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neck Motion Restriction Negatively Affects Turning Stability in Community-Dwelling Older Adults with and without a History of Falls

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Advances in Aging Research 2022年第2期11卷 35-49页

作者： Luzit Hadad Herman Avner Cohen Netta Kram Zvi Kozol Physical Therapy Department School for Community Health Professions Faculty of Health Sciences Ariel University Ariel Israel Rotschild Physiotherapy Department Clalit Health Services Petach-Tikva Israel Sackler Faculty of Medicine Tel Aviv University Tel Aviv Israel Pediatric Ambulatory Center General Health Services Petach Tikva Israel

Background: Many older adults fall while turning. During the turning maneuver, rotation of the head precedes the rest of the body, creating a spatial frame of reference. Limitations of the neck rotation, may interfere with the turning mechanism, affect stability, and lead to recurrent falls. However, the association between the range of the neck rotation and turning stability was not explored yet. Purpose: To compare the impact of restricting the neck rotation by a brace, on the turning stability of adults with and without a history of falls. Methods: An observational, cross-sectional study consisting of 59 adults (average age 76 ± 6.9). A group (N = 29) with at least 2 falls (FL) in the last year and a group (N = 30) without a history of falls in the last year (NFL). All participants performed three tests: Timed up and Go (TUG), 180° Turn Test (180 TT) and 360° Turn Test (360 TT) with and without a neck brace. Results: All the scores of the FL were lower than those of the NFL (p Application of the brace worsened the performance of the 180 TT and the 360 TT of both groups (p neck rotation was correlated with balance tests and number of falls (r = 0.272;p Conclusions: Restricting of the neck mobility worsened the turning stability of both groups but without interaction. The study reinforces the need of considering the neck range of motion when addressing adult stability. A decrease in the range of right neck rotation was identified as a risk factor for loss of balance.

关键词： Balance Turning neck-Brace neck-rotation Fall

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