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Amaç: Çalışmamızın amacı non-spesifik bel ağrısı (NSBA) olan ve olmayan yaşlı bireylerde denge, postüral kontrol ve ilgili faktörleri karşılaştırmaktı. Yöntem: Bu çalışma kesitsel çalışma olarak tasarlandı. Çalışmaya toplam 67 yaşlı birey (NSBA grubu, n = 33; kontrol grubu, n = 34) dahil edildi. Hastaların ağrı şiddeti ve özürlülük düzeyleri sırasıyla Görsel Analog Skala (VAS) ve Oswestry Özürlülük İndeksi (ODI) ile değerlendirildi. Postural kontrol ve düşme riski Biodex Denge Sistemi ile ölçüldü. Katılımcıların denge performansı, mobilite, düşme korkusu ve fiziksel aktivite düzeyleri sırasıyla Fonksiyonel Uzanma Testi (FUT), Zamanlı Kalk Yürü Testi (TUG), Uluslararası Düşme Etkinlik Skalası (UDES) ve Uluslararası Fiziksel Aktivite Anketi (IPAQ) -kısa form ile değerlendirildi. Sonuçlar: Statik postural stabilite testinin tüm parametrelerinde iki grup arasında anlamlı fark bulunurken (p <0,05), dinamik postural stabilite ve modifiye klinik duyu entegrasyon testinde fark yoktu (p> 0,05). Her iki grup düşme riski indeksi açısından benzerdi (p> 0,05). UDES skoru (p = 0.003) ve TUG süresi (p = 0.001) NSBA grubunda kontrol grubuna göre anlamlı olarak daha yüksekti. Ek olarak, FUT mesafesi (p = 0,001) ve IPAQ skoru (p = 0,029), NSBA grubunda kontrol grubuna göre anlamlı olarak daha düşüktü. Tartışma: Bu çalışma, NSBA’lı yaşlı bireylerde statik postural kontrol, denge, mobilite ve fiziksel aktivitenin bozulmakta olduğunu düşündürmektedir. Ek olarak, NSBA’lı yaşlı bireylerde düşme korkusu artmaktadır.
Purpose: The aim of our study was to compare balance, postural control and related factors in non-specific back pain (NSBA) and non-aging individuals. Method: This work is designed as a cutting work. The study included a total of 67 elderly individuals (NSBA group, n = 33; control group, n = 34). Patients’ pain severity and disability levels were assessed by the Visual Analog Scale (VAS) and Oswestry Disability Index (ODI) respectively. The risk of postural control and fall was measured by the Biodex Balance System. The balanced performance, mobility, fear of fall and physical activity levels of participants were assessed by the Functional Standing Test (FUT), Timely Rise Walking Test (TUG), International Falling Event Scale (UDES) and International Physical Activity Survey (IPAQ) accordingly. Results: While all parameters of the static postural stability test found a significant difference between the two groups (p <0,05), there was no difference in the dynamic postural stability and modified clinical sense integration test (p> 0,05). Both groups were similar in terms of the fall risk index (p> 0.05). The UDES score (p = 0.003) and the TUG time (p = 0.001) were significantly higher than the control group in the NSBA group. In addition, the FUT distance (p = 0,001) and the IPAQ score (p = 0,029) were significantly lower than the control group in the NSBA group. Discussions: This study suggests that the static postural control, balance, mobility and physical activity in older individuals with NSBA are deteriorated. In addition, the fear of falling in older individuals with NSBA is increasing.
Purpose: Studies investigating the effects of non-specific low back pain (NSLBP) on elderly individuals are limited in the literature. The study aimed to compare postural control, balance, physical activity and related factors in elderly individuals with and without the NSLBP. Methods: The study was designed as a cross-sectional. A total of 67 elderly individuals (NSLBP group n=33 and control group n=34) were included in the study. Patients' pain intensity and disability levels were evaluated using Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI), respectively. Postural control and fall risk were measured using the Biodex Balance System. Participants' balance performance, mobility, fear of falling and physical activity levels were evaluated using functional reach test (FRT), timed up and go test (TUG), Falls Efficacy Scale International (FES-I) and International Physical Activity Questionnaire (IPAQ)-Short Form, respectively. Results: While there was a significant difference between the two groups in all parameters of static postural stability test (p<0.05), no difference was found in dynamic postural stability, modified clinical sensory integration test, and fall risk index (p>0.05). The FES-I score (p=0.003) and the TUG time (p=0.001) were significantly higher in the NSLBP group than in the control group. The FRT distance (p=0.001) and the IPAQ score (p=0.029) were significantly lower in the NSLBP group than in the control group. Conclusion: This study suggests that static postural control, balance, mobility, and physical activity are impaired in elderly individuals with NSLBP. Clinicians should take into account these disadvantages in planning rehabilitation programs in elderly individuals with the NSLBP.
Field : Sağlık Bilimleri
Journal Type : Uluslararası
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