TY  - JOUR
T1  - MARBES DENGE CİHAZI İLE HUZUREVİNDE YAŞAYAN YAŞLI BİREYLERDE DÜŞME RİSKİNİN BELİRLENMESİ: ROC ANALİZİNE DAYALI BİR PİLOT ÇALIŞMA
TT  - IDENTIFICATION OF FALL RISK IN OLDER ADULTS LIVING IN A NURSING HOME USING THE MARBES BALANCE SYSTEM: A PILOT STUDY BASED ON ROC ANALYSIS
AU  - Günay Yazici, Canan
AU  - Kuru Çolak, Tuğba
AU  - Sarı, Zubeyir
PY  - 2025
DA  - September
Y2  - 2025
DO  - 10.52538/iduhes.1740021
JF  - Izmir Democracy University Health Sciences Journal
JO  - IDUHES
PB  - İzmir Demokrasi Üniversitesi
WT  - DergiPark
SN  - 2651-4575
SP  - 123
EP  - 137
VL  - 8
IS  - 2
LA  - tr
AB  - Bu pilot çalışmanın amacı, huzurevinde yaşayan yaşlı bireylerde MarBES (Marmara Balance and Education System) denge cihazı kullanılarak ölçülen merkez basınç (Center of Pressure, COP) salınım mesafesinin düşme riskini öngörmedeki etkinliğini değerlendirmek ve ROC analizi aracılığıyla bu parametrelerin duyarlılık, özgüllük ve ayırt edicilik düzeylerini incelemektir. Çalışmaya huzurevinde yaşayan toplam 72 yaşlı birey katıldı. Katılımcıların düşme risk düzeyleri; Zamanlı Kalk Yürü Testi (TUG), Berg Denge Ölçeği ve yürüyüş hızı değerlendirmeleri temel alınarak belirlenmiş ve bireyler, son 12 ay içinde düşme öyküsü olanlar Yüksek Riskli Düşme Grubu (YRDG; n=36), düşme öyküsü olmayan ve belirgin denge bozukluğu bulunmayanlar ise Düşük Riskli Düşme Grubu (DRDG; n=36) olarak sınıflandırıldı. COP salınımları MarBES denge cihazı ile çift ayak ve tek ayak duruş pozisyonlarında, gözler açık ve kapalı koşullar altında ölçüldü. COP X ve COP Y yönündeki salınım mesafeleri analiz edilerek ROC eğrileri üzerinden sınıflandırma başarıları değerlendirildi. En yüksek ayırt edicilik gücü, sol tek ayak duruş ve gözler kapalı koşulunda COP Y salınım mesafesi ile elde edildi (AUC = 0.853, p
KW  - denge
KW  - düşme
KW  - huzurevi
KW  - teknoloji değerlendirmesi
KW  - yaşlı
N2  - This pilot study aimed to assess the effectiveness of center of pressure (COP) sway distance, measured with the MarBES (Marmara Balance and Education System), in predicting fall risk among older adults living in a nursing home. A total of 72 participants were evaluated and classified into two groups based on the Timed Up and Go test, Berg Balance Scale, and gait speed: High Fall Risk Group (HFRG; n=36, with falls in the past 12 months) and Low Fall Risk Group (LFRG; n=36, no falls or balance issues). COP sway measurements were performed using the MarBES under double-leg and single-leg stance conditions, with both eyes open and eyes closed. Sway distances in the mediolateral (X) and anteroposterior (Y) directions were analyzed using Receiver Operating Characteristic (ROC) analysis. The highest discriminative power was observed in the eyes-closed, left single-leg stance for COP Y sway distance (AUC=0.853, p
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UR  - https://doi.org/10.52538/iduhes.1740021
L1  - https://dergipark.org.tr/tr/download/article-file/5045012
ER  -