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Yaşlı bireylerde ayakkabı uygunluğunun düşme korkusuna olan etkisinin araştırılması

Yıl 2018, Cilt: 5 Sayı: 3, 167 - 172, 25.12.2018

Öz

Amaç: Bu çalışma, yaşlı bireylerde ayakkabı uygunluğunun düşme korkusuna olan etkisini araştırmak amacıyla yapıldı.

Yöntem: Çalışmaya düşme öyküsü olan ve olmayan 66 birey (37 kadın, 29 erkek) katıldı. Çalışmaya son bir yıl içinde kasiskelet sisteminde yaralanması olmayan, ambulasyon için yürüme yardımcısına ihtiyaç duymayan, denge bozukluğuna ve düşmeye neden olabilecek nörolojik hastalığı olmayan, diyabetik ayağı olmayan bireyler dahil edildi. Yaş ortalaması 70,5±4.8 yıl olan bireylerin ayakkabı uygunluğunu değerlendirmek için saya ve taban malzemesi, topuk yüksekliği, bükülme noktası, ayakkabı stili gibi parametreler içeren Ayakkabı Değerlendirme Ölçeği kullanıldı. Tinetti düşme etkinliği ölçeği ve Aktiviteye Özgü Güven ölçeği kullanılarak düşme korkusu değerlendirilirken, denge için Berg denge testi kullanıldı. Düşme öyküsü olan ve olmayan bireyler ayakkabı uygunluğu, düşme korkusu ve denge yönünden karşılaştırıldı.

Bulgular: Ayakkabı uygunluğu ile düşme korkusu arasında anlamlı ilişki olmadığı gözlendi (p>0,05). Düşme öyküsü olan bireylerle, düşme öyküsü olmayan bireyler ayakkabı uygunluğu açısından kıyaslandığında fark bulunmazken (p>0,05), denge açısından farkın olduğu belirlendi (p<0,05).

Sonuç: Çalışmaya alınan bireylerde ayakkabı uygunluk skorlarının birbirine yakın olması nedeniyle, ayakkabı uygunluğunun düşme korkusuna olan etkinin tespit edilemediği düşünüldü.

Kaynakça

  • 1. McPoil TG. Footwear. Phys Ther. 1988;68:1857-65.
  • 2. Menz HB, Morris ME, Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J Gerontol A Biol Sci Med Sci. 2005;60:1546-1552.
  • 3. Ceceli E, Kocao S, Güven LD, et al. Geriatrik hastalarda denge, yaş ve fonksiyonel durum ilişkisi. Turk Geriatri Derg. 2007;10:169-172.
  • 4. Riccitelli M. Foot problems of the aged and infirm. J Am Geriatr Soc. 1966;14:1058-1066.
  • 5. Chari SR, McRae P, Stewart MJ, et al. Point prevalence of suboptimal footwear features among ambulant older hospital patients: implications for fall prevention. Aust Health Rev. 2016;40:399-404.
  • 6. Yakut Y, Yurt Y, Bek N, et al. Ayakkabı Değerlendirme Ölçeği'nin Türkçe versiyonunun güvenirliği. Fizyoter Rehabil. 2010;21:234
  • 7. Yardley L, Beyer N, Hauer K, et al. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age Ageing. 2005;34:614-619.
  • 8. Ulus Y, Durmus D, Akyol Y, et al. Reliability and validity of the Turkish version of the Falls Efficacy Scale International (FES-I) in community-dwelling older persons. Arch Gerontol Geriatr Suppl. 2012;54(3):429-33.
  • 9. Ayhan Ç, Büyükturan Ö, Kirdi N, et al. The Turkish version of the Activities Specific Balance Confidence (ABC) Scale: its cultural adaptation, validation and reliability in older adults. Turk Geriatri Derg. 2014;17:157-163.
  • 10. Sahin F, Yilmaz F, Ozmaden A, et al. Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther. 2008;31:32-37.
  • 11. Cohen J. Statistical power analysis. Current directions in psychological science. 1992;1:98-101.
  • 12. Koepsell TD, Wolf ME, Buchner DM, et al. Footwear style and risk of falls in older adults. J Am Geriatr Soc. 2004;52:1495-501.
  • 13. Menant JC, Steele JR, Menz HB, et al. Effects of footwear features on balance and stepping in older people. Gerontology. 2008;54:18-23.
  • 14. Burns S, Leese G, McMurdo M. Older people and ill fitting shoes. Postgrad Med J. 2002;78:344-346.
  • 15. Davis AM, Galna B, Murphy AT, et al. Effect of footwear on minimum foot clearance, heel slippage and spatiotemporal measures of gait in older women. Gait Posture. 2016;44:43-47.
  • 16. Nurse MA, Hulliger M, Wakeling JM, et al. Changing the texture of footwear can alter gait patterns. J Electromyogr Kinesiol. 2005;15:496-506.
  • 17. Larsen ER, Mosekilde L, Foldspang A. Correlates of falling during 24 h among elderly Danish community residents. J Prev Med. 2004;39:389-398.
  • 18. Adrian MJ, Karpovich PV. Foot instability during walking in shoes with high heels. Res Q. 1966;37:168-175.
  • 19. Menz HB, Morris ME. Footwear characteristics and foot problems in older people. Gerontology. 2005;51:346-351.
  • 20. Robbins S, Waked E. Balance and vertical impact in sports: role of shoe sole materials. Arch Phys Med Rehabil. 1997;78:463-467.
  • 21. Deandrea S, Lucenteforte E, Bravi F, et al. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010;21:658-668.
  • 22. Fortinsky RH, Iannuzzi-Sucich M, Baker DI, et al. fall-risk assessment and management in clinical practice: views from healthcare providers. J Am Geriatr Soc. 2004;52:1522-1526.
  • 23. Kobayashi K, Imagama S, Ando K, et al. Analysis of falls that caused serious events in hospitalized patients. Geriatr Gerontol Int. 2017;17:2403-2406.
  • 24. Menz HB, Auhl M, Munteanu SE. Effects of indoor footwear on balance and gait patterns in community-dwelling older women. Gerontology. 2017;63:129-136.
  • 25. Kara B, Yildirim Y, Genç A, et al. Geriatriklerde ev ortamı ve yaşam memnuniyetinin değerlendirilmesi ve düşme korkusu ile ilişkisinin incelenmesi. Fizyoter Rehabil. 2009;20:190-200.

Investigation of the effect of footwear suitability on fear of falling in elderly

Yıl 2018, Cilt: 5 Sayı: 3, 167 - 172, 25.12.2018

Öz

Purpose: This study was designed to investigate the effects of foot wear suitability on fear of falling in elderly.

Methods: Total of 66 older people individuals (29 men and 37 women) with and without falling stories were included in the study. Individuals without musculoskeletal injuries in the past year, walking aid for ambulation, neurological diseases which caused balance disorders and falling, diabetic foot have been included in this study. Footwear Assessment Score which includes vamp and sole material, heel height, shoe style, and sole flexion point were used to evaluate the shoe suitability of individuals with mean aged 70.5±4.8 years. While the fear of falling was assessed using the Tinetti Falls Efficacy Scale and Activities Specific Balance Confidence Scale, Berg balance test was used for balance. Individuals with and without falling stories were compared for foot wear suitability, fear of falling and balance.

Results: There was no statistically significant relationship between foot wear suitability and fear of falling (p>0.05). There was no statistically significant difference when individuals with falling stories compared with those without falling stories in terms of foot wear suitability (p>0.05), there was a difference in terms of balance (p<0.05).

Conclusion: As the footwear suitability scores of the individuals are close to each other, we think that the effect of footwear suitability on fear of falling cannot be determined.

Kaynakça

  • 1. McPoil TG. Footwear. Phys Ther. 1988;68:1857-65.
  • 2. Menz HB, Morris ME, Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J Gerontol A Biol Sci Med Sci. 2005;60:1546-1552.
  • 3. Ceceli E, Kocao S, Güven LD, et al. Geriatrik hastalarda denge, yaş ve fonksiyonel durum ilişkisi. Turk Geriatri Derg. 2007;10:169-172.
  • 4. Riccitelli M. Foot problems of the aged and infirm. J Am Geriatr Soc. 1966;14:1058-1066.
  • 5. Chari SR, McRae P, Stewart MJ, et al. Point prevalence of suboptimal footwear features among ambulant older hospital patients: implications for fall prevention. Aust Health Rev. 2016;40:399-404.
  • 6. Yakut Y, Yurt Y, Bek N, et al. Ayakkabı Değerlendirme Ölçeği'nin Türkçe versiyonunun güvenirliği. Fizyoter Rehabil. 2010;21:234
  • 7. Yardley L, Beyer N, Hauer K, et al. Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age Ageing. 2005;34:614-619.
  • 8. Ulus Y, Durmus D, Akyol Y, et al. Reliability and validity of the Turkish version of the Falls Efficacy Scale International (FES-I) in community-dwelling older persons. Arch Gerontol Geriatr Suppl. 2012;54(3):429-33.
  • 9. Ayhan Ç, Büyükturan Ö, Kirdi N, et al. The Turkish version of the Activities Specific Balance Confidence (ABC) Scale: its cultural adaptation, validation and reliability in older adults. Turk Geriatri Derg. 2014;17:157-163.
  • 10. Sahin F, Yilmaz F, Ozmaden A, et al. Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther. 2008;31:32-37.
  • 11. Cohen J. Statistical power analysis. Current directions in psychological science. 1992;1:98-101.
  • 12. Koepsell TD, Wolf ME, Buchner DM, et al. Footwear style and risk of falls in older adults. J Am Geriatr Soc. 2004;52:1495-501.
  • 13. Menant JC, Steele JR, Menz HB, et al. Effects of footwear features on balance and stepping in older people. Gerontology. 2008;54:18-23.
  • 14. Burns S, Leese G, McMurdo M. Older people and ill fitting shoes. Postgrad Med J. 2002;78:344-346.
  • 15. Davis AM, Galna B, Murphy AT, et al. Effect of footwear on minimum foot clearance, heel slippage and spatiotemporal measures of gait in older women. Gait Posture. 2016;44:43-47.
  • 16. Nurse MA, Hulliger M, Wakeling JM, et al. Changing the texture of footwear can alter gait patterns. J Electromyogr Kinesiol. 2005;15:496-506.
  • 17. Larsen ER, Mosekilde L, Foldspang A. Correlates of falling during 24 h among elderly Danish community residents. J Prev Med. 2004;39:389-398.
  • 18. Adrian MJ, Karpovich PV. Foot instability during walking in shoes with high heels. Res Q. 1966;37:168-175.
  • 19. Menz HB, Morris ME. Footwear characteristics and foot problems in older people. Gerontology. 2005;51:346-351.
  • 20. Robbins S, Waked E. Balance and vertical impact in sports: role of shoe sole materials. Arch Phys Med Rehabil. 1997;78:463-467.
  • 21. Deandrea S, Lucenteforte E, Bravi F, et al. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010;21:658-668.
  • 22. Fortinsky RH, Iannuzzi-Sucich M, Baker DI, et al. fall-risk assessment and management in clinical practice: views from healthcare providers. J Am Geriatr Soc. 2004;52:1522-1526.
  • 23. Kobayashi K, Imagama S, Ando K, et al. Analysis of falls that caused serious events in hospitalized patients. Geriatr Gerontol Int. 2017;17:2403-2406.
  • 24. Menz HB, Auhl M, Munteanu SE. Effects of indoor footwear on balance and gait patterns in community-dwelling older women. Gerontology. 2017;63:129-136.
  • 25. Kara B, Yildirim Y, Genç A, et al. Geriatriklerde ev ortamı ve yaşam memnuniyetinin değerlendirilmesi ve düşme korkusu ile ilişkisinin incelenmesi. Fizyoter Rehabil. 2009;20:190-200.
Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Tuba Kaplan Bu kişi benim

Kezban Bayramlar Bu kişi benim

Çağtay Maden Bu kişi benim

Günseli Usgu Bu kişi benim

Yavuz Yakut Bu kişi benim

Yayımlanma Tarihi 25 Aralık 2018
Gönderilme Tarihi 15 Mart 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 5 Sayı: 3

Kaynak Göster

Vancouver Kaplan T, Bayramlar K, Maden Ç, Usgu G, Yakut Y. Yaşlı bireylerde ayakkabı uygunluğunun düşme korkusuna olan etkisinin araştırılması. JETR. 2018;5(3):167-72.