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Comparison of processing speed, balance, mobility and fear of falling between hypertensive and normotensive individuals
•The effects of hypertension on physical function should be considered.•Compared to normotensives hypertensives had slower processing speed.•Balance and mobility was decreased more in hypertensives than normotensives.•The fear of falling was higher in the hypertensives compared to normotensives.•Cli...
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| Published in: | Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)) Brazil)), 2020-11, Vol.24 (6), p.503-511 |
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| description | •The effects of hypertension on physical function should be considered.•Compared to normotensives hypertensives had slower processing speed.•Balance and mobility was decreased more in hypertensives than normotensives.•The fear of falling was higher in the hypertensives compared to normotensives.•Clinicians should include preventive and rehabilitative strategies in hypertensives.
Hypertension (HT) contributes substantially to poor physical function, cognitive dysfunction, cardiovascular problems and to all-cause mortality. Performance in activities requiring attention, speed and coordination might also be affected in individuals with HT.
This study compared the processing speed, static and dynamic balance, functional mobility and fear of falling between individuals with hypertension (HT group) and normotensive individuals (NT group).
One-hundred and twenty-eight individuals were included: NT group (n = 64) and HT group (n = 64). The Choice Stepping Reaction Time Test was used for the evaluation of processing speed, Single Leg Stance test for static balance evaluation, “Y” Balance Test for dynamic balance evaluation, Timed Up and Go test with single and dual tasking for the evaluation of functional mobility and Falls Efficacy Scale for assessing fear of falling.
The processing speed of the HT group was slower than that of the NT group; the total response time (RsT) in Stepping Reaction Test (SRT) (mean difference [MD] = −0.2, 95% CI = −0.3, 0), and Stroop Test (ST) [ST-A (MD = −0.4, 95% CI = −0.5, −0.2), ST-B (MD = −0.5, 95% CI = −0.7, −0.2) and ST-C (MD = −0.6, 95% CI = −0.8, −0.3). Additionally, the static [single leg stance, eyes open, right side (MD = 12.7, 95% CI = 6.3, 19.0) and left side (MD = 13.6, 95% CI = 7.2, 19.9)] and dynamic balance [Y balance test, composite score, right lower extremity (MD = 8.5, 95% CI = 4.4, 12.5) and left lower extremity (MD = 5.2, 95% CI = 1.5, 8.8) scores of the HT group were lower than those of the NT group. The HT group required a longer time to complete the functional mobility test measured with Timed Up And Go Test during both single task (MD = −0.8, 95% CI = −1.1, −0.4), cognitive dual task (MD = −1.5, 95% CI = −2.4, −0.5) and manual dual task (MD = −0.9, 95% CI = −1.3, −0.4) in comparison to the NT group. Also, the HT group had higher levels of fear of falling (MD = −7.6, 95% CI = −10.9, −4.2).
Hypertensive individuals present slower processing speed, reduced static and dynamic balance, decreased functional mobilit |
| doi_str_mv | 10.1016/j.bjpt.2019.09.002 |
| format | article |
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Hypertension (HT) contributes substantially to poor physical function, cognitive dysfunction, cardiovascular problems and to all-cause mortality. Performance in activities requiring attention, speed and coordination might also be affected in individuals with HT.
This study compared the processing speed, static and dynamic balance, functional mobility and fear of falling between individuals with hypertension (HT group) and normotensive individuals (NT group).
One-hundred and twenty-eight individuals were included: NT group (n = 64) and HT group (n = 64). The Choice Stepping Reaction Time Test was used for the evaluation of processing speed, Single Leg Stance test for static balance evaluation, “Y” Balance Test for dynamic balance evaluation, Timed Up and Go test with single and dual tasking for the evaluation of functional mobility and Falls Efficacy Scale for assessing fear of falling.
The processing speed of the HT group was slower than that of the NT group; the total response time (RsT) in Stepping Reaction Test (SRT) (mean difference [MD] = −0.2, 95% CI = −0.3, 0), and Stroop Test (ST) [ST-A (MD = −0.4, 95% CI = −0.5, −0.2), ST-B (MD = −0.5, 95% CI = −0.7, −0.2) and ST-C (MD = −0.6, 95% CI = −0.8, −0.3). Additionally, the static [single leg stance, eyes open, right side (MD = 12.7, 95% CI = 6.3, 19.0) and left side (MD = 13.6, 95% CI = 7.2, 19.9)] and dynamic balance [Y balance test, composite score, right lower extremity (MD = 8.5, 95% CI = 4.4, 12.5) and left lower extremity (MD = 5.2, 95% CI = 1.5, 8.8) scores of the HT group were lower than those of the NT group. The HT group required a longer time to complete the functional mobility test measured with Timed Up And Go Test during both single task (MD = −0.8, 95% CI = −1.1, −0.4), cognitive dual task (MD = −1.5, 95% CI = −2.4, −0.5) and manual dual task (MD = −0.9, 95% CI = −1.3, −0.4) in comparison to the NT group. Also, the HT group had higher levels of fear of falling (MD = −7.6, 95% CI = −10.9, −4.2).
Hypertensive individuals present slower processing speed, reduced static and dynamic balance, decreased functional mobility and higher fear of falling in comparison to normotensive individuals.</description><identifier>ISSN: 1413-3555</identifier><identifier>EISSN: 1809-9246</identifier><identifier>DOI: 10.1016/j.bjpt.2019.09.002</identifier><identifier>PMID: 31570266</identifier><language>eng</language><publisher>Brazil: Elsevier Editora Ltda</publisher><subject>Accidental Falls ; Blood pressure ; Cognitive Dysfunction ; Dual task ; Exercise Test ; Exercise Therapy ; Falling ; Fear ; Gait - physiology ; Humans ; Hypertension - physiopathology ; Original Research ; Physical Therapy Modalities ; Postural Balance - physiology ; Reaction time ; Rehabilitation ; Time and Motion Studies</subject><ispartof>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)), 2020-11, Vol.24 (6), p.503-511</ispartof><rights>2019 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia</rights><rights>Copyright © 2019 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.</rights><rights>2019 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved. 2019 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c521t-d8f43bf1fc098e28ee63c5c0eb283c6523554d745d6816c5cf5d007b6375ba2a3</citedby><cites>FETCH-LOGICAL-c521t-d8f43bf1fc098e28ee63c5c0eb283c6523554d745d6816c5cf5d007b6375ba2a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7779963/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7779963/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,733,786,790,891,27957,27958,53827,53829</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31570266$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ozaldemir, Isılay</creatorcontrib><creatorcontrib>Iyigun, Gozde</creatorcontrib><creatorcontrib>Malkoc, Mehtap</creatorcontrib><title>Comparison of processing speed, balance, mobility and fear of falling between hypertensive and normotensive individuals</title><title>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))</title><addtitle>Braz J Phys Ther</addtitle><description>•The effects of hypertension on physical function should be considered.•Compared to normotensives hypertensives had slower processing speed.•Balance and mobility was decreased more in hypertensives than normotensives.•The fear of falling was higher in the hypertensives compared to normotensives.•Clinicians should include preventive and rehabilitative strategies in hypertensives.
Hypertension (HT) contributes substantially to poor physical function, cognitive dysfunction, cardiovascular problems and to all-cause mortality. Performance in activities requiring attention, speed and coordination might also be affected in individuals with HT.
This study compared the processing speed, static and dynamic balance, functional mobility and fear of falling between individuals with hypertension (HT group) and normotensive individuals (NT group).
One-hundred and twenty-eight individuals were included: NT group (n = 64) and HT group (n = 64). The Choice Stepping Reaction Time Test was used for the evaluation of processing speed, Single Leg Stance test for static balance evaluation, “Y” Balance Test for dynamic balance evaluation, Timed Up and Go test with single and dual tasking for the evaluation of functional mobility and Falls Efficacy Scale for assessing fear of falling.
The processing speed of the HT group was slower than that of the NT group; the total response time (RsT) in Stepping Reaction Test (SRT) (mean difference [MD] = −0.2, 95% CI = −0.3, 0), and Stroop Test (ST) [ST-A (MD = −0.4, 95% CI = −0.5, −0.2), ST-B (MD = −0.5, 95% CI = −0.7, −0.2) and ST-C (MD = −0.6, 95% CI = −0.8, −0.3). Additionally, the static [single leg stance, eyes open, right side (MD = 12.7, 95% CI = 6.3, 19.0) and left side (MD = 13.6, 95% CI = 7.2, 19.9)] and dynamic balance [Y balance test, composite score, right lower extremity (MD = 8.5, 95% CI = 4.4, 12.5) and left lower extremity (MD = 5.2, 95% CI = 1.5, 8.8) scores of the HT group were lower than those of the NT group. The HT group required a longer time to complete the functional mobility test measured with Timed Up And Go Test during both single task (MD = −0.8, 95% CI = −1.1, −0.4), cognitive dual task (MD = −1.5, 95% CI = −2.4, −0.5) and manual dual task (MD = −0.9, 95% CI = −1.3, −0.4) in comparison to the NT group. Also, the HT group had higher levels of fear of falling (MD = −7.6, 95% CI = −10.9, −4.2).
Hypertensive individuals present slower processing speed, reduced static and dynamic balance, decreased functional mobility and higher fear of falling in comparison to normotensive individuals.</description><subject>Accidental Falls</subject><subject>Blood pressure</subject><subject>Cognitive Dysfunction</subject><subject>Dual task</subject><subject>Exercise Test</subject><subject>Exercise Therapy</subject><subject>Falling</subject><subject>Fear</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Hypertension - physiopathology</subject><subject>Original Research</subject><subject>Physical Therapy Modalities</subject><subject>Postural Balance - physiology</subject><subject>Reaction time</subject><subject>Rehabilitation</subject><subject>Time and Motion Studies</subject><issn>1413-3555</issn><issn>1809-9246</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kUtr3DAUhUVpaR7tH8gieNlFPNXDki0IhTA0bSHQTbsWelwnGmzJkTwzzL-P3ElCuylckND9zpF0D0IXBK8IJuLzZmU207yimMgVLoXpG3RKOixrSRvxtuwbwmrGOT9BZzlvMOYdofg9OmGEt5gKcYr26zhOOvkcQxX7akrRQs4-3Fd5AnBXldGDDhauqjEaP_j5UOngqh50WvheD8MCG5j3AKF6OEyQZgjZ7-APGGIa48uBD87vvNvqIX9A74o2w8fn9Rz9vv36a_29vvv57cf65q62nJK5dl3fMNOT3mLZAe0ABLPcYjC0Y1ZwWn7XuLbhTnRElE7PHcatEazlRlPNztGXo--0NSM4C2FOelBT8qNOBxW1V_92gn9Q93Gn2raVUrBi8OnZIMXHLeRZjT5bGMpUIG6zolTKVgjJeUHpEbUp5pygf72GYLUkpjZqSUwtiSlcCtMiuvz7ga-Sl4gKcH0EoIxp5yGpbD2USJxPYGflov-f_xMMhqty</recordid><startdate>20201101</startdate><enddate>20201101</enddate><creator>Ozaldemir, Isılay</creator><creator>Iyigun, Gozde</creator><creator>Malkoc, Mehtap</creator><general>Elsevier Editora Ltda</general><general>Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201101</creationdate><title>Comparison of processing speed, balance, mobility and fear of falling between hypertensive and normotensive individuals</title><author>Ozaldemir, Isılay ; Iyigun, Gozde ; Malkoc, Mehtap</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c521t-d8f43bf1fc098e28ee63c5c0eb283c6523554d745d6816c5cf5d007b6375ba2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Accidental Falls</topic><topic>Blood pressure</topic><topic>Cognitive Dysfunction</topic><topic>Dual task</topic><topic>Exercise Test</topic><topic>Exercise Therapy</topic><topic>Falling</topic><topic>Fear</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>Hypertension - physiopathology</topic><topic>Original Research</topic><topic>Physical Therapy Modalities</topic><topic>Postural Balance - physiology</topic><topic>Reaction time</topic><topic>Rehabilitation</topic><topic>Time and Motion Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ozaldemir, Isılay</creatorcontrib><creatorcontrib>Iyigun, Gozde</creatorcontrib><creatorcontrib>Malkoc, Mehtap</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ozaldemir, Isılay</au><au>Iyigun, Gozde</au><au>Malkoc, Mehtap</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of processing speed, balance, mobility and fear of falling between hypertensive and normotensive individuals</atitle><jtitle>Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil))</jtitle><addtitle>Braz J Phys Ther</addtitle><date>2020-11-01</date><risdate>2020</risdate><volume>24</volume><issue>6</issue><spage>503</spage><epage>511</epage><pages>503-511</pages><issn>1413-3555</issn><eissn>1809-9246</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>•The effects of hypertension on physical function should be considered.•Compared to normotensives hypertensives had slower processing speed.•Balance and mobility was decreased more in hypertensives than normotensives.•The fear of falling was higher in the hypertensives compared to normotensives.•Clinicians should include preventive and rehabilitative strategies in hypertensives.
Hypertension (HT) contributes substantially to poor physical function, cognitive dysfunction, cardiovascular problems and to all-cause mortality. Performance in activities requiring attention, speed and coordination might also be affected in individuals with HT.
This study compared the processing speed, static and dynamic balance, functional mobility and fear of falling between individuals with hypertension (HT group) and normotensive individuals (NT group).
One-hundred and twenty-eight individuals were included: NT group (n = 64) and HT group (n = 64). The Choice Stepping Reaction Time Test was used for the evaluation of processing speed, Single Leg Stance test for static balance evaluation, “Y” Balance Test for dynamic balance evaluation, Timed Up and Go test with single and dual tasking for the evaluation of functional mobility and Falls Efficacy Scale for assessing fear of falling.
The processing speed of the HT group was slower than that of the NT group; the total response time (RsT) in Stepping Reaction Test (SRT) (mean difference [MD] = −0.2, 95% CI = −0.3, 0), and Stroop Test (ST) [ST-A (MD = −0.4, 95% CI = −0.5, −0.2), ST-B (MD = −0.5, 95% CI = −0.7, −0.2) and ST-C (MD = −0.6, 95% CI = −0.8, −0.3). Additionally, the static [single leg stance, eyes open, right side (MD = 12.7, 95% CI = 6.3, 19.0) and left side (MD = 13.6, 95% CI = 7.2, 19.9)] and dynamic balance [Y balance test, composite score, right lower extremity (MD = 8.5, 95% CI = 4.4, 12.5) and left lower extremity (MD = 5.2, 95% CI = 1.5, 8.8) scores of the HT group were lower than those of the NT group. The HT group required a longer time to complete the functional mobility test measured with Timed Up And Go Test during both single task (MD = −0.8, 95% CI = −1.1, −0.4), cognitive dual task (MD = −1.5, 95% CI = −2.4, −0.5) and manual dual task (MD = −0.9, 95% CI = −1.3, −0.4) in comparison to the NT group. Also, the HT group had higher levels of fear of falling (MD = −7.6, 95% CI = −10.9, −4.2).
Hypertensive individuals present slower processing speed, reduced static and dynamic balance, decreased functional mobility and higher fear of falling in comparison to normotensive individuals.</abstract><cop>Brazil</cop><pub>Elsevier Editora Ltda</pub><pmid>31570266</pmid><doi>10.1016/j.bjpt.2019.09.002</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Accidental Falls Blood pressure Cognitive Dysfunction Dual task Exercise Test Exercise Therapy Falling Fear Gait - physiology Humans Hypertension - physiopathology Original Research Physical Therapy Modalities Postural Balance - physiology Reaction time Rehabilitation Time and Motion Studies |
| title | Comparison of processing speed, balance, mobility and fear of falling between hypertensive and normotensive individuals |
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