Can you stand on one leg for more than 20 seconds? What happens to you if someone pulls away the chair? Can you hold it?A new study showed that the inability to stand on one leg for more than 20 seconds is related to small vessel disease in the brain in healthy patients. In middle-aged to elderly patients it can be related to cognitive decline.
I have one older patient who struggles with peripheral neuropathy and postural instability. She follows her protocol, gets I.V. ozone and cranial sacral therapy. She continues to improve and this study suggests that postural instability should be part of a comprehensive geriatric assessment. I improve microcirculation with Xymogen's N.O. max ER, MemorAll and NeuroActives BrainSustain.
Postural instability can highlight brain abnormalities and cognitive decline. Patients with Alzheimer's and mild cognitive impairments had difficulty standing on one leg. Reduced one leg standing time paralleled the number of lacunar infarctions and number of microbleeds. Dementia increases the risk for falls in an older population because dementia impairs judgment, motor function and the ability to recognize hazards.
Previous studies have suggested that patients should do 3 trials of 120-second measurements for accurate results. I'm not sure how I would fare standing for 120 seconds on one leg.
I have integrated the 20 second standing test into my physical exam because small vessel disease is one of the most prevalent neurological disorders in our aging population.
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