Ozcan Ayse, Donat Hulya, Gelecek Nihal, Ozdirenc Mehtap, Karadibak Didem
Dokuz Eylül University School of Physical Therapy and Rehabilitation, 35340 Inciralti-Izmir, Turkey.
BMC Public Health. 2005 Aug 26;5:90. doi: 10.1186/1471-2458-5-90.
Falls are one of the major health problems that effect the quality of life among older adults. The aim of this study was to explore the relationship between quality of life (Short Form-12) and the risk factors of falls (balance, functional mobility, proprioception, muscle strength, flexibility and fear of falling) in older adults.
One hundred sixteen people aged 65 or older and living in the T.C. Emekli Sandigi Narlidere nursing home participated in the study. Balance (Berg Balance test), functional mobility (Timed Up and Go), proprioception (joint position sense), muscle strength (back/leg dynamometer), flexibility (sit and reach) and fear of falling (Visual Analogue Scale) were assessed as risk factors for falls. The quality of life was measured by Short Form-12 (SF-12).
A strong positive correlation was observed between Physical Health Component Summary of SF-12, General Health Perception and balance, muscle strength. Proprioception and flexibility did not correlated with SF-12 (p > 0.05). There was negative correlation between Physical Health Component Summary of SF-12, General Health Perception and fear of falling, functional mobility (p < 0.05).
We concluded that the risk factors for falls (balance, functional mobility, muscle strength, fear of falling) in older adults are associated with quality of life while flexibility and proprioception are not.
跌倒 是影响老年人生活质量的主要健康问题之一。本研究的目的是探讨老年人生活质量（简短健康调查问卷-12）与跌倒风险因素（平衡能力、功能性活动能力、本体感觉、肌肉力量、柔韧性和跌倒恐惧）之间的关系。
116名年龄在65岁及以上、居住在土耳其埃梅克利桑迪基纳尔利德雷疗养院的老人参与了本研究。评估了平衡能力（伯格平衡量表测试）、功能性活动能力（定时起立行走测试）、本体感觉（关节位置觉）、肌肉力量（背部/腿部测力计）、柔韧性（坐位体前屈）和跌倒恐惧（视觉模拟评分法）作为跌倒的风险因素。生活质量通过简短健康调查问卷-12（SF-12）进行测量。
SF-12的身体健康成分总结、总体健康感知与平衡能力、肌肉力量之间观察到强正相关。本体感觉和柔韧性与SF-12无相关性（p>0.05）。SF-12的身体健康成分总结、总体健康感知与跌倒恐惧、功能性活动能力之间存在负相关（p<0.05）。
我们得出结论，老年人跌倒的风险因素（平衡能力、功能性活动能力、肌肉力量、跌倒恐惧）与生活质量相关，而柔韧性和本体感觉则不然。
