Journal of Current Research and Review (JCRR)

PREVALENCE OF POTENTIAL RISK OF FALLS AND INACTIVATION OF THE TRANSVERSUS ABDOMINIS MUSCLE AS A RISK FACTOR IN A COMMUNITY-DWELLING ELDERLY POPULATION

Authors

  • Jogunola, Olabanji Oladele Department of Physiotherapy, College of Medicine, University of Lagos, Nigeria
  • Aiyegbusi Ayoola Ibifubara Department of Physiotherapy, College of Medicine, University of Lagos, Nigeria
  • Okafor Udoka Arinze Department of Physiotherapy, College of Medicine, University of Lagos, Nigeria
  • Balogun, Oluwaseyi Jessy Department of Biomedical Engineering, College of Medicine, University of Lagos, Nigeria
  • Braimoh Kolawole Thomas Department of Radiology, University of Ilorin, Nigeria

Abstract

Objectives Falls are the leading cause of unintentional injury-related deaths in the elderly; hence, prevention of falls is an important public health issue. There is however a need to evaluate the potential risk of falls and associated predictive risk factors in the elderly. Current evidence has shown that inactivation of the transversus abdominis (TA) results in loss of balance and falls, particularly in the elderly. Thus, this study determined the prevalence of the potential risk of falls and its correlation with inactive TA among selected community-dwelling elderly. Methods This study screened 112 male and female participants aged 65 years and above for the potential risk of falls using the fall prediction tool for the elderly. Seventy-three participants with a high risk of falls were screened using ultrasonography for transversus abdominis muscle activation. All data were summarized and analyzed using descriptive statistics of mean, percentage, and standard deviation. Principal Component Analysis (PCA) was used to determine the association of age, body mass index (BMI), chair stand test (CST), timed up and go test (TUG), four-stage balance test (FSB), and fall prediction tool (FPT) with transversus abdominis activation. Results The prevalence of risk of falls among the participants was 73%. Analysis of principal components to determine the correlation of age, body mass index (BMI), chair stand test (CST), timed up and go (TUG), four-stage balance (FSB), and fall prediction tool (FPT) with the activation of the transversus abdominis showed that FSB had excellent quality representation, whereas CST and FPT had good quality representation. All these had positive correlations with the activation of the transversus abdominis. Conclusion This study identified inactivation of the transversus abdominis as an intrinsic factor for the potential risk of falls in community-dwelling elderly

Keywords:

Body mass index, Chair stand test, Fall prediction tool, Four-stage balance test, Timed up and go, transversus abdominis

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Published

2024-05-29

DOI:

https://doi.org/10.5281/zenodo.11400709

Issue

Vol. 15 No. 5 (2024): May

Section

Articles

How to Cite

Jogunola, O. O., Aiyegbusi , A. I., Okafor , U. A., Balogun, O. J., & Braimoh , K. T. (2024). PREVALENCE OF POTENTIAL RISK OF FALLS AND INACTIVATION OF THE TRANSVERSUS ABDOMINIS MUSCLE AS A RISK FACTOR IN A COMMUNITY-DWELLING ELDERLY POPULATION. Journal of Current Research and Review (JCRR), 15(5), 1–11. https://doi.org/10.5281/zenodo.11400709

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Copyright (c) 2024 Jogunola, Olababji Oladele, Aiyegbusi Ayoola Ibifubara, Okafor Udoka Arinze, Balogun, Oluwaseyi Jessy , Braimoh Kolawole Thomas

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

References

Baek, S. O., Ahn, S. H., Jones, R., Cho, H. K., Jung, G. S., Cho, Y. W., et al. (2014). Activations of deep lumbar stabilizing muscles by transcutaneous neuromuscular electrical stimulation of lumbar paraspinal regions. Annals of Rehabilitation Medicine, 38(4), 506-513.

Centers for Disease Control and Prevention. (2015). Centers for Disease Control and Prevention compendium of effective fall interventions: What works for community-dwelling older adults. Centers for Disease Control and Prevention.

Dhargave, P., & Sendhilkumar, R. (2016). Prevalence of risk factors for falls among elderly people living in long-term care homes. Journal of Clinical Gerontology and Geriatrics, 7(3), 99-103.

Dionyssiotis, Y. (2012). Analyzing the problem of falls among older people. International Journal of General Medicine, 5, 805-813.

Ferraro, R., Garman, S., Taylor, R., Scott, J. P., & Kadlowec, J. (2019). The effectiveness of transverse abdominis training on balance, postural sway, and core muscle recruitment patterns: A pilot study comparison across age groups. Journal of Physical Therapy Science, 31(9), 729-737.

Gale, C. R., Cooper, C., & Sayer, A. A. (2016). Prevalence and risk factors for falls in older men and women: The English longitudinal study of Ageing. Age and Ageing, 45(6), 789-794.

Landi, F., Liperoti, R., Russo, A., Giovannini, S., Tosato, M., Capoluongo, E., et al. (2012). Sarcopenia as a risk factor for falls in elderly individuals: Results from the ilSIRENTE study. Clinical Nutrition, 31, 652-658.

MacKenzie, J. F., Grimshaw, P. N., Jones, C. D. S., Thoirs, K., & Petkov, J. (2014). Muscle activity during lifting: Examining the effect of core conditioning of multifidus and transversus abdominis. Work, 47(4), 453-462.

Mahmoodabad, S. S. M., Zareipour, M., & Beigomi, A. (2018). Effects of the living environment on falls among elderly in Urmia. Macedonian Journal of Medical Sciences, 6(11), 2233-2238.

Maîtri, M., & Geeta, B. (2017). The effect of core stability training on dynamic balance and lower extremity performance in young asymptomatic individuals. International Journal of Physiotherapy and Research, 5(6), 2451-2456.

Pengpid, S., & Peltzer, K. (2018). Prevalence and risk factors associated with injurious falls among community-dwelling older adults in Indonesia. Current Gerontology and Geriatrics Research, 2018, Article 5964305, 1-8.

Phelan, E. A., Mahoney, J. E., Voit, J. C., & Stevens, J. A. (2015). Assessment and management of fall risk in primary care settings. Medical Clinics of North America, 99(2), 281-293.

Ponde, K., Agrawal, R., & Chikte, N. K. (2021). Core stabilization exercises on balance performance in older adults. International Journal of Contemporary Medicine, 9(1).

Public Health Agency of Canada. (2014). Report on senior’s fall in Canada. Division of Ageing and Seniors. Retrieved from http://www.phac-aspc.gc.ca

Rubenstein, L. Z., & Josephson, K. R. (2006). Falls and their prevention in elderly people: What does the evidence show? Medical Clinics of North America, 90(5), 807-824.

Selkow, N., Eck, M., & Rivas, S. (2017). Transversus abdominis activation and timing improves following core stability training: A randomized trial. International Journal of Sports Physical Therapy, 12(7), 1048-1056.

Shubert, T. E., Goto, L. S., Smith, M. L., Jiang, L., Rudman, H., & Ory, M. G. (2017). The Otago exercise programme: Innovative delivery models to maximize sustained outcomes for high risk, homebound older adults. Frontiers in Public Health, 5(54), 1-8.

Singer, J., Prentice, S., & McIlroy, W. (2016). Age-related challenges in reactive control of mediolateral stability during compensatory stepping: A focus on the dynamics of restabilization. Journal of Biomechanics, 49(5), 749-755.

Tayhen, D., Rieges, J., Westrick, R., Miller, A., Molloy, J., & Childs, J. (2008). Changes in deep abdominal muscle thickness during common trunk-strengthening exercises using ultrasound imaging. Journal of Orthopedic & Sports Physical Therapy, 38(10), 596-605.

Turner, A. J., Chander, H., & Knight, A. C. (2018). Falls in geriatric populations and hydrotherapy as an intervention: A brief review. Geriatrics, 3(71), 1-8.

Visser, M., Goodpaster, B. H., Kritchevsky, S. B., Newman, A. B., Nevitt, M., Rubin, S. M., et al. (2005). Muscle mass, muscle strength, and muscle fat infiltration as predictors of incident mobility limitations in well‐functioning older persons. Journals of Gerontology: Series A, 60, 324-333.

World Health Organization. (2021). Falls. World Health Organization Fact Sheet. Retrieved from http://www.who.int/news-room/fact-sheets/detail/falls