Made available in DSpace on 2016-06-24T04:16:48Z (GMT). No. of bitstreams: 1 Sarah Brandao Pinheiro.pdf: 2299225 bytes, checksum: b925968f91d3f17fe0954636fd72d920 (MD5) Previous issue date: 2014-08-11 / The prevalence of imbalance and falls in the elderly has persisted in recent decades due to factors in the aging population. The study of visual ability is of great importance, especially in the manifestations of senile cataracts, and their implications on body imbalances that can compromise the static and dynamic control of the elderly. Objectives: To evaluate the influence of visual conditions in patients with senile cataract with increasing imbalances in the body, and compare them with gender, age, education, physical activity, falls and fear of falling. Methodology: A descriptive and analytical study using a quantitative longitudinal cohort study was conducted. The statistical analysis program used was the chi-square or Fisher's exact test, the Student test and the Mann-Whitney test. Values of p <0.05 were considered. The study included 30 individuals, 15 men and 15 women, were evaluated before surgery for senile cataract, 30 and 60 days after surgery. Were used for data collection, the Mini Mental State Examination (MMSE), the Berg Balance Scale (BBS), the Short Physical Performance Battery (SPPB), International Falls Efficacy Scale adapted to Brazil (FES-I-BRAZIL) and medical history questionnaire. Results and Discussion: Of the 15 elderly women, by SPPB, after 60 days postoperatively, it was noted that 13 women (87%) have achieved a moderate performance and 2 (13%) remained poor performance of lower limbs. Assessing the FES-I-BRAZIL test, it was observed that after 60 days post-surgery, 3 (20%) elderly remained mild concern with falls. Of the 15 elderly men subjects evaluated by BBS test, before and after 30 and 60 days after surgery, it was observed that 1 (7%), manages to maintain some balance but needed assistance; and 14 (93%) seniors have maintained a good balance or are independent for Daily Life Activity (DLA). Evaluating the SPPB test, it was observed that 60 days after surgery, the elderly 5 (33%) had moderate performance and 9 (67%), good results SPPB. Conclusion: The senile cataract surgery can offer positive prevented effects on the performace of inferior members, balance and fear of falling in elderly functioning as an important tool for preventing unbalance and reducing the risk of falls, common in the physiological process of aging. / A preval??ncia de desequil??brios e de quedas em idosos tem persistido nas ??ltimas d??cadas devido a fatores do envelhecimento populacional. O estudo da capacidade visual ?? de grande relev??ncia, sobretudo nas manifesta????es das cataratas senis, e suas implica????es sobre os desequil??brios corporais que podem comprometer o controle est??tico e din??mico desses idosos. Objetivos: Avaliar a influ??ncia das condi????es visuais em pacientes que apresentam catarata senil em rela????o aos seus desequil??brios corporais, e compar??-los com g??nero, idade, escolaridade, pr??tica de atividade f??sica, quedas e medo de cair. M??todo: Foi realizado um estudo descritivo e anal??tico por meio de uma pesquisa quantitativa de coorte longitudinal. O programa de an??lise estat??stica empregado foi o teste qui-quadrado ou exato de Fisher, o teste de Student e o teste de Mann-Whitney. Foram considerados significantes valores de p<0,05. Participaram do estudo 30 idosos, 15 homens e 15 mulheres os quais foram avaliados antes da cirurgia de catarata senil, 30 e 60 dias ap??s a cirurgia. Utilizou-se para coleta de dados, o Mini Exame do Estado mental (MEEM), a Escala de Equil??brio de Berg (EEB), o Short Physical Performance Battery (SPPB), a Escala Internacional de Efic??cia de Quedas adaptada ao Brasil (FES-I-BRASIL) e question??rio da anamnese. Resultados e Discuss??o: Das 15 idosas, pelo SPPB, ap??s 60 dias de p??s-operat??rio, observou-se que 13 idosas (87%) conseguiram obter um desempenho moderado e 2 (13%) mantiveram um baixo desempenho de MMII. Avaliando o teste FES-I-BRASIL, observou-se que em 60 dias de p??s-cir??rgico, 3 (20%) idosas mantiveram leve preocupa????o com as quedas. Dos 15 idosos avaliados pela EEB, antes e ap??s 30 e 60 dias de cirurgia, observou-se que 1 (7%), conseguiu manter algum equil??brio, mas precisa de assist??ncia; e 14 (93%) idosos mantiveram um bom equil??brio ou s??o independentes para AVD. Avaliando o teste SPPB, observou-se que ap??s 60 dias de cirurgia, 5 idosos (33%) tiveram um desempenho moderado e 9 (67%) um bom resultado do SPPB. Conclus??o: A cirurgia de catarata senil oferece melhora no desempenho funcional de MMII, no equil??brio e no medo de quedas em idosos funcionando como uma ferramenta importante para a preven????o de desequil??brios e redu????o do risco de quedas, comuns no processo fisiol??gico do envelhecimento.