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O efeito da prótese total removível no equilíbrio estático em pacientes geriátricos
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Authors
Abstract(s)
Objetivos: Avaliar a influência do uso de prótese total removível no equilíbrio estático de pacientes geriátricos edêntulos totais.
Materiais e Métodos: Participaram neste estudo 16 idosos com mais de 65 anos de idade, desdentados totais, que usavam prótese total removível superior e inferior. Através de uma plataforma de forças foi avaliado o equilíbrio estático dos participantes com e sem próteses totais removíveis, de olhos abertos e olhos fechados. As avaliações foram comparadas através dos seguintes parâmetros posturográficos: deslocamento total, distancia média, velocidade média, desvio padrão, raiz quadrada média, amplitude e área da elipse, nas condições de olhos abertos e de olhos fechados. Adicionalmente, foi calculado o índice de Romberg para cada um dos parâmetros.
Resultados: Na situação de olhos abertos, verificou-se melhor equilíbrio dos participantes com prótese total removível nos parâmetros distância média (p=0,004), desvio padrão (p=0,002), raiz quadrada média (p=0,002) e amplitude (p=0,016), sempre na componente ântero-posterior. O índice de Romberg dos parâmetros distância média (p=0,023), desvio padrão (p=0,006) e raiz quadrada média (p=0,007), na componente ântero-posterior, indicou que a informação do sistema visual teve mais relevância quando os indivíduos geriátricos estavam na ausência de prótese total removível.
Conclusões: O uso de prótese total removível pode influenciar positivamente o equilíbrio estático de pacientes geriátricos e deve ser considerado como um meio de prevenção da queda na população idosa.
Aims: Evaluate the influence of the use of removable complete dentures on the static balance of edentulous geriatric patients. Material and Methods: 16 elderly individuals over the age of 65, who were completely edentulous and wore both upper and lower removable complete dentures, participated in this study. Using a force platform, the static balance of participants with and without removable complete dentures was evaluated, with eyes open and eyes closed. Assessments were compared using the following posturographic parameters: total displacement, average distance, average speed, standard deviation, mean square root, amplitude and ellipse area, in both the eyes-open and eyes-closed conditions. In addition, the Romberg index for calculated for each parameter. Results: In the eyes-open condition, statistical significance was found in the comparisons for the following parameters: mean distance (p=0.004), standard deviation (p=0.002), mean square root (p=0.002), and amplitude (p=0.016), always in the anteroposterior component. The comparison of the Romberg index also had statistical significance in the parameters: mean distance (p=0.023), standard deviation (p=0.006) and mean square root (p=0.007) in the anteroposterior component, which indicated that visual system information was more relevant when geriatric individuals were lacking removable complete dentures. Conclusions: The use of removable complete dentures can positively influence the static balance of geriatric patients and should be considered as a means of preventing falls in the elderly population.
Aims: Evaluate the influence of the use of removable complete dentures on the static balance of edentulous geriatric patients. Material and Methods: 16 elderly individuals over the age of 65, who were completely edentulous and wore both upper and lower removable complete dentures, participated in this study. Using a force platform, the static balance of participants with and without removable complete dentures was evaluated, with eyes open and eyes closed. Assessments were compared using the following posturographic parameters: total displacement, average distance, average speed, standard deviation, mean square root, amplitude and ellipse area, in both the eyes-open and eyes-closed conditions. In addition, the Romberg index for calculated for each parameter. Results: In the eyes-open condition, statistical significance was found in the comparisons for the following parameters: mean distance (p=0.004), standard deviation (p=0.002), mean square root (p=0.002), and amplitude (p=0.016), always in the anteroposterior component. The comparison of the Romberg index also had statistical significance in the parameters: mean distance (p=0.023), standard deviation (p=0.006) and mean square root (p=0.007) in the anteroposterior component, which indicated that visual system information was more relevant when geriatric individuals were lacking removable complete dentures. Conclusions: The use of removable complete dentures can positively influence the static balance of geriatric patients and should be considered as a means of preventing falls in the elderly population.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Pacientes idosos Prótese total removível Posturografia Risco de queda