Balance and gait in older electroconvulsive therapy recipients: a pilot study

Chris Plakiotis,1,2 Fay Barson,2 Bharathi Vengadasalam,3 Terry P Haines,4 Daniel W O'Connor1,2 1School of Psychology and Psychiatry, Monash University, Melbourne, VIC, Australia; 2MonashHealth, Melbourne, VIC, Australia; 3Universiti Putra Malaysia, Serdang, Selangor, Malaysia; 4Allied Health...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Plakiotis C, Barson F, Vengadasalam B, Haines TP, O&#39;Connor DW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/27852333d9354015a7699b9baa02055a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:27852333d9354015a7699b9baa02055a
record_format	dspace
spelling	oai:doaj.org-article:27852333d9354015a7699b9baa02055a2021-12-02T09:02:15ZBalance and gait in older electroconvulsive therapy recipients: a pilot study1176-63281178-2021https://doaj.org/article/27852333d9354015a7699b9baa02055a2013-06-01T00:00:00Zhttp://www.dovepress.com/balance-and-gait-in-older-electroconvulsive-therapy-recipients-a-pilot-a13245https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Chris Plakiotis,1,2 Fay Barson,2 Bharathi Vengadasalam,3 Terry P Haines,4 Daniel W O'Connor1,2 1School of Psychology and Psychiatry, Monash University, Melbourne, VIC, Australia; 2MonashHealth, Melbourne, VIC, Australia; 3Universiti Putra Malaysia, Serdang, Selangor, Malaysia; 4Allied Health Research Unit, Monash University and MonashHealth, Melbourne, VIC, Australia Background: Electroconvulsive therapy (ECT) is commonly used to treat depression in older adults. Despite its efficacy in this regard, an associated increase in the risk of falls in this population is a downside of treatment. ECT research has focused on the incidence of falls, but its effect on balance and gait – intrinsic factors in instability and falls – has not been studied. Our aim was to examine changes in balance and gait among older adults before and after a single ECT session and explore the effect of patient-related and treatment factors on any changes found. Methods: Participants were 21 older adults requiring ECT for depression in public psychiatric services. Patients with clinically overt mobility problems (impairing test participation or increasing the risk of falls) were excluded. Balance and gait testing 1 hour pre-ECT and 1, 2 and 3 hours post-ECT included: (1) steady standing test; (2) perturbation of standing balance by self-initiated movements; (3) perturbation of standing balance by an external perturbation; and (4) timed up and go test. Results: No deterioration in test performance was found, using one-way repeated measures analysis of variance. Conclusion: Balance and gait did not deteriorate immediately after ECT. Exclusion of participants with clinically overt mobility problems and falls being better attributable to factors unrelated to balance and gait (such as post-ECT confusion) may account for our findings. This research does not repudiate the occurrence of ECT-related falls but calls into question the utility of introducing routine balance and gait assessment among older ECT recipients without pre-existing mobility problems as a means of preventing them. Keywords: electroconvulsive therapy, depression, balance, gait, falls, agedPlakiotis CBarson FVengadasalam BHaines TPO&#39;Connor DWDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 805-812 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Plakiotis C Barson F Vengadasalam B Haines TP O&#39;Connor DW Balance and gait in older electroconvulsive therapy recipients: a pilot study
description	Chris Plakiotis,1,2 Fay Barson,2 Bharathi Vengadasalam,3 Terry P Haines,4 Daniel W O'Connor1,2 1School of Psychology and Psychiatry, Monash University, Melbourne, VIC, Australia; 2MonashHealth, Melbourne, VIC, Australia; 3Universiti Putra Malaysia, Serdang, Selangor, Malaysia; 4Allied Health Research Unit, Monash University and MonashHealth, Melbourne, VIC, Australia Background: Electroconvulsive therapy (ECT) is commonly used to treat depression in older adults. Despite its efficacy in this regard, an associated increase in the risk of falls in this population is a downside of treatment. ECT research has focused on the incidence of falls, but its effect on balance and gait – intrinsic factors in instability and falls – has not been studied. Our aim was to examine changes in balance and gait among older adults before and after a single ECT session and explore the effect of patient-related and treatment factors on any changes found. Methods: Participants were 21 older adults requiring ECT for depression in public psychiatric services. Patients with clinically overt mobility problems (impairing test participation or increasing the risk of falls) were excluded. Balance and gait testing 1 hour pre-ECT and 1, 2 and 3 hours post-ECT included: (1) steady standing test; (2) perturbation of standing balance by self-initiated movements; (3) perturbation of standing balance by an external perturbation; and (4) timed up and go test. Results: No deterioration in test performance was found, using one-way repeated measures analysis of variance. Conclusion: Balance and gait did not deteriorate immediately after ECT. Exclusion of participants with clinically overt mobility problems and falls being better attributable to factors unrelated to balance and gait (such as post-ECT confusion) may account for our findings. This research does not repudiate the occurrence of ECT-related falls but calls into question the utility of introducing routine balance and gait assessment among older ECT recipients without pre-existing mobility problems as a means of preventing them. Keywords: electroconvulsive therapy, depression, balance, gait, falls, aged
format	article
author	Plakiotis C Barson F Vengadasalam B Haines TP O&#39;Connor DW
author_facet	Plakiotis C Barson F Vengadasalam B Haines TP O&#39;Connor DW
author_sort	Plakiotis C
title	Balance and gait in older electroconvulsive therapy recipients: a pilot study
title_short	Balance and gait in older electroconvulsive therapy recipients: a pilot study
title_full	Balance and gait in older electroconvulsive therapy recipients: a pilot study
title_fullStr	Balance and gait in older electroconvulsive therapy recipients: a pilot study
title_full_unstemmed	Balance and gait in older electroconvulsive therapy recipients: a pilot study
title_sort	balance and gait in older electroconvulsive therapy recipients: a pilot study
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/27852333d9354015a7699b9baa02055a
work_keys_str_mv	AT plakiotisc balanceandgaitinolderelectroconvulsivetherapyrecipientsapilotstudy AT barsonf balanceandgaitinolderelectroconvulsivetherapyrecipientsapilotstudy AT vengadasalamb balanceandgaitinolderelectroconvulsivetherapyrecipientsapilotstudy AT hainestp balanceandgaitinolderelectroconvulsivetherapyrecipientsapilotstudy AT oamp39connordw balanceandgaitinolderelectroconvulsivetherapyrecipientsapilotstudy
_version_	1718398233789595648

Balance and gait in older electroconvulsive therapy recipients: a pilot study

Ejemplares similares