Yaşlılar İçin Kalça Koruyucu Ortez Geliştirmede Kullanılacak Temel Tasarım Parametreleri
Year 2025,
EARLY VIEW, 1 - 1
Şükran Çakmak
,
Neşe Çeğindir
,
Hürriyet Gürsel Yilmaz
,
Mehmet Büyükçanga
Abstract
Yaşlılarda, düşmeye bağlı kalça kırıkları ciddi sağlık sorunlarına neden olmaktadır. Bu kırıkların önlenmesinde kalça koruyucular avantaj sağlamakta fakat konforlu yaşamı sınırlamaktadırlar. Bilimsel verilere göre gelecekte yaşlı nüfusun artışına bağlı olarak kalça koruyucu ihtiyacının da artış göstereceği öngörülmektedir.
Bu çalışma, yaşlılar için kalça koruyucu ortez geliştirmede dikkate alınması gereken temel tasarım parametrelerini belirlemeyi amaçlamaktadır. Bu amaçla, önce literatür taraması ile ulaşılan araştırmalarda sunulan kalça kırıklarına neden olan düşme pozisyonları ve kırık bölgeleri incelenmiştir. Sonra, bu konuda ticari pazarda aynı amaçla satışı sürdürülen ortezlerin tasarım ve malzeme özellikleri irdelenmiştir.
Betimsel yöntemin kullanıldığı çalışma evrenini; konuyla ilişkili uluslararası düzeyde yapılan bilimsel yayınlar oluşturmaktadır. Araştırma örneklemine literatürden elde edilen araştırma sonuçlarında sunulan ortezlerin tasarım ve malzeme özellikleri alınmıştır.
Bu özellikler, ; tekstil-moda, fizik tedavi ve rehabilitasyon uzmanı ile medikal ürün üreticilerinden oluşan üç farklı alan uzmanları tarafından değerlendirilerek kalça koruyucu ortezlerde kullanılacak temel tasarım parametreleri belirlenmiştir. Bu parametreler: Malzeme, tasarım, üretim teknolojisi, kullanıcı konforu ve işlevselliktir. Bu sayede, Türkiye Sürdürülebilir Kalkınma Amaçları doğrultusunda aktif, sağlıklı ve kaliteli yaşamın desteklenmesi için milli/yerli bir sağlık ürünü geliştirilmesine yönelik güncel tasarımlara yön verecek öneriler sunulmuştur.
Ethical Statement
Ankara Hacı Bayram Veli Üniversitesi Etik Komisyonu E-11054618-302.08.01-10411 sayılı izni ile yürütülmüştür.
Supporting Institution
Bioaktif Medical Products and Technical Textiles Co. Ltd. Istanbul, Turkey,
Project Number
Ar-Ge 20-030
References
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- [4] Yahaya, S. A., Ripin, Z. M., and Ridzwan, M. I. Z. “Optimization of the Impact Attenuation Capability of Three-Dimensional Printed Hip Protector Produced by Fused Deposition Modeling Using Response Surface Methodology”. 3D Printing and Additive Manufacturing, 10(5), 971-983. (2023).
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- [26] Cooper C. “The crippling consequences of fractures and their impact on quality of life”. The American journal of medicine, 103(2), S12-S19. (1997).
- [27] Yanıkkerem, E., and Çalık, C. “Osteoporoz: Bir Gözden Geçirme”. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 19(3), 167-178. (2003).
- [28] Günaydın, D. “Türkiye’nin demografik dönüşümü çerçevesinde işgücünün yaşlanma sorunu”. Yaşlı Sorunları Araştırma Dergisi, 11(1), 1-13. (2018).
- [29] Yang, Y., Komisar, V., Shishov, N., Lo, B., Korall, A. M., Feldman, F., and Robinovitch, S. N. “The Effect Of Fall Biomechanics On Risk For Hip Fracture In Older Adults: A Cohort Study Of Video‐Captured Falls In Long‐Term Care. Journal of bone and mineral research”. https://academic.oup.com/jbmr/article/35/10/1914/7516811. (2020).
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- [34] Minns, R. J., Marsh, A. M., Chuck, A., and Todd, J. “Are hip protectors correctly positioned in use?”. Age and Ageing, 36(2), 140-144. (2007).
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Basic Design Parameters To Be Used In Developing Hip Protective Orthosis For The Elderly
Year 2025,
EARLY VIEW, 1 - 1
Şükran Çakmak
,
Neşe Çeğindir
,
Hürriyet Gürsel Yilmaz
,
Mehmet Büyükçanga
Abstract
Fall-related hip fractures are a serious health problem for the elderly. Hip protectors are beneficial in preventing these fractures, but they do limit comfort. According to scientific data, the need for hip protectors is expected to increase in the future due to the growing elderly population.
The aim of this study is to determine the basic design parameters that should be considered in the development of hip protectors for the elderly. For this purpose, firstly, the fall positions and fracture sites that cause hip fractures presented in the studies obtained from the literature review were analyzed. Then, the design and material properties of commercially available orthoses for the same purpose were examined.
The universe of the study where the descriptive method was used; consists of scientific publications made at the international level related to the subject. The design and material properties of orthoses presented in the research results obtained from the literature were taken into the research sample.
These features were evaluated by three different field experts consisting of textile-fashion, physical therapy and rehabilitation specialist and medical product manufacturers and the basic design parameters to be used in hip protective orthoses were determined. These parameters are: Material, design, production technology, user comfort and functionality. In this way, suggestions have been presented that will guide current designs for the development of a national/local health product to support an active, healthy and quality life in line with Türkiye's Sustainable Development Goals.
Project Number
Ar-Ge 20-030
References
- [1] Parkkari, J., Heikkilä, J., and Kannus, P. “Acceptability and compliance with wearing energy-shunting hip protectors: a 6-month prospective follow-up in a Finnish nursing home”. Age and Ageing, 27(2), 225-229. (1998).
- [2] Robinovitch, S. L. Evans, J. Minns, A. C. Laing, P. Kannus, P. A. Cripton, S. Derler, S. J. Birge, D. Plant, I. D. Cameron, D. P. Kiel, J. Howland, K. Khan, and J. B. Lauritzen. “Hip protectors: recommendations for biomechanical testing—an international consensus statement (part I)”. Osteoporosis international, 20, 1977-1988. (2009).
- [3] de Bot, R. T. A. L., Veldman, H. D., Witlox, A. M., van Rhijn, L. W., and Hiligsmann, M. “Hip protectors are cost-effective in the prevention of hip fractures in patients with high fracture risk”. Osteoporosis International, 31(7), 1217-1229. (2020).
- [4] Yahaya, S. A., Ripin, Z. M., and Ridzwan, M. I. Z. “Optimization of the Impact Attenuation Capability of Three-Dimensional Printed Hip Protector Produced by Fused Deposition Modeling Using Response Surface Methodology”. 3D Printing and Additive Manufacturing, 10(5), 971-983. (2023).
- [5] Cameron, I. D., Robinovitch, S., Birge, S., Evans S., Minns, J., Laing, A. Kannus, P., Khan, K., Lauritzen, J., Cripton, P. Derler, S. Plant, D. and Kiel D.P. “Hip protectors: recommendations for conducting clinical trials—an international consensus statement (part II)”. Osteoporosis international, 21(1), 1. (2010).
- [6] Majumder, S., Roychowdhury, A., and Pal, S. “Effects of trochanteric soft tissue thickness and hip impact velocity on hip fracture in sideways fall through 3D finite element simulations”. Journal of biomechanics, 41(13), 2834-2842. (2008).
- [7] Peraza-Delgado, A., Sánchez-Gómez, M. B., Gómez-Salgado, J., Romero-Martín, M., Novo-Muñoz, M., and Duarte-Clíments, G. “Non-pharmacological interventions towards preventing the triad osteoporosis-falls risk-hip fracture, in population older than 65. scoping review”. Journal of clinical medicine, 9(8), 2329. (2020).
- [8] Da, Q., Xiao, Y., Wu, F., Chen, Y., and Li, L. “Does hip protector prevent falls and hip fractures? An umbrella review of meta-analyses”. BMC geriatrics, 24(1), 514. (2024).
- [9] Parker, M. J., Gillespie, W. J., and Gillespie, L. D. “Effectiveness of hip protectors for preventing hip fractures in elderly people: systematic review”. Bmj, 332(7541), 571-574. (2006).
- [10] Cianferotti, L., Fossi, C., and Brandi, M. L. “Hip protectors: are they worth it?”. Calcified tissue international, 97(1), 1-11. (2015).
- [11] Wardiningsih, W., and Troynikov, O. “Performance attributes relevant to thermal wear comfort of hip protective garment: influence of comprising pad materials, pad thickness, pad area, and pocket fabric structure”. International Journal of Clothing Science and Technology. 33(2), 163-174. (2020).
- [12] Hong, K. H., and Lee, H. “Development of hip protectors for snowboarding utilizing 3D modeling and 3D printing”. Fashion and Textiles, 7(1), 1-19. (2020).
- [13] Gupta, D. “Design and engineering of functional clothing”. Indian Journal of Fibre & Textile Research, 36(4):327-335. (2011).
- [14] TÜİK, “Adrese Dayalı Nüfus Kayıt Sistemi Sonuçları”, 2023.Web:https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2023-49684. (2023).
- [15] TC. Sağlık Bakanlığı, “Yaşlı Sağlığı Modülleri, Eğitimciler İçin Eğitim Rehberi”. Ankara. Web:https://hsgm.saglik.gov.tr/depo/birimler/kronik-hastaliklar-ve-yasli-sagligi-db/Dokumanlar/Kitaplar/Yasli_Sagligi_Modulleri-Egitimciler_Icin_Egitim_Rehberi.pdf. 104-106 (2011).
- [16] Rapp, K., Büchele, G., Dreinhöfer, K., Bücking, B., Becker, C., and Benzinger, P. “Epidemiology of hip fractures: Systematic literature review of German data and an overview of the international literature”. Zeitschrift Fur Gerontologie Und Geriatrie, 52(1), 10. (2019).
- [17] Singh, I., Hooton, K., Edwards, C., Lewis, B., Anwar, A., and Johansen, A. “Inpatient hip fractures: Understanding and addressing the risk of this common injury”. Age and Ageing, 49(3), 481-486. (2020).
- [18] Feng, J. N., Zhang, C. G., Li, B. H., Zhan, S. Y., Wang, S. F., and Song, C. L. “Global burden of hip fracture: the global burden of disease study”. Osteoporosis International, 35(1), 41-52. (2024).
- [19] Akın, S. and Özer, F. F. “Epidemiology of Falls”. Aegean J Med Sci 2018;4:126-128. (2018).
- [20] Kutsal, Y. G., Küçükdeveci, A., Özdemir, O. Meray, J. Ve Günendi, Z. “20 Ekim Dünya Osteoporoz Günü”. Türkiye Osteoporoz Derneği Yönetim Kurulu Üyeleri. Web: https://osteoporoz.org.tr/resimler/buyuk/20-ekim-dunya-osteoporoz-gunu.pdf. (2019).
- [21] Atamtürk, D. “Orta ve ileri yaştaki bireylerin antropometrik ölçülerinde yaşa bağlı olarak meydana gelen değişimler”. Geriatri ve Geriatrik Nöropsikiyatri, 1(3), 13-22. (2010).
- [22] Çopuroğlu, C., and Heybeli, N. “Yaşlılarda Ortopedik Sorunlar”. GeroFam, 2(1). (2011).
- [23] Özgen, M., Zeliha, A. T. İ. K., Armağan, O., and Mutlu, F. “Osteoporoz ile Takipli Hastalarda Gelişen Kalça Kırığı Sıklığının Değerlendirilmesi”. Osmangazi Tıp Dergisi. 42(4), 392-397. (2020).
- [24] Hernlund, E., Svedbom, A., Ivergård, M., Compston, J., Cooper, C., Stenmark, J., ... & Kanis, J. A. “Osteoporosis in the European Union: medical management, epidemiology and economic burden: a report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA)”. Archives of osteoporosis, 8, 1-115. (2013).
- [25] Melton Iii, L. J. “Epidemiology of hip fractures: implications of the exponential increase with age”. Bone, 18(3), S121-S125. (1996).
- [26] Cooper C. “The crippling consequences of fractures and their impact on quality of life”. The American journal of medicine, 103(2), S12-S19. (1997).
- [27] Yanıkkerem, E., and Çalık, C. “Osteoporoz: Bir Gözden Geçirme”. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 19(3), 167-178. (2003).
- [28] Günaydın, D. “Türkiye’nin demografik dönüşümü çerçevesinde işgücünün yaşlanma sorunu”. Yaşlı Sorunları Araştırma Dergisi, 11(1), 1-13. (2018).
- [29] Yang, Y., Komisar, V., Shishov, N., Lo, B., Korall, A. M., Feldman, F., and Robinovitch, S. N. “The Effect Of Fall Biomechanics On Risk For Hip Fracture In Older Adults: A Cohort Study Of Video‐Captured Falls In Long‐Term Care. Journal of bone and mineral research”. https://academic.oup.com/jbmr/article/35/10/1914/7516811. (2020).
- [30] Maher, N., Steen, G., Fallon, N., Carroll, C. O., Rafferty, M., Walsh, J. B., McCarroll, K., and Lannon, R. “295 Characteristics of Older Hip Fracture Adults Admitted to a Dublin Hospital”. Age and Ageing, 48. (2019).
- [31] Greenspan, S. L., Myers, E. R., Kiel, D. P., Parker, R. A., Hayes, W. C., and Resnick, N. M. “Fall direction, bone mineral density, and function: risk factors for hip fracture in frail nursing home elderly”. The American journal of medicine, 104(6), 539-545. (1998).
- [32] Kannus, P., and Parkkari, J. “Prevention of hip fracture with hip protectors”. Age and Ageing, 35(suppl_2), ii51-ii54. (2006).
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