FUNCTIONAL AND POSTURAL BALANCE ANALYSIS OF ELDERLY PEOPLE WITH PROBABLE ALZHEIMER'S DISEASE IN ADVANCED STAGE: A SERIES OF CASES
Aged, Alzheimer Disease, Postural Balance, Cognition, Physical Functional Performance.
Alzheimer's disease (AD) is a fast-rising dementia syndrome that most affects the world population, being a progressive and irreversible neurodegenerative disease that causes the deterioration of intellectual, functional and motor faculties, such as postural balance. Objective: to analyze clinical-cognitive, functional and postural balance data in the elderly in the severe phase of AD. Method: This is an observational, cross-sectional and descriptive study carried out at the Centro de Referência Estadual de Atenção à Saúde do Idoso (CREASI) in Natal / RN, evaluating seven elderly people aged 60 years or over and staging at CDR3. The instruments used were: Mini Mental Health State Examination (MMSE); Clock design test (TDR); Verbal Fluency Test (TFV); Timed-Up-and-Go Test (TUGt); Clinical Test of Sensory Interaction and Balance (CTSIB) and the Functional Activities Questionnaire. The data were interpreted through a simple descriptive analysis. Results: There was a functional impairment for IADLs (24.2); for mobility in simple TUG (time 28.1 and steps 24), cognitive TUGt (time 30.1 and steps 27.8) and motor TUG (time 27.8 and steps 26.7). In addition, there was cognitive impairment by MMSE (4.1), TDR (1.1) and TFV (1.4), as well as in postural balance, with averages in the conditions: OASF (30), OFSI (27, 1), OASI (9.6) and OFSI (11.1). Conclusion: The results shows that elderly people with AD in the severe phase have important functional dependence, mobility, and important changes in cognitive functions, such as language, executive functions, memory and attention.