Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Yaşlı Bireylerde Tüm Vücut Titreşim Uygulamasının Fiziksel İşlevler Üzerine Etkisi: Sistematik Bir İnceleme
The Effect of Whole Body Vibration Application on Physical Functions in Older People: A Systematic Review
Canan BOZKURTa, Öznur ERBAY DALLIb, Yasemin YILDIRIMc
aBandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İç Hastalıkları Hemşireliği ABD, Balıkesir, Türkiye
bBursa Uludağ Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon ABD, Bursa, Türkiye
cEge Üniversitesi Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği ABD, İzmir, Türkiye
Turkiye Klinikleri J Health Sci. 2022;7(2):597-608
doi: 10.5336/healthsci.2021-83034
Article Language: TR
Full Text
ÖZET
 Bu çalışmanın amacı, yaşlı bireylerde tüm vücut titreşim uygulamasının fiziksel işlevleri üzerine etkisine ve uygulama yöntemlerine dair çalışmaları sistematik olarak incelemektir. Bu çalışma, sistematik derleme ve metaanaliz çalışma rehberi PRISMA-P'ye (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols) göre hazırlanmıştır. Ulusal ve uluslararası elektronik veri tabanları kullanılarak (PubMed, Cochrane Library, Web of Science, Science Direct, CINAHL ve ULAKBİM Türk Tıp Dizini) son 2010-2020 yılları arasında yapılan çalışmalar dil sınırlaması olmaksızın taranmıştır. Tarama yaparken Türkçe veri tabanları için 'tüm vücut titreşimi', 'tüm vücut vibrasyonu', 'vibrasyon', 'yaşlı', 'geriatri', 'yaşlılık' ve uluslararası veri tabanları için 'whole body vibration', 'body vibration', 'vibration', 'older', 'elderly', 'geriatrics', 'aging' anahtar kelimeleri kullanılmıştır. Dâhil edilme ve dışlanma kriterleri PICOS ölçütleri göz önünde bulundurularak oluşturulmuştur. Çalışmalar metodolojik kalite açısından PEDro ölçeği ile değerlendirilmiştir. Uygun görülen 8 randomize kontrollü çalışma incelemeye alınmıştır. Çalışma sonuçlarına göre fonksiyonel performansta, kas gücünde ve dengede tüm vücut titreşimi uygulamasının kontrol grubuna göre önemli ölçüde yarar sağladığı ancak kemik mineral içeriği ve yoğunluğu, düşme riski ve sayısında etkili olmadığı görülmüştür. Tüm vücut titreşim uygulaması, bir kontrol grubuna kıyasla fonksiyonel performansı, kas gücünü ve dengeyi geliştirebileceği; fiziksel hareket kısıtlaması olan ya da yapmak istemeyen yaşlı bireyler için pasif bir egzersiz olarak güvenli ve tercih edilebilir bir uygulama olduğu düşünülmektedir.

Anahtar Kelimeler: Tüm vücut titreşimi; yaşlı; fiziksel işlev; sistematik derleme
ABSTRACT
 The aim of this study is to systematically examine studies on the effect of whole body vibration application on physical functions and application methods in older people. This study was prepared according to the systematic review and meta-analysis study guide PRISMA-P (Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols). By using national and international electronic databases (PubMed, Cochrane Library, Web of Science, Science Direct, CINAHL and ULAKBİM Turkish Medical Directory), studies conducted between the last 2010-2020 years were searched without language limitation. While searching Turkish databases, "whole body vibration", "vibration", "older", "geriatrics", "old age" and, "body vibration" for international databases. The keywords 'vibration','older','older','geriatrics','aging' are used. Inclusion and exclusion criteria were established by taking PICOS criteria into account. Studies were evaluated with the PEDro scale in terms of methodological quality. Eight randomized controlled trials deemed appropriate have been reviewed. According to the results of the study, it was seen that whole body vibration application provided significant benefits in functional performance, muscle strength and balance compared to the control group, but it was not effective in bone mineral content and density, fall risk and number. It is thought that whole body vibration practice can improve functional performance, muscle strength and balance compared to a control group and a safe and preferable practice as a passive exercise for older individuals who have physical movement restrictions or do not want to perform it

Keywords: Whole body vibration; older; physical function; systematic review
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