Publications by authors named "Daniela C C Abreu"

Background: Muscle status plays an important role in the achievement of good physical performance. However, which muscle group and muscle parameters are associated with different physical tasks is not well defined.

Objective: To determine the association between trunk and lower limb muscles and physical performance in community-dwelling older women.

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Background: A core component of older adult health care assessment includes identifying fall risk, which also includes identifying those with subtle balance deficits.

Objective: To compare body displacement of the Center of Pressure (CoP) and time held during the balance test. Also, to examine whether balance tests at baseline can predict falls after 6 months.

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Objective: To investigate the association between components of physical activity and spatiotemporal gait parameters in community-dwelling older adults.

Methods: Cross-sectional study with 134 independent community-dwelling older adults. A questionnaire was applied to obtain information related to the components of physical activity (frequency, duration, modality, and history of physical activity in the life course) and the GAITRite System was used to quantify gait parameters.

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Article Synopsis
  • The study investigates the effectiveness of the 5 times stand-to-sit test (5TSST) in evaluating overall muscle strength in independent older women, beyond just quadriceps strength.
  • In the research, 119 participants performed the 5TSST alongside isometric strength tests for various muscle groups, with the 5TSST's performance measured using a ROC curve.
  • Results indicated that the 5TSST can moderately predict reduced global muscle strength, with the best accuracy at a score of 11.64 seconds, making it a valuable tool for screening muscle weakness in older women.
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Background: Few studies have investigated the association between vertebral fragility fractures and lower limb muscle strength and physical performance in women with low bone mass.

Objectives: To explore whether the presence of vertebral fracture is independently associated with poor physical performance and decreased lower limb muscle strength. To understand whether lower limb muscle strength is associated with physical performance in women with vertebral fracture.

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Objectives: To determine the accuracy of the 5-time stand-to-sit (5TSTS) test for the identification of older adults with reduced gait speed.

Design: Cross-sectional study.

Setting And Participants: A total of 559 community-dwelling older adults were included in the study, divided into groups of women (n = 465) and men (n = 94).

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Article Synopsis
  • - The study aimed to investigate the relationship between hip muscle strength, dynamic balance, and functional capacity in older adults aged 60-79 and those 80 and older, involving 191 participants.
  • - For adults aged 60-79, stronger hip muscles positively influenced performance on the forward step test, while the hip adductor strength did not significantly impact tandem gait.
  • - In adults aged 80+, hip adductor strength was crucial, positively affecting both the step and tandem gait tests, suggesting different exercise programs may be needed for each age group.
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Background: Low socioeconomic status has been associated with individual health-related problems; however, no study has specifically investigated the impact of socioeconomic disparities on gait performance using an index that considers the population aggregation, as the Human Development Index (HDI). Thus, the aim of the present study was to assess gait parameters of older people living in cities with differences in socioeconomic conditions, identified by HDI.

Methods: Cross-sectional design study conducted with a sample of 233 older people from two Brazilians regions: Coari, state of Amazonas, Brazil (n= 124, low-HDI-Bra) and Ribeirão Preto, state of São Paulo, Brazil (n= 109, very high-HDI-Bra).

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The objective was to investigate the association between rate of torque development (RTD) and torque steadiness (TS) of the lower limb and the occurrence of prospective falls in community-dwelling older adults without falls in the previous year. One hundred older adults performed the tests to obtain the RTD and TS of the hip, knee, and ankle. New episodes of falls were monitored through telephone contact for a prospective period of 12 months.

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Background: During the walk along the streets, older adults are exposed to various visual stimuli that can affect their gait in a harmful or beneficial way.

Aims: To evaluate gait strategies during different situations with and without visual stimulation in older adults to identify the influence of the visual stimulus on these gait parameters.

Methods: A total of 200 older adults were divided into 4 groups according to age range between 60 and 102 years.

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Article Synopsis
  • The study aimed to evaluate how accurate the step test (ST) is in measuring total lower limb muscle strength (LLMS) in older women using a group of 119 participants.
  • Results showed that a specific ST score (0.24 cm per cm of height) had a sensitivity of 63.3% and specificity of 77%, improving the probability of identifying reduced LLMS.
  • The researchers concluded that the step test could be a useful, quick, and inexpensive tool for screening lower limb muscle strength issues in older women.
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Background: Hip abductor muscles are important for the maintenance of postural stability, mainly on the mediolateral direction and unipodal support conditions. The objective of the present study was to evaluate the effect of unilateral induced fatigue of hip abductor muscles on balance and functional capacity of older women.

Methods: The study included physically independent women aged 60-75 years.

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Article Synopsis
  • This study aimed to assess how accurately three clinical tests (lateral step, tandem gait, and single-leg stance) identify reduced hip abductor muscle strength in older women and how these tests change diagnostic certainty.
  • A total of 123 older women underwent clinical tests and was evaluated using an isokinetic dynamometer to measure hip abductor strength, with the results indicating that lateral step and tandem gait times correlated with muscle strength but only had low diagnostic accuracy.
  • The combination of lateral step and tandem gait significantly improved the post-test probability, showing an increased chance of detecting muscle weakness when both tests were positive, making them valuable and cost-effective assessment tools for clinicians.
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Introduction: One of the main risk factor for falls is a history of falls itself. Henceforth, preventing a fall is an important strategy for the prevention of new ones. The objective of the present study was to determine whether personal self-perception questions and functional tests might represent risk factors for a fall during the year following a year without any falls among independent community-dwelling older adults, considering a period of 12 prospective months.

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Article Synopsis
  • The study aimed to determine if lower limb muscle strength could predict the risk of first falls in older adults living independently, measuring muscle strength using an isokinetic dynamometer.
  • Researchers monitored 101 participants, who had no fall history in the last year, via monthly phone calls to track any fall incidents over a year.
  • Results showed no significant link between lower limb muscle strength and falls; thus, it suggests exploring other factors that might contribute to falls in older adults to develop preventive strategies.
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  • The study assessed the effectiveness of four balance and mobility tests (BESTest, Mini-BESTest, TUG test, and gait speed) in identifying older adults (≥80 years) at risk of falls.
  • Out of these, BESTest and Mini-BESTest showed the highest post-test probability (PoTP) for predicting falls, with combinations of tests significantly improving the accuracy of risk detection.
  • The results indicate that using the TUG test, gait speed, and Mini-BESTest together can increase the chance of correctly identifying high-risk individuals to 89%, while ensuring a low false-negative rate of just 3% if all tests return negative results.
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The objective was to determine whether trunk muscle function is influenced by the aging process and to identify if the trunk can be an important factor in older people's falls over a period of 1 year. The peak torque, rate of torque development, and torque steadiness of the trunk extensors and flexors were compared between a young group, older group (older adults with no episodes of falls), and older faller group (older adults who had suffered at least one fall episode over a period of 1 year) by one-way analysis of variance, followed by the post hoc Tukey test. The adjusted multivariate linear regression was applied to verify the association between the number of falls and the trunk parameters in older adults.

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Introduction: Although it is known that individuals with Parkinson's disease (PD) have difficulties performing dual-task activities, most of the studies have verified the effect of dual tasks on gait using tasks that are uncommon to perform while walking. However, the realization of tasks involving gait that really represents the daily activities carried out by the participants, allow us to detect real fall risk situations of individuals with PD during their gait.

Objective: Our aim was to verify the influence of daily-life dual-tasks on gait spatiotemporal variables of the older adults with PD.

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Safe street crossing is important for older adults' social inclusion. We assessed gait kinematic adaptation under different simulated street crossing conditions in older adults with Parkinson's disease (PD) and made comparisons with older adults without PD to understand how PD interferes in outdoor task performance, helping in the development of strategies to reduce road traffic accident risk. In 20 older adults without PD (control group - CG) and 20 with PD (GPD), we assessed usual gait (C1), gait during street crossing simulation (C2), and gait during reduced-time street crossing simulation (C3).

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Article Synopsis
  • Peripheral vestibular disorders, especially in elderly patients, can lead to cognitive deficits and are linked with balance issues.
  • A study of 22 elderly women with chronic peripheral vestibular dizziness aimed to assess and compare cognitive function, balance, and gait with a control group of women without vestibular disorders.
  • Results indicated that women with severe dizziness had worse balance and gait performance, and their cognitive deficits were more closely related to their stability and movement challenges than those without vestibulopathy.
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  • The study investigates how aging affects walking patterns in older adults, highlighting the importance of gait for maintaining independence.
  • The research assessed 200 participants aged 60 to 102, comparing gait parameters across three age groups: 60-79, 80-89, and 90+.
  • Findings showed significant differences in various gait variables, with gait speed and step length being the most effective indicators of age-related changes, suggesting usual gait is a better measure for assessing aging effects.
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Background: Despite the clinical importance, it has remained unclear which changes in the trunk muscle function parameters are more associated with the presence of vertebral fracture (VF).

Aims: The aim of this study was to verify the association between the trunk muscle function performance and the presence of VF in older women with low bone mass. The secondary aim was to evaluate the correlation between trunk muscle function and both fall history and muscle mass.

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Objective: To assess the effectiveness of the anchors in the balance rehabilitation of participants with chronic peripheral vestibulopathy who failed to respond positively to conventional rehabilitation for dynamic balance and gait.

Design: Assessor-blind, randomized controlled trial.

Setting: Department of Otoneurology and Laboratory of Assessment and Rehabilitation of Equilibrium.

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Background And Purpose: Reference values for the Balance Evaluation Systems Test (BESTest) and the Mini-Balance Evaluation Systems Test (Mini-BESTest) need to be established to predict falls in older adults during every stage of aging. The purpose of this study was to determine the cutoff scores for the BESTest and the Mini-BESTest for community-dwelling older adults in order to predict fall risk.

Methods: A total of 264 older adults, of both sexes, between the ages of 60 and 102 years, were divided into 4 groups according to age range.

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