Characteristics of postural response and oscillatory movements of the center of gravity in elderly female fire victims
DOI: 10.22138/2500-0918-2019-16-2-303-308
A.V. Dyomin, A.B. Gudkov, O.N. Popova
Biomedical Research Institute, Northern (Arctic) Federal University named after M.V. Lomonosov, Arkhangelsk, Russian Federation;
Northern State Medical University, Arkhangelsk, Russian Federation
Abstract: The research on the effects of experienced emergency and extreme situations on the health of an aging person continues to be one of the topical issues of gerontology and geriatrics. The purpose of this work was to identify the features of postural response and oscillatory movements of the center of gravity (CoG) in elderly women who survived the fire. Materials and methods. 94 women aged 60–69 years were examined (mean age (M±SD) — 63.2±2.3 years). The study group (SG) included 47 women who reported that they had experienced an extreme fire situation 4 to 18 weeks ago. The comparison group (CG) also included 47 women who over the past two years have not experienced any extreme situations (fire hazard, criminal, road traffic), as well as the death of close relatives. To assess the features of the components of the postural balance (CPB), a computer dynamic posturographic complex “Smart Equitest Balance Manager”, manufactured in the USA, was used. The following tests were performed: Motor Control Test (MCT) and Rhythmic Weight Shift (RWS). The results of the study. When analyzing MCT, it was found that women in the SG have the higher markers of the resulting assessment of the delay in the entire test compared to the CG (p=0.040), which indicates a slowdown in the rate of coordinated motor reactions in female fire victims. When comparing the results of the RWS test, it was found that the quality indicators for controlling CoG in the left-to-right direction in the SG were higher than in the CG (p=0.002), which indicates a decrease in the quality of control of the CoG movement in the frontal plane in women who survived the fire. Conclusion. Stressful situations associated with the experienced by elderly women extreme or emergency situations are accompanied by a deterioration in their CPB. The obtained results substantiate the possibility of using computer posturography through biofeedback not only for physical but also psychological rehabilitation.
Keywords: elderly women, fire victims, computer posturography, Motor Control Test, Rhythmic Weight Shift
Received 15.04.2019.
For citation:
Dyomin A.V., Gudkov A.B., Popova O.N. Characteristics of postural responseand oscillatory movements of the center of gravity in elderly female fire victims. Vestn. Ural. Med. Akad. Nauki. = Journal of Ural Medical Academic Science. 2019, Vol. 16, no. 2, pp. 303–308. DOI: 10.22138/2500-0918-2019-16-2-303-308 (In Russ)
REFERENCES
1. Gudkov A.B., Dyomin A.V., Popova O.N., Gribanov A.V. Kharakteristika postural’nogo balansa u zhenshchin, perezhivshikh pozhar v pozhilom vozraste. [Characteristics of postural balance in older female fire victims].Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2018. N 4. Pp. 68–75. (In Russ.)
2. Bonnet C.T., Delval A., Defebvre L. Interest of active posturography to detect age-related and early Parkinson's disease-related impairments in mediolateral postural control. Journal of neurophysiology. 2014. Vol. 112, No. 10. pp. 2638–2646.
3. Apazoglou K., Mazzola V., Wegrzyk J., et al. Biological and perceived stress in motor functional neurological disorders. Psychoneuroendocrinology. 2017. Vol. 85. pp. 142–150.
4. Gudkov A.B., Dyomin A.V., Gribanov A. Kharakteristika postural'nogo kontrolya u zhenshchin pozhilogo vozrasta s sindromom padenii [Postural control characteristics in elderly women with fallers]. Uspekhi gerontologii [Advances in Gerontology]. 2015. Vol. 28. N 3. Pp. 513–520. (In Russ.).
5. de la Torre J., Marin J., Marin J.J., et al. Balance study in asymptomatic subjects: Determination of significant variables and reference patterns to improve clinical application. Journal of biomechanics. 2017. Vol. 65. pp. 161–168.
6. Ruwitch M.M., Row Lazzarini B. Development of a rapid stepping test to challenge rapid weight-shifting function in older adults. Aging clinical and experimental research. 2017. Vol. 29, No. 4. Ppp. 701–709.
7. Sadeghi H., Prince F., Zabjek K.F., Labelle H. Simultaneous, bilateral, and three-dimensional gait analysis of elderly people without impairments. American journal of physical medicine & rehabilitation. 2004. Vol. 83, No. 2. pp. 112–123.
8. Dyomin A.V., Moroz T.P., Gribanov A.V., Torshin V.I. Kharakteristika postural'no-motornogo kontrolya u zhenshchin pozhilogo vozrasta s sindromom padenii [ Postural-motor control characteristics in older female fallers]. Ekologiya cheloveka [Human Ecology]. 2016. N 5, Pp. 30–35. (In Russ.).
9. Bernstein N.A. Fiziologiya dvizhenij i aktivnost [Physiology of movements and activity]. M.: Nauka, 1990. 220 p. (In Russ.).
10. Wilkes C., Kydd R., Sagar M., Broadbent E. Upright posture improves affect and fatigue in people with depressive symptoms. Journal of behavior therapy and experimental psychiatry. 2017. Vol. 54, pp.143–149.
Authors
Alexander V. Dyomin
Research Associate Biomedical Research Institute, Northern (Arctic) Federal University named after M.V. Lomonosov
Cand. Sci. (Biol.),Senior
Badigina passage 3 Arlhangelsk Russian Federation 163045
a.demin@narfu.ru
Andrey B. Gudkov
Northern State Medical University
Dr. Sci. (Med.), Professor, Honored Worker of the Higher School of the Russian Federation, Head of the Department of Hygiene and Medical Ecology
Troitsky av. 51 Arlhangelsk Russian Federation 163000
gudkovab@nsmu.ru
Olga N. Popova
Northern State Medical University
Dr. Sci. (Med.), Assistant Professor, Professor at the Department of Hygiene and Medical
Ecology, Northern State Medical University
popovaon@nsmu.ru
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
