Yaşlı Bireylerde Üst Ekstremite Fonksiyonları ile Denge Arasındaki İlişkinin İncelenmesi

Yıl 2021, Cilt: 43 Sayı: 1, 26 - 35, 20.01.2021

Elmas Doğan Buket Büyükturan Caner Karartı Öznur Büyükturan

https://doi.org/10.20515/otd.728111

Öz

Yaşlı bireylerde üst ekstremite fonksiyonlarını ve dengeyi ayrı ayrı inceleyen birçok çalışma bulunmasına rağmen, üst ekstremite fonksiyonları ile denge arasındaki ilişkiyi inceleyen çalışmaların yetersiz olduğu tespit edilmiştir. Bu çalışmanın amacı yaşlı bireylerde üst ekstremite fonksiyonları ile denge arasındaki ilişkiyi incelemektir. Bu çalışmaya yaşları 65 ve üzeri olan 80 yaşlı birey dahil edilmiştir. Bireylerin üst ekstremite fonksiyonlarını değerlendirmek için Jamar El Dinamometresi, 9 Delikli Peg Testi ve purdue peg board testi kullanılmıştır. Bireylerin dengelerini değerlendirmek için Berg Denge Ölçeği, Tinetti Denge ve Yürüme Testi, Biodex Denge Sistemi ve Tek Ayak Üzerinde Durma Testi kullanılmıştır. Bireylerin Jamar El Dinamometresi, 9 Delikli Peg Testi ve purdue peg board testi ile Berg Denge Ölçeği, Tinetti Denge ve Yürüme Testi, Biodex Denge Sistemi ve Tek Ayak Üzerinde Durma Testi aralarında anlamlı ilişki bulunmuştur (p<0,05). Bu çalışmanın sonunda üst ekstremite fonksiyonları ile denge arasında ilişki olduğu tespit edilmiştir. Yaşlı bireylerde üst ekstremite fonksiyonları ile ilgili kavrama kuvvetini, el becerilerini arttıran yaklaşımların bozulan denge ve buna bağlı günlük yaşam aktivitelerinde yaşanan sorunlar için yararlı olacağını düşünmekteyiz.

Anahtar Kelimeler

Yaşlı, Denge, El fonksiyonları, yürüme

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

-

Investigation of the Relationship Between Upper Extremity Functions and Balance in Elderly İndividuals

Öz

Although there are many studies examining upper extremity functions and balance separately in elderly individuals, studies investigating the relationship between upper extremity functions and balance have been found to be insufficient. The aim of this study was to investigate the relationship between upper extremity functions and balance in elderly individuals. Eighty elderly individuals aged 65 and over were included this study. Upper extremity functions were evaluated by Jamar Hand Dynamometer, Nine Hole Peg Test, Purdue Pegboard Test and Jebsen Taylor Hand Function Test; balance were evaluated by Berg Balance Scale, Tinetti Balance and Gait Assessment Tool, Standing Balance on One Leg Test and Biodex Balance System. There was a significant relationship between Jamar hand dynamometer, Nine Hole Peg Test and purdue peg board test, Berg Balance Scale, Tinetti Balance and Walking Test, Biodex Balance System (BDS) and Standing On One Foot Test of elderly individuals (p<0.05). As a result of this study, it was found that there was a relationship between upper extremity functions and balance. We think that rehabilitative approaches regarding upper extremity functions in elderly individuals will be beneficial for impaired balance and related problems in daily living activities.

Anahtar Kelimeler

elderly, balance, hand functions, walking

Proje Numarası

-

Kaynakça

• KAYNAKLAR 1. Desrosiers J, Hébert R, Bravo G, et al. Age-related changes in upper extremity performance of elderly people: a longitudinal study. Exp Gerontol. 1999; 34:393-405.
• 2. Williams ME, Hadle NM, Earp JL. Manual ability as a marker of dependency in geriatric women. J Chronic Dis.1982; 35:115–122.
• 3. Neil B, Alexander MD. Postural control in older adults. J Am Geriatr Soc. 1994; 42:93-108.
• 4. Soyuer F, Şenol V, Elmalı F. Huzurevinde kalan 65 yaş ve üstündeki bireylerin, fiziksel aktivite, denge ve mobilite fonksiyonları. Van Tıp Derg. 2012; 19:116-121.
• 5. Abrahamová D, Hlavačka F. Age-related changes of human balance during quiet stance. Physiol. Res. 2008;57: 957-964.
• 6. Felsenthal G, Ference TS, Young MA. Aging of organ systems. In: Gonzales EG, Myers SA, Edelstein JE, Lieberman JS, Downey JA, editors. Downey and Darling’s Physiological Basis of Rehabilitation Medicine. 3th ed. Boston: Butterwoth Heinemann, 2001. p.561-77.
• 7. Shiffman ML. Effects of aging on adult hand function. Am J Occup Ther. 1992; 46:785-92.
• 8. Shahida MS, Zawiah MDS, Case K. The relationship between anthropometry and hand grip strength among elderly Malaysians. Int J Ind Ergon. 2015; 50:17-25.
• 9. Mathiowetz V, Kashman N, Volland G, et al. Grip and pinch strenght: normative data for adults. Arch Phys Med Rehabil. 1985; 66:69-74.
• 10. Hackel ME, Wolfe GA, Bang SM, et al. Changes in hand function in the aging adult as determined by the Jebsen Test of Hand Function. Phys Ther. 1992; 72:373-7.
• 11. Limaye V, Frankham A, Disney A, et al. Evaluation of hand function in patients undergoing long term haemodialysis. Ann Rheum Dis. 2001; 60:278-80.
• 12. Hunter JM, Mackin EJ, Callahan AD, editors. Rehabilitation of the hand: Surgery and therapy. Missouri: Mosby 1995.
• 13. Cederlund R. The use of dexterity tests in hand rehabilitation. Scand J Occup Ther. 1995; 99-104.
• 14. Lee P, Liu CH, Fan CW, et al. The test-retest reliability and the minimal detectable change of the Purdue pegboard test in schizophrenia. J Formos Med Assoc. 2013; 112:332-7.
• 15. Desrosiers J, Hébert R, Bravo G, et al. The Purdue Pegboard Test: normative data for people aged 60 and over. Disabil Rehabil. 1995; 17:217-24.
• 16. Wang YC, Bohannon RW, Kapellusch J, et al. Dexterity as measured with the 9-Hole Peg Test (9-HPT) across the age span. Journal of Hand Therapy. 2015; 28:53-60.
• 17. Oxford Grice K, Vogel KA, Le V, et al. Adult norms for a commercially available Nine Hole Peg Test for finger dexterity. Am J Occup Ther. 2003; 57:570-3.
• 18. Bogle Thorbahn LD, Newton RA. Use of the Berg Balance Test to Predict Falls in Elderly Persons. Phys Ther. 1996; 76:576-83.
• 19. Tinetti, M. E. Performance‐orientedassessment of mobilityproblems in elderly patients. J Am Geriatr Soc, 1986; 34:119-126.
• 20. Baldwin SL, VanArnam TW, Ploutz snyder LL. Reliability of dynamic bilateral postural stability on the Biodex Stability System in older adults. Med Sci Sports Exerc. 2004; 36:530.
• 21. Eftekharsadat B, Babaei-Ghazani A, Mohammadzadeh M, et al. Effect of virtual reality-based balance training in multiple sclerosis. Neurol Res. 2015; 37:539-45.
• 22. Michikawa T, Nishiwaki Y, Takebayashi T, et al. One-leg standing test for elderly populations. J Orthop Sci. 2009; 14:675-685.
• 23. Eser S, Saatli G, Eser E, et al. The Reliability and Validity of the Turkish Version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old). Turk Psikiyatri Derg. 2010; 21:37-48.
• 24. Kishimoto H, Hata J, Ninomiya T, et al. Midlife and late-life hand grip strength and risk of cause-specific death in a general Japanese population: the Hisayama Study. J EpidemiolCommunity Health. 2014; 68:663-668.
• 25. Bohannon RW, Peolsson A, Massy-Westropp N, et al. Reference values for adult grip strengthmeasured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy. 2006; 92:11-15.
• 26. Evcik D, Kızılay B. Correlation of hand grip srength and disability in daily living activities in geriatric patients. Turk Geriatri Derg. 2001; 1:11-14.
• 27. Davis JW, Ross PD, Preston SD, et al. Strength, physical activity, and body mass index: relationship to performance-based measures and activities of daily living among older Japanese women in Hawaii. J Am Geriatr Soc. 1998; 46:274-9.
• 28. Stevens KN, Lang IA, Guralnik JM, et al. Epidemiology of balance and dizziness in a national population: findings from the English Longitudinal Study of Ageing. Age Ageing. 2008; 37:300-305.
• 29. Sirola J, Rikkonen T, Kröger H, et al. Factors related to postmenopausal muscle performance: a cross-sectional population-based study. Eur J Appl Physiol. 2004; 93:102-7.
• 30. Ashburn A, Hyndman D, Pickering R, et al. Predicting people with stroke at risk of falls. Age Ageing. 2008; 37:270-6.
• 31. Zulkaplı N, Saat NZ, Kamaralzaman S. Postural control ınfluence on upper extremity function among children with cerebral palsy: A Literature Review. Jurnal Sains Kesihatan Malaysia. 2016; 14:11-21.
• 32. Horak FB, Esselman P, Anderson ME, et al. The effects of movement velocity, mass displaced, and task certainty on associated postural adjustments made by normal and hemiplegic individuals. J Neurol Neurosurg Psychiatry. 1984; 47:1-9.
• 33. Telatar TG., Özcebe H. Yaşlı nüfus ve yaşam kalitelerinin yükseltilmesi. Turkish Jornal of Geriatrics. 2004; 7: 162-165.
• 34. Park JE, Jang HJ, Seo KS. Quality of life, upper extremity function and the effect of lymphedema treatment in breast cancer related lymphedema patients. Ann Rehabil Med. 2012; 36:240-7.
• 35. Gorter RR, Vos CG, Halmans J, et al. Evaluation of arm function and quality of life after trimodality treatment for superior sulcus tumours. Interact Cardiovasc Thorac Surg. 2013; 16:44-8.