Issue 3-20, 2021
Original article
The Еffectiveness of Stabilometrical Training in the Complex of Rehabilitation Measures in Elderly and Senile Patients with Arterial Hypertension
1 Alexandra S. Paykova, 1
Michail V. Alexandrov, 1
Svetlana E. Ushakova
1 Ivanovo State Medical Academy, Ivanovo, Russian Federation
ABSTRACT
The treatment and rehabilitation of elderly patients with hypertension is often hampered by their existing geriatric syndromes of senileasthenia and the risk of falls. Stabilometric balance training will allow to maintain the level of physical functioning and supporting theautonomy of this category of patients.
AIM. To assess the possibilities of using stabilometric training with biofeedback to correct the risk of falls in patients aged 63 and olderwith arterial hypertension.
MATERIAL AND METHODS. On the basis of the geriatric department of the Regional Budgetary Institution of Health «Ivanovo ClinicalHospital named after Kuvaevi» conducted an open study involving 95 patients aged 63 to 92 years with arterial hypertension andfalling syndrome, diagnosed according to the results of the physical activity tests brief battery. Balance indicators were obtained whenexamining patients on a stabilometric complex concurrently with a five-day training «Restoring balance».
RESULTS. According to the stabilometrical data of all patients with hypertension and the risk of falling, a typical symptom complex ofthe main stance instability was revealed. After the training, improvement in quantitative indicators and in the balance function wererecorded in 70% of patients.
CONCLUSION. The inclusion of stabilometrical training in the treatment and rehabilitation complex of hypertensive patients with senileasthenia syndromes and the risk of falling improves balance indicators in elderly and senile people.
KEYWORDS: arterial hypertension, elderly and senile patients, senile asthenia syndrome, geriatric falls syndrome, stabilometrical study, stabilometrical training, rehabilitation
FUNDING: The study had no sponsorship
CONFLICT OF INTEREST: The authors declare no apparent or potential conflicts of interest related to the publication of this article
FOR CITATION: Paykova A.S., Alexandrov M.V., Ushakova S.E. The Еffectiveness of Stabilometrical Training in the Complex of Rehabilitation Measures in Elderly and Senile Patients with Arterial Hypertension. Bulletin of Rehabilitation Medicine. 2021; 20 (3): 53-58. https://doi.org/10.38025/2078-1962-2021-20-3-53-58
FOR CORRESPONDENCE:
Svetlana E.Ushakova, e-mail: svetland1962@mail.ru
References:
- Tkacheva O.N., Kotovskaya Yu.V., Runikhina N.K., Ostapenko V.S. Osobennosti klinicheskih podhodov k vedeniyu pacientov so starcheskoj asteniej [Features of clinical approaches to managing patients with senile asthenia]. Russian Medical Journal. 2017; (25): 1823-1825 (In Russ.).
- Tkacheva O.N., Kotovskaya Yu.V., Runikhina N.K., Frolova E.V., Naumov A.V., Vorobyeva N.M., Ostapenko V.S., Mkhitaryan E.A., Sharashkina N.V., Tyukhmenev E.A., Pereverzev A.P., Dudinskaya E.N. Klinicheskie rekomendacii «Starcheskaya asteniya» [Clinical guidelines on frailty]. Russian Journal of Geriatric Medicine. 2020; (1): 11-46. https://doi.org/10.37586/2686-8636-1-2020-11-46 (In Russ.).
- Gine-Garriga M., Roque-Figuls M., Coll-Planas L. Physical Exercise Interventions for Improving Performance-Based Measures of Physical Function in Community-Dwelling, Frail Older Adults: A Systematic Review and Meta-Analysis. Archives of Physical Medicine and Rehabilitation. 2014; (95): 753-769. https://doi.org/10.1016/j.apmr.2013.11.007
- Izquierdo M., Lusa Cadore E. Muscle Power Training in the In stitutionalized Frail: A New Approach to Counteracting Functional Declines and Very Late-Life Disability. Current Medical Research and Opinion. 2014; (30): 1385-1390. https://doi.org/10.1185/03007995.2014.908175
- Kirpichev I.V., Brazhkin S.E., Berezhkov I.V. Effektivnost’ razlichnyh skhem reabilitacionnyh meropriyatij posle pervichnogo protezirovaniya tazobedrennogo sustava [The effectiveness of various schemes of rehabilitation measures after primary hip joint replacement]. Bulletin of the Ivanovo Medical Academy. 2016; (1): 50-55 (In Russ.).
- Yastrebtseva I.P. Faktory, soputstvuyushchie narusheniyam postural’nogo balansa u pacientov s hronicheskoj ishemiej mozga [Factors accompanying postural imbalance in patients with chronic cerebral ischemia]. Doctor.ru. 2018; (9): 31-35. https://doi.org/10.31550/1727-2378-2018-153-9-31-35 (In Russ.).
- Tsyikunov M.B., Nigamadyanov N.R., Lukyanov V.I., Ivanova G.E., Bezobrazov V.D. Diagnostika postural’nyh narushenij metodom komp’yuternoj stabilometrii u detej s patologiej pozvonochnika [Diagnosis of postural disorders using computer stabilometry in children with pathology of the spine]. Bulletin of Rehabilitation Medicine. 2017; 4(80): 10-16 (In Russ.).
- Yutkacheva A.A. Perspektivy primeneniya metoda stabilometrii v reabilitacii pacientov s vestibulyarnym sindromom [Prospects for using the stabilometry method in the rehabilitation of patients with vestibular syndrome]. Physiotherapy, Balneology and Rehabilitation. 2018; (4): 259 p. (In Russ.).
- Skvortsov D.V. Stabilometicheskoe issledovanie [Stabilometric study]. Moscow. Mera. TSP. 2010: 171 p. (In Russ.).
- Rud I.M. Stabilometriya i stabilotrening v reabilitacii [Stabilometry and stabilization training in rehabilitation]. Physiotherapy. Physiotherapy. Rehabilitation. Sports Medicine. 2017: 117 p. (In Russ.).
- Rockwood K. A global clinical measure of fitness and frailty in elderly people. Canadian Medical Association Journal. 2005; (173): 489-495. https://doi.org/10.1503/cmaj.050051
- Russian Association of Gerontologists and Geriatricians. Russian Association for Osteoporosis. Falls in elderly and senile patients. Clinical guidelines 2020. Available at: https://rgnkc.ru/images/metod_materials/KR_Padeniya.pdf (accessed 13.04.2021)
- Safonova Yu.A., Zotkin E.G. Sindrom padenij v pozhilom i starcheskom vozraste [The syndrome of falls in the elderly]. Advances in Gerantology. 2016; (2): 342-346 (In Russ.).
- Tsykunov M.B. Effektivnost’ trenirovki s biologicheskoj obratnoj svyaz’yu pri povrezhdeniyah kapsul’no-svyazochnyh struktur kolennogo sustava [The effectiveness of training with biological feedback for damage capsular-ligament structures of the knee joint]. Bulletin of Rehabilitation Medicine. 2018; 4(86): 29-33 (In Russ.).

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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.