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Correlation between precise and simple tests in recovery of dynamic balance function after intravenous sedation with midazolam in the elderly.

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Title: Correlation between precise and simple tests in recovery of dynamic balance function after intravenous sedation with midazolam in the elderly.
Authors: Fujisawa, Toshiaki Browse this author →KAKEN DB
Takuma, Shigeru Browse this author
Koseki, Hiroyo Browse this author
Kimura, Kunie Browse this author
Fukushima, Kazuaki Browse this author
Keywords: Conscious sedation
Midazolam
Aged
Reco-very of dynamic balance
Issue Date: May-2007
Publisher: Springer
Journal Title: Journal of Anesthesia
Volume: 21
Issue: 2
Start Page: 153
End Page: 158
Publisher DOI: 10.1007/s00540-007-0496-z
PMID: 17458643
Abstract: Purpose Assessing the recovery of dynamic balance after intravenous sedation in the elderly is important for ensuring their safe discharge, especially when they are walking. A reliable, simple dynamic balance test would be useful in daily clinical practice. We observed the recovery of balance after intravenous sedation with midazolam, using computerized dynamic posturography (CDP), and we evaluated the correlation between the CDP result and the results of simple dynamic balance tests. Methods Midazolam was administered in divided doses, until the Wilson sedation score reached 3, in 18 elderly male volunteers. The dynamic balance test using CDP with perturbation stimuli was performed before and after sedation. As simple dynamic balance tests, the usual-speed walking (USW) and maximum-speed walking (MSW) tests and a modified timed “up and go” (TUG) test (subjects stand up from a chair, walk 5 m forward and return to the chair with MSW, and sit down again) were performed. Results The recovery times (defined as the time until the significant difference between the value at each time point and the baseline value disappeared) in the dynamic balance test (CDP), USW test, MSW test, and TUG test, were 80, 40, 80, 80 min, respectively. There was a significant, strong positive correlation between the result of the dynamic balance test (CDP) and the TUG test (P < 0.01; r = 0.70). Conclusion The TUG test is a useful simple dynamic balance/motor test that can be used in daily clinical practice in the elderly.
Rights: The original publication is available at www.springerlink.com
Type: article (author version)
URI: http://hdl.handle.net/2115/22559
Appears in Collections:歯学院・歯学研究院 (Graduate School of Dental Medicine / Faculty of Dental Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 藤澤 俊明

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