Yıl: 2013 Cilt: 16 Sayı: 3 Sayfa Aralığı: 260 - 265 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people

Öz:
Giriş: Bu çalışmanın amacı, toplum içinde yaşayan yaşlılarda Uluslararası Düşme Etkinlik Skalasının Türkçe versiyonu ile değerlendirilen düşme korkusu ile denge arasındaki ilişkiyi araştırmaktı.Gereç ve Yöntem: Çalışmaya 100 gönüllü dahil edildi. Katılımcılarda; Uluslararası Düşme Etkinlik Skalası ile düşme korkusu, Kalk ve Yürü Testi ile denge ve yürüme, Berg Denge Skalası ile denge, Modifiye Barthel İndeksi ile dizabilite düzeyi değerlendirildi.Bulgular: Uluslararası Düşme Etkinlik Skalası skorları ve Kalk ve Yürü Testi, kadınlarda ve 70 yaş üzerindekilerde anlamlı olarak yüksek, BDS skorları anlamlı olarak düşüktü (p<0.05). Uluslar arası Düşme Etkinlik Skalası skorları Kalk ve Yürü Testi ile pozitif, Berg Denge Skalası ile negatif yönde korele idi (p<0<001). Ayrıca yaş ile BDS arasında negatif korelasyon (p<0.05) ve yaş ile Kalk ve Yürü Testi ve Uluslararası Düşme Etkinlik Skalası arasında pozitif korelasyon saptandı (p<0.001). Yaş, Modified Barthel Indeksi, Kalk ve Yürü Testi ve Berg Denge Skalası skorları; Uluslar arası Düşme Etkinlik Skalası skoru ?24 olan katılımcılarda skoru <24 olan katılımcılara göre anlamlı olarak yüksekti (p<0.05). Yapılan regresyon analizinde, Uluslararası Düşme Etkinlik Skalası skorları ile en anlamlı ilişki Berg Denge Skalası skorları ve Kalk ve Yürü Testi arasındaydı (p<0.001). Uluslararası Düşme Etkinlik Skalası skorları ile yaş (p=0.004) ve cinsiyet (p=0.017) de ilişkiliydi.Sonuç: Toplumda yaşayan yaşlılarda düşme korkusu ile denge arasında olası bir ilişki vardır ve bu etkileşim geriatrik rehabilitasyonda özellikle de yaşlı kadınlarda göz önünde bulundurulmalıdır.
Anahtar Kelime:

Konular: Cerrahi

Toplum içinde yaşayan yaşlılarda düşme korkusu ve denge arasındaki ilişki

Öz:
Introduction: The aim of this study was to determine the relationship between fear of falling and balance in community-dwelling older adults.Materials and Method: Study sample included 100 volunteers. The assessment of fear of falling was performed by Falls Efficacy Scale-International; mobility by Timed-up and Go Test, balance by Berg Balance Scale, and disability by Modified Barthel Index.Results: Falls Efficacy Scale-International and Timed-up and Go Test scores were significantly higher, and Berg Balance Scale -scores were significantly lower in women and in subjects older than 70 years (p<0.05). Falls Efficacy Scale-International scores were correlated with Timed-up and Go Test scores positively, and with Berg Balance Scale scores negatively (p<0.001). There was a negative correlation between age and Berg Balance Scale score (p<0.05), and a positive correlation between age and Timed-up and Go Test and Falls Efficacy Scale-International (p<0.001) scores. Age, Modified Barthel Index, Timed-up and Go Test, and Berg Balance Scale - scores were significantly higher in subjects with Falls Efficacy Scale-International score ?24 than subjects with Falls Efficacy Scale-International score <24 (p<0.05). Multiple regression analysis revealed that the most significant correlations with Falls Efficacy Scale-International scores were Berg Balance Scale and Timed-up and Go Test scores (p<0.001). Age (p=0.004) and gender (p=0.017) were associated with Falls Efficacy Scale-International scores.Conclusion: There is a possible relation between fear of falling and balance performance in older people and this interaction should be considered in geriatric rehabilitation especially in elderly women.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Carpenter MG, Adkin AL, Brawley LR, Frank JS. Postural, physiological and psychological reactions to challenging bal- ance: does age make a difference? Age Ageing 2006;35:298- 303. (PMID:16638771).
  • 2. Hinman RS, Bennell KL, Metcalf BR Crossley KM. Balance impairments in individuals with symptomatic knee osteoarthri- tis: a comparison with matched controls using clinical tests. Rheumatology 2002;41:1388-94. (PMID:12468818).
  • 3. Chu CL, Liang CK, Chow PC, et al. Fear of falling (FF): Psychosocial and physical factors among institutionalized older Chinese men in Taiwan. Arch Gerontol Geriatr 2011;53:e232- 6. (PMID:21277640).
  • 4. Camargos FF, Dias RC, Dias JM, Freire MT. Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International Among Elderly Brazilians (FES-I-BRAZIL). Rev Bras Fisioter 2010;14:237-43. (PMID:20730369).
  • 5. Kempen GI, Todd CJ, Van Haastregt JC, et al. Cross-cultural validation of the Falls Efficacy Scale International (FES-I) in older people: results from Germany, the Netherlands and the UK were satisfactory. Disabil Rehabil 2007;29:155-62. (PMID:17364765).
  • 6. Ulus Y, Durmus D, Akyol Y, Terzi Y, Bilgici A, Kuru O. Reliability and validity of the Turkish version of the Falls Efficacy Scale International in community-dwelling older per- sons. Arch Gerontol Geriatr 2012;54(3):429-33. (PMID:21831462).
  • 7. Holden MK, Gill KM, Magliozzi MR, Nathan J, Piehl-Baker L. Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness. Phys Ther 1984;64:35-40. (PMID:6691052).
  • 8. Kucukdeveci A, Yavuzer G, Tennant A, Suldur B, Sonel B, Aras›l T. Adaptation of the Modified Barthel Index for use in physical medicine and rehabilitation in Turkey. Scand J Rehabil Med 2000;32:87-92. (PMID:10853723).
  • 9. Greene BR, O’Donovan A, Romero-Ortuno R, Cogan L, Scanaill CN, Kenny RA. Quantative falls risk assessment using the timed up and go test. IEEE Trans. Biomed Eng 2010;57:2918-26. (PMID:20923729).
  • 10. Sahin F, Yilmaz F, Ozmaden A, Kotevolu N, Sahin T, Kuran B. Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther 2008;31:32-7. (PMID:18489806). Tinetti ME, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol 1990;45:239-43. (PMID:2229948).
  • Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther 2000;80:896-903. (PMID:10960937).
  • Legters K. Fear of falling. Phys Ther 2002;82:264-72. (PMID:11869155).
  • Delbaere K, Close JC, Mikolaizak AS, Sachdev PS, Brodaty H, Lord SR. The Falls Efficacy Scale International (FES-I). A com- prehensive longitudinal validation study. Age Ageing 2010;39:210-6. (PMID:20061508).
  • Howe TE, Rochester L, Neil F, Skelton DA, Ballinger C. Exercise for improving balance in older people. Cochrane Database Syst Rev 2011;9:11:CD004963. (PMID:22071817).
  • Muir SW, Berg K, Chesworth B, Speechley M. Use of the Berg Balance Scale for predicting multiple falls in community- dwelling elderly people: A prospective study. Phys Ther 2008;88:449-59. (PMID:18218822).
  • Tang PF, Woollacott MH, Chong RK. Control of reactive bal- ance adjustments in perturbed human walking: roles of proxi- mal and distal postural muscle activity. Exp Brain Res 1998; 119:141-52. (PMID:9535563).
  • Camicioli R, Panzer VP, Kaye J. Balance in the healthy elder- ly: postugraphy and clinical assessment. Arch Neurol 1997;54:976-81. (PMID:9267972).
  • Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988;319:1701-7. (PMID:3205267).
  • Kim JW, Eom GM, Kim CS, et al. Sex differences in the pos- tural sway characteristics of young and elderly subjects during quiet natural standing. Geriatr Gerontol Int 2010;10:191-8. (PMID:20100287).
  • Hadjistavropoulos T, Delbaere K, Fitzgerald TD. Reconceptualizing the role of fear of falling and balance confi- dence in fall risk. J Aging Health 2011;23:3-23. (PMID:20852012).
  • Fletcher PC, Guthrie DM, Berg K, Hirdes JP. Risk factors for restriction in activity associated with fear of falling among sen- iors within the community. J Patient Saf 2010;6:187-91. (PMID:21491793). Delbaere K, Sturnieks DL, Crombez G, Lord SR. Concern about falls elicits changes in gait parameters in conditions of postural threat in older people. J Gerontol A Biol Sci Med Sci 2009;64:237-42. (PMID:19196645).
  • Uemura K, Yamada M, Nagai K, Tanaka B, Mori S, Ichihashi N. Fear of falling is associated with prolonged anticipatory pos- tural adjustment during gait initiation under dual-task condi- tions in older adults. Gait Posture 2012;35:282-6. (PMID:22024142).
  • Sai AJ, Gallagher JC, Smith LM, Logsdon S. Fall predictors in the community dwelling elderly: a cross sectional and prospec- tive cohort study. Musculoskelet Neuronal Interact 2010;10:142-50. (PMID:20516631).
APA ulus y, AKYOL Y, TANDER N, DURMUŞ D, BİLGİCİ A, Kuru O (2013). The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people. , 260 - 265.
Chicago ulus yasemin,AKYOL Yeşim,TANDER NAZİFE BERNA,DURMUŞ Dilek,BİLGİCİ Ayhan,Kuru Omer The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people. (2013): 260 - 265.
MLA ulus yasemin,AKYOL Yeşim,TANDER NAZİFE BERNA,DURMUŞ Dilek,BİLGİCİ Ayhan,Kuru Omer The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people. , 2013, ss.260 - 265.
AMA ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people. . 2013; 260 - 265.
Vancouver ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people. . 2013; 260 - 265.
IEEE ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O "The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people." , ss.260 - 265, 2013.
ISNAD ulus, yasemin vd. "The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people". (2013), 260-265.
APA ulus y, AKYOL Y, TANDER N, DURMUŞ D, BİLGİCİ A, Kuru O (2013). The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people. Türk Geriatri Dergisi, 16(3), 260 - 265.
Chicago ulus yasemin,AKYOL Yeşim,TANDER NAZİFE BERNA,DURMUŞ Dilek,BİLGİCİ Ayhan,Kuru Omer The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people. Türk Geriatri Dergisi 16, no.3 (2013): 260 - 265.
MLA ulus yasemin,AKYOL Yeşim,TANDER NAZİFE BERNA,DURMUŞ Dilek,BİLGİCİ Ayhan,Kuru Omer The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people. Türk Geriatri Dergisi, vol.16, no.3, 2013, ss.260 - 265.
AMA ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people. Türk Geriatri Dergisi. 2013; 16(3): 260 - 265.
Vancouver ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people. Türk Geriatri Dergisi. 2013; 16(3): 260 - 265.
IEEE ulus y,AKYOL Y,TANDER N,DURMUŞ D,BİLGİCİ A,Kuru O "The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people." Türk Geriatri Dergisi, 16, ss.260 - 265, 2013.
ISNAD ulus, yasemin vd. "The relatıonshıp between fear of fallıng and balance ın communıty-dwellıng older people". Türk Geriatri Dergisi 16/3 (2013), 260-265.