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three conditions (normal walking, backward-counting and verbal

fluency) in order to calculate the dual-task cost. Field notes completed

by the interventionist were collected.


Ten adults (median age 84, range 69

89; 50% women) with

a mild cognitive impairment (median MoCA 21, range 16

26) were

recruited. Adherence to the sessions was high with 84% of the total

possible number of sessions completed and a mean 10 intervention

sessions (range 6

12) per participant. Mean differences between

pre and post intervention assessment demonstrated improvement

in the PPA (MD =

0.6; CI

1.5,0.3), BBS (MD = 2.8; CI 0.9,4.7) and


0.9; CI

3.5,1.7). Improvements in dual-task cost assess-

ments were only found in step width (back-count MD =

10.6; CI

24.4,3.1: verbal fluency MD =


16.1,1.4) and step time variabil-

ity (back-count MD =

40.2; CI

114.2,33.7: verbal fluency MD =



64,40.8) after the intervention. Thematic analysis of field notes

produced two major topic

s including 16 themes.


A combined physical and cognitive exercise-based inter-

vention was deliverable, feasible, and acceptable to older adults with

mild cognitive impairment. Recommendations are made for the

content and delivery of the intervention for future evaluation.


Risk of falls in elderly: exploratory study

J. Bruno


, J. Gonçalves


, C. Reis


, A. Pedro


, L. Pedro




Escola Superior de

Tecnologia da Saúde de Lisboa, Portugal


Older people have multiple characteristics which

increase the risk of falling and ultimately decrease quality of life. The

purpose of this study is to assess the risk of falling in the elderly by

studying history of falling, fear of falling, personal and functional



This is an exploratory, transversal and quantitative study.

Elders from 2 institutions in the district of Lisbon were included in the

analysis (n = 54). Two instruments were used: (1) a questionnaire

to assess personal and demographic characteristics (age, sex, actual

diseases, other clinical conditions, medication), history of falls (within

1 month, 3 months and more than 3 months), fear of falling, and

functional characteristics (physical activity and walking aids); (2) the

Timed Up and Go test (TUG) whose patients with TUG

13.5 sec, were

considered at risk of falling.


Among 54 participants (average age: 74 years; 72% female),

78% were medicated (mostly with hypertensive drugs), 65% reported

visual or auditory impairment, 76% underwent physical activity of

light and moderate intensity with most participating in sedentary

leisure activities. As for the history of falls, 50% had more than 13.5

seconds in TUG (risk of falling), 80% had fallen, mainly at home (48%)

and 65% reported fear of falling.

Keys conclusion:

A substantial part of the population studied has

falls risk factors, evoking the need to increase physical activity and

integration on a physical therapy program to prevent falling.


The role of spa therapy in consequences of osteoarthritis

C. Caetano


, H. Fernandes




Unidade de Saúde Familiar D. Jordão,


Centro Hospitalar do Oeste, Lisboa, Portugal


The OA (osteoarthrosis) is a health problem very

prevalent in elderly people. Elderly people frequently have multiples

comorbilities what limited therapeutic options. Spa therapy is an

optionwith fewadverse effects, and is very search by these people. The

aim this study is verify the evidence on effectiveness of spa therapy

(balneotherapy) in OA.


We performed a brief review and searched studies in

PubMed and Google Search data from 2010 up to December 2015 that

evaluated the role of balneotherapy in improvement of pain, function

and quality of life, of elderly people with osteoarthritis.


We found 68 studies in PubMed. We selected the most

relevant reviews, that were eight. In all studies balneotherapy were

more effectiveness than no treatment, in improvement of pain,

function and quality of life, overall in osteoarthritis of knee. All

reviews consistently found in RCT

s evaluated a decrease analgesic

intake. This fact, contributed the review of OARSI guidelines for the

non-surgical management of knee osteoarthritis. Two reviews con-

cluded that the effects of spa therapy was maintained for long terms,

comparative to rehabilitation non thermal, but the studies that

support these reviews was poor quality.


Although of poor quality of trials that support reviews,


s considered that balneotherapy is more effective that no treatment,

in improvement of pain, function and quality of life. Furthermore,

apparently there are a decrease of relative costs, with less consump-

tion of analgesic. So, this alternative treatment is an option to consider,

but is needed more quality trials.


Four step square test results in older adults: gender differences

E.I. Isik


, F. Altug


, U. Cavlak




Cukurova University, Adana,



University, Denizli, Turkey


In the elderly population, loss of balance is a common

health problem. That

s why; measuring the balance ability in older

adults is vital. Four Step Square Test (FSST) is also widely used to

measure balance disturbances in geriatric rehabilitation. The reliabil-

ity and validity of the FSST has been appraised in a group of Turkish

older adults age 65 and over. The aim of this study was to show the

effect of gender in older adults, who are independent in daily living

activities. On the other hand, we aimed to search the relation between

age and FSST score in the sample.


A total of 80 volunteer older adults aged 65

85 included

in this study, broken into two groups by gender; (1) women

mean age = 72.3 ± 5.5 yrs. (n = 36); (2) men mean age = 72.9 ± 4.7 yrs.

(n = 44). The FSST was used to evaluate the sample.


The scores of FSST the compared groups are as follow:

women = 15.7 ± 5.4 sec.; men = 14.8 ± 4.7 sec. Therewas not significant

difference between women and men (p

0.05). A significant positive

relation was found between age and the FSST score of the sample




The findings obtained from this study indicate that

gender has not impact on the FSST score in older adults. However

ageing has negative effect on the FSST score. Ageing makes the FSST

score longer.


The association between the upper extremity function and balance

performance in older adults

K. Cekok


, T. Kahraman


, B.O. Ugut


, A. Genc


, P. Keskinoglu




Department of Physical Therapy and Rehabilitation, Medical Park



School of Physical Therapy and Rehabilitation, Dokuz Eylül



Department of Biostatistics and Medical Informatics, Dokuz

Eylül University, Izmir, Turkey


The development of trunk stability and central axis

control is considered to be a prerequisite to upper extremity function

and hand usage. It is hypothesized that proximal stability as a

surrogate of balance allows for the independent use of the arms and

hands in manipulative and purposeful activity. The purpose of this

study was to investigate the association between the upper extremity

function and balance performance in older adults.


Eighty older adults from community and a nursing home

participated in this cross-sectional study. The upper extremity func-

tion in terms of fine manual dexterity or the manipulative skill was

assessed with the Nine-Hole Peg Test (9HPT). The balance perform-

ance was assessed with commonly used clinical tools including the

Berg Balance Scale, Timed Up and Go, Timed Up and Go-cognition, and

Four Step Square Test.


Therewere 44 female and 36 male participants with a median

age of 75 (min-max: 60

90) years. There were moderate to strong

significant correlations between the 9HPT and all the measures of

balance performance (p < 0.05).

Poster presentations / European Geriatric Medicine 7S1 (2016) S29