Yıl: 2014 Cilt: 17 Sayı: 3 Sayfa Aralığı: 242 - 248 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS

Öz:
Giriş: Bu çalışmanın amacı, 65 yaş üstü bireylerde posturografik düşme riski ile klinik dengetestleri arasında ilişki olup olmadığını değerlendirmek ve posturografik düşme indeksinin ayırtedici kapasitesini belirlemekti. Gereç ve Yöntem: Çalışmaya, 65 yaş üstü 220 kişi alındı. Katılımcıların denge ve düşme riski;posturografik düşme riski ve Berg denge testi (BDT), fonksiyonel mobilitesi; Zamanlı Kalk-YürüTesti (ZKYT), alt ekstremite nöromuskuler fonksiyonu; sandalyeye otur kalk testi (SOKT) ve yaşamkalitesi; Kısa Form-36 (KF-36) kullanılarak değerlendirildi. Hastalar son bir yıl içindeki düşmeöyküsüne göre; düşenler ve düşmeyenler olmak üzere, iki gruba ayrıldı. Bulgular: Çalışmaya alınan bireylerin 78'inde (%35,5) düşme öyküsü varken 142'inde(%64,5), düşme öyküsü yoktu. Düşme öyküsü olanların yaş, posturografik düşme riski, ve ZKYTskorları düşme öyküsü olmayanlara göre istatistiksel olarak anlamlı derecede yüksek iken, KF-36yaşam kalitesinin bazı alt grup skorları, BDT skoru ve SOKT ortalama sayısı ise düşüktü (p<0,05).Posturografik düşme riski ile BDT (r=-0.84) ve SOKT (r=-0.40) arasında negatif korelasyon, ZKYT(r=0.67) ile pozitif korelasyon saptandı (p<0,05). Posturografik düşme riski ile düşme öyküsüarasındaki uyuma bakıldığında ROC eğrisi altında kalan alan 0,818 idi. Bu çalışmada, cut-offdeğeri 51 ve üzeri alındığında en yüksek Youden indeks skoru 0,508 ile sensitivite %76,9 ve spesifite %73,9 olarak saptandı. Sonuç: Düşme öyküsü olanların denge, fonksiyonel mobilite, alt ekstremite nöromuskülerfonksiyon ve yaşam kalitelerinin düşme öyküsü olmayanlara göre daha kötü olduğu gösterilmiştir.Çalışmada ayrıca posturografik düşme riskinin klinik denge testleri ile anlamlı olarak ilişkiliolduğunu ve düşenleri belirlemede iyi ayırt edici kapasitesi sergilediği gösterilmiştir.
Anahtar Kelime:

Konular: Cerrahi

TOPLUMDA YAŞAYAN YAŞLI BİREYLERDE POSTUROGRAFİK DÜŞME RİSKİ İLE KLİNİK DENGE TESTLERİ ARASINDAKİ İLİŞKİ

Öz:
Introduction: The aim of this study was to determine whether there is an associationbetween fall risk measured posturographically and clinical balance tests among people who areover 65 years of age, and to identify the discriminative ability of the posturographic fall risk index.Materials and Methods: Two hundred and twenty participants who were over 65 years ofage were included in the study. The balance and fall risk of participants were assessed with theBerg balance scale (BBS) and a posturography device; functional mobility with the Timed Up andGo (TUG) test; lower extremity neuromuscular function with the Chair Stand test (CST) and quality of life with the Short Form-36 (SF-36). Participants were grouped into two, as fallers and nonfallers, on the basis of the past year's fall history.Results: A total of 78 participant (35.5%) had a history of falling, while 142 (64.5%) of thesubjects did not. Age, TUG and posturographic fall risk index of fallers were significantly higherthan for nonfallers, whilst some subgroups of the SF-36, BBS and mean CST scores were lower(p<0.05). There were negative correlations between posturographic fall risk and the BBS (r=-0.84)and CST (r=-0.40) yet a positive correlation with the TUG (r=0.67) (p<0.05). Using the agreementbetween the posturographic fall risk index and history of falls, the area under the ROC curve was0.818. In this study, when the cut-off value 51<= was used, sensitivity was found to be 76.9% andspecificity was 73.9%, with a higher value for the Youden index: 0.508. Conclusion: It was shown that fallers had poorer balance, functional mobility, lower extremity neuromuscular function and quality of life than nonfallers. The study also demonstrated thatposturographically obtained fall risk was significantly correlated with clinical balance tests and hadgood discriminative ability to identify fallers.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA alkan h, YILDIZ N, SARSAN A, AKKAYA N, FINDIKOLU G, Sevinç Ö, TOPUZ O, Ardic Yukruk F (2014). THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS. , 242 - 248.
Chicago alkan hakan,YILDIZ Necmettin,SARSAN AYŞE,AKKAYA Nuray,FINDIKOLU Gülin,Sevinç Özgür,TOPUZ Oya,Ardic Yukruk Fisun THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS. (2014): 242 - 248.
MLA alkan hakan,YILDIZ Necmettin,SARSAN AYŞE,AKKAYA Nuray,FINDIKOLU Gülin,Sevinç Özgür,TOPUZ Oya,Ardic Yukruk Fisun THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS. , 2014, ss.242 - 248.
AMA alkan h,YILDIZ N,SARSAN A,AKKAYA N,FINDIKOLU G,Sevinç Ö,TOPUZ O,Ardic Yukruk F THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS. . 2014; 242 - 248.
Vancouver alkan h,YILDIZ N,SARSAN A,AKKAYA N,FINDIKOLU G,Sevinç Ö,TOPUZ O,Ardic Yukruk F THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS. . 2014; 242 - 248.
IEEE alkan h,YILDIZ N,SARSAN A,AKKAYA N,FINDIKOLU G,Sevinç Ö,TOPUZ O,Ardic Yukruk F "THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS." , ss.242 - 248, 2014.
ISNAD alkan, hakan vd. "THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS". (2014), 242-248.
APA alkan h, YILDIZ N, SARSAN A, AKKAYA N, FINDIKOLU G, Sevinç Ö, TOPUZ O, Ardic Yukruk F (2014). THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS. Türk Geriatri Dergisi, 17(3), 242 - 248.
Chicago alkan hakan,YILDIZ Necmettin,SARSAN AYŞE,AKKAYA Nuray,FINDIKOLU Gülin,Sevinç Özgür,TOPUZ Oya,Ardic Yukruk Fisun THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS. Türk Geriatri Dergisi 17, no.3 (2014): 242 - 248.
MLA alkan hakan,YILDIZ Necmettin,SARSAN AYŞE,AKKAYA Nuray,FINDIKOLU Gülin,Sevinç Özgür,TOPUZ Oya,Ardic Yukruk Fisun THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS. Türk Geriatri Dergisi, vol.17, no.3, 2014, ss.242 - 248.
AMA alkan h,YILDIZ N,SARSAN A,AKKAYA N,FINDIKOLU G,Sevinç Ö,TOPUZ O,Ardic Yukruk F THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS. Türk Geriatri Dergisi. 2014; 17(3): 242 - 248.
Vancouver alkan h,YILDIZ N,SARSAN A,AKKAYA N,FINDIKOLU G,Sevinç Ö,TOPUZ O,Ardic Yukruk F THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS. Türk Geriatri Dergisi. 2014; 17(3): 242 - 248.
IEEE alkan h,YILDIZ N,SARSAN A,AKKAYA N,FINDIKOLU G,Sevinç Ö,TOPUZ O,Ardic Yukruk F "THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS." Türk Geriatri Dergisi, 17, ss.242 - 248, 2014.
ISNAD alkan, hakan vd. "THE RELATIONSHIP BETWEEN POSTUROGRAPHIC FALL RISK AND CLINICAL BALANCE TESTS AMONG COMMUNITY-DWELLING OLDER ADULTS". Türk Geriatri Dergisi 17/3 (2014), 242-248.