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The rates of reduction in disease complaints after musculoskeletal physiotherapy in geriatric cases

Year 2011, Volume: 1 Issue: 2, 103 - 106, 31.01.2014

Abstract

Objective: This study was carried out to determine reduction in complaints among individuals aged 65 years and above, included in a physiotherapy and rehabilitation program following a physiotherapy and rehabilitation program.
Method: The study included 827 participants (648 female and 179 male) over the age of 65 (73.61±6.02). A total of 10,482 sessions, an average of 12.7 sessions/patient of physiotherapy and rehabilitation program were applied on the participants. The diseases of the patients included in the study were musculoskeletal diseases such as rheumaticdiseases(osteoarthrit is, ankylosingspondylitis, fibromyalgia), peripheralnerve injuries, tendinitis, tenosynovitis, bursitis, spondylosis, discdegeneration. When the treatment program was completed, the rate of change in the number of complaints and findings pre-treatment and after treatment was calculated as percentage.
Results: 6 (0.7%) of the participants who received physiotherapy and rehabilitation reported a 25% decrease in their complaints; 5 (0.6%) a 40% decrease; 9 (1.1%) a 50% decrease; 27 (3.3%) a 60% decrease; 4 (0.5%) a 65% decrease; 84 (10.2%) a 75% decrease; 119 (14.4%) an 80% decrease; 5 (0.6%) an 85% decrease; 1 (0.1%) a 90% decrease; and 505 (61.1%) a 100% decrease; 9 patients (1.1%) stated no decrease in their complaints and, 53 participants (6.4%) made no comments.
Conclusion: The finding that 60% of geriatric participants reported reduced complaints following physiotherapy and rehabilitation programs indicates that the treatment does not provide full recovery in all patients, due to multiple variables that may affect symptomatic recovery. Further studies are planned to investigate the satisfaction of geriatric patients by separating the disease, the patient and his/her interaction with health care professionals.

Key words: Geriatrics, physiotherapy, recovery

References

  • Akyol DA. Yaşlılığın tanımı ve toplumsal konumu. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi. 1996; 12(2): 27-30.
  • Bayraktar R. Yaşamın ikinci yarısına farklı bakış açıları, Kutsal YG (Ed), Geriatri, HU Geriatrik Bilimler Araştırma ve Uygulama Merkezi, Turgut Yayıncılık, İstanbul, 2002: 123-131.
  • Cornwell B, Laumann EO, Schumm LP. The Social Connectedness of Older Adults: A National Profile. Am Sociol Rev. 2008; 73(2): 185-203.
  • Bilir N. Bulaşıcı olmayan hastalıkların kontrolü ve yaşlılık sorunları, Ankara, 1995: 359-369.
  • Toraman A, Yıldırım NU. The falling risk and physical fitness in older people. Arch Gerontol Geriatr. 2010; 51: 222-226.
  • Çetin A, Yaşam kalitesi ve rehabilitasyon, Kutsal YG (Ed), Geriatri, HU Geriatrik Bilimler Araştırma ve Uygulama Merkezi, Turgut Yayıncılık, İstanbul, 2002: 218-221.
  • Akbulut GC, Ersoy G. Assessment of nutrition and life quality scores of individuals aged 65 and over from different socio-economic levels in Turkey. Arch Gerontol Geriatr. 2008; 47: 241-252
  • Dünya Sağlık Örgütü, Dünya Sağlık Raporu, Dünya Sağlık Örgütü Yayınları, Genova, 1998: 7.
  • Fried TR, Bradley EH, Williams CS, et al. Functional disability and health care expenditures for older persons. Arch Intern Med. 2001;161:2602- 2607.
  • Ostchega Y, Harris TB, Hirsch R, et al. The prevalence of functional limitations and disability in older persons in the US: data from the National Health and Nutrition Examination Survey III. J Am Geriatr Soc. 2000;48:1132-1135.
  • Shimada H, Tiedemann A, Lord SR, et al. Physical factors underlying the association between lower walking performance and falls in older people: A structural equation model. AGG. 2010; 2378: 4.
  • Liu K, Wall S, Wissoker D. Disability and Medicare costs of elderly persons. Milbank Q. 1997;75:461-493.
  • Stephanie K Carter, John A Rizzo. Use of Outpatient Physical Therapy Services by People With Musculoskeletal Conditions. Phys Ther. 2007;87:497-512.
  • Freburger JK, Holmes GM. Physical therapy use by community-based older people. Phys Ther. 2005;85:19-33.
  • Marks R. The development of a patient satisfaction questionnaire. Part 11. New Zealand Journal of Physiotherapy 1994; December: 34-36
  • Elliott-Burke T, Pothast L. Measuring patient satisfaction in an outpatient orthopaedic setting, Part 1: Key drivers and results. Journal of Rehabilitation Outcomes Measures 1997; 1:18-25
  • Roush S, Sonstroem R. Development of the Physical Therapy Outpatient Satisfaction Survey (PTOPS). Phys Ther. 1999;79: 159-170.
  • Goldstein M, Elliott S, Guccione A. The development of an instrument to measure satisfaction with physical therapy. Physical Therapy 2000;80:853-863.
  • Beattie P, Pinto M, Nelson M, Nelson R. Patient satisfaction with outpatient physiotherapy: Instrument validation. Phys Ther. 2002;82:557-564.
  • Hills R, Kitchen S. Satisfaction with outpatient physiotherapy: A survey comparing the views of patients with acute and chronic musculoskeletal conditions. Physiother Theory Pract.2007;23(1):21-36.

Geriatrik olgularda muskuloskeletal fizyoterapi sonrası hastalık şikayetlerindeki azalma oranları

Year 2011, Volume: 1 Issue: 2, 103 - 106, 31.01.2014

Abstract

Amaç: Bu araştırma fizik tedavi ve rehabilitasyon programına alınan 65 yaş ve üzeri bireylerde fizik tedavi ve rehabilitasyon programı sonrası şikayetlerindeki azalma oranlarını belirlemek amacıyla gerçekleştirilmiştir.
Yöntem: Çalışmaya 65 yaş üzeri (73.61±6.02) 648’i (%78,4) kadın ve 179’u (%21,6) erkek olmak üzere, toplam 827 olgu dahil edildi. Olgulara toplam 10,482 seans, ortalama 12.7 seans/ hasta fizik tedavi ve rehabilitasyon programı uygulandı. Çalışmaya dahil edilen hastaların hastalıkları; romatizmal hastalıklar (osteoartrit, ankilozan spondilit, fibromyalji), periferik sinir yaralanmaları, tendinit, tenosinovit, bursit, spondiloz, disk dejenerasyonu gibi muskuloskeletal hastalıklardı.Tedavi programı tamamlandığında, tedavi öncesi ve sonrası belirlenen bulgu ve şikayet sayısındaki değişim yüzdelik oran olarak hesaplandı.
Bulgular: Fizik tedavi ve rehabilitasyon programı; uygulanan olgulardan 6’sı (0,7) %25, 5’i (%0,6) %40, 9’u (%1.1) %50, 27’si (%3,3) %60, 4’ü (%0,5) %65, 84’ü (%10,2) %75, 119’u (%14,4) %80, 5’i (%0,6) %85, 1’i (%0,1) %90 ve 505’i (%61,1) %100 oranında şikayetlerinin azaldığını; 9’u (%1,1) şikayetlerinde azalma olmadığını belirtirken, 53 olgu (%6,4) herhangi bir yorumda bulunmadı.
Sonuç: Geriatrik olgularda, fizik tedavi ve rehabilitasyon programı sonrası tüm şikayetlerin azalma oranının yüzde altmış seviyesinde kalması; tedavinin semptomatik iyileşmeyi etkileyecek çoklu değişkenler nedeniyle tam iyileşme sağlamadığına yorumlandı. Sonraki çalışmada, geriatrik hasta memnuniyetinin hastalık, hasta ve sağlık profesyonelleriyle olan etkileşiminin ayrıştırılarak incelenmesi planlandı.

Anahtar Kelimeler : Geriatri, fizyoterapi, iyileşme

References

  • Akyol DA. Yaşlılığın tanımı ve toplumsal konumu. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi. 1996; 12(2): 27-30.
  • Bayraktar R. Yaşamın ikinci yarısına farklı bakış açıları, Kutsal YG (Ed), Geriatri, HU Geriatrik Bilimler Araştırma ve Uygulama Merkezi, Turgut Yayıncılık, İstanbul, 2002: 123-131.
  • Cornwell B, Laumann EO, Schumm LP. The Social Connectedness of Older Adults: A National Profile. Am Sociol Rev. 2008; 73(2): 185-203.
  • Bilir N. Bulaşıcı olmayan hastalıkların kontrolü ve yaşlılık sorunları, Ankara, 1995: 359-369.
  • Toraman A, Yıldırım NU. The falling risk and physical fitness in older people. Arch Gerontol Geriatr. 2010; 51: 222-226.
  • Çetin A, Yaşam kalitesi ve rehabilitasyon, Kutsal YG (Ed), Geriatri, HU Geriatrik Bilimler Araştırma ve Uygulama Merkezi, Turgut Yayıncılık, İstanbul, 2002: 218-221.
  • Akbulut GC, Ersoy G. Assessment of nutrition and life quality scores of individuals aged 65 and over from different socio-economic levels in Turkey. Arch Gerontol Geriatr. 2008; 47: 241-252
  • Dünya Sağlık Örgütü, Dünya Sağlık Raporu, Dünya Sağlık Örgütü Yayınları, Genova, 1998: 7.
  • Fried TR, Bradley EH, Williams CS, et al. Functional disability and health care expenditures for older persons. Arch Intern Med. 2001;161:2602- 2607.
  • Ostchega Y, Harris TB, Hirsch R, et al. The prevalence of functional limitations and disability in older persons in the US: data from the National Health and Nutrition Examination Survey III. J Am Geriatr Soc. 2000;48:1132-1135.
  • Shimada H, Tiedemann A, Lord SR, et al. Physical factors underlying the association between lower walking performance and falls in older people: A structural equation model. AGG. 2010; 2378: 4.
  • Liu K, Wall S, Wissoker D. Disability and Medicare costs of elderly persons. Milbank Q. 1997;75:461-493.
  • Stephanie K Carter, John A Rizzo. Use of Outpatient Physical Therapy Services by People With Musculoskeletal Conditions. Phys Ther. 2007;87:497-512.
  • Freburger JK, Holmes GM. Physical therapy use by community-based older people. Phys Ther. 2005;85:19-33.
  • Marks R. The development of a patient satisfaction questionnaire. Part 11. New Zealand Journal of Physiotherapy 1994; December: 34-36
  • Elliott-Burke T, Pothast L. Measuring patient satisfaction in an outpatient orthopaedic setting, Part 1: Key drivers and results. Journal of Rehabilitation Outcomes Measures 1997; 1:18-25
  • Roush S, Sonstroem R. Development of the Physical Therapy Outpatient Satisfaction Survey (PTOPS). Phys Ther. 1999;79: 159-170.
  • Goldstein M, Elliott S, Guccione A. The development of an instrument to measure satisfaction with physical therapy. Physical Therapy 2000;80:853-863.
  • Beattie P, Pinto M, Nelson M, Nelson R. Patient satisfaction with outpatient physiotherapy: Instrument validation. Phys Ther. 2002;82:557-564.
  • Hills R, Kitchen S. Satisfaction with outpatient physiotherapy: A survey comparing the views of patients with acute and chronic musculoskeletal conditions. Physiother Theory Pract.2007;23(1):21-36.
There are 20 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Zübeyir Sarı This is me

Saadet Yurdalan This is me

Mine Polat This is me

Bahar Özgül This is me

Selma Önel This is me

Publication Date January 31, 2014
Submission Date November 2, 2013
Published in Issue Year 2011 Volume: 1 Issue: 2

Cite

APA Sarı, Z., Yurdalan, S., Polat, M., Özgül, B., et al. (2014). Geriatrik olgularda muskuloskeletal fizyoterapi sonrası hastalık şikayetlerindeki azalma oranları. Clinical and Experimental Health Sciences, 1(2), 103-106.
AMA Sarı Z, Yurdalan S, Polat M, Özgül B, Önel S. Geriatrik olgularda muskuloskeletal fizyoterapi sonrası hastalık şikayetlerindeki azalma oranları. Clinical and Experimental Health Sciences. January 2014;1(2):103-106.
Chicago Sarı, Zübeyir, Saadet Yurdalan, Mine Polat, Bahar Özgül, and Selma Önel. “Geriatrik Olgularda Muskuloskeletal Fizyoterapi Sonrası hastalık şikayetlerindeki Azalma Oranları”. Clinical and Experimental Health Sciences 1, no. 2 (January 2014): 103-6.
EndNote Sarı Z, Yurdalan S, Polat M, Özgül B, Önel S (January 1, 2014) Geriatrik olgularda muskuloskeletal fizyoterapi sonrası hastalık şikayetlerindeki azalma oranları. Clinical and Experimental Health Sciences 1 2 103–106.
IEEE Z. Sarı, S. Yurdalan, M. Polat, B. Özgül, and S. Önel, “Geriatrik olgularda muskuloskeletal fizyoterapi sonrası hastalık şikayetlerindeki azalma oranları”, Clinical and Experimental Health Sciences, vol. 1, no. 2, pp. 103–106, 2014.
ISNAD Sarı, Zübeyir et al. “Geriatrik Olgularda Muskuloskeletal Fizyoterapi Sonrası hastalık şikayetlerindeki Azalma Oranları”. Clinical and Experimental Health Sciences 1/2 (January 2014), 103-106.
JAMA Sarı Z, Yurdalan S, Polat M, Özgül B, Önel S. Geriatrik olgularda muskuloskeletal fizyoterapi sonrası hastalık şikayetlerindeki azalma oranları. Clinical and Experimental Health Sciences. 2014;1:103–106.
MLA Sarı, Zübeyir et al. “Geriatrik Olgularda Muskuloskeletal Fizyoterapi Sonrası hastalık şikayetlerindeki Azalma Oranları”. Clinical and Experimental Health Sciences, vol. 1, no. 2, 2014, pp. 103-6.
Vancouver Sarı Z, Yurdalan S, Polat M, Özgül B, Önel S. Geriatrik olgularda muskuloskeletal fizyoterapi sonrası hastalık şikayetlerindeki azalma oranları. Clinical and Experimental Health Sciences. 2014;1(2):103-6.

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