MUSCLE SKELETAL DISEASES AND FALLING

Yıl 2018, Düşmeye Çok Yönlü Bakış Sempozyumu ll Özel Sayısı, 153 - 155, 29.12.2018

Nilay Şahin

Öz

Reduction of biological functional
reserves and stressor resistance causes physical insufficiency (slowing of
walking speed, fatigue, poor grip strength), weight loss, low physical activity
and sarcopenia. Muscle weakness, pain, balance and proprioception problems,
gait disturbances,

arthritis / arthrosis,
unstable joint, foot problems, vitamin D deficiency, osteoporosis,
environmental factors and fracture history tend to decrease. In adults with two
or more musculoskeletal diseases, the incidence of falls is increased and the
risk of falling injuries is tripled

Anahtar Kelimeler

fall, musculoskeletal, fall frequency

KAS İSKELET SİSTEMİ HASTALIKLARI VE DÜŞME

Öz

Biyolojik fonksiyonel rezervlerin ve
stresör direncin azalması fiziksel yetmezlik (yürüme hızında yavaşlama, fatig,
zayıf kavrama kuvveti), kilo kaybı, düşük fiziksel aktivite ve sarkopeniye
neden olmaktadır. Kas güçsüzlüğü, ağrı, balans ve propriosepsiyon problemleri,
yürüme bozuklukları,

artrit/artroz, instabil
eklem, ayak problemleri, D vitamini yetersizliği, osteoporoz, çevresel
faktörler ve fraktür hikayesi düşmeye eğilim yaratmaktadır. Kas iskelet sistemi
hastalığı sayısı iki veya daha fazla olan erişkinlerde düşme sıklığı artmakta
ve düşmeye bağlı yaralanma riski üç kat artmaktadır

Anahtar Kelimeler

düşme, kas-iskelet, düşme sıklığı

Kaynakça

• Referans1. Clyburn TA, Heydemann JA. Fall prevention in the elderly: analysis and comprehensivereview of methods used in the hospital and in the home. J Am Acad Orthop Surg. 2011 Jul;19(7):402-9.
• Referans2. Inouye SK, Brown CJ, Tinetti ME: Medicare nonpayment, hospital falls, and unintendedconsequences. N Engl J Med 2009; 360(23): 2390-3.
• Referans3. Freemont AJ, Hoyland JA. Morphology, mechanisms and pathology of musculoskeletalageing. J Pathol. 2007; 211:252–9
• Referans4. Lee W, Kong K, Park H. Effect of preexisting musculoskel-etal diseases on the 1-yearincidence of fall-related injuries.J Prev Med Public Health 2012;45:283–90
• Referans5. Helmick CG, Felson DT, Lawrence RC, et al. Estimates of prevalence of arthritis and other rheumatic conditions in the United States.Part 2. Arthritis Rheum. 2008; 58: 26-35.
• Referans6. Dore AL, Golightly YM, Mercer VS, et al. Lower-extremity osteoarthritis and the risk of falls in a community-based longitudinal study of adults with and without osteoarthritis. Arthritis Care Res (Hoboken) 2015;67(5):633-9.
• Referans7. Ng CT, Tan MP. Osteoarthritis and falls in the older person. Age Ageing. 2013; 0:1.
• Referans8. Song R, Roberts BL, Lee E-O, Lam P, Bae S-C. A randomized study of the effects of t’ai chi on muscle strength, bone mineral density, and fear of falling in women with osteoarthritis. J Altern Complement Med 2010; 16: 227–33.
• Referans9. Levinger P, Menz HB, Morrow AD et al. Lower limb proprioception deficits persist following knee replacement surgerydespite improvements in knee extension strength. Knee Surg Sports Traumatol Arthrosc 2012; 20: 1097–103.
• Referans10. Stanmore EK, Oldham J, Skelton DA, et al. Fall incidence and outcomes of falls in aprospective study of adults with rheumatoid arthritis. Arthri-tis Care Res (Hoboken) 2013;65:737– 44.
• Referans11. C. Bohler, H. Radner, M. Ernst et al., “Rheumatoid arthritis and ¨ falls: the influence of disease activity,” Rheumatology, vol. 51, pp. 2051–2057, 2012
• Referans12. https://www.iofbonehealth.org/epidemiology
• Referans13. Smulders E van Lankveld, W Laan Ret al. Does osteoporosis predispose falls? A study onobstacle avoidance and balance confidence. BMC Musculoskelet Disord . 2011;12:1.
• Referans14. de Kam D, Smulders E, Weerdesteyn V, et al: Exercise interventions to reduce fall-related fractures and their risk factors in individuals with low bone density: a systematic review of randomized controlled trials. Osteoporos Int 2009, 20:2111-2125.
• Referans15. Deyo RA, Mirza SK, Martin BI. Back pain prevalence and visit rates: estimates from U.S. national surveys, 2002. Spine (Phila Pa 1976). 2006;31:2724-7.
• Referans16. Marshall LM, Litwack-Harrison S, Cawthon PM, et al. A prospective study of bel ağrısıand risk of falls among older community-dwelling women. J Gerontol A Biol Sci Med Sci. 2016;71:1177–83.