HUZUREVİ SAKİNLERİNDE BACAK VE GÖVDE KASLARININ İZOMETRİK KUVVETİNİN DENGE VE YAŞAM KALİTESİNE OLAN ETKİLERİ

Yıl 2017, Cilt: 1 Sayı: 3, 92 - 100, 23.11.2017

Selvin Balki , Ayişe Özyonar

Öz

Amaç: Çalışmanın amacı, yaşlı kişilerde denge ve sağlıkla ilişkili yaşam
kalitesi ile bacak ve gövdenin izometrik kas kuvveti arasında olan ilişkileri
araştırmaktı.

Gereç ve
Yöntem: Bu
çalışmaya, normal bilişsel fonksiyona sahip toplam 16 huzurevi sakini (13 erkek
ve üç kadın; ortalama yaş: 73,31±5,61 yıl) dahil edildi. Yaşlıların
tamamı, yardımcı bir cihaz kullanmadan bağımsız bir şekilde yürüyebiliyorlardı.
Değerlendirmelerde, Nottingham Sağlık Profili (NSP), Mini Mental Durum Testi
(MMSE-E), Berg Denge Ölçeği (BDÖ) ve ayak bileği, diz, kalça ve gövdenin
fleksör ve ekstansör kaslarının el dinamometresi izometrik kuvvet ölçümleri
kullanıldı. Normal bilişsellik, MMSE-E≥24 şeklinde belirlendi. Ölçüm sonuçları
arası ilişkiler, Spearman korelasyon
katsayısı ile incelendi ve anlamlılık düzeyi p<0,05 şeklinde kabul edildi.

Bulgular: Ayak bileğinin dorsi
fleksör kasları hariç, gövde ve bacağın izometrik kuvvet değerleri ile NSP ve
BDÖ sonuçları arasında anlamlı bir ilişkinin olmadığı bulundu. Ayak bileği
dorsi fleksiyon kuvveti, NSP Bölüm I toplam puanı (r=−0.625, p<0.01) ve BDÖ sonucu (r=0.509, p<0.05) ile anlamlı düzeyde
ilişkiliydi.

Sonuç: Bu sonuca göre yaşlı
insanların kas-kuvvetlendirme antrenmanları, ayak bileği dorsi fleksör
egzersizlerini içermelidir.

Anahtar Kelimeler

: Denge, huzurevi, izometrik kas kuvveti, yaşlı insanlar, yaşam kalitesi

EFFECTS OF ISOMETRIC STRENGTH OF THE TRUNK AND LEG MUSCLES ON THE QUALITY OF LIFE AND BALANCE IN NURSING HOME RESIDENTS

Öz

Purpose: The aim of the study was to investigate the relationships in between isometric muscles
strength of trunk and leg with health-related quality of life and balance in
elderly persons.

Material and Method: Total 16 nursing home
residents (13 men and three women;
mean age: 73,31±5,61 years) with normal cognition were included in this
study. All of elders could walk independently without the use of assistive
devices. The Nottingham Health
Profile (NHP), Mini-Mental State Examination (MMSE-E), Berg Balance Scale (BBS)
and hand-held dynamometer isometric strength measurements to the flexor and extensor
muscles of trunk, hip, knee, ankle were used for evaluations. Normal cognition
was determined as MMSE-E≥24. The relationships among the measurement results investigated using Spearman correlation coefficients and significance level is accepted as p<0,05.

Results: There were not found
important relationship in between the results of NHP and BBS with the
isometric strength values of the trunk and leg with the exception of the ankle dorsiflexor muscles. The ankle dorsi flexion strength was
related significantly with total Part I score of
the NHP (r=−0.625, p<0.01). and result of the BBS (r=0.509, p<0.05).

Conclusion: This result is suggested
that muscle-strengthening trainings of elderly people should be included the
ankle dorsiflexor exercises.

Anahtar Kelimeler

Balance, elderly people, isometric muscle strength, nursing home, quality of life

Kaynakça

• 1. Vandervoort AA. Aging of the human neuromuscular system. Muscle Nerve. 2002;25(1):17-25.
• 2. Connelly DM. Resisted exercise training of institutionalized older adults for improved strength and functional mobility. Top. Geriatr. Rehabil. 2000;15:6-28.
• 3. Larsson L, Grimby G, Karlsson J. Muscle strength and speed of movement in relation to age and muscle morphology. J Appl Physiol. 1979;46:451-456.
• 4. Landi F, Liperoti R, Fusco D, Mastropaolo S, Quattrociocchi D, Proia A, et al. Prevalence and risk factors of sarcopenia among nursing home older residents. J Gerontol Ser A Biol Sci Med Sci. 2012;67(1):48-55.
• 5. Whipple RH, Wolfson LI, Amerman PM. The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J Am Geriatr Soc. 1987;35:13-20.
• 6. Uz Tunçay S, Özdinçler AR, Erdinçler SD. Geriatrik hastalarda düşme risk faktörlerinin günlük yaşam aktiviteleri ve yaşam kalitesine etkisi. Turk J Geriat. 2011;14:245-252.
• 7. Daubney ME, Culham EG. Lower extremity muscle force and balance performance in adults aged 65 years and older. Phys Therapy. 1999;79:1177-1185.
• 8. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701-1707.
• 9. Pizzigalli L, Filippini A, Ahmaidi S, Jullien H, Rainoldi A. Prevention of falling risk in elderly people: the relevance of muscular strength and symmetry of lower limbs in postural stability. J Strength Cond Res. 2011;25:567-574.
• 10. Andersson A, Gottfries CG. Nursing home care: Factors influencing the quality of life in restricted life situations. Aging Clin Exp Res. 1991;3:229-239.
• 11. Granacher U, Muehlbauer T, Gollhofer A, Kressig RW, Zahner L. An intergenerational approach in the promotion of balance and strength for fall prevention – a mini-review.Gerontol. 2011;57(4):304-315.
• 12. Ciolac EG. Exercise training as a preventive tool for age-related disorders: a brief review. Clinics. 2013;68(5):710-717.
• 13. Eyigor S, Karapolat H, Durmaz B. Effects of a group-based exercise program on the physical performance, muscle strength and quality of life in older women. Arch Gerontol Geriatr. 2007;45:259-271.
• 14. Buckinx F, Croisier JL, Reginster JY, Petermans J, Goffart E, Bruyère O. Relationship between Isometric Strength of Six Lower Limb Muscle Groups and Motor Skills among Nursing Home Residents. J Frailty Aging. 2015;4(4):184-187.
• 15. Bailey SP, Bailey EE, Mushti SL, McHugh H, Senbarger J, Vallabhajosula S. Predictors of Health Related Quality of Life in Adults 50 Years and Older. J Nov Physiother. 2016;6(1):281-288.
• 16. Krist L, Dimeo F, Keil T. Can progressive resistance training twice a week improve mobility, muscle strength, and quality of life in very elderly nursing-home residents with impaired mobility? A pilot study. Clin Interv Aging. 2013;8:443-448.
• 17. Ertan T, Eker E, Güngen C. The Standardised Mini Mental State Examination for Illiterate Turkish Elderly Poupulation: SMMSE-E. 2nd International Symposium on Neurophysiological and Neuropsychological Assessment of Mental and Behavioral Disorders. Bursa, Turkey, October, 1999, p.22-24.
• 18. Andrews AW, Thomas MW, Bohannon RW. Normative Values for Isometric Muscle Force Measurements Obtained with Hand-held Dinamometers. Phys Ther. 1996;76(3):248-25.
• 19. Thorborg K, Petersen J, Magnusson SP, Hölmich P. Clinical assessment of hip strength using a hand-held dynamometer is reliable. Scand J Med Sci Sports. 2010;20(3):493-501.
• 20. Küçükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The Development and Psychometric Assessment of the Turkish Version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23:31-38.
• 21. Sahin F, Yılmaz F, Özmaden A, Kotevoğlu N, Sahin T, Kuran B. Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther. 2008;31:32-37.
• 22. McNeil CJ, Vandervoort AA, Rice CL: Peripheral impairments cause a progressive age-related loss of strength and velocity-dependent power in the dorsiflexors. J Appl Physiol. 2007;102:1962-1968.