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dc.contributor.authorBaldursdottir, Bergthora
dc.contributor.authorWhitney, Susan L
dc.contributor.authorRamel, Alfons
dc.contributor.authorJonsson, Palmi V
dc.contributor.authorMogensen, Brynjolfur
dc.contributor.authorPetersen, Hannes
dc.contributor.authorKristinsdottir, Ella K
dc.date.accessioned2020-03-13T15:03:30Z
dc.date.available2020-03-13T15:03:30Z
dc.date.issued2019-02-11
dc.date.submitted2020-03
dc.identifier.citationBaldursdottir B, Whitney SL, Ramel A, et al. Multi-sensory training and wrist fractures: a randomized, controlled trial. Aging Clin Exp Res. 2020;32(1):29–40. doi:10.1007/s40520-019-01143-4en_US
dc.identifier.pmid30756250
dc.identifier.doi10.1007/s40520-019-01143-4
dc.identifier.urihttp://hdl.handle.net/2336/621321
dc.descriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Downloaden_US
dc.description.abstractBackground: Asymmetric vestibular function, decreased plantar sensation, postural control and functional ability have been associated with fall-related wrist fractures. Objective: To investigate whether multi-sensory training (MST) improves postural control, vestibular function, foot sensation and functional ability among people with fall-related wrist fractures compared to wrist stabilization training (WT). Methods: This was an assessor-blinded, randomized controlled trial. Ninety-eight participants, age 50-75 years, were randomized to MST or WT. Pre- and post-training measurements: Head Shake Test (HST), Video-Head Impulse Test (vHIT), Semmes-Weinstein Monofilaments (SWF), Biothesiometer (BT), Sensory Organization Test (SOT), 10-m Walk Test (10MWT), Five Times Sit to Stand Test (FTSTS), Activities-Specific Balance Confidence (ABC) and Dizziness Handicap Inventory Scales (DHI). The training period was 12 weeks, with six supervised sessions by a physical therapist and daily home exercises for both groups. Results: There were significant endpoint differences in SOT (p = 0.01) between the two groups, in favor of the MST group, but no changes were seen in other outcome variables. Subgroup analysis with participants below normal baseline SOT composite scores indicated that the MST was more effective in improving 10MWT fast (p = 0.04), FTSTS (p = 0.04), SWF (p = 0.04) and SOT scores (p = 0.04) than the WT. Conclusions: MST improves postural control among people with a fall-related wrist fracture. The results further suggest that the program is more effective for those with SOT balance scores below age-related norms.en_US
dc.description.sponsorshipThe Icelandic Physiotherapy Association Research Fund St Josef's Hospital Fund The Icelandic Gerontological Society Research Fund Helga Jonsdottir and Sigurlidi Kristjansson Geriatric Research Fund Landspitali Haskolasjukrahusen_US
dc.language.isoenen_US
dc.publisherEditrice Kurtisen_US
dc.relation.urlhttps://link.springer.com/article/10.1007%2Fs40520-019-01143-4en_US
dc.relation.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974498/en_US
dc.subjectExerciseen_US
dc.subjectFractureen_US
dc.subjectRehabilitationen_US
dc.subjectSensationen_US
dc.subjectWristen_US
dc.subjectBeinbroten_US
dc.subjectÚlnliðiren_US
dc.subjectEndurhæfingen_US
dc.subject.meshWrist Injuriesen_US
dc.subject.meshFractures, Boneen_US
dc.subject.meshRehabilitationen_US
dc.titleMulti-sensory training and wrist fractures: a randomized, controlled trial.en_US
dc.typeArticleen_US
dc.identifier.eissn1720-8319
dc.contributor.department1Faculty of Medicine, University of Iceland, Reykjavik, Iceland. bergbald@landspitali.is. 2The Icelandic Gerontological Research Institute, Landspitali University Hospital, Reykjavik, Iceland. bergbald@landspitali.is. 3Department of Physical Therapy, Landspitali University Hospital, Tungata 26, 101, Reykjavik, Iceland. bergbald@landspitali.is. 4Department of Physical Therapy, University of Pittsburgh, Pittsburgh, USA. 5The Icelandic Gerontological Research Institute, Landspitali University Hospital, Reykjavik, Iceland. 6Faculty of Food Science and Nutrition, University of Iceland, Reykjavik, Iceland. 7Faculty of Medicine, University of Iceland, Reykjavik, Iceland. 8Akureyri Hospital, Akureyri, Iceland.en_US
dc.identifier.journalAging clinical and experimental researchen_US
dc.rights.accessOpen Access - Opinn aðganguren_US
dc.departmentcodeGER12
dc.departmentcodeNUR12
dc.departmentcodePTY12
dc.source.journaltitleAging clinical and experimental research
dc.source.volume32
dc.source.issue1
dc.source.beginpage29
dc.source.endpage40
refterms.dateFOA2020-03-13T15:03:31Z
dc.source.countryGermany


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