Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
The Effect of Body Percussion on Balance and Coordination in Elderly People
Yaşlılarda Beden Perküsyonunun Denge veKoordinasyon Üzerine Etkisi
Nuray GİRGİNa, Zeliha Candan ALGUNb
aDepartment of Physiotherapy and Rehabilitation, İstanbul Okan University Faculty of Health Sciences, İstanbul, TURKEY
bDepartment of Physiotherapy and Rehabilitation, İstanbul Medipol University Faculty of Health Sciences, İstanbul, TURKEY
J Tradit Complem Med. 2021;4(2):187-95
doi: 10.5336/jtracom.2020-80447
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aims to determine the effects of body percussion (BP) on balance and coordination in elderly people. Material and Methods: We analyzed fifty participants by randomly assigning them to intervention and control groups. The intervention group had percussion work for 3 days per week, whereas the control group did not participate in percussion. The groups' static balance was evaluated with Romberg, Single Leg Stance Test, and Functional Reach, while the evaluation of dynamic balance was based on 360° Turn Test and Four Step Square Test. Lastly, the Berg Balance Scale was used to measure the functional balance, along with the ruler drop test for reaction time. Multiple measures such as finger to nose, supination-pronation, knee heel, Lower Extremity Motor Coordination Test, and Soda Pop Coordination Test were used to demonstrate the effects on the coordination. The first measurements were made at the beginning of the study, followed by the comparison measurements at the 8th week. Results: The results pointed out that significant intra-group differences were found in the intervention group in terms of the Single Leg Stance Test and the Functional Reach Test (p=0.013 and p=0.000), as well as 360° Turn Test and the Four Square Step Test (p=0.000 and p=0.000). The outcomes of the finger to nose (p=0.032), supination-pronation (p=0.020), and Lower Extremity Motor Coordination (p=0.003) tests significantly improved in the intervention group. Conclusion: The results demonstrated that BP significantly affects coordination and balance in elderly people. BP has promising effects as a physical activity for the elderly.

Keywords: Coordination complexes; exercise; frail elderly; percussion; postural balance
ÖZET
 Amaç: Bu çalışmanın amacı, yaşlılarda beden perküsyonunun (BP) denge ve koordinasyon üzerine etkilerini belirlemektir. Gereç ve Yöntemler: 50 katılımcı, çalışma ve kontrol grubu olarak 2'ye ayrılmıştır. Çalışma grubunda, haftada 3 gün perküsyon çalışması yapılırken, kontrol grubu perküsyona katılmamıştır. Romberg Testi, Tek Ayak Duruş Testi ve Fonksiyonel Uzanma Testi ile statik denge; 360° Dönme Testi, Dört Kare Adım Testi ile dinamik denge değerlendirilmiştir. Aynı zamanda, fonksiyonel denge için Berg Denge Ölçeği kullanılmıştır. Reaksiyon zamanı, cetvel düşme testi ile değerlendirilmiştir. Koordinasyon ise parmak burun, supinasyon pronasyon, diz topuk, Alt Ekstremite Motor Koordinasyon Testi, Soda Pop Koordinasyon Testi ile değerlendirilmiştir. Gruplara ilk ölçüm yapıldıktan 8 hafta sonra 2. ölçüm uygulanmıştır. Bulgular: Çalışma grubunda, Tek Ayak Duruş Testi ve Fonksiyonel Uzanma Testi (p=0,013 ve p=0,000) ile 360° Dönme Testi ve Dört Kare Adım Testi (p=0,000 ve p=0,000) açısından anlamlı grup içi farklılıklar bulundu. Çalışma grubunda parmak burun (p=0,032), supinasyon-pronasyon (p=0,020) ve Alt Ekstremite Motor Koordinasyon (p=0,003) testlerinin sonuçları, anlamlı iyileşme gösterdi. Sonuç: Sonuçlar, BP'nin yaşlı insanlarda koordinasyonu ve dengeyi önemli ölçüde etkilediğini gösterdi. BP'nin, fiziksel bir aktivite olarak kullanımı yaşlılar için etkili olabilir.

Anahtar Kelimeler: Koordinasyon kompleksleri; egzersiz yapmak; kırılgan yaşlılar; perküsyon; postüral denge
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