HUZUREVİ SAKİNLERİNDE BACAK VE GÖVDE KASLARININ İZOMETRİK KUVVETİNİN DENGE VE YAŞAM KALİTESİNE OLAN ETKİLERİ

Öz

Amaç: Çalışmanın amacı, yaşlı kişilerde denge ve sağlıkla ilişkili yaşam kalitesi ile bacak ve gövdenin izometrik kas kuvveti arasında olan ilişkileri araştırmaktı.

Gereç ve Yöntem: Bu çalışmaya, normal bilişsel fonksiyona sahip toplam 16 huzurevi sakini (13 erkek ve üç kadın; ortalama yaş: 73,31±5,61 yıl) dahil edildi. Yaşlıların tamamı, yardımcı bir cihaz kullanmadan bağımsız bir şekilde yürüyebiliyorlardı. Değerlendirmelerde, Nottingham Sağlık Profili (NSP), Mini Mental Durum Testi (MMSE-E), Berg Denge Ölçeği (BDÖ) ve ayak bileği, diz, kalça ve gövdenin fleksör ve ekstansör kaslarının el dinamometresi izometrik kuvvet ölçümleri kullanıldı. Normal bilişsellik, MMSE-E≥24 şeklinde belirlendi. Ölçüm sonuçları arası ilişkiler, Spearman korelasyon katsayısı ile incelendi ve anlamlılık düzeyi p<0,05 şeklinde kabul edildi.

Bulgular: Ayak bileğinin dorsi fleksör kasları hariç, gövde ve bacağın izometrik kuvvet değerleri ile NSP ve BDÖ sonuçları arasında anlamlı bir ilişkinin olmadığı bulundu. Ayak bileği dorsi fleksiyon kuvveti, NSP Bölüm I toplam puanı (r=−0.625, p<0.01) ve BDÖ sonucu (r=0.509, p<0.05) ile anlamlı düzeyde ilişkiliydi.

Sonuç: Bu sonuca göre yaşlı insanların kas-kuvvetlendirme antrenmanları, ayak bileği dorsi fleksör egzersizlerini içermelidir.

Anahtar Kelimeler

• : Denge,huzurevi,izometrik kas kuvveti,yaşlı insanlar,yaşam kalitesi

EFFECTS OF ISOMETRIC STRENGTH OF THE TRUNK AND LEG MUSCLES ON THE QUALITY OF LIFE AND BALANCE IN NURSING HOME RESIDENTS

Öz

Purpose: The aim of the study was to investigate the relationships in between isometric muscles strength of trunk and leg with health-related quality of life and balance in elderly persons.

Material and Method: Total 16 nursing home residents (13 men and three women; mean age: 73,31±5,61 years) with normal cognition were included in this study. All of elders could walk independently without the use of assistive devices. The Nottingham Health Profile (NHP), Mini-Mental State Examination (MMSE-E), Berg Balance Scale (BBS) and hand-held dynamometer isometric strength measurements to the flexor and extensor muscles of trunk, hip, knee, ankle were used for evaluations. Normal cognition was determined as MMSE-E≥24. The relationships among the measurement results investigated using Spearman correlation coefficients and significance level is accepted as p<0,05.

Results: There were not found important relationship in between the results of NHP and BBS with the isometric strength values of the trunk and leg with the exception of the ankle dorsiflexor muscles. The ankle dorsi flexion strength was related significantly with total Part I score of the NHP (r=−0.625, p<0.01). and result of the BBS (r=0.509, p<0.05).

Conclusion: This result is suggested that muscle-strengthening trainings of elderly people should be included the ankle dorsiflexor exercises.

Anahtar Kelimeler

• Balance,elderly people,isometric muscle strength,nursing home,quality of life

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