Covid-19 Salgını Süresince Yaşli Bireyelerin Dual-Task Aktivite ve Dengelerinin Değerlendirilmesi: Türkiye Örneği, Pilot Çalışma
Yıl 2021,
Cilt: 54 Sayı: 2, 154 - 159, 31.08.2021
Meral Sertel
,
Ayşe Abit Kocaman
,
Saniye Aydoğan Arslan
,
Kübra Uğurlu
Öz
AMAÇ: Bu çalışmanın amacı Covid-19 salgını süresince yaşlı bireylerin dual-task aktivite ve dengelerinin değerlendirmektir.
GEREÇ VE YÖNTEM: Ağustos 2020-Kasım 2020 tarihleri arasında yapılan bu çalışma, Ankara’da ev ortamında yaşayan, çalışma kriterlerine uyan, çalışmaya katılmaya gönüllü olan 65-80 yaş arası bireyler dahil edildi. Yaşlı bireylerin sosyodemografik bilileri kaydedildi. Bireylerin dengeleri ve ikili görev performansları Tinetti denge ve yürüme testi, Time up Go Test (TUG) ve İkili Görev Anketi (DTQ) ile kognitif durumları Mini Mental Durum testi ile değerlendirildi. Bireylerden motor ek görev olarak bir elden diğer ele obje transferi yaparak; kognitif ek görev olarak ise ikişer ikişer sayarak testleri yapmaları istendi.
BULGULAR: Bireylerin yaş ortalamaları 70.35±5.44 yıldı. Yapılan Spearman korelasyon analizine göre (DTQ) ve tinnetti denge ve mobilite ölçeği ve alt grupları arasında orta düzeyde, TUGMotor fonksiyon arasında düşük düzeyde ilişki saptandı (p˂0.005). DTQ ile TUGKognitif arasında ilişki saptanmadı. Cinsiyet açısından TUGKognitif erkek yaşlı bireylerde daha uzun bulundu.
SONUÇ: Türkiye’deki yaşlı bireylerde Covid19 pandemisi sürecinde dual task anketi ile denge ve fonksiyonel durumları arasında ilişki olduğunu göstermiştir.
Kaynakça
- REFERENCES
1) Weiss SR, Leibowitz JL. Coronavirus pathogenesis. Adv Virus Res. 2011; 81: 85-164.
- 2) Li X, Wang W, Zhao X. Transmission dynamics and evolutionary history of 2019-nCoV. J Med Virol. 2020; 92(5): 501-511.
- 3) Ferguson NM, Laydon D, Nedjati-Gilani Gemma, and et al. Impact of non-pharmaceutical interventions (NPIs) to reduce COV- ID19 mortality and healthcare demand. 2020; https://doi. org/10.25561/77482.
- 4) Steinman MA, Perry L, Perissinotto CM. Meeting the Care Needs of Older Adults Isolated at Home During the COVID-19 Pandemic. JAMA Intern Med. 2020; doi:10.1001/jamainternmed.2020.1661https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2764748.
- 5) Galea S, Merchant RM, Lurie N. The Mental Health Consequences of COVID-19 and Physical Distancing: The Need for Prevention and Early Intervention. JAMA Intern Med. 2020; doi:10.1001/jamainternmed.2020.1562.
- 6) DSÖ. Mental health and psychosocial considerations during the COVID-19 outbreak (COVID-19 salgını sırasında dikkate alınması gereken ruh sağlığı ve psikososyal hususlar. 2020;https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf.
- 7) Dionyssiotis Y. Analyzing the problem of falls among older people. Int J Gen Med. 2012; 5: 805-13.
8) Sturnieks D, St George R, Lord S. Balance disorders in the elderly. Neurophysiologie Clinique/Clinical Neurophysiology. 2008; 38(6) 467-478.
- 9) Studenski S, Perera S, Hile E, Keller V, Spadola-Bogard J, Garcia J. Interactive video dance games for healthy older adults. The Journal of Nutrition, Health & Aging. 2010; 14(10):850-852.
- 10) Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait & posture. 2002; 16(1):1-14.
11) Hauer K, Marburger C, Oster P. Motor performance deteriorates with simultaneously performed cognitive tasks in geriatric patients. Archives of Physical Medicine and Rehabilitation. 2002; 83(2): 217-223.
- 12) Little CE, Woollacott M. Effect of attentional interference on balance recovery in older adults. Experimental Brain Research. 2014; 232(7):2049-2060.
- 13) Kang HG, Quach L, Li W, Lipsitz LA. Stiffness control of balance during dual task and prospective falls in older adults: The MOBILIZE Boston Study. Gait & posture. 2013; 38(4): 757-763.
14) Hirashima K, Higuchi Y, Imaoka M, Todo E, Kitagawa T, Ueda T. Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults. Clinical Interventions In Aging. 2015; 10: 643.
- 15) Ağırcan D. Tinetti Denge Ve Yürüme Değerlendirmesi, Türkçe’ye Uyarlanması, Geçerlilik Ve Güvenilirliği. Haziran, Yüksek Lisans Tezi, Pamukkale Üniversitesi, Denizli. 2009.
- 16) Lin MR, Hwang HF, Hu MH, Isaac Wu HD, Wang YW, Huang FC. Psychometric comparisons of the timed Up and Go, One&Leg stand, functional reach, and tinetti balance measures in community&dwelling older people. Journal of the American Geriatrics Society. 2004; 52(8): 1343-1348.
- 17) Evans JJ, Greenfield E, Wilson BA, Bateman A. Walking and talking therapy: improving cognitive-motor dual-tasking in neurological illness. J Int Neuropsychol Soc. Jan. 2009; 15(1): 112–120.
- 18) Folstein MF, Folstein SE, McHugh PR. Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research. 1975; 12(3): 189-198.
- 19) Alpar R. Spor Bilimlerinde Uygulamalı İstatistik. 2. Ed., Ankara; Nobel Yayın Dağıtım. 2001.
- 20) Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020; 395(10227): 912-20.
- 21) Sertel M, Şimşek T, Tütün Yümin E, Saltan A, Yümin M. The relationship between the cognitive functions, daily activities, and mobility levels of elderly people living in a nursing home compared with those in a house environment. Topics in Geriatric Rehabilitation. 2011; 27(1): 87-92.
22) Sertel M, Elif S, Bezgin S, Savcun Demirci C, Şahan Yıldırım T, Kurtoğlu F. The effect of single-tasks and dual-tasks on balance in older adults. Cogent Social Sciences. 2017;3:1330913.
- 23) Gobbo S, Bergamin M , Sieverdes JC, Ermolao A , Zaccaria M. Effects of exercise on dual-task ability and balance in older adults: a systematic review. Archives of Gerontology and Geriatrics. 2014; 58(2):177-187.
- 24) Matson T, Schinkel-Ivy A. How does balance during functional tasks change across older adulthood?. Gait & Posture. 2020; 7:534-39.
- 25) Hollman JH, Youdas JW, Lanzino DJ. Gender differences in dual task gait performance in older adults. American Journal of Men's Health. 2011; 5(1): 11-17.
- 26) Smith E, Walsh L, Doyle J, Greene B, Blake C. Effect of a dual task on quantitative Timed Up and Go performance in community‐dwelling older adults: A preliminary study. Geriatrics & Gerontology International. 2017;17(8): 1176-1182.
- 27) Asai T, Oshima K, Fukumoto Y, Yonezawa Y, Matsuo A, Misu S. Association of fall history with the Timed Up and Go test score and the dual task cost: A cross‐sectional study among independent community‐dwelling older adults. Geriatrics & Gerontology International. 2018; 18(8): 1189-1193.
- 28) Yang HJ, Ya‐Chi Peng, YC, Chen HY. Motor dual‐task Timed Up & Go test better identifies prefrailty individuals than single‐task Timed Up & Go test. Geriatr Gerontol Int. 2015; 15:204–210.
- 29) Ansai JH, Aurichio TR, Rebelatto JR. Relationship between balance and dual task walking in the very elderly. Geriatrics & Gerontology International. 2016; 16(1): 89-94.
- 30) Sepulveda-Loyola W, Rodríguez-Sánchez I, Perez-Rodriguez P, Ganz F, Torralba R, Oliveira DV, Rodríguez-Mañas L. Impact of social isolation due to COVID-19 on health in older people: Mental and physical effects and recommendations. The Journal of Nutrition, Health & Aging. 2020; 1-10.
- 31) Cudjoe TK, Kotwal AA. “Social distancing” amidst a crisis in social isolation and loneliness. J Am Geriatr Soc. 2006; 50(6): 776–780
- 32) Editorial: COVID-19 and Older Adults. Morley JE, Vellas B J Nutr Health Aging. 2020; 24(4): 364-365.
- 33) Jimenez-Pavon D, Carbonell-Baeza A, Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Prog Cardiovasc Dis. 2020.
The Evaluation of Dual-Task Activities and Balance in Older adults During the COVID-19 Pandemic: A Pilot Study
Yıl 2021,
Cilt: 54 Sayı: 2, 154 - 159, 31.08.2021
Meral Sertel
,
Ayşe Abit Kocaman
,
Saniye Aydoğan Arslan
,
Kübra Uğurlu
Öz
AIM: The aim of this study is to evaluate the dual-task activities and balance of older adults during the COVID-19 pandemic.
MATERIAL AND METHOD: This study was conducted between August 2020 and November 2020 and included older adults who lived in a house environment in Ankara, met the study criteria, volunteered to participate in the study, and were aged between 65-80 years. The sociodemographic information of the older adults was recorded. The balance and dual-task performances of the individuals were assessed by the Tinetti Balance and Gait Test, Timed Up and Go Test (TUG), and Dual-Task Questionnaire (DTQ), and their cognitive states were evaluated by the Mini-Mental State Test. The individuals were requested to perform the tests by transferring an object from one hand to the other as an additional motor task and by counting two by two as an additional cognitive task.
RESULTS: The mean age of the individuals was 70.35±5.44 years. According to Spearman’s correlation analysis, a moderate-level correlation was identified between the DTQ and the Tinetti Balance and Mobility Scale and its subgroups, and a low-level correlation was observed between the DTQ and TUGMotor (p˂0.005). No correlation was detected between the DTQ and TUGCognitive. In terms of sex, TUGCognitive was found to be longer in male individuals.
CONCLUSION: It has been demonstrated that there is a correlation between the DTQ and balance and functional states.
Kaynakça
- REFERENCES
1) Weiss SR, Leibowitz JL. Coronavirus pathogenesis. Adv Virus Res. 2011; 81: 85-164.
- 2) Li X, Wang W, Zhao X. Transmission dynamics and evolutionary history of 2019-nCoV. J Med Virol. 2020; 92(5): 501-511.
- 3) Ferguson NM, Laydon D, Nedjati-Gilani Gemma, and et al. Impact of non-pharmaceutical interventions (NPIs) to reduce COV- ID19 mortality and healthcare demand. 2020; https://doi. org/10.25561/77482.
- 4) Steinman MA, Perry L, Perissinotto CM. Meeting the Care Needs of Older Adults Isolated at Home During the COVID-19 Pandemic. JAMA Intern Med. 2020; doi:10.1001/jamainternmed.2020.1661https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2764748.
- 5) Galea S, Merchant RM, Lurie N. The Mental Health Consequences of COVID-19 and Physical Distancing: The Need for Prevention and Early Intervention. JAMA Intern Med. 2020; doi:10.1001/jamainternmed.2020.1562.
- 6) DSÖ. Mental health and psychosocial considerations during the COVID-19 outbreak (COVID-19 salgını sırasında dikkate alınması gereken ruh sağlığı ve psikososyal hususlar. 2020;https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf.
- 7) Dionyssiotis Y. Analyzing the problem of falls among older people. Int J Gen Med. 2012; 5: 805-13.
8) Sturnieks D, St George R, Lord S. Balance disorders in the elderly. Neurophysiologie Clinique/Clinical Neurophysiology. 2008; 38(6) 467-478.
- 9) Studenski S, Perera S, Hile E, Keller V, Spadola-Bogard J, Garcia J. Interactive video dance games for healthy older adults. The Journal of Nutrition, Health & Aging. 2010; 14(10):850-852.
- 10) Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait & posture. 2002; 16(1):1-14.
11) Hauer K, Marburger C, Oster P. Motor performance deteriorates with simultaneously performed cognitive tasks in geriatric patients. Archives of Physical Medicine and Rehabilitation. 2002; 83(2): 217-223.
- 12) Little CE, Woollacott M. Effect of attentional interference on balance recovery in older adults. Experimental Brain Research. 2014; 232(7):2049-2060.
- 13) Kang HG, Quach L, Li W, Lipsitz LA. Stiffness control of balance during dual task and prospective falls in older adults: The MOBILIZE Boston Study. Gait & posture. 2013; 38(4): 757-763.
14) Hirashima K, Higuchi Y, Imaoka M, Todo E, Kitagawa T, Ueda T. Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults. Clinical Interventions In Aging. 2015; 10: 643.
- 15) Ağırcan D. Tinetti Denge Ve Yürüme Değerlendirmesi, Türkçe’ye Uyarlanması, Geçerlilik Ve Güvenilirliği. Haziran, Yüksek Lisans Tezi, Pamukkale Üniversitesi, Denizli. 2009.
- 16) Lin MR, Hwang HF, Hu MH, Isaac Wu HD, Wang YW, Huang FC. Psychometric comparisons of the timed Up and Go, One&Leg stand, functional reach, and tinetti balance measures in community&dwelling older people. Journal of the American Geriatrics Society. 2004; 52(8): 1343-1348.
- 17) Evans JJ, Greenfield E, Wilson BA, Bateman A. Walking and talking therapy: improving cognitive-motor dual-tasking in neurological illness. J Int Neuropsychol Soc. Jan. 2009; 15(1): 112–120.
- 18) Folstein MF, Folstein SE, McHugh PR. Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research. 1975; 12(3): 189-198.
- 19) Alpar R. Spor Bilimlerinde Uygulamalı İstatistik. 2. Ed., Ankara; Nobel Yayın Dağıtım. 2001.
- 20) Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020; 395(10227): 912-20.
- 21) Sertel M, Şimşek T, Tütün Yümin E, Saltan A, Yümin M. The relationship between the cognitive functions, daily activities, and mobility levels of elderly people living in a nursing home compared with those in a house environment. Topics in Geriatric Rehabilitation. 2011; 27(1): 87-92.
22) Sertel M, Elif S, Bezgin S, Savcun Demirci C, Şahan Yıldırım T, Kurtoğlu F. The effect of single-tasks and dual-tasks on balance in older adults. Cogent Social Sciences. 2017;3:1330913.
- 23) Gobbo S, Bergamin M , Sieverdes JC, Ermolao A , Zaccaria M. Effects of exercise on dual-task ability and balance in older adults: a systematic review. Archives of Gerontology and Geriatrics. 2014; 58(2):177-187.
- 24) Matson T, Schinkel-Ivy A. How does balance during functional tasks change across older adulthood?. Gait & Posture. 2020; 7:534-39.
- 25) Hollman JH, Youdas JW, Lanzino DJ. Gender differences in dual task gait performance in older adults. American Journal of Men's Health. 2011; 5(1): 11-17.
- 26) Smith E, Walsh L, Doyle J, Greene B, Blake C. Effect of a dual task on quantitative Timed Up and Go performance in community‐dwelling older adults: A preliminary study. Geriatrics & Gerontology International. 2017;17(8): 1176-1182.
- 27) Asai T, Oshima K, Fukumoto Y, Yonezawa Y, Matsuo A, Misu S. Association of fall history with the Timed Up and Go test score and the dual task cost: A cross‐sectional study among independent community‐dwelling older adults. Geriatrics & Gerontology International. 2018; 18(8): 1189-1193.
- 28) Yang HJ, Ya‐Chi Peng, YC, Chen HY. Motor dual‐task Timed Up & Go test better identifies prefrailty individuals than single‐task Timed Up & Go test. Geriatr Gerontol Int. 2015; 15:204–210.
- 29) Ansai JH, Aurichio TR, Rebelatto JR. Relationship between balance and dual task walking in the very elderly. Geriatrics & Gerontology International. 2016; 16(1): 89-94.
- 30) Sepulveda-Loyola W, Rodríguez-Sánchez I, Perez-Rodriguez P, Ganz F, Torralba R, Oliveira DV, Rodríguez-Mañas L. Impact of social isolation due to COVID-19 on health in older people: Mental and physical effects and recommendations. The Journal of Nutrition, Health & Aging. 2020; 1-10.
- 31) Cudjoe TK, Kotwal AA. “Social distancing” amidst a crisis in social isolation and loneliness. J Am Geriatr Soc. 2006; 50(6): 776–780
- 32) Editorial: COVID-19 and Older Adults. Morley JE, Vellas B J Nutr Health Aging. 2020; 24(4): 364-365.
- 33) Jimenez-Pavon D, Carbonell-Baeza A, Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Prog Cardiovasc Dis. 2020.