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Multi-sensory training and wrist fractures: a randomized, controlled trial

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 f...

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Autores principales: Baldursdottir, Bergthora, Whitney, Susan L., Ramel, Alfons, Jonsson, Palmi V., Mogensen, Brynjolfur, Petersen, Hannes, Kristinsdottir, Ella K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974498/
https://www.ncbi.nlm.nih.gov/pubmed/30756250
http://dx.doi.org/10.1007/s40520-019-01143-4
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author Baldursdottir, Bergthora
Whitney, Susan L.
Ramel, Alfons
Jonsson, Palmi V.
Mogensen, Brynjolfur
Petersen, Hannes
Kristinsdottir, Ella K.
author_facet Baldursdottir, Bergthora
Whitney, Susan L.
Ramel, Alfons
Jonsson, Palmi V.
Mogensen, Brynjolfur
Petersen, Hannes
Kristinsdottir, Ella K.
author_sort Baldursdottir, Bergthora
collection PubMed
description 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.
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spelling pubmed-69744982020-02-03 Multi-sensory training and wrist fractures: a randomized, controlled trial Baldursdottir, Bergthora Whitney, Susan L. Ramel, Alfons Jonsson, Palmi V. Mogensen, Brynjolfur Petersen, Hannes Kristinsdottir, Ella K. Aging Clin Exp Res Original Article 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. Springer International Publishing 2019-02-11 2020 /pmc/articles/PMC6974498/ /pubmed/30756250 http://dx.doi.org/10.1007/s40520-019-01143-4 Text en © The Author(s) 2019 OpenAccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Baldursdottir, Bergthora
Whitney, Susan L.
Ramel, Alfons
Jonsson, Palmi V.
Mogensen, Brynjolfur
Petersen, Hannes
Kristinsdottir, Ella K.
Multi-sensory training and wrist fractures: a randomized, controlled trial
title Multi-sensory training and wrist fractures: a randomized, controlled trial
title_full Multi-sensory training and wrist fractures: a randomized, controlled trial
title_fullStr Multi-sensory training and wrist fractures: a randomized, controlled trial
title_full_unstemmed Multi-sensory training and wrist fractures: a randomized, controlled trial
title_short Multi-sensory training and wrist fractures: a randomized, controlled trial
title_sort multi-sensory training and wrist fractures: a randomized, controlled trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974498/
https://www.ncbi.nlm.nih.gov/pubmed/30756250
http://dx.doi.org/10.1007/s40520-019-01143-4
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