Balance, Falls, Fear of Falling, and Foot Function in Elderly People in Community-Dwelling Older Adults

Raziye Şavkın; Gökhan Bayrak; Nihal Büker

doi:10.31067/acusaglik.847281

TR EN

Toplumda Yaşayan Yaşlılarda Ayak Fonksiyonunun Denge, Düşme ve Düşme Endişesi ile İlişkisi

Öz

Amaç: Bu çalışmanın amacı toplumda yaşayan yaşlılarda ayak fonksiyonunun denge, düşme ve düşme endişesi ile ilişkisini belirlemektir. Gereç ve Yöntem: Denizli merkezde yaşayan 47 yaşlı (13 kadın, 34 erkek) çalışmaya dahil edildi. Ayak fonksiyonları Ayak Fonksiyon İndeksiyle (FFI), düşme endişesi Uluslararası Düşme Etkinliği Ölçeğiyle (FES-I), dinamik denge ve düşme riski Süreli Kalk-Yürü Testiyle (SKYT) değerlendirildi. Ayrıca yaşlıların son bir yıldaki düşme sayıları da sorgulandı. Bulgular: Çalışmaya katılan yaşlıların yaş ortalaması 75.34±7.81 yıldı. FFI skoruna göre yaşlılarda hafif derecede ayak ağrısı (21.19±19.87) ve aktivite kısıtlılığı (15.34±12.20), orta derecede yetersizlik (32.72±26.00) bulundu. Yaşlıların %76.7’sinin düşme endişesi yaşadığı, %57.4’ünün düşme riski taşıdığı saptandı. FES-I ile FFI’nin ağrı (r=0.538 p=0.000), yetersizlik (r=0.417 p=0.004) ve aktivite kısıtlılığı (r=0.532 p=0.000) alt grupları arasında pozitif yönde orta düzeyde anlamlı ilişki saptandı. SKYT ile FFI’nin ağrı (r=0.367 p=0.011) ve yetersizlik (r=0.352 p=0.015) alt grupları arasında pozitif yönde hafif düzeyde anlamlı ilişki gözlenirken aktivite kısıtlılığı (r=0.602 p=0.000) alt grubu ile yüksek düzeyde anlamlı ilişki bulundu. Sonuç: Çalışmamız sonucunda ayak ağrısının ve ayak problemlerinden kaynaklanan günlük yaşam aktivitelerindeki yetersizlik ve aktivite kısıtlılığının denge kaybını, düşme riski ve endişesini arttırabileceği saptandı. Ayak problemleri nedeniyle fiziksel aktivite kısıtlaması veya fiziksel aktiviteden kaçınma kısa vadede yaşlıyı düşmelere karşı korusa da, uzun vadede yaşlının fiziksel ve zihinsel sağlığına zarar vermekte, sosyal katılımını kısıtlanmakta, yaşam kalitesini azaltmakta ve gelecekteki düşme riskini arttırmaktadır. Bu sebeple yaşlıların ayak sağlığıyla ilgili farkındalıklarının artırılmasının, ayak problemlerinin belirlenip gerekli önlemlerin alınmasının tüm bu risklerin ortadan kaldırılması açısından önemli olduğunu düşünmekteyiz.

Anahtar Kelimeler

Balance, Falls, Fear of Falling, and Foot Function in Elderly People in Community-Dwelling Older Adults

Abstract

Purpose: The aim of this study was to determine whether foot function is associated with balance, falls, fear of falls in community-dwelling older adults. Materials and Methods: A total of 47 older adults (13 women, 34 men) residing in Denizli were included.Foot functions, fear of falling and dynamic balance and fall risk were evaluated by the Foot Function Index (FFI), Falls Efficacy Scale International (FES-I), Timed Up and Go test (TUG), respectively. The number of falls in the previous year was questioned. Results: The mean age was 75.34±7.81 years. According to the FFI score, mild foot pain (21.19±19.87) and activity limitation (15.34±12.20), moderate disability (32.72±26.00) were found. 76.7% of the participants had fear of falling and 57.4% had a risk of falling. There was a moderate positive correlation between FES-I and FFI-pain (r=0.538,p=0.000), FFI-disability (r=0.417,p=0.004),FFI-activity limitation (r=0.532,p=0.000). There was a weak positive correlation between TUG and FFI-pain (r=0.367,p=0.011) and FFI-disability (r=0.352,p=0.015), while a strong positive correlation in FFI-activity limitation (r=0.602,p=0.000). Conclusion: As a result of our study activity limitation and disability of daily living activities due to foot pain and foot problems may increase loss of balance, fall risk and fear of falling.Although in the short term, restriction or avoidance of physical activity due to foot problems protects the elderly against falls, in the long term it deteriorates the physical and mental health, restricts social participation, reduces the quality of life, increases the risk of future falls. Increasing the foot-health awareness and determining foot problems and taking precautions is important to eliminate all these risks.

Keywords

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Raziye Şavkın ^*
Türkiye

Gökhan Bayrak
Türkiye

Nihal Büker
Türkiye

Publication Date

April 1, 2021

Submission Date

November 13, 2019

Acceptance Date

-

Published in Issue

Year 2021 Volume: 12 Number: 2

DOI

https://doi.org/10.31067/acusaglik.847281

IZ

https://izlik.org/JA78WY22FN

Cite

RIS / Bibtex

EndNote

Şavkın R, Bayrak G, Büker N (April 1, 2021) Balance, Falls, Fear of Falling, and Foot Function in Elderly People in Community-Dwelling Older Adults. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 12 2 279–283.

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