F-3-15-03
CLINICAL STUDY OF GAIT DISTURBANCE AND FALLING IN AGED PEOPLE
Rie Nakane, Yukio Mano, Ichiro Watanabe, Takayo Chuma, Osamu Shirado.
(Hokkaido University, Sapporo, Japan)
Purpose: To investigate the state on gait disturbance & falling in aged people. We examined aged people over 100 items clinically.
Method: We made a personal examination chart consisted of more than 100 items and analysed them from many points statistically.
Results: The results showed high ratio in position sense disturbance, high score in dementia test and high activity on falling group comparing to non-falling group. And the cases with disturbance of position sense showed highly disturbed ADL especially bathing and also tendsed to have an orthostatic hypotension. We could suppect that falling of aged people tended to occur at dawn and in sleepless or decreased consciousness level.
Conclusion: We made a personal examination chart to study the gait disturbance and falling of aged people and analysed their causes and would discuss the clinical prevented methods and system.
F-3-15-04
SAFETY OF WALKING FOR OLDER PATIENTS
Junki Goto (Chubu National Hospital, Obu, Japan)
In order to confirm the safety of voluntary walking for older patients with cardiovascular disease, VO2 and Ve were measured during 20 min walking using OXYLOG. Hematocrit (Ht) was measured. Six men aged 72 (SD2) years were studied. Their walking speed was 74 m/min (SD 7).
VO2, Ve and HR during walking were all below AT values, which were determined by cardiopulmonary exercise test on a treadmill. The changes in Ht before, at the end of and 30 rain after walking were nonsignificant, while a significant increase in Ht [5.0 (SD 1.5)%; p<0.01] was found at the end of peak exercise on a treadmill.
It is suggested that voluntary walking, which belongs to aerobic exercise, is applied to older patients safely in the view point of body fluid balance.
