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    Balance and Mobility Dysfunctionand Falls Risk in Older People with Mild to Moderate Alzheimer Disease

    Access Status
    Fulltext not available
    Authors
    Suttanon, P.
    Hill, Keith
    Said, C.
    LoGiudice, D.
    Lautenschlager, N.
    Dodd, K.
    Date
    2011
    Type
    Journal Article
    
    Metadata
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    Citation
    Suttanon, Plaiwan and Hill, Keith D. and Said, Catherine M. and LoGiudice, Dina and Lautenschlager, Nicola T. and Dodd, Karen J. 2011. Balance and Mobility Dysfunction and Falls Risk in Older People with Mild to Moderate Alzheimer Disease. American Journal of Physical Medicine and Rehabilitation. 91 (1): pp. 12-23.
    Source Title
    American Journal of Physical Medicine and Rehabilitation
    DOI
    10.1097/PHM.0b013e31823caeea
    ISSN
    0894-9115
    School
    School of Physiotherapy
    URI
    http://hdl.handle.net/20.500.11937/8509
    Collection
    • Curtin Research Publications
    Abstract

    Objective: This study aimed to identify the magnitude and type of balance and mobility impairments in people with Alzheimer disease by comparing their performance with that of older people without cognitive impairment. Design: Twenty-five community-dwelling people with mild to moderate Alzheimer disease and a comparison group of 25 cognitively intact age- and sex-matched people completed a comprehensive balance and mobility assessment. This included computerized posturography measures of static and dynamic balance under various conditions, clinical balance, and mobility measures, and measures of falls and falls risk. Results: The level of falls risk was higher in people with Alzheimer disease. Standing balance in people with Alzheimer disease was significantly impaired across a range of static and dynamic balance conditions. Activity level, gait, and mobility measures were also impaired, particularly turning and dual tasks. Conclusions: The findings of the study highlight the value of including balance screening as a routine component of early dementia assessment. This would allow for the early detection of balance dysfunction and the introduction of balance retraining before impairments progress to more advanced levels.

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