Our aim in this study was to analyze the effects of a home exercise program of calisthenic exercises delivered through telerehabilitation on physical performance, depression, and risk of falling in elder adults. Our participants were elder adults aged 65 and over, divided into exercise and control groups. We initiated a 4-week telerehabilitation calisthenic exercise program in the exercise group following initial assessments, while our control group received no formal exercise training. Both groups were evaluated online before and after this 4-week period with the Geriatric Depression Scale (GDS), Modified Falls Efficacy Scale (MFES), and Short Physical Performance Battery (SPPB). In total, 255 elder adults participated, with 132 (males = 72, females = 60) allocated to calisthenic exercise and 123 (males = 66, females = 57) allocated to the control group. While the groups did not differ significantly on any of our parameters before the exercise, there were statistically significant post-exercise group differences in GDS ( p ≤ .001) and MFES ( p ≤ .001) scores related to remarkable physical improvements achieved in the calisthenic exercise group. The exercise group showed significant increases in their scores on the SPPB Balance Test ( p = .049), SPPB Chair Test ( p = .009), and SPPB Total ( p = .002) while there was no significant increase in any of these scores among control group participants ( p > .05). Thus, calisthenic exercises performed via telerehabilitation significantly improved elder adults’ physical performance, fear of falling, and depression. Telerehabilitation is a useful remote means of assessing, inducing, and following-up exercise training, particularly during the ongoing COVID-19 pandemic.
Purpose: The Health Promoting Activities Scale (HPAS) is a short scale designed to question activities that may be beneficial for the mental and physical health of the mother and to evaluate mothers in this sense. The aim of the study was to cross-culturally adapt the Turkish version of the Health Promoting Activities Scale (HPAS-T) and to assess its reliability and validity. Methods: Eighty mothers of disabled children who received physiotherapy in a rehabilitation center were recruited in the study. HPAS-T was administered to mothers twice, one-week apart. Internal consistency of HPAS-T was assessed with Cronbach's alpha coefficient. Additionally, test–retest reliability was analyzed using intra-class correlation coefficient. Exploratory factor analysis was conducted to evaluate the construct validity. Besides, known-group validity in terms of body mass index was conducted to reveal the discriminant capacity of the HPAS-T. Results: The mean age of the mothers and their children was 37.46.3 years and 8.14.1 years, respectively. The internal consistency and reproducibility of the HPAS-T total score was excellent (α>0.80, ICC>0.80). SEM95 and MDC95 of the HPAS-T values were 0.58 and 1.61, respectively. HPAS-T, all items were loaded into a single component (0.470-0.833). According to the results of known-group validity model, the HPAS-T score of the mothers in the group whose children's body mass index was ≥18 was significantly lower (p
Objectives: The aim of this study was to investigate the factors underlying the fear of falling in Multiple Sclerosis (MS) patients and to determine the share of physical and psychological components in this fear.Materials and Methods: Patients between the ages of 18-65 years, diagnosed with Relapsing-Remitting form of MS were included in the study. Timed Up and Go Test (TUG) was used to assess gait functions and balance skills of patients during gait, Berg Balance Test (BBT) to assess balance skills in general, Fall Efficacy Scale-International (FES-I) to assess fear of falling, and Expanded Disability Status Scale (EDSS) to assess MS severity of the patients.Results: Forty-four patients (F:32 M:12) diagnosed with MS, with a mean age of 37.23±9.67 years, were included in our study. There was a statistically significant, positive and moderate correlation between the fear of falling and the number of attacks in the last 1 year (r=0.433, p=0.039), a statistically significant, positive and high-level correlation between fear of falling and falling history in the last 1 year (r=0.912, p=0.001), disability status (r=0.940, p=0.001) and TUG test (r=0.901, p=0.001) and a significant, negative and high-level correlation between fear of falling and balance skills (r=-0.944, p=0.001). According to the regression analysis, while the effects of falling history (p=0.043), BBT (p=0.025), TUG (p=0.004), and EDSS (p=0.007) on FES-1 were significant, the effect of TPLA was insignificant (p>0.05).Conclusion: Patients with MS are right about their fear of falling in parallel with their disability and balance-gait skills. However, this relationship is bidirectional, and the fear of falling has the potential to increase these limitations even more in MS patients whose functional activities are already restricted or going to be restricted.
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