ÖZET
Amaç:
Bu çalışma, geriatrik bireylerde reaksiyon zaman (RZ) egzersizlerinin fonksiyonel bağımsızlık, statik denge, düşme riski, üst ve alt ekstremite RZ ve yaşam kalitesi üzerindeki etkilerini araştırmak amacıyla yapılmıştır.
Yöntemler:
Çalışmaya, 65-77 yaş aralığında 40 geriatrik birey dahil edildi. Geriatrik bireylerin sosyodemografik özellikleri kaydedildikten sonra fonksiyonel bağımsızlıkları, Fonksiyonel Bağımsızlık Ölçeği ile, statik dengeleri Tek Ayak Üzerinde Durma Testi ile, düşme riskleri Morse Düşme Ölçeği ile, alt ve üst ekstremite RZ'ler, Light Trainer Flash Light Exercise System (Model LTV2, Türkiye, 2017) ile yaşam kaliteleri Kısa Form-36 ile değerlendirildi. Bireylere altı hafta süreyle, haftada üç gün Light Trainer Flash Light Exercise System ile RZ egzersizleri yaptrıldı ve 6 hafta sound değerlendirme parametreleri bakımından ölçümler tekrarlandı.
Bulgular:
Geriartrik bireylerde, altı haftalık RZ egzersiz ve sonrası sonuçları arasında fonksiyonel bağımsızlık, statik denge, düşme riski, bilişsel beceri, üst ve alt ekstremite RZ ve yaşam kalitesi bakımından anlamlı fark olduğu görüldü (p<0,05).
Sonuç:
Çalışma, 6 haftalık RZ egzersiz programının yaşlı yetişkinlerde fonksiyonel bağımsızlık, statik denge, düşme riski, üst ve alt ekstremite RZ'si ve yaşam kalitesi üzerinde olumlu etkileri olduğunu gösterdi. Sonuçlar, RZ egzersizlerinin yaşlı yetişkinler için rehabilitasyon protokollerine eklenebileceğini ve klinik ortamlarda kullanılabileceğini gösterdi.
References
1
World Health Organization. Ageing. 2020;66-9.
2
Olgun N AS. Yaşlı değerlendirmesi ve klinik karar verme. In:FE A, editor. 2nd edition Ankara: Akademisyen Tıp Kitapevi; 2017.
3
Schoene D, Heller C, Aung YN, Sieber CC, Kemmler W, Freiberger E. A systematic review on the influence of fear of falling on quality of life in older people: is there a role for falls? Clin Interv Aging 2019;14:701-19.
4
Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. Lippincott Williams & Wilkins; 2007.
5
Watanabe T, Saito K, Ishida K, Tanabe S, Nojima I. Coordination of plantar flexor muscles during bipedal and unipedal stances in young and elderly adults. Exp Brain Res 2018;236:1229-39.
6
Avelar BP, Costa JN, Safons MP, Dutra MT, Bottaro M, Gobbi S, et al. Balance Exercises Circuit improves muscle strength, balance, and functional performance in older women. Age (Dordr) 2016;38:14.
7
Bolding DJ, Corman E. Falls in the geriatric patient. Clin Geriatr Med 2019;35:115-26.
8
Davranche K, Burle B, Audiffren M, Hasbroucq T. Physical exercise facilitates motor processes in simple reaction time performance: an electromyographic analysis. Neurosci Lett 2006;96:54-6.
9
Fox KR. The influence of physical activity on mental well-being. Public Health Nutr 1999;2:411-8.
10
El-Khoury F, Cassou B, Charles MA, Dargent-Molina P. The effect of fall prevention exercise programmes on fall induced injuries in community dwelling older adults: systematic review and meta-analysis of randomised controlled trials. BMJ 2013;347:f6234.
11
Küçükdeveci AA, Yavuzer G, Elhan AH, Sonel B, Tennant A. Adaptation of the Functional Independence Measure for use in Turkey. Clin Rehabil 2001;15:311-9.
12
DiMattia MA, Livengood AL, Uhl TL, Mattacola CG, Malone TR. What are the validity of the single-leg-squat test and its relationship to hip-abduction strength? J Sport Rehabil 2005;14:108-23.
13
Demir NY, İntepeler ŞS. Morse Düşme Ölçeğinin Türkçe’ye Uyarlanması Ve Duyarlılık-Seçicilik Düzeyinin Belirlenmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi 2012;28:57-71.
14
Vurmaz MO, Bingul BM. Investigating the Effect of Light Reaction Exercises on Agility-Quickness and Reaction Time of the U-20 Football Players. Journal of Education and Training Studies 2018;6:121-6.
15
Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş AK. Kısa Form-36 (KF-36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve tedavi dergisi 1999;12:102-6.
16
Solanki J, Joshi N, Shah C, Mehta HB, Gokhle PA. A study of correlation between auditory and visual reaction time in healthy adults. IJMEDPH 2012;2:36-8.
17
Okubo Y, Schoene D, Lord SR. Step training improves reaction time, gait and balance and reduces falls in older people: a systematic review and meta-analysis. Br J Sports Med 2017;51:586-93.
18
Morrison S, Colberg SR, Parson HK, Vinik AI. Exercise improves gait, reaction time and postural stability in older adults with type 2 diabetes and neuropathy. J Diabetes Complications 2014;28:715-22.
19
van Dijk M, Allegaert P, Locus M, Deschodt M, Verheyden G, Tournoy J, et al. Geriatric Activation Program Pellenberg, a novel physiotherapy program for hospitalized patients on a geriatric rehabilitation ward. Physiother Res Int 2021;26:e1905.
20
Kocic M, Stojanovic Z, Nikolic D, Lazovic M, Grbic R, Dimitrijevic L, et al. The effectiveness of group Otago exercise program on physical function in nursing home residents older than 65years: A randomized controlled trial. Arch Gerontol Geriatr 2018;75:112-8.
21
Hsieh CC, Lin PS, Hsu WC, Wang JS, Huang YC, Lim AY, et al. The effectiveness of a virtual reality-based Tai Chi exercise on cognitive and physical function in older adults with cognitive impairment. Dement Geriatr Cogn Disord 2018;46:358-70.
22
Silva LAD, Tortelli L, Motta J, Menguer L, Mariano S, Tasca G, et al. Effects of aquatic exercise on mental health, functional autonomy and oxidative stress in depressed elderly individuals: A randomized clinical trial. Clinics (Sao Paulo) 2019:74:e322.
23
Chittrakul J, Siviroj P, Sungkarat S, Sapbamrer R. Multi-system physical exercise intervention for fall prevention and quality of life in pre-frail older adults: a randomized controlled trial. Int J Env Res Pub He 2020:17:3102.
24
Melzer I, Benjuya N, Kaplanski J. Postural stability in the elderly: a comparison between fallers and non-fallers. Age Ageing 2004:33:602-7.
25
Fernández-Argüelles EL, Rodríguez-Mansilla J, Antunez LE, Garrido-Ardila EM, Muñoz RP. Effects of dancing on the risk of falling related factors of healthy older adults: a systematic review. Arch Gerontol Geriat 2015;60:1-8.
26
Ansai JH, Aurichio TR, Gonçalves R, Rebelatto JR. Effects of two physical exercise protocols on physical performance related to falls in the oldest old: A randomized controlled trial. Geriatr Gerontol Int 2016;16:492-9.
27
Bumin G, Uyanik M, Aki E, Kayihan H. An investigation of risk factors for fails in elderly people in a Turkish rest home: a pilot study. Agıng Clin Exp Res 2002;14:192-6.
28
Hunter SK, Thompson MW, Adams RD. Reaction time, strength, and physical activity in women aged 20-89 years. J Agıng Phys Activ 2001;9:32-42.
29
Mohamed AA, Jan YK, Raoof NA, Kattabei O, Moustafa I, Hosny H. Effect of Biofeedback Corrective Exercise on Reaction Time and Central Somatosensory Conduction Time in Patients With Forward Head Posture and Radiculopathy: A Randomized Controlled Study. J Chiropr Med 2022;21:39-50.
30
Waheed A, Azharuddin M, Ahmad I, Noohu MM. Whole-body vibration, in addition to balance exercise, shows positive effects for strength and functional ability in patients with diabetic peripheral neuropathy: A single-blind randomized controlled trial. J diabetol 2021;12:456-63.
31
de Oliveira L, Souza EC, Rodrigues RAS, Fett CA, Piva AB. The effects of physical activity on anxiety, depression, and quality of life in elderly people living in the community. Trends Psychiatry Psychother 2019;41:36-42.
32
Park S-H, Han KS, Kang C-B. Effects of exercise programs on depressive symptoms, quality of life, and self-esteem in older people: A systematic review of randomized controlled trials. Appl Nurs Res 2014;27:219-26.
