Yıl: 2015 Cilt: 3 Sayı: 2 Sayfa Aralığı: 87 - 94 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly

Öz:
Bu çalışmanın amacı, yaşlı bireylerin Musculus Quadriceps Femoris (MQF) ve Hamstring (HST) kas kuv- vetleri ve oranlarının, denge, düşme sayısı ve yaşam kalitesi ile ilişkilerini incelemektir. Gereç ve yöntem: Yaşlıbireylerin sosyo-demografik özellikleri kaydedildi. Kas kuvvetleri izokinetik dinamometre ile değerlendirildi. Sta- tik ve dinamik denge testleri yapıldı. Hem kas kuvveti hem de denge testleri birbirini takip eden üç hafta içindetüm katılımcılara üç kez uygulandı. Son bir yıl içindeki düşme sayıları da kaydedildi. Yaşam kalitesi ise, DünyaSağlık Örgütü Yaşam Kalitesi Anketi-Yaşlı Modülü ile belirlendi. Sonuçlar: Yaş ortalaması 68 , 84±4, 26 yıl olan 85 erkek ve 87 kadın yaşlı birey çalışmaya dahil edilmiştir. Statik ve dinamik denge ile 60º/sn ve 180º/sn açısal hız- larda ölçülen MQF-HST kas kuvvetleri ve düşme sayıları ile anlamlı ilişkiler bulunmuştur (p<0, 05 ). Ayrıca, 60º/ sn açısal hızdaki MQF ve HST kas kuvvet oranları ile statik-dinamik denge ve düşme sayıları arasında ilişki tespitedilmiştir (p<0, 05 ). 180º/sn açısal hızda, kas kuvvet oranları ile static denge arasında ilişki bulunmamışken(p= 0, 778 ), dinamik denge ile kas kuvvet oranları arasında ilişki bulunmuştur (p<0, 05 ). Tartışma:Bu çalışma,yaşlı bireylerde MQF-HST kas kuvvetleri, kas kuvvet oranları, düşme sayısı ve denge problemleri arasında önemliilişkileri göstermiştir. Kas kuvvet oranları, denge durumu ve düşme sayılarının düşme için belirleyici olduğunusöyleebiliriz. Bu yüzden, yaşlı bireylerde izole olarak MQF ve HST kaslarının ve oranlarının değerlendirilmesi,dengenin geliştirilmesi, düşme sayısının azaltılması sonucu yaşam kalitesinin arttırılması için önerilmektedir.
Anahtar Kelime:

Konular: Rehabilitasyon

Yaşlı bireylerde izole kas kuvveti ve oranı ile denge ve yaşam kalitesi arasındaki ilişkiler

Öz:
The aim of this study was to investigate the relationships between of Musculus Quadriceps Femoris(MQF) and Hamstring (HST) muscle strengths and ratios, balance, falling number and quality of life of elderlypeople. Materials and Method: Socio-demographic information were recorded. Muscle strength was assessedby isokinetic dynamometer. Static-dynamic balance tests were performed. Both muscle strength and balancetests were applied three times in following three weeks. Falling numbers during the last one year were recorded,too. Quality of life was determined by World Health Organization Quality of Life-Old module. Results: Eighty fivemen and 87 women elderly whose mean ages 68 . 84±4. 26 years were included study. Significant correlationswere found between static-dynamic balance, falling numbers and MQF-HST muscle strengths at 60º/sec andat 180º/sec angular velocity (p<0. 05 ). Also, MQF and HST Ratio (QHR) was determined correlations withstatic-dynamic balance and number of falls at 60º/sec (p< 0. 05 ). At 180º/sec angular velocity, it wasn t foundrelationship between QHR and static balance (p= 0. 778 ), but correlation were found between QHR, dynamicbalance and falling numbers (p<0. 05 ). conclusion: This study has indicated important relationships betweenMQF-HST muscle strength, QHR, falling number and balance problems in geriatrics. We may say that QHR,balance status and falling numbers, are predictors of fall. So, it is advisable that to improve balance, reducefalling numbers as a result to increase quality of life level, isolated MQF and HST strengths and their ratioshould be evaluated in elderly people.
Anahtar Kelime:

Konular: Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Aoyama, M., Suzuki, Y., Onishi, J., & Kuzuya, M. (2011 ). Physical and Functional Factors in Activities Of Daily Living That Predict Falls in Community- Dwelling Older Women. Geriatr Gerontol Int, 11 , 348 –357 .
  • Arnold, C.M., & Faulkner, R. (2007 ). The History Of Falls and the Association of the Timed Up and Go Test to Falls and Near- Falls in Older Adults with Hip Osteoarthritis. BMC Geriatr, 4(7 ), 17.
  • Brandt, K.D., Heilman, D.K., Slemenda, C., Katz, B.P., Mazzuca, S., Braunstein, E.M., & Byrd, D.A. (2000). Comparison of Lower Extremity Muscle Strength, Obesity, and Depression Scores in Elderly Subjects with Knee Pain with and without Radiographic Evidence af Knee Osteoarthritis. J Rheumatol, 27 (8 ), 1937-46.
  • De Araújo, T.B., De Oliveira, R.J., Martins, W.R., De Moura Pereira, M., Copetti, F., & Safons, M.P. (2013 ). Effects of Hippotherapy on Mobility, Strength and Balance in Elderly. Arch Gerontol Geriatr, 56(3 ), 478-81 .
  • De Rekeneire, N., Visser, M., Peila, R., Nevitt, M.C., Cauley, J.A., Tylavsky, F.A., Simonsick, E.M., & Harris, TB. (2003 ). Is A Fall Just A Fall: Correlates of Falling in Healthy Older Persons. The Health, Aging and Body Composition Study. J Am Geriatr Soc, 51 (6), 841-6.
  • Eser, S., Saatli, G., Eser, E., Baydur, H., & Fidaner, C. (2001 ). The Reliability and Validity Of The Turkish Version Of The World Health Organization Quality Of Life Instrument- Older Adults Module (WHOQOL- Old). Turkish Journal Of Psychiatry , 21 (1 ), 37-48 .
  • Frontera, W.R., Suh, D., Krivickas, L.S., Hughes, V.A., Goldstein, R., & Roubenoff, R. (2000). Skeletal Muscle Fiber Quality In Older Men and Women. Am J Physiol Cell Physiol, 279 (3 ), 611-8 .
  • Güngen, C., Ertan, T., Eker, E., Yasar, R., & Engin F. (2002 ). Reliability and Validity of The Standardized Mini Mental State Examination in the Diagnosis of Mild Dementia in Turkish Population. Turkish Journal Of Psychiatry, 13 (4), 273-82 .
  • Hawkins, K., Musich, S., Ozminkowski, R.J., Bai, M., Migliori, R.J., & Yeh, C.S. (2011 ). The Burden of Falling on the Quality of Life of Adults with Medicare Supplement Insurance. J Gerontol Nurs, 37 (8 ), 36- 47 .
  • Hortobágyi, T., Westerkamp, L., Beam, S., Moody, J., Garry, J, Holbert, D., & De Vita, P. (2005 ). Altered Hamstring - Quadriceps Muscle Balance in Patients with Knee Osteoarthritis. Clin Biomech, 20(1 ), 97- 104.
  • Hunt, M.A., Mcmanus, F.J., Hinman, R.S., & Bennell, K.L. (2010). Predictors of Single - Leg Standing Balance in Individuals with Medial Knee Osteoarthritis. Arthritis Care Res , 62 (4), 496-500.
  • Kesioglu, P., Bilgiç, N., Pıçakçıefe, M., & Uçku, R. (2003 ). The Prevalence of the Chronic Disease and Disability in Elderly Population At Çamdibi -1 Health Center’s Region In Izmir. Turkish Journal Of Geriatrics , 6(1 ), 27 –30.
  • Ki, Y.O., Soo, A.K., Seung, Y.L., & Young, S.L. (2011 ). Comparison of Manual Balance and Balance Board Tests in Healthy Adults. Ann Rehabil Med, 35 (6), 873-9 .
  • Kimura, K., Obuchi, S., Arai, T., Nagasawa, H., Shiba, Y., Watanabe, S., & Kojima, M. (2010). The Influence of Short- Term Strength Training on Health - Related Quality of Life and Executive Cognitive Function. J Physiol Anthropol, 29 (3 ), 95 –101 .
  • Laughton, C., Slavin, M., Katdare, K., Nolan, L., Bean, J., Kerrigan, C., Phillips, E., Lipsitz, L., & Collins, J. (2003 ). Aging, Muscle Activity, and Balance Control: Physiologic Changes Associated with Balance Impairment. Gait And Posture, 18 (2 ), 101-8 .
  • Lenk, K., Schuler, G., & Adams, V. (2009 ). Skeletal Muscle Wasting in Cachexia and Sarcopenia: Molecular Pathophysiology and Impact of Exercise Training. J Cachexia Sarcopenia Muscle, 1 (1 ), 9 –21 .
  • Lustosa, L.P., Pacheso, M., Liu, A., Gonçalves, W.S., Silva, J.P., & Pereira, L. (2010). Impact of Static Stretching on The Gain in Knee - Extensor Strength of Community - Dwelling Older Women After A Training Program. Rev Bras Fisioter, 14(6), 497- 502 .
  • Maffiuletti, N.A., Jubeau, M., Munzinger, U., Bizzini, M., Agosti, F., De Col, A., Lafortuna, C.L.,& Sartorio, A. (2007 ). Differences in Quadriceps Muscle Strength and Fatigue Between Lean and Obese Subjects. Eur J Appl Physiol, 101 , 51 – 9 .
  • Özcan, A., Donat, H., Gelecek, N., Özdirenç, M., & Karadibak, D. (2005 ). The Relationship Between Risk Factors for Falling and Quality of Life in Older Adults . BMC Public Health, 5 , 90-5 .
  • Portes, E.M., Portes, L.A., Botelho, V.G., & Pinto, S.S. (2007 ). Isokinetic Torque Peak and Hamstrings/ Quadriceps Ratios in Endurance Athletes with Anterior Cruciate Ligament Laxity. Clinics,62 (2 ), 127-32 .
  • Ringsberg, K., Gerdhem, P., Johansson, J., & Obrant, K.J. (1999 ). Is There A Relationship Between Balance, Gait Performance and Muscular Strength in 75- Year Old Women ?. Age Aging, 28 (3 ), 289 – 93 .
  • Scherder, E., Eggermont, P., Geuze, H., & Verkerke, J. (2010). Quadriceps Strength and Executive Functions in Older Women. Am J Phys Med Rehabil, 89 (6), 458-63 .
  • Simoes, L.A., Dias, J., Marinho, K.C., Pinto, C., & Britto, R.R. (2010). Relationship Between Functional Capacity Assessed by Walking Test and Respiratory and Lower Limb Muscle Function in Community- Dwelling Elderly. Rev Bras Fisioter, 14(1 ), 24-30.
  • Tsunoda, K., Soma, Y., Kitano, N., Tsuji, T., Mitsuishi, Y., Yoon, J., & Okura, T. (2013 ). Age and Gender Differences in Correlations of Leisure - Time, Household, and Work - Related Physical Activity with Physical Performance in Older Japanese Adults. Geriatr Gerontol Int, 13 , 919 –27 .
  • Wang C, & Bai L. (2012 ). Sarcopenia in the Elderly: Basic and Clinical Issues. Geriatr Gerontl Int, 12 , 388 –396.
  • Wolf, B., Feys, H., & Weerdt, W.D. (2001 ). Effect Of A Physical Therapeutic Intervention for Balance Problems in the Elderly: A Single - Blind, Randomized, Controlled Multicentre Trial. Clin Rehabil, 15 (6), 624-36.
APA büyükturan ö, Ekici G, YILDIRIM Ün N (2015). The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly. , 87 - 94.
Chicago büyükturan öznur,Ekici Gamze,YILDIRIM Ün Necmiye The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly. (2015): 87 - 94.
MLA büyükturan öznur,Ekici Gamze,YILDIRIM Ün Necmiye The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly. , 2015, ss.87 - 94.
AMA büyükturan ö,Ekici G,YILDIRIM Ün N The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly. . 2015; 87 - 94.
Vancouver büyükturan ö,Ekici G,YILDIRIM Ün N The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly. . 2015; 87 - 94.
IEEE büyükturan ö,Ekici G,YILDIRIM Ün N "The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly." , ss.87 - 94, 2015.
ISNAD büyükturan, öznur vd. "The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly". (2015), 87-94.
APA büyükturan ö, Ekici G, YILDIRIM Ün N (2015). The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly. Ergoterapi ve Rehabilitasyon Dergisi, 3(2), 87 - 94.
Chicago büyükturan öznur,Ekici Gamze,YILDIRIM Ün Necmiye The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly. Ergoterapi ve Rehabilitasyon Dergisi 3, no.2 (2015): 87 - 94.
MLA büyükturan öznur,Ekici Gamze,YILDIRIM Ün Necmiye The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly. Ergoterapi ve Rehabilitasyon Dergisi, vol.3, no.2, 2015, ss.87 - 94.
AMA büyükturan ö,Ekici G,YILDIRIM Ün N The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly. Ergoterapi ve Rehabilitasyon Dergisi. 2015; 3(2): 87 - 94.
Vancouver büyükturan ö,Ekici G,YILDIRIM Ün N The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly. Ergoterapi ve Rehabilitasyon Dergisi. 2015; 3(2): 87 - 94.
IEEE büyükturan ö,Ekici G,YILDIRIM Ün N "The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly." Ergoterapi ve Rehabilitasyon Dergisi, 3, ss.87 - 94, 2015.
ISNAD büyükturan, öznur vd. "The relationships among isolated muscle strengths and ratio, balance and quality of life in the elderly". Ergoterapi ve Rehabilitasyon Dergisi 3/2 (2015), 87-94.