YAŞLI BİREYLERDE NON-SPESİFİK BEL AĞRISININ POSTÜRAL KONTROL, DENGE, DÜŞME, MOBİLİTE VE FİZİKSEL AKTİVİTE ÜZERİNE ETKİSİ: KARŞILAŞTIRMALI BİR ÇALIŞMA

Öz

Amaç: Çalışmamızın amacı non-spesifik bel ağrısı (NSBA) olan ve olmayan yaşlı bireylerde denge, postüral kontrol ve ilgili faktörleri karşılaştırmaktı. Yöntem: Bu çalışma kesitsel çalışma olarak tasarlandı. Çalışmaya toplam 67 yaşlı birey (NSBA grubu, n = 33; kontrol grubu, n = 34) dahil edildi. Hastaların ağrı şiddeti ve özürlülük düzeyleri sırasıyla Görsel Analog Skala (VAS) ve Oswestry Özürlülük İndeksi (ODI) ile değerlendirildi. Postural kontrol ve düşme riski Biodex Denge Sistemi ile ölçüldü. Katılımcıların denge performansı, mobilite, düşme korkusu ve fiziksel aktivite düzeyleri sırasıyla Fonksiyonel Uzanma Testi (FUT), Zamanlı Kalk Yürü Testi (TUG), Uluslararası Düşme Etkinlik Skalası (UDES) ve Uluslararası Fiziksel Aktivite Anketi (IPAQ) -kısa form ile değerlendirildi. Sonuçlar: Statik postural stabilite testinin tüm parametrelerinde iki grup arasında anlamlı fark bulunurken (p <0,05), dinamik postural stabilite ve modifiye klinik duyu entegrasyon testinde fark yoktu (p> 0,05). Her iki grup düşme riski indeksi açısından benzerdi (p> 0,05). UDES skoru (p = 0.003) ve TUG süresi (p = 0.001) NSBA grubunda kontrol grubuna göre anlamlı olarak daha yüksekti. Ek olarak, FUT mesafesi (p = 0,001) ve IPAQ skoru (p = 0,029), NSBA grubunda kontrol grubuna göre anlamlı olarak daha düşüktü. Tartışma: Bu çalışma, NSBA’lı yaşlı bireylerde statik postural kontrol, denge, mobilite ve fiziksel aktivitenin bozulmakta olduğunu düşündürmektedir. Ek olarak, NSBA’lı yaşlı bireylerde düşme korkusu artmaktadır.

Anahtar Kelimeler

• Denge
• Yaşlı
• Non-spesifik bel ağrısı
• Postural kontrol

THE IMPACT OF NON-SPECIFIC LOW BACK PAIN ON POSTURAL CONTROL, BALANCE, FALL, MOBILITY AND PHYSICAL ACTIVITY IN ELDERLY INDIVIDUALS: A COMPARATIVE STUDY

Abstract

Purpose: Studies investigating the effects of non-specific low back pain (NSLBP) on elderly individuals are limited in the literature. The study aimed to compare postural control, balance, physical activity and related factors in elderly individuals with and without the NSLBP.
Methods: The study was designed as a cross-sectional. A total of 67 elderly individuals (NSLBP group n=33 and control group n=34) were included in the study. Patients' pain intensity and disability levels were evaluated using Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI), respectively. Postural control and fall risk were measured using the Biodex Balance System. Participants' balance performance, mobility, fear of falling and physical activity levels were evaluated using functional reach test (FRT), timed up and go test (TUG), Falls Efficacy Scale International (FES-I) and International Physical Activity Questionnaire (IPAQ)-Short Form, respectively.
Results: While there was a significant difference between the two groups in all parameters of static postural stability test (p<0.05), no difference was found in dynamic postural stability, modified clinical sensory integration test, and fall risk index (p>0.05). The FES-I score (p=0.003) and the TUG time (p=0.001) were significantly higher in the NSLBP group than in the control group. The FRT distance (p=0.001) and the IPAQ score (p=0.029) were significantly lower in the NSLBP group than in the control group.
Conclusion: This study suggests that static postural control, balance, mobility, and physical activity are impaired in elderly individuals with NSLBP. Clinicians should take into account these disadvantages in planning rehabilitation programs in elderly individuals with the NSLBP.

Keywords

• Elderly
• Low Back Pain
• Postural Control

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