YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ

Arzu Demircioğlu; Songül Atasavun Uysal; Mualla Şahin Hamurcu

doi:10.21653/tjpr.665189

Research Article

YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ

Year 2019, Volume: 30 Issue: 3, 191 - 198, 20.12.2019

Arzu Demircioğlu Songül Atasavun Uysal Mualla Şahin Hamurcu

https://doi.org/10.21653/tjpr.665189

Cited By: 1

Abstract

Amaç: Yaşlanma nedeni ile gözde meydana gelen fizyolojik değişiklerle beraber yaşlı bireylerde
ortaya çıkan göz hastalıkları, görme keskinliğinde azalma ve az görmeye neden olmaktadır.
Ayrıca yaşlanma ile birlikte bireylerin dengelerinde bozulma ve düşme sayılarında artış olduğu
bilinmektedir. Çalışmamızın amacı az gören yaşlı bireylerde görme fonksiyonu, denge ve düşme
davranışlarını incelemekti.
Yöntem: Çalışmaya az gören gruba 53 ve normal gören 53 yaşlı birey olmak üzere 106 birey dahil
edildi. Kognitif durumu değerlendirmek için Mini Mental Durum Testi uygulandı. Bireylerin görme ile
ilgili yaşam kalitesi Ulusal Göz Sağlığı Enstitüsü Görme İşlevleri Anketi; statik ve dinamik dengeleri
Berg Denge Ölçeği, Fonksiyonel Uzanma Testi, Tek Ayak Üzerinde Durma Testi ve Süreli Kalk ve
Yürü Testi ve düşme davranışları Yaşlılar için Düşme Davranışları Ölçeği ile değerlendirildi.
Sonuçlar: Sosyodemografik özellikler açısından her iki grup benzer bulundu (p>0,05). Ulusal Göz
Sağlığı Enstitüsü Görme İşlevleri Anketi puanı (p<0,001) ve Fonksiyonel Uzanma Testi mesafesi az
gören grubunda daha düşüktü (p=0,027) ancak Berg Denge Ölçeği, Tek Ayak Üzerinde Durma Testi,
Süreli Kalk ve Yürü Testi ile Yaşlılar için Düşme Davranışları Ölçeği’nde gruplar arasında anlamlı
fark bulunmadı (p>0,05).
Tartışma: Çalışmamızda az gören yaşlı bireylerde görme sorunları ve görme ile ilgili yaşam
kalitesinin, normal gören yaşlı bireylere göre olumsuz etkilendiği bulundu. Ayrıca az gören yaşlı
bireylerin hareketlilik, seviye değişiklikleri ve telefona yetişme ile ilgili durumlarda düşme açısından
daha koruyucu davranışlarda bulundukları görüldü.

Keywords

Düşme, Görme

References

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2. Lord SR, McLean D, Stathers G. Physiological factors associated with injurious falls in older people living in the community. Gerontology. 1992;38(6):338-46.
3. Nevitt MC, Cummings SR, Kidd S, Black D. Risk factors for recurrent nonsyncopal falls: a prospective study. JAMA. 1989;261(18):2663-8.
4. Keskinbora HK. Yaşlı hastalarda oftalmolojik sorunlar. GeroFam. 2010;1(3):47-56.
5. Niihata K, Fukuma S, Hiratsuka Y, Ono K, Yamada M, Sekiguchi M, et al. Association between vision-specific quality of life and falls in community-dwelling older adults: LOHAS. PloS One. 2018;13(4):e0195806.
6. Tromp A, Pluijm S, Smit J, Deeg D, Bouter L, Lips P. Fall-risk screening test: a prospective study on predictors for falls in community-dwelling elderly. J Clin Epidemiol. 2001;54(8):837- 44.
7. de Boer MR, Pluijm SM, Lips P, Moll AC, Völker-Dieben HJ, Deeg DJ, et al. Different aspects of visual impairment as risk factors for falls and fractures in older men and women. J Bone Miner Res. 2004;19(9):1539-47. 8. Maki BE, McIlroy WE. Postural control in the older adult. Clin Geriatr Med. 1996;12(4):635-58.
9. Lima GA, Vilaça KH, Lima NK, Moriguti JC, Ferriolli E. Balance and aerobic capacity of independent elderly: a longitudinal cohort study. Braz J Phys Ther. 2011;15(4):272-7.
10. Wijlhuizen GJ, Chorus AM, Hopman-Rock M. Fragility, fear of falling, physical activity and falls among older persons: some theoretical considerations to interpret mediation. Prev Med. 2008;46(6):612-4.
11. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701-7. 12. Levy NS, Glick EB. Stereoscopic perception and Snellen visual acuity. Am J Ophthalmol. 1974;78(4):722-4.
13. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98.
14. Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Standardize Mini Mental Test’in Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Turk Psikiyatri Derg. 2002;13(4):273-81.
15. Mangione CM, Berry S, Spritzer K, Janz NK, Klein R, Owsley C, et al. Identifying the content area for the 51-item National Eye Institute Visual Function Questionnaire: results from focus groups with visually impaired persons. Arch Ophthalmol. 1998;116(2):227-33.
16. Toprak AB, Eser E, Guler C, Baser FE, Mayali H. Cross-validation of the Turkish version of the 25-item national eye institute visual functioning questionnaire (NEI-VFQ 25). Ophthalmic Epidemiol. 2005;12(4):259-69.
17. Steffen TM, Hacker TA, Mollinger L. Age-and gender-related test performance in community-dwelling elderly people: six-minute walk test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther. 2002;82(2):128.
18. Şahin F, Büyükavci R, Sağ S, Doğu B, Kuran B. Berg Denge Ölçeği’nin Türkçe Versiyonunun inmeli hastalarda geçerlilik ve güvenilirliği. Turk J Phys Med Rehab. 2013;16(3):170-5.
19. Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):M192-M7.
20. Stevenson TJ, Garland SJ. Standing balance during internally produced perturbations in subjects with hemiplegia: validation of the balance scale. Arch Phys Med Rehabil. 1996;77(7):656-62.
21. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
22. Clemson L, Cumming RG, Heard R. The development of an assessment to evaluate behavioral factors associated with falling. Am J Occup Ther. 2003;57(4):380-8.
23. Uymaz PE, Nahcivan N. Yaşlılar İçin Düşme Davranışları Ölçeği’nin geçerlik ve güvenirliği. Istanbul Univ Florence Nightingale Hemsire YO Derg. 2013;21(1):22-32.
24. Zhou H, Peng K, Tiedemann A, Peng J, Sherrington C. Risk factors for falls among older community dwellers in Shenzhen, China. Inj Prev. 2019;25(1):31-5.
25. Owen CG, Rudnicka AR, Smeeth L, Evans JR, Wormald RP, Fletcher AE. Is the NEI-VFQ-25 a useful tool in identifying visual impairment in an elderly population? BMC Ophthalmol. 2006;6(1):24.
26. Zhu M, Yu J, Zhang J, Yan Q, Liu Y. Evaluating vision-related quality of life in preoperative age-related cataract patients and analyzing its influencing factors in China: a cross-sectional study. BMC Ophthalmol. 2015;15(1):160.
27. Ceceli E, Kocaoğlu S, Güven D, Okumuş M, Yorgancıoğlu R. Geriatrik hastalarda denge, yaş ve fonksiyonel durum ilişkisi. Turk Geriatr Derg. 2007;10(4):169-72.
28. Lee HK, Scudds RJ. Comparison of balance in older people with and without visual impairment. Age Ageing. 2003;32(6):643-9.
29. Sturnieks DL, St George R, Lord SR. Balance disorders in the elderly. Neurophysiol Clin. 2008;38(6):467-78.
30. West SK, Rubin GS, Broman AT, Munoz B, Bandeen-Roche K, Turano K. How does visual impairment affect performance on tasks of everyday life? The SEE Project. Arch Ophthalmol. 2002;120(6):774-80.
31. Clemson L, Cumming RG, Roland M. Case–control study of hazards in the home and risk of falls and hip fractures. Age Ageing. 1996;25(2):97-101.
32. Kuyk T, Elliott JL, Fuhr PS. Visual correlates of mobility in real world settings in older adults with low vision. Optom Vis Sci. 1998;75(7):538-47.
33. Hill K, Schwarz J, Flicker L, Carroll S. Falls among healthy, community dwelling, older women: a prospective study of frequency, circumstances, consequences and prediction accuracy. Aust N Z J Public Health. 1999;23(1):41-8.

Year 2019, Volume: 30 Issue: 3, 191 - 198, 20.12.2019

Arzu Demircioğlu Songül Atasavun Uysal Mualla Şahin Hamurcu

https://doi.org/10.21653/tjpr.665189

Cited By: 1

Abstract

References

1. Jack C, Smith T, Neoh C, Lye M, McGalliard J. Prevalence of low vision in elderly patients admitted to an acute geriatric unit in Liverpool: elderly people who fall are more likely to have low vision. Gerontology. 1995;41(5):280-5.
2. Lord SR, McLean D, Stathers G. Physiological factors associated with injurious falls in older people living in the community. Gerontology. 1992;38(6):338-46.
3. Nevitt MC, Cummings SR, Kidd S, Black D. Risk factors for recurrent nonsyncopal falls: a prospective study. JAMA. 1989;261(18):2663-8.
4. Keskinbora HK. Yaşlı hastalarda oftalmolojik sorunlar. GeroFam. 2010;1(3):47-56.
5. Niihata K, Fukuma S, Hiratsuka Y, Ono K, Yamada M, Sekiguchi M, et al. Association between vision-specific quality of life and falls in community-dwelling older adults: LOHAS. PloS One. 2018;13(4):e0195806.
6. Tromp A, Pluijm S, Smit J, Deeg D, Bouter L, Lips P. Fall-risk screening test: a prospective study on predictors for falls in community-dwelling elderly. J Clin Epidemiol. 2001;54(8):837- 44.
7. de Boer MR, Pluijm SM, Lips P, Moll AC, Völker-Dieben HJ, Deeg DJ, et al. Different aspects of visual impairment as risk factors for falls and fractures in older men and women. J Bone Miner Res. 2004;19(9):1539-47. 8. Maki BE, McIlroy WE. Postural control in the older adult. Clin Geriatr Med. 1996;12(4):635-58.
9. Lima GA, Vilaça KH, Lima NK, Moriguti JC, Ferriolli E. Balance and aerobic capacity of independent elderly: a longitudinal cohort study. Braz J Phys Ther. 2011;15(4):272-7.
10. Wijlhuizen GJ, Chorus AM, Hopman-Rock M. Fragility, fear of falling, physical activity and falls among older persons: some theoretical considerations to interpret mediation. Prev Med. 2008;46(6):612-4.
11. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701-7. 12. Levy NS, Glick EB. Stereoscopic perception and Snellen visual acuity. Am J Ophthalmol. 1974;78(4):722-4.
13. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98.
14. Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Standardize Mini Mental Test’in Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Turk Psikiyatri Derg. 2002;13(4):273-81.
15. Mangione CM, Berry S, Spritzer K, Janz NK, Klein R, Owsley C, et al. Identifying the content area for the 51-item National Eye Institute Visual Function Questionnaire: results from focus groups with visually impaired persons. Arch Ophthalmol. 1998;116(2):227-33.
16. Toprak AB, Eser E, Guler C, Baser FE, Mayali H. Cross-validation of the Turkish version of the 25-item national eye institute visual functioning questionnaire (NEI-VFQ 25). Ophthalmic Epidemiol. 2005;12(4):259-69.
17. Steffen TM, Hacker TA, Mollinger L. Age-and gender-related test performance in community-dwelling elderly people: six-minute walk test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther. 2002;82(2):128.
18. Şahin F, Büyükavci R, Sağ S, Doğu B, Kuran B. Berg Denge Ölçeği’nin Türkçe Versiyonunun inmeli hastalarda geçerlilik ve güvenilirliği. Turk J Phys Med Rehab. 2013;16(3):170-5.
19. Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):M192-M7.
20. Stevenson TJ, Garland SJ. Standing balance during internally produced perturbations in subjects with hemiplegia: validation of the balance scale. Arch Phys Med Rehabil. 1996;77(7):656-62.
21. Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
22. Clemson L, Cumming RG, Heard R. The development of an assessment to evaluate behavioral factors associated with falling. Am J Occup Ther. 2003;57(4):380-8.
23. Uymaz PE, Nahcivan N. Yaşlılar İçin Düşme Davranışları Ölçeği’nin geçerlik ve güvenirliği. Istanbul Univ Florence Nightingale Hemsire YO Derg. 2013;21(1):22-32.
24. Zhou H, Peng K, Tiedemann A, Peng J, Sherrington C. Risk factors for falls among older community dwellers in Shenzhen, China. Inj Prev. 2019;25(1):31-5.
25. Owen CG, Rudnicka AR, Smeeth L, Evans JR, Wormald RP, Fletcher AE. Is the NEI-VFQ-25 a useful tool in identifying visual impairment in an elderly population? BMC Ophthalmol. 2006;6(1):24.
26. Zhu M, Yu J, Zhang J, Yan Q, Liu Y. Evaluating vision-related quality of life in preoperative age-related cataract patients and analyzing its influencing factors in China: a cross-sectional study. BMC Ophthalmol. 2015;15(1):160.
27. Ceceli E, Kocaoğlu S, Güven D, Okumuş M, Yorgancıoğlu R. Geriatrik hastalarda denge, yaş ve fonksiyonel durum ilişkisi. Turk Geriatr Derg. 2007;10(4):169-72.
28. Lee HK, Scudds RJ. Comparison of balance in older people with and without visual impairment. Age Ageing. 2003;32(6):643-9.
29. Sturnieks DL, St George R, Lord SR. Balance disorders in the elderly. Neurophysiol Clin. 2008;38(6):467-78.
30. West SK, Rubin GS, Broman AT, Munoz B, Bandeen-Roche K, Turano K. How does visual impairment affect performance on tasks of everyday life? The SEE Project. Arch Ophthalmol. 2002;120(6):774-80.
31. Clemson L, Cumming RG, Roland M. Case–control study of hazards in the home and risk of falls and hip fractures. Age Ageing. 1996;25(2):97-101.
32. Kuyk T, Elliott JL, Fuhr PS. Visual correlates of mobility in real world settings in older adults with low vision. Optom Vis Sci. 1998;75(7):538-47.
33. Hill K, Schwarz J, Flicker L, Carroll S. Falls among healthy, community dwelling, older women: a prospective study of frequency, circumstances, consequences and prediction accuracy. Aust N Z J Public Health. 1999;23(1):41-8.

There are 31 citations in total.

Details

Primary Language	Turkish
Subjects	Rehabilitation
Journal Section	Araştırma Makaleleri
Authors	Arzu Demircioğlu Songül Atasavun Uysal Mualla Şahin Hamurcu This is me
Publication Date	December 20, 2019
Published in Issue	Year 2019 Volume: 30 Issue: 3

Cite

APA	Demircioğlu, A., Atasavun Uysal, S., & Şahin Hamurcu, M. (2019). YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 30(3), 191-198. https://doi.org/10.21653/tjpr.665189
AMA	Demircioğlu A, Atasavun Uysal S, Şahin Hamurcu M. YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ. Turk J Physiother Rehabil. December 2019;30(3):191-198. doi:10.21653/tjpr.665189
Chicago	Demircioğlu, Arzu, Songül Atasavun Uysal, and Mualla Şahin Hamurcu. “YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 30, no. 3 (December 2019): 191-98. https://doi.org/10.21653/tjpr.665189.
EndNote	Demircioğlu A, Atasavun Uysal S, Şahin Hamurcu M (December 1, 2019) YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi 30 3 191–198.
IEEE	A. Demircioğlu, S. Atasavun Uysal, and M. Şahin Hamurcu, “YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ”, Turk J Physiother Rehabil, vol. 30, no. 3, pp. 191–198, 2019, doi: 10.21653/tjpr.665189.
ISNAD	Demircioğlu, Arzu et al. “YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 30/3 (December 2019), 191-198. https://doi.org/10.21653/tjpr.665189.
JAMA	Demircioğlu A, Atasavun Uysal S, Şahin Hamurcu M. YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ. Turk J Physiother Rehabil. 2019;30:191–198.
MLA	Demircioğlu, Arzu et al. “YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 30, no. 3, 2019, pp. 191-8, doi:10.21653/tjpr.665189.
Vancouver	Demircioğlu A, Atasavun Uysal S, Şahin Hamurcu M. YAŞLI BİREYLERDE GÖRME FONKSİYONU, DENGE VE DÜŞME DAVRANIŞLARININ İNCELENMESİ. Turk J Physiother Rehabil. 2019;30(3):191-8.

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