Jemds.com Original Research Article
J Evolution Med Dent Sci / eISSN - 2278-4802, pISSN - 2278-4748 / Vol. 10 / Issue 20/ May 17, 2021 Page 1469
Correlation between Motor Strategies of Balance Control and
Causes of Fall in Post-Operative Elderly Individuals
Ishan Vivekanand Phatak
1
, Sujit Ramesh Chavan
2
, Sandeep Babasaheb Shinde
3
1, 2, 3
Department of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna
Institute of Medical Sciences (Deemed to Be University), Karad, Maharashtra, India.
ABSTRACT
BACKGROUND
Falls are very much common in elderly. Fall in geriatric population is one of the
common reasons for hospitalization, which may put financial burden on the patient
and family. Fall in geriatric population many a times causes fracture and it may lead
to serious complications which can threaten life. It may lead to disability and patient
may become a handicap. In our study, we identified the correlation between motor
strategies of balance control and causes of fall in post-operative elderly individuals.
METHODS
In this observational study, a total of 100 post-operative elderly individuals who had
a fall and who underwent surgery for fracture correction were included. Both males
and females in age group of 60 years and above were included. Outcome measures
used were balance tests, manual muscle tests and goniometry.
RESULTS
28 % individuals had fall due to low level of motor control at ankle joint and 40 %
individuals at hip joint. In 16 % of individuals reaching strategy was affected.
Suspensory strategy was affected in 10 % of individuals while stepping strategy was
affected in 6 % of elderly. Elderly had fall due to weak musculature at hip joint (35
%), knee joint (15 %), ankle joint (30 %) and spine (25 %) irrespective of the
individual’s gender.
CONCLUSIONS
Impairment in motor strategies of balance control such as, hip strategy, stepping
strategy, reaching strategy, suspensory strategy, ankle strategy leads to fall in elderly.
On the basis of assessment of manual muscle testing (MMT), range of motion and
motor strategies of balance control, we concluded that impairment in motor
strategies of balance, and reduced joint range of motion lead to falls.
KEY WORDS
Motor Strategies for Balance Control, Balance Tests, Manual Muscle Testing, Range of
Motion
Corresponding Author:
Dr. Sandeep Babasaheb Shinde,
Associate Professor,
Department of Musculoskeletal Sciences
Krishna Institute of Medical
Sciences (Deemed to Be University),
Karad, Maharashtra, India.
E-mail: drsandeepshinde24@gmail.com
DOI: 10.14260/jemds/2021/308
How to Cite This Article:
Phatak IV, Chavan SR, Shinde SB.
Correlation between motor strategies of
balance control and causes of fall in post-
operative elderly individuals. J Evolution
Med Dent Sci 2021;10(20):1469-1473, DOI:
10.14260/jemds/2021/308
Submission 08-01-2021,
Peer Review 18-03-2021,
Acceptance 24-03-2021,
Published 17-05-2021.
Copyright © 2021 Ishan Vivekanad Phatak
et al. This is an open access article
distributed under Creative Commons
Attribution License [Attribution 4.0
International (CC BY 4.0)]