Original Research Article
Year: 2019 | Month: February | Volume: 9 | Issue: 2 | Pages: 101-107
Efficacy of Balance Scales in Fall Risk Identification in Elderly with Breathing Pattern Dysfunction - An Observational Study
Ayesha Fatima Gaffar1, Sunith Waghray2, Naveen Kumar Balne2
1Post Graduate Student, Physiotherapy - Cardiovascular and Pulmonary Sciences,
College of Physiotherapy, Nizam’s Institute of Medical Sciences - NIMS, Punjagutta, Hyderabad - 500082, Telangana, India.
2Department of Physiotherapy, Nizam’s Institute of Medical Sciences, Hyderabad - TS. 500082.
Corresponding Author: Ayesha Fatima Gaffar
Background: Many studies have confirmed the efficacy and effect of postural system training on fall risk prevention but in this present study focus is on respiratory pattern variations and its relation to balance and fall risk, and to find out the sensitivity and applicability of scales in evaluation of balance and fall risk identification in elderly with breathing pattern dysfunctions.
Methods: Out of 247 subjects, 50 subjects were enrolled in this study, if they met the inclusion criteria. The subjects were assessed for breathing pattern disorders, and balance issues. Breathing and balance parameters were assessed using Nijmegen Questionnaire, Self-evaluating breathing questionnaire, Hi-lo breathing assessment, seated lateral expansion, respiratory rate, breath hold time, single breath count, Fullerton Advanced Balance Scale, Berg Balance Scale. All the parameters were measured at baseline, before the intervention. The interventions were Supine Breathing, Crocodile Breathing Seated Breathing, 90/90/90 breathing, and Breathing with Thera -band. After the intervention, parameters of respiratory rate, single breath count, Fullerton advance balance scale, and berg balance were measured.
Results: there was statistically significant difference in the parameter score, before and after the intervention. There was also a positive correlation between all the measured respiratory and balance parameters.
Conclusion: The result of this study shows that breathing pattern disorders have an effect on balance. Both Berg Balance Scale and Fullerton advanced balance can document fall risk identification in subjects with breathing pattern disorders, but Fullerton advanced balance scale appears to be more sensitive.
Key words: Balance, Elderly, FABS, BBS, breathing pattern dysfunction, BPD.