Evaluation of Balance, Physical Activity, Functional Capacity and Activities of Daily Living in Frail Elderly Individuals with COPD
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- COPD (Chronic Obstructive Pulmonary Disease)
- Sponsor
- Kırıkkale University
- Enrollment
- 54
- Locations
- 1
- Primary Endpoint
- Two-minute walk Test
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This study is conducted on the evaluation of balance, physical activity, functional capacity and activities of daily living in frail elderly individuals with COPD.
Detailed Description
Patient evaluation form and socio-demographic form of all individuals participating in the study. Characteristics will be questioned: Name-surname, address, telephone, age, gender, weight, height, body mass index, occupation, marital status, social security, any systemic other than COPD whether he has a disease, whether he has social security, whether he smokes, It will be questioned whether there is any other COPD patient in the family and whether there is pain. To assess pulmonary functions at the assessment stage for all individuals pulmonary function test to evaluate dyspnea Modified Medical Saint George Respiratory Research Council to assess health-related quality of life Two Minute Walk Test to assess exercise capacity, frailty Frail fragility scale to detect frailty, Prisma-7 Vulnerability scale to assess fragility The scale was Pase to assess physical activity, Berg Balance to assess balance scale, digital hand dynamometer to assess quadriceps muscle strength, hand grip hand dynamometer to assess strength, fatigue levels Fatigue Severity Scale will be used to evaluate.
Investigators
Meral SERTEL
associate professor
Kırıkkale University
Eligibility Criteria
Inclusion Criteria
- •Being diagnosed with COPD according to the Gold criteria
- •Be over 65 years old
- •Volunteering to participate in the study
- •Not having mental and communication problems that prevent filling out the questionnaires to be used in the research.
- •Not having an attack in the last 2 months
Exclusion Criteria
- •Being in a COPD exacerbation process
- •Having been diagnosed with a physical and mental illness
- •Having unstable COPD
- •Unstabile angina, previous Myocardial Infractus, uncontrolled hypertension, cancer, with functional limitations concomitant neurological or musculoskeletal disorders
- •Currently addicted to alcohol or drugs
- •Having severe vision and hearing problems
- •Have had major surgery in the last few months
- •History of recurrent significant clinical infection
Outcomes
Primary Outcomes
Two-minute walk Test
Time Frame: eight months
It is recommended that the area where the test will be performed is a corridor with a flat and hard floor of 30 meters long. The goal is to walk the maximum distance he can walk in 2 minutes if he has a helper device he uses. If you have shortness of breath or fatigue, you are told to slow down and stop and then start again when you feel ready.
Physical activity scale for the elderly (PASE)
Time Frame: eight months
The survey assesses the physical activity of older individuals over the past week and includes components of leisure, housework, and work-related physical activity. Never, rarely (1-2 days/week), sometimes (3-4 days/week) and often (5-7 days/week), while the duration of activities is classified as: Less than 1 hours, 1-2 hours to 2-4 hours and more than 4 hours.
Saint George Respiratory Survey
Time Frame: eight months
A test that assesses health-related quality of life specific to individuals with respiratory diseases. questions 50 items divided into 3 areas: symptoms (8 items), activities (16 items), effects of the disease (26 items). The 3 sections of the test are scored separately and the total score is calculated. The scores vary from 0-100-0. A score of zero indicates normal and a score of 100 indicates the worst state of health.
Berg balance scale(BDO)
Time Frame: eight months
The Berg balance scale (BDO) is a scale with 14 instructions and a score of 0-4 for each instruction by observing the patient's performance. 0 points are given when the patient is unable to perform the activity at all, while 4 points are given when the patient completes the activity independently. The highest score is 56, with 0-20 points indicating a balance disorder, 21-40 points indicating the presence of an acceptable balance, and 41-56 points indicating the presence of a good balance.
Modified Medical Research Council scale(MMRC)
Time Frame: eight months
The MMRC (modified Medical Research Council scale) is a scale scored between 0 and 4 based on various factors that produce a dyspnea sensation. Zero points only shorten my breath during heavy exercise; 4 points I can't leave the house because of my shortness of breath or I have shortness of breath while getting dressed and undressed
Frail fragility scale
Time Frame: eight months
Proven to be an effective method of vulnerability detection. The patient's fatigue status, resistance, mobility, weight loss and other diseases were questioned and allowed to evaluate. The FRAIL scale, which consists of 5 items, scores 0 1-2 or 1 based on the patients' response and is evaluated as non-frail, 0 points pre-frail and \>2 points fragile.
Secondary Outcomes
- Prisma-7 Vulnerability scale(eight months)
- digital hand dynamometer(eight months)
- Fatigue Severity Scale(eight months)
- Breathing function test(eight months)
- hand dynamometer(eight months)