Effectiveness of Chiropractic Care to Improve Sensorimotor Function Associated With Falls Risk in Older People: A Randomized Controlled Trial.

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dc.contributor.author Holt, Kelly R en
dc.contributor.author Haavik, Heidi en
dc.contributor.author Lee, Arier en
dc.contributor.author Murphy, Bernadette en
dc.contributor.author Elley, Carolyn en
dc.date.accessioned 2018-10-14T22:57:52Z en
dc.date.issued 2016-05 en
dc.identifier.issn 0161-4754 en
dc.identifier.uri http://hdl.handle.net/2292/41409 en
dc.description.abstract This study assessed whether 12 weeks of chiropractic care was effective in improving sensorimotor function associated with fall risk, compared with no intervention, in community-dwelling older adults living in Auckland, New Zealand.Sixty community-dwelling adults older than 65 years were enrolled in the study. Outcome measures were assessed at baseline, 4 weeks, and 12 weeks and included proprioception (ankle joint position sense), postural stability (static posturography), sensorimotor function (choice stepping reaction time), multisensory integration (sound-induced flash illusion), and health-related quality of life (SF-36).Over 12 weeks, the chiropractic group improved compared with the control group in choice stepping reaction time (119 milliseconds; 95% confidence interval [CI], 26-212 milliseconds; P = .01) and sound-induced flash illusion (13.5%; 95% CI, 2.9%-24.0%; P = .01). Ankle joint position sense improved across the 4- and 12-week assessments (0.20°; 95% CI, 0.01°-0.39°; P = .049). Improvements were also seen between weeks 4 and 12 in the SF-36 physical component of quality of life (2.4; 95% CI, 0.04-4.8; P = .04) compared with control.Sensorimotor function and multisensory integration associated with fall risk and the physical component of quality of life improved in older adults receiving chiropractic care compared with control. Future research is needed to investigate the mechanisms of action that contributed to the observed changes in this study and whether chiropractic care has an impact on actual falls risk in older adults. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries Journal of manipulative and physiological therapeutics en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Humans en
dc.subject Manipulation, Chiropractic en
dc.subject Walking en
dc.subject Single-Blind Method en
dc.subject Reaction Time en
dc.subject Sensation en
dc.subject Proprioception en
dc.subject Accidental Falls en
dc.subject Quality of Life en
dc.subject Aged en
dc.subject Aged, 80 and over en
dc.subject Female en
dc.subject Male en
dc.subject Postural Balance en
dc.title Effectiveness of Chiropractic Care to Improve Sensorimotor Function Associated With Falls Risk in Older People: A Randomized Controlled Trial. en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.jmpt.2016.02.003 en
pubs.issue 4 en
pubs.begin-page 267 en
pubs.volume 39 en
dc.rights.holder Copyright: The author en
dc.identifier.pmid 27050038 en
pubs.end-page 278 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Randomized Controlled Trial en
pubs.subtype Journal Article en
pubs.elements-id 525968 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Epidemiology & Biostatistics en
pubs.org-id Gen.Practice& Primary Hlthcare en
dc.identifier.eissn 1532-6586 en
pubs.record-created-at-source-date 2016-04-07 en
pubs.dimensions-id 27050038 en

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