Araştırma Makalesi
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Huzurevinde Yaşayan Yaşlılarda Kinezyofobi ve İlişkili Faktörlerin Değerlendirilmesi

Yıl 2023, Cilt: 12 Sayı: 2, 294 - 303, 23.06.2023
https://doi.org/10.53424/balikesirsbd.1140101

Öz

Amaç: Araştırmada huzurevinde yaşayan bireylerde kinezyofobi (hareket etme korkusu), nedenleri ve ilişkili faktörlerin değerlendirilmesi amaçlandı. Gereç ve Yöntem: Konya il merkezinde bulunan Huzurevi Yaşlı Bakım Rehabilitasyon Merkezi’nde yaşayan dâhil edilme kriterlerine uyan 86 yaşlı birey ile araştırma yürütüldü. Veriler kişisel bilgi formu, Tampa Kinezyofobi Ölçeği, Kinezyofobi Nedenleri Ölçeği, Berg Denge Ölçeği ve Otur Kalk Testi ile toplandı. Verilerin değerlendirilmesinde Mann Whitney U testi, Kruskal Wallis testi ve Lineer regresyon modeli kullanıldı. Bulgular: Huzurevinde yaşayan yaşlı bireylerin ortalama Tampa Kinezyofobi ölçek puanı 43,72 olarak bulundu. Kinezyofobi nedenleri incelendiğinde biyolojik alandaki ölçek puanı daha yüksek bulundu. Regresyon analizi sonucunda ise kinezyofobi ile ilişkili faktörlerin hareket etmek için yardımcı araç kullanma, sürekli ilaç kullanma, günlük aktivitelerde denge sorunu yaşama durumu ve Otur Kalk Testi puanı olduğu belirlendi. Oluşturulan model tarafından bağımlı değişkeninin %53.4’lük kısmı açıklanabilmektedir. Huzurevinde yaşayan yaşlı bireylerde kinezyofobi yüksek bulundu. Sonuç: Yardımcı araç kullanan, sürekli ilaç kullanan, denge sorunu olan ve alt ekstremite gücü düşük olan bireylerde kinezyofobi daha yüksektir. Yaşlı bireylerin kapsamlı geriatrik değerlendirilmesinde kinezyofobiye de odaklanılmalı, kinezyofobinin önemi ve nedenleri hakkında bireyler bilgilendirmelidir.

Destekleyen Kurum

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Proje Numarası

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Teşekkür

Bu araştırmaya katılan değerli büyüklerimiz huzurevi sakinlerine teşekkür ederiz.

Kaynakça

  • Ahangari, A., & Abdolrahmani, M. (2020). Kinesiophobia dilemma for older adults: A systematic review. Geriatric Care, 6(3), Article 3. https://doi.org/10.4081/gc.2020.9056
  • Asiri, F., Reddy, R. S., Tedla, J. S., ALMohiza, M. A., Alshahrani, M. S., Govindappa, S. C., & Sangadala, D. R. (2021). Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain. PloS One, 16(7), e0254262. https://doi.org/10.1371/journal.pone.0254262
  • Bağlan Yentür, S., Karatay, S., Oskay, D., Tufan, A., Küçük, H., & Haznedaroğlu, Ş. (2019). Kinesiophobia and related factors in systemic lupus erythematosus patients. Turkish Journal of Medical Sciences, 49(5), 1324–1331. https://doi.org/10.3906/sag-1804-152
  • Berg, K., Wood-Dauphine, S., Williams, J. i., & Gayton, D. (1989). Measuring balance in the elderly: Preliminary development of an instrument. Physiotherapy Canada, 41(6), 304–311. https://doi.org/10.3138/ptc.41.6.304
  • Çayir, M., Durutürk, N. A., & Tekindal, M. A. (2020). Kinezyofobi Nedenleri Ölçeği’nin Türkçe Uyarlamasının Geçerlik ve Güvenirliği. Journal of Exercise Therapy and Rehabilitation, 7(1), 64–73.
  • Davis, J. C., Bryan, S., Best, J. R., Li, L. C., Hsu, C. L., Gomez, C., Vertes, K. A., & Liu-Ambrose, T. (2015). Mobility predicts change in older adults’ health-related quality of life: Evidence from a Vancouver falls prevention prospective cohort study. Health and Quality of Life Outcomes, 13, 101. https://doi.org/10.1186/s12955-015-0299-0
  • Demirbüken, İ., Özgül, B., Kuru Çolak, T., Aydoğdu, O., Sarı, Z., & Yurdalan, S. U. (2016). Kinesiophobia in relation to physical activity in chronic neck pain. Journal of Back and Musculoskeletal Rehabilitation, 29(1), 41–47. https://doi.org/10.3233/BMR-150594
  • Erden, A., & Güner, S. G. (2018). Impact of exercise on quality of life, body awareness, kinesiophobia and the risk of falling among young older adults. Cukurova Medical Journal, 43(4), 941–950.
  • Güzel, R., İrdesel, J., & Kutsal, Y. G. (2021). İleri Yaşlarda Kinezyofobi. Sürekli Tıp Eğitimi Dergisi, 30(2), 116–125. https://doi.org/10.17942/sted.899387
  • Ishak, N. A., Zahari, Z., & Justine, M. (2017). Kinesiophobia, Pain, Muscle Functions, and Functional Performances among Older Persons with Low Back Pain. Pain Research and Treatment, 2017, 3489617. https://doi.org/10.1155/2017/3489617
  • Jones, C. J., Rikli, R. E., & Beam, W. C. (1999). A 30-s Chair-Stand Test as a Measure of Lower Body Strength in Community-Residing Older Adults. Research Quarterly for Exercise and Sport, 70(2), 113–119. https://doi.org/10.1080/02701367.1999.10608028
  • Knapik, A., Saulicz, E., Rottermund, J., Saulicz, M., & Myśliwiec, A. (2013). Successful Aging – The Role of Physical Actıvıty And its Barriers in Women of Advanced Age.
  • Knapik, A., Dąbek, J., & Brzęk, A. (2019). Kinesiophobia as a Problem in Adherence to Physical Activity Recommendations in Elderly Polish Patients with Coronary Artery Disease. Patient Preference and Adherence, 13, 2129–2135. https://doi.org/10.2147/PPA.S216196
  • Kocjan, J., & Knapik, A. (2014). Barriers of physical activity (kinesiophobia) in patients subjected to cardiac rehabilitation. Baltic Journal of Health and Physical Activity, 6, 291–297. https://doi.org/10.2478/bjha-2014-0028
  • Larsson, C., Ekvall Hansson, E., Sundquist, K., & Jakobsson, U. (2016). Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain. BMC Geriatrics, 16, 128. https://doi.org/10.1186/s12877-016-0302-6
  • Luque-Suarez, A., Martinez-Calderon, J., & Falla, D. (2019). Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: A systematic review. British Journal of Sports Medicine, 53(9), 554–559. https://doi.org/10.1136/bjsports-2017-098673
  • Luque-Suarez, A., Martinez-Calderon, J., Navarro-Ledesma, S., Morales-Asencio, J. M., Meeus, M., & Struyf, F. (2020). Kinesiophobia Is Associated With Pain Intensity and Disability in Chronic Shoulder Pain: A Cross-Sectional Study. Journal of Manipulative and Physiological Therapeutics, 43(8), 791–798. https://doi.org/10.1016/j.jmpt.2019.12.009
  • Olanrewaju, O., Kelly, S., Cowan, A., Brayne, C., & Lafortune, L. (2016). Physical Activity in Community Dwelling Older People: A Systematic Review of Reviews of Interventions and Context. PLOS ONE, 11(12), e0168614. https://doi.org/10.1371/journal.pone.0168614
  • Roelofs, J., van Breukelen, G., Sluiter, J., Frings-Dresen, M. H. W., Goossens, M., Thibault, P., Boersma, K., & Vlaeyen, J. W. S. (2011). Norming of the Tampa Scale for Kinesiophobia across pain diagnoses and various countries. Pain, 152(5), 1090–1095. https://doi.org/10.1016/j.pain.2011.01.028
  • Sahin, F., Yilmaz, F., Ozmaden, A., Kotevolu, N., Sahin, T., & Kuran, B. (2008). Reliability and validity of the Turkish version of the Berg Balance Scale. Journal of Geriatric Physical Therapy, 31(1), 32–37. https://doi.org/10.1519/00139143-200831010-00006
  • Sander, M., Oxlund, B., Jespersen, A., Krasnik, A., Mortensen, E. L., Westendorp, R. G. J., & Rasmussen, L. J. (2015). The challenges of human population ageing. Age and Ageing, 44(2), 185–187. https://doi.org/10.1093/ageing/afu189
  • Saulicz, E., Knapik, A., Saulicz, M., Linek, P., Rottermund, J., Wolny, T., & Myśliwiec, A. (2016a). Physical activity in youth and level of kinesiophobia in older adults. Baltic Journal of Health and Physical Activity, 8, 64–77. https://doi.org/10.29359/BJHPA.08.2.06
  • Saulicz, M., Saulicz, E., Knapik, A., Linek, P., Rottermund, J., Myśliwiec, A., & Wolny, T. (2016b). Impact of physical activity and fitness on the level of kinesiophobia in women of perimenopausal age. Przeglad Menopauzalny = Menopause Review, 15(2), 104–111. https://doi.org/10.5114/pm.2016.61193
  • Shelby, R. A., Somers, T. J., Keefe, F. J., DeVellis, B. M., Patterson, C., Renner, J. B., & Jordan, J. M. (2012). Brief fear of movement scale for osteoarthritis. Arthritis Care & Research, 64(6), 862–871. https://doi.org/10.1002/acr.21626
  • Stubbs, B., Patchay, S., Soundy, A., & Schofield, P. (2014). The Avoidance of Activities due to Fear of Falling Contributes to Sedentary Behavior among Community-Dwelling Older Adults with Chronic Musculoskeletal Pain: A Multisite Observational Study. Pain Medicine, 15(11), 1861–1871. https://doi.org/10.1111/pme.12570
  • Trocoli, T. O., & Botelho, R. V. (2016). Prevalence of anxiety, depression and kinesiophobia in patients with low back pain and their association with the symptoms of low back spinal pain. Revista Brasileira De Reumatologia, 56(4), 330–336. https://doi.org/10.1016/j.rbre.2016.02.010
  • Vincent, H. K., Seay, A. N., Montero, C., Conrad, B. P., Hurley, R. W., & Vincent, K. R. (2013). Kinesiophobia and fear-avoidance beliefs in overweight older adults with chronic low-back pain: Relationship to walking endurance--part II. American Journal of Physical Medicine & Rehabilitation, 92(5), 439–445. https://doi.org/10.1097/PHM.0b013e318287633c
  • Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Boeren, R. G. B., & van Eek, H. (1995). Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain, 62(3), 363–372. https://doi.org/10.1016/0304-3959(94)00279-N
  • Yildiz, S., Kirdi, E., & Bek, N. (2020). Comparison of the lower extremity function of patients with foot problems according to the level of kinesiophobia. Somatosensory & Motor Research, 37(4), 284–287. https://doi.org/10.1080/08990220.2020.1823362
  • Yılmaz, Ö. T., Yakut, Y., Uygur, F., & Ulu, N. (2011). Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon Dergisi, 22(1), 44–49.

Evaluation of kinesiophobia and associated factors in elderly living in nursing homes

Yıl 2023, Cilt: 12 Sayı: 2, 294 - 303, 23.06.2023
https://doi.org/10.53424/balikesirsbd.1140101

Öz

Aim: The aim of the study was to evaluate kinesiophobia (fear of movement), its causes and related factors in individuals living in nursing homes. Materials and Methods: The research was conducted with 86 elderly individuals who met the inclusion criteria living in the Nursing Home Elderly Care Rehabilitation Center located in the city center of Konya. Data were collected with a personal information form, Tampa Kinesiophobia Scale, Kinesiophobia Causes Scale, Berg Balance Scale and Sit and Stand Test. Mann Whitney U test, Kruskal Wallis test and linear regression model were used to evaluate the data. Results: The average Tampa Kinesiophobia scale score of elderly individuals living in a nursing home was found to be 43.72. When the causes of kinesiophobia were examined, the scale score in the biological domain was found to be higher. As a result of the regression analysis, it was determined that the factors associated with kinesiophobia were the use of assistive devices to move, the constant use of drugs, the state of having balance problems in daily activities, and the Chair Stand Test score. 53.4% of dependent variable can be explained by the model created. Kinesiophobia was found to be high in elderly individuals living in nursing homes. Conclusion: Kinesiophobia is higher in individuals who use assistive devices, constantly use drugs, have balance problems, and have low lower extremity strength. In the comprehensive geriatric evaluation of elderly individuals, kinesiophobia should also be focused, and individuals should be informed about the importance and causes of kinesiophobia.

Proje Numarası

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Kaynakça

  • Ahangari, A., & Abdolrahmani, M. (2020). Kinesiophobia dilemma for older adults: A systematic review. Geriatric Care, 6(3), Article 3. https://doi.org/10.4081/gc.2020.9056
  • Asiri, F., Reddy, R. S., Tedla, J. S., ALMohiza, M. A., Alshahrani, M. S., Govindappa, S. C., & Sangadala, D. R. (2021). Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain. PloS One, 16(7), e0254262. https://doi.org/10.1371/journal.pone.0254262
  • Bağlan Yentür, S., Karatay, S., Oskay, D., Tufan, A., Küçük, H., & Haznedaroğlu, Ş. (2019). Kinesiophobia and related factors in systemic lupus erythematosus patients. Turkish Journal of Medical Sciences, 49(5), 1324–1331. https://doi.org/10.3906/sag-1804-152
  • Berg, K., Wood-Dauphine, S., Williams, J. i., & Gayton, D. (1989). Measuring balance in the elderly: Preliminary development of an instrument. Physiotherapy Canada, 41(6), 304–311. https://doi.org/10.3138/ptc.41.6.304
  • Çayir, M., Durutürk, N. A., & Tekindal, M. A. (2020). Kinezyofobi Nedenleri Ölçeği’nin Türkçe Uyarlamasının Geçerlik ve Güvenirliği. Journal of Exercise Therapy and Rehabilitation, 7(1), 64–73.
  • Davis, J. C., Bryan, S., Best, J. R., Li, L. C., Hsu, C. L., Gomez, C., Vertes, K. A., & Liu-Ambrose, T. (2015). Mobility predicts change in older adults’ health-related quality of life: Evidence from a Vancouver falls prevention prospective cohort study. Health and Quality of Life Outcomes, 13, 101. https://doi.org/10.1186/s12955-015-0299-0
  • Demirbüken, İ., Özgül, B., Kuru Çolak, T., Aydoğdu, O., Sarı, Z., & Yurdalan, S. U. (2016). Kinesiophobia in relation to physical activity in chronic neck pain. Journal of Back and Musculoskeletal Rehabilitation, 29(1), 41–47. https://doi.org/10.3233/BMR-150594
  • Erden, A., & Güner, S. G. (2018). Impact of exercise on quality of life, body awareness, kinesiophobia and the risk of falling among young older adults. Cukurova Medical Journal, 43(4), 941–950.
  • Güzel, R., İrdesel, J., & Kutsal, Y. G. (2021). İleri Yaşlarda Kinezyofobi. Sürekli Tıp Eğitimi Dergisi, 30(2), 116–125. https://doi.org/10.17942/sted.899387
  • Ishak, N. A., Zahari, Z., & Justine, M. (2017). Kinesiophobia, Pain, Muscle Functions, and Functional Performances among Older Persons with Low Back Pain. Pain Research and Treatment, 2017, 3489617. https://doi.org/10.1155/2017/3489617
  • Jones, C. J., Rikli, R. E., & Beam, W. C. (1999). A 30-s Chair-Stand Test as a Measure of Lower Body Strength in Community-Residing Older Adults. Research Quarterly for Exercise and Sport, 70(2), 113–119. https://doi.org/10.1080/02701367.1999.10608028
  • Knapik, A., Saulicz, E., Rottermund, J., Saulicz, M., & Myśliwiec, A. (2013). Successful Aging – The Role of Physical Actıvıty And its Barriers in Women of Advanced Age.
  • Knapik, A., Dąbek, J., & Brzęk, A. (2019). Kinesiophobia as a Problem in Adherence to Physical Activity Recommendations in Elderly Polish Patients with Coronary Artery Disease. Patient Preference and Adherence, 13, 2129–2135. https://doi.org/10.2147/PPA.S216196
  • Kocjan, J., & Knapik, A. (2014). Barriers of physical activity (kinesiophobia) in patients subjected to cardiac rehabilitation. Baltic Journal of Health and Physical Activity, 6, 291–297. https://doi.org/10.2478/bjha-2014-0028
  • Larsson, C., Ekvall Hansson, E., Sundquist, K., & Jakobsson, U. (2016). Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain. BMC Geriatrics, 16, 128. https://doi.org/10.1186/s12877-016-0302-6
  • Luque-Suarez, A., Martinez-Calderon, J., & Falla, D. (2019). Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: A systematic review. British Journal of Sports Medicine, 53(9), 554–559. https://doi.org/10.1136/bjsports-2017-098673
  • Luque-Suarez, A., Martinez-Calderon, J., Navarro-Ledesma, S., Morales-Asencio, J. M., Meeus, M., & Struyf, F. (2020). Kinesiophobia Is Associated With Pain Intensity and Disability in Chronic Shoulder Pain: A Cross-Sectional Study. Journal of Manipulative and Physiological Therapeutics, 43(8), 791–798. https://doi.org/10.1016/j.jmpt.2019.12.009
  • Olanrewaju, O., Kelly, S., Cowan, A., Brayne, C., & Lafortune, L. (2016). Physical Activity in Community Dwelling Older People: A Systematic Review of Reviews of Interventions and Context. PLOS ONE, 11(12), e0168614. https://doi.org/10.1371/journal.pone.0168614
  • Roelofs, J., van Breukelen, G., Sluiter, J., Frings-Dresen, M. H. W., Goossens, M., Thibault, P., Boersma, K., & Vlaeyen, J. W. S. (2011). Norming of the Tampa Scale for Kinesiophobia across pain diagnoses and various countries. Pain, 152(5), 1090–1095. https://doi.org/10.1016/j.pain.2011.01.028
  • Sahin, F., Yilmaz, F., Ozmaden, A., Kotevolu, N., Sahin, T., & Kuran, B. (2008). Reliability and validity of the Turkish version of the Berg Balance Scale. Journal of Geriatric Physical Therapy, 31(1), 32–37. https://doi.org/10.1519/00139143-200831010-00006
  • Sander, M., Oxlund, B., Jespersen, A., Krasnik, A., Mortensen, E. L., Westendorp, R. G. J., & Rasmussen, L. J. (2015). The challenges of human population ageing. Age and Ageing, 44(2), 185–187. https://doi.org/10.1093/ageing/afu189
  • Saulicz, E., Knapik, A., Saulicz, M., Linek, P., Rottermund, J., Wolny, T., & Myśliwiec, A. (2016a). Physical activity in youth and level of kinesiophobia in older adults. Baltic Journal of Health and Physical Activity, 8, 64–77. https://doi.org/10.29359/BJHPA.08.2.06
  • Saulicz, M., Saulicz, E., Knapik, A., Linek, P., Rottermund, J., Myśliwiec, A., & Wolny, T. (2016b). Impact of physical activity and fitness on the level of kinesiophobia in women of perimenopausal age. Przeglad Menopauzalny = Menopause Review, 15(2), 104–111. https://doi.org/10.5114/pm.2016.61193
  • Shelby, R. A., Somers, T. J., Keefe, F. J., DeVellis, B. M., Patterson, C., Renner, J. B., & Jordan, J. M. (2012). Brief fear of movement scale for osteoarthritis. Arthritis Care & Research, 64(6), 862–871. https://doi.org/10.1002/acr.21626
  • Stubbs, B., Patchay, S., Soundy, A., & Schofield, P. (2014). The Avoidance of Activities due to Fear of Falling Contributes to Sedentary Behavior among Community-Dwelling Older Adults with Chronic Musculoskeletal Pain: A Multisite Observational Study. Pain Medicine, 15(11), 1861–1871. https://doi.org/10.1111/pme.12570
  • Trocoli, T. O., & Botelho, R. V. (2016). Prevalence of anxiety, depression and kinesiophobia in patients with low back pain and their association with the symptoms of low back spinal pain. Revista Brasileira De Reumatologia, 56(4), 330–336. https://doi.org/10.1016/j.rbre.2016.02.010
  • Vincent, H. K., Seay, A. N., Montero, C., Conrad, B. P., Hurley, R. W., & Vincent, K. R. (2013). Kinesiophobia and fear-avoidance beliefs in overweight older adults with chronic low-back pain: Relationship to walking endurance--part II. American Journal of Physical Medicine & Rehabilitation, 92(5), 439–445. https://doi.org/10.1097/PHM.0b013e318287633c
  • Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Boeren, R. G. B., & van Eek, H. (1995). Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain, 62(3), 363–372. https://doi.org/10.1016/0304-3959(94)00279-N
  • Yildiz, S., Kirdi, E., & Bek, N. (2020). Comparison of the lower extremity function of patients with foot problems according to the level of kinesiophobia. Somatosensory & Motor Research, 37(4), 284–287. https://doi.org/10.1080/08990220.2020.1823362
  • Yılmaz, Ö. T., Yakut, Y., Uygur, F., & Ulu, N. (2011). Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon Dergisi, 22(1), 44–49.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Fatma Zehra Genç 0000-0003-1861-8864

Naile Bilgili 0000-0002-7639-0303

Proje Numarası -
Yayımlanma Tarihi 23 Haziran 2023
Gönderilme Tarihi 4 Temmuz 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 12 Sayı: 2

Kaynak Göster

APA Genç, F. Z., & Bilgili, N. (2023). Huzurevinde Yaşayan Yaşlılarda Kinezyofobi ve İlişkili Faktörlerin Değerlendirilmesi. Balıkesir Sağlık Bilimleri Dergisi, 12(2), 294-303. https://doi.org/10.53424/balikesirsbd.1140101

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