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    Determination of cut-off values of tinetti performance oriented mobility assessment and fall risk questionnaire in older adults individuals with cognitive impairment
    (2019) Sertel, Meral; Demirci, Cevher Savcun; Sakizli, Elif; Bezgin, Sabiha
    Aim: This study was planned to determine cut-off values of the Tinetti Performance Oriented Mobility Assessment (POMA) and the Self-Assessment Fall Risk Questionnaire (FRQ) in older adults with mild cognitive impairment.Material and Methods: This study included a total of 213 individuals aged 65 years and over in the study. These individuals were divided into two groups according to Mini Mental Test (MMT) scores: 116 individuals with an MMT score of 18-23 (mild cognitive impairment) and 97 individuals with an MMT score of 24 or more (normal cognitive function). Balance and gait performance was assessed by the POMA, the fall risk self-assessment by older adult susing a FRQ.Results: In Older Adults with mild cognitive function, the clinical cut-off points for the POMA and FRQ were determined according to ROC curve analysis. The clinical cut-off point for the POMA was determined as 15.5 points; and 15.5 points or more in the POMA were considered normal with a 95% confidence level. The clinical cut-off point for the FRQ was determined as 4.5 points; and 4.5 points or less in the FRQ were considered normal with a 95% confidence level.Conclusions: We think that it is important to take the values obtained in the present study into account in interpreting the above-mentioned commonly used tests when cognitive status is considered related to falling. Therefore, it is suggested that these tests used in the clinic should be examined considering the risk of falling in older adults with mild cognitive function.
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    The effect of single-tasks and dual-tasks on balance in older adults
    (Taylor & Francis As, 2017) Sertel, Meral; Sakizli, Elif; Bezgin, Sabiha; Demirci, Cevher Savcun; Sahan, Tezel Yildirim; Kurtoglu, Fatih
    Purpose: This study has been planned to show how the balance is influenced when additional cognitive and motor tasks are given to older people. Methods: 159 older adults (61 Females/98 Males) between 65 and 80 years of age were included in the study. The single and dual task performances of the individuals were evaluated with the Stand on One Foot Test, Time up and Go Test (TUG), and Sit Down-Stand up Test; and the cognitive status was evaluated with the Mini Mental Status Test. The individuals were asked to transfer an object from one hand to the other as an additional motor task during the balance tests; and were asked to count by twos as a cognitive additional task. Results: When the taskless balance performances of the individuals and their dynamic balances during the additional cognitive and motor tasks were compared, it was observed that the duration of completing the test increased at a statistically significant level when both motor and cognitive additional tasks were added in TUG (p < 0.001); and in Sit down-Stand up, Stand on One Foot Tests (right and left), on the other hand, it was observed that the durations of the tests decreased when both additional motor and cognitive tasks were given (p < 0.001). Conclusion: At the end of our study, we observed that the additional tasks given to the older adults decreased the balance performance. We consider that balance trainings must be given together with motor and cognitive tasks to older people.
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    Effects of Kinesio Taping Applied to Diaphragm Muscle on Aerobic Exercise Capacity and Pulmonary Function in Sedentary Individuals
    (2018) Arslan, Saniye Aydoğan; Daşkapan, Arzu; Pekyavas, Nihan Ozunlu; Sakizli, Elif
    Aim: In this study, we aimed to determine the short-term effects of diaphragmatic Kinesio taping (KT) on aerobic exercise capacity and pulmonary function in sedentary individuals. Materials and Methods: Sedentary volunteers were included in the study. Participants were randomly divided into two groups: KT group (n =17), and sham KT group (n=19). In order to evaluate submaximal functional capacity and aerobic performance, shuttle run and pulmonary function tests were performed for each participant both prior to and four days after KT. Chest circumference measurement was made for the flexibility of the rib cage. The KT muscle facilitation technique was applied to the diaphragm muscle. Results: Pulmonary function test values showed an increase in FEV1 four days after KT, compared to the values prior to KT (p=0.002). There was statistically significant difference between shuttle run test results (p=0.001) and axillar chest circumference measurements (p=0.045) before and 1 week after KT. Statistically significant difference was also observed concerning FEV1 (p=0.014), FEV1/FVC (p=0.035) results and shuttle run test distance (p=0.009). Discussion and Conclusion: KT applied to the diaphragm muscle improves aerobic performance and pulmonary functions in the short term and when compared to the sham KT group.