade, força de mãos, equilíbrio postural e articulações dos pés e tornozelos de idosos. Resultados: Foram encontrados 2005 artigos, destes, 80 artigos foram lidos na sua íntegra, sendo que 31 atenderam os critérios de elegibilidade e foram incluídos na presente revisão. Conclusão: Concluiu-se que estes distúrbios estão relacionados com redução de sobrevida e independência nas atividades diárias.

Descargas

Los datos de descargas todavía no están disponibles.

Métricas

Cargando métricas ...

Citas

Lourenço RA, Moreira VG, Mello RGB, Santos IS, Lin SM, Pinto ALF, et al. Consenso brasileiro de fragilidade em idosos: conceitos, epidemiologia e instrumentos de avaliação. Geriatr Gerontol Aging. 2018;12(2):121–35. doi: 10.5327/Z2447-211520181800023

Shoji MM, Ingall EM, Rozental TD. Upper extremity fragility fractures. J Hand Surg Am. 2021;46(2):126–32. doi: 10.1016/j.jhsa.2020.07.010.

IBGE. PNS 2019: país tem 17,3 milhões de pessoas com algum tipo de deficiência. Agência de Notícias [Internet]. [26 ago. 2021; atualizado em 06 out. 2021] [acesso em 12 abr. 2023]. Disponível em: https://tinyurl.com/4sn3jvzk

Song Q, Zhang X, Mao M, Sun W, Zhang C, Chen Y, et al. Relationship of proprioception, cutaneous sensitivity, and muscle strength with the balance control among older adults. J Sport Health Sci. 2021;10(5):585–93. doi: 10.1016/j.jshs.2021.07.005.

Berlezi EM, Gross CB, Pimentel JJ, Rodrigues A, Fortes CK, Pillatt AP. Estudo do fenótipo de fragilidade em idosos residentes na comunidade. Ciênc Saude Coletiva. 2019;24(11):4201–10.

Luzia MF, Victor MAG, Lucena AF. Diagnóstico de enfermagem: risco de quedas: prevalência e perfil clínico de pacientes hospitalizados. Rev Lat Am Enfermagem. 2014;22(2):262–8. doi: 10.1590/0104-1169.3250.2411

Melton LJ, Chrischilles EA, Cooper C, Lane AW, Riggs BL. Perspective how many women have osteoporosis? J Bone Miner Res. 1992;7(9):1005–10. doi: 10.1002/jbmr.5650070902.

Ronthal M. Gait disorders and falls in the elderly. Med Clin North Am 2019;103(2):203–13. doi: 10.1016/j.mcna.2018.10.010

Rieger MM, Papegaaij S, Pijnappels M, Steenbrink F, van Dieën JH. Transfer and retention effects of gait training with anterior-posterior perturbations to postural responses after medio-lateral gait perturbations in older adults. Clin Biomech. 2020;75:104988. doi: 10.1016/j.clinbiomech.2020.104988

Pirker W, Katzenschlager R. Gait disorders in adults and the elderly: a clinical guide. Wien Klin Wochenschr. 2017;129(3–4):81–95. doi: 10.1007/s00508-016-1096-4.

Brasil. Ministério da Saúde. Envelhecimento e saúde da pessoa idosa. Brasília (DF): Ministério da Saúde; 2007. (Série A. Normas e Manuais Técnicos) (Cadernos de Atenção Básica; n. 19)

Rijk JM, Roos PRKM, Deckx L, Van den Akker M, Buntinx F. Prognostic value of handgrip strength in people aged 60 years and older: A systematic review and meta-analysis. Geriatr Gerontol Int. 2016;16(1):5–20. doi: 10.1111/ggi.12508

Hong SW, Kang JH, Kim JS, Gong HS. Association between forearm cortical bone properties and handgrip strength in women with distal radius fractures: A cross-sectional study. PLoS One. 2020;15(12):4–11. doi: 10.1371/journal.pone.0243294.

Sousa-Santos AR, Afonso C, Moreira P, Padrão P, Santos A, Borges N, et al. Weakness: the most frequent criterion among pre-frail and frail older Portuguese. Arch Gerontol Geriatr. 2018;74(2017):162–8. doi: 10.1016/j.archger.2017.10.018

Maia BC, Viana PS, Arantes PMM, Alencar MA. Consequências das quedas em idosos vivendo na comunidade. Rev Bras Geriatr Gerontol. 2011;14(2):381–93.

Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, et al. AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ. 2017;358. doi: 10.1136/bmj.j4008.

Li G, Thabane L, Papaioannou A, Ioannidis G, Levine MAH, Adachi JD. An overview of osteoporosis and frailty in the elderly. BMC Musculoskelet Disord. 2017;18(1):46. doi: 10.1186/s12891-017-1403-x.

Vieira AI, Nogueira D, Reis E, Rosado ML, Nunes MV, Castro-Caldas A. Hand tactile discrimination, social touch and frailty criteria in elderly people: a cross sectional observational study. Arch Gerontol Geriatr. 2016;66:73–81. doi: 10.1016/j.archger.2016.04.012

Preto LSR, Conceição MCD, Figueiredo TM, Mata MAP, Preto PMB, Aguilar EM. Frailty, body composition and nutritional status in non-institutionalised elderly. Enferm Clín. 2017;27(6):339–45. doi: 10.1016/j.enfcle.2017.08.003

Thinuan P, Siviroj P, Lerttrakarnnon P, Lorga T. Prevalence and potential predictors of frailty among community-dwelling older persons in Northern Thailand: A cross-sectional study. Int J Environ Res Public Health. 2020;17(11):1–13. doi: 10.3390/ijerph17114077

Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: Evidence for a phenotype. J Gerontol - Ser A Biol Sci Med Sci. 2001;56(3):146–57. doi: 10.1093/gerona/56.3.m146.

Moraes DC, Lenardt MH, Seima MD, Mello BH, Setoguchi LS, Setlik CM. Instabilidade postural e a condição de fragilidade física em idosos. Rev Lat Am Enfermagem. 2019 Apr;27.

Marzetti E, Hwang AC, Tosato M, Peng LN, Calvani R, Picca A, et al. Age-related changes of skeletal muscle mass and strength among Italian and Taiwanese older people: Results from the Milan EXPO 2015 survey and the I-Lan Longitudinal Aging Study. Exp Gerontol. 2018;102(2017):76–80. doi: 10.1016/j.exger.2017.12.008

Lenardt MH, Grden CRB, de Sousa JAV, Reche PM, Betiolli SE, Ribeiro DK de MN. Factors associated with loss of handgrip strength in long-lived elderly. Rev Esc Enferm USP. 2014;48(6):1006–12. doi: 10.1590/S0080-623420140000700007

Lenardt MH, Binotto MA, Carneiro NHK, Cechinel C, Betiolli SE, Lourenço TM. Handgrip strength and physical activity in frail elderly. Rev Esc Enferm USP. 2016;50(1):86–92. doi: 10.1590/S0080-623420160000100012.

Kim SW, Lee HA, Cho EH. Low handgrip strength is associated with low bone mineral density and fragility fractures in postmenopausal healthy Korean women. J Korean Med Sci. 2012;27(7):744. doi: 10.3346/jkms.2012.27.7.744.

Pillatt AP, Silva B, Franz LBB, Berlezi EM, Schneider RH. Muscle, endocrine, and immunological markers of frailty in older people. Exp Gerontol. 2021;151:111405. doi: 10.1016/j.exger.2021.111405

McNicholl T, Curtis L, Dubin JA, Mourtzakis M, Nasser R, Laporte M, et al. Handgrip strength predicts length of stay and quality of life in and out of hospital. Clin Nutr. 2020;39(8):2501–9. doi: 10.1016/j.clnu.2019.11.006

Haider S, Luger E, Kapan A, Titze S, Lackinger C, Schindler KE, et al. Associations between daily physical activity, handgrip strength, muscle mass, physical performance and quality of life in prefrail and frail community-dwelling older adults. Qual Life Res. 2016;25(12):3129–38. doi: 10.1007/s11136-016-1349-8

McGrath R, Robinson-Lane SG, Peterson MD, Bailey RR, Vincent BM. Muscle strength and functional limitations: preserving function in older Mexican Americans. J Am Med Dir Assoc. 2018;19(5):391–8. doi: 10.1016/j.jamda.2017.12.011

World Health Organization. Falls [Internet]. [acesso em 1 jun. 2022]. Disponível em: https://www.who.int/news-room/fact-sheets/detail/falls

Cuevas-Trisan R. Balance problems and fall risks in the elderly. Phys Med Rehabil Clin N Am. 2017;28(4):727–37. doi: 10.1016/j.pmr.2017.06.006.

Menezes M, de Mello Meziat-Filho NA, Araújo CS, Lemos T, Ferreira AS. Agreement and predictive power of six fall risk assessment methods in community-dwelling older adults. Arch Gerontol Geriatr. 2020;87:103975. doi: 10.1016/j.archger.2019.103975

Tavares GMS, Pacheco BP, Gottlieb MGV, Müller DVK, Santos GM. Interaction between cognitive status, fear of falling, and balance in elderly persons. Clinics. 2020;75:e1612. doi: 10.6061/clinics/2020/e1612.

Mulasso A, Roppolo M, Gobbens RJ, Rabaglietti E. Mobility, balance and frailty in community-dwelling older adults: What is the best 1-year predictor of falls? Geriatr Gerontol Int. 2017;17(10):1463–9. doi: 10.1111/ggi.12893.

Nakagawa HB, Ferraresi JR, Prata MG, Scheicher ME. Postural balance and functional independence of elderly people according to gender and age: cross-sectional study. Sao Paulo Med J. 2017 May;135(3):260–5. doi: 10.1590/1516-3180.2016.0325280217.

Gadelha AB, Vainshelboim B, Ferreira AP, Neri SGR, Bottaro M, Lima RM. Stages of sarcopenia and the incidence of falls in older women: A prospective study. Arch Gerontol Geriatr. 2018;79:151–7. doi: 10.1016/j.archger.2018.07.014

Pizzigalli L, Micheletti Cremasco M, Mulasso A, Rainoldi A. The contribution of postural balance analysis in older adult fallers: a narrative review. J Bodyw Mov Ther. 2016;20(2):409–17. doi: 10.1016/j.jbmt.2015.12.008

Hansson EE, Valkonen E, Möller UO, Lin YC, Magnusson M, Fransson PA. Gait flexibility among older persons significantly more impaired in fallers than non-fallers: a longitudinal study. Int J Environ Res Public Health. 2021;18(13):7074. doi: 10.3390/ijerph18137074.

Scarmagnan GS, Mello SCM, Lino TB, Barbieri FA, Christofoletti G. A complexidade da tarefa afeta negativamente o equilíbrio e a mobilidade de idosos saudáveis. Rev Bras Geriatr Gerontol. 2021;24(1):200120. doi: 10.1590/1981-22562021024.200114

Okubo Y, Sturnieks DL, Brodie MA, Duran L, Lord SR, Newman A. Effect of reactive balance training involving repeated slips and trips on balance recovery among older adults: a blinded randomized controlled trial. J Gerontol Series A Biol Sci Med Sci. 2019;74:1489–96. doi: 10.1093/gerona/glz021.

Neri SGR, Harvey LA, Tiedemann A, Gadelha AB, Lima RM. Obesity and falls in older women: Mediating effects of muscle quality, foot loads and postural control. Gait Posture. 2020;77:138–43. doi: 10.1016/j.gaitpost.2020.01.025

Fernandes VLS, Ribeiro DM, Fernandes LC, Menezes RL. Postural changes versus balance control and falls in community-living older adults: a systematic review. Fisioter Mov. 2018;31: e003125. doi: 10.1590/1980-5918.031.ao25.

Ribeiro DM, Bueno GAS, Gervásio FM, Menezes RL. Foot-ground clearance characteristics in women: A comparison across different ages. Gait Posture. 2019;69:121–5. doi: 10.1016/j.gaitpost.2019.01.028

Menz HB, Morris ME, Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J Gerontol Ser A Biol Sci Med Sci. 2005;60(12):1546–52. doi: 10.1093/gerona/60.12.1546.

Menz HB, Lord SR. The contribution of foot problems to mobility impairment and falls in community-dwelling older people. J Am Geriatr Soc. 2001;49(12):1651–6. doi: 10.1111/j.1532-5415.2001.49275.x

Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701–7. doi: 10.1056/NEJM198812293192604.

Alissa N, Akinlosotu RY, Shipper A, Westlake KP. A systematic review of upper extremity responses during reactive balance perturbations in aging. Gait Posture. 2020;82:138–46. doi: 10.1016/j.gaitpost.2020.08.134

Talbot LA, Musiol RJ, Witham EK, Metter EJ. Falls in young, middle-aged and older community dwelling adults: Perceived cause, environmental factors and injury. BMC Public Health. 2005;5:1–9. doi: 10.1186/1471-2458-5-86.

de Lima AP, Giacomazzi RB, de Moura Scortegagna H, Portella MR. Grupo de convivência para idosos: o papel do profissional de educação física e as motivações para adesão à prática de atividade física. Rev Bras Ciênc Esporte. 2020;42:1–7. doi: 10.1016/j.rbce.2019.02.001

Kiik SM, Sahar J, Permatasari H. Efectividad de los ejercicios de equilibrio entre los adultos mayores en Depok, Indonesia. Enferm Clín. 2020;30(4):282–6. doi: 10.1016/j.enfcle.2019.01.006

Pauelsen M, Vikman I, Johansson Strandkvist V, Larsson A, Röijezon U. Decline in sensorimotor systems explains reduced falls self-efficacy. J Electromyogr Kinesiol. 2018;42:104–10. doi: 10.1016/j.jelekin.2018.07.001

Miko I, Szerb I, Szerb A, Bender T, Poor G. Effect of a balance-training programme on postural balance, aerobic capacity and frequency of falls in women with osteoporosis: A randomized controlled trial. J Rehabil Med. 2018;50(6):542–7.

Tomicki C, Cristina S, Zanini C, Cecchin L, Rosane T, Benedetti B, et al. Effect of physical exercise program on the balance and risk of falls of institutionalized elderly persons: a randomized clinical trial. Rev Bras Geriatr Gerontol. 2016;19(3):473–82.