Factors Affecting Kinesiophobia in the Elderly

NCT06138366 | Completed

• 1 other identifier: AYSE TORAMAN KARAGULMEZ2
• Study Type: observational
• Target: 74
• Locations: 1 country
• Sites: 1

Brief Summary

In epidemiological studies, the incidence of foot problems has been found to be high as a result of the increase in life expectancy. The changes that occur in the foot with advancing age are extremely important in that they affect how the foot functions and transfer these effects to other body systems while standing and walking. These changes can also cause foot pain, limit mobility, impair functional performance in activities where the foot bears weight, and increase the risk of falling. In recent years, the level of kinesiophobia in elderly individuals; It seems to attract attention in terms of its effects on balance, falling, risk of falling, fear of falling, depression, physical activity level and quality of life. However, in the elderly living in nursing homes; It is not yet known how ankle joint position sense, foot posture, pain, foot-ankle disability, activity limitation, lower extremity muscle strength, walking speed and functional exercise capacity affect kinesiophobia. By elucidating these relationships, it will be possible to develop intervention strategies aimed at increasing foot-ankle characteristics, lower extremity muscle strength, walking speed and functional capacity, which are modifiable risk factors. The aim of this study is to examine the relationship between kinesiophobia and foot-ankle characteristics, lower extremity muscle strength, walking speed and functional exercise capacity in elderly people living in nursing homes.

Conditions

Aged

Keywords

Kinesophobia; Aged; Walking speed; foot

Outcome Measures

Primary Outcomes (8)

• Foot Posture

  Foot Posture İndex: The test score is calculated by assigning values between -2 and +2 to the 6 criteria on the foot and summing the scores from all criteria. A test score of 0 indicates that the foot is in a neutral position. A positive test score indicates standing pronation. A negative test score indicates standing supination.

  Baseline

• Foot Function

  Foot Function İndex:The scale consists of three subscales: pain, disability, and activity limitation. There are 23 questions in total. The participants are asked to score all questions with a visual analog scale scaled between 0-10, taking into account their foot condition in the last week. To calculate the sub-scales and the total score, the score of each item is added, divided by the sum of the maximum scores of the items and multiplied by 100. Higher scores indicate more pain, disability, and activity limitation.

  Baseline

• Ankle Joint Position Sense

  Individuals will be asked to bring their neutral feet to the desired target positions (10 degrees of dorsiflexion, 10 degrees of plantar flexion, 20 degrees of plantar flexion). Measurements will be repeated 3 times for each target angle. The absolute value of the deviations from the target angles will be recorded and the average of the deviations occurring during the 3 repetitions will be taken.

  Baseline

• Lower extremity muscle strength

  Sit-Up Chair Test: The number of times the individual sits and stands in a chair during 30 seconds will be recorded as the individual's score.

  Baseline

• Forward Walking Speed

  10 meters Forward Walk Test:The time it takes to cover the ten meters at the person's normal speed will be recorded. The test is performed twice, and the average value is recorded in meters/second with the stopwatch.

  Baseline

• Backward Walking Speed

  3 meters Backward Walk Test:The time taken for the person to walk backwards as fast as possible will be recorded. The test is performed once and its duration is recorded in meters/second with a stopwatch.

  Baseline

• Kinesiophobia

  Tampa Kinesiophobia Scale:Responses on the Tampa Kinesiophobia Scale are classified as strongly disagree, disagree, agree and strongly agree. There are two types of expressions (direct and inverse) in the scale. While these expressions are scored, those who get 1 point turn into 4, and those who get 4 points turn into 1.4-point answers in direct statements indicate a high level of kinesiophobia. In reversed expressions, answers with a value of 1 indicate a high level of kinesiophobia, and answers with a value of 4 indicate a low level of kinesiophobia. Scores from the scale range from 17 to 68. The score obtained from the scale constitutes the individual's score that should be interpreted at the level of kinesiophobia. A high score indicates a high level of kinesiophobia.

  Baseline

• Functional Exercise Capacity

  Six-minute walk test: The distance traveled will be measured by walking in a straight 30-meter corridor for six minutes. More distance traveled indicates better functional capacity.

  Baseline

Secondary Outcomes (1)

• Balance Performance

  Baseline

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Volunteer elderly individuals living in Zonguldak Center, Karadeniz Ereğli İzmirlioğlu and Çaycuma Nursing Homes affiliated with the Zonguldak Provincial Directorate of Family and Social Services and individuals who meet the inclusion criteria will participate in the research. In order to conduct the research, an application will be made to Zonguldak Provincial Directorate of Family and Social Services for the necessary permissions and permissions will be obtained. All individuals who volunteer to participate in the study will be given all necessary information about the purpose and procedure of the study before starting the study. All volunteers will then need to sign an informed consent form.

You may qualify if:

• Being 65 years of age and older
• Stay in a nursing home
• Getting a score of 24 or higher on the Standardized Mini Mental State Test
• Being able to walk with a cane or without a cane
• Know how to read and write

You may not qualify if:

• Being vision problem that cannot be corrected with glasses or lenses
• Being hear problem that cannot be corrected with hearing aids
• Being blood pressure unsafe for exercise (\>180/100 or \<100/60 mmHg at rest)
• Being severe respiratory and cardiac problems
• History of lower extremity surgery in the last six months
• Being severe orthopedic and neurological deficits that may affect walking
• History of recurrent falls (more than one fall in the last year)
• Being do exercise more than 150 minutes a week
• Participating in any exercise program in the last six months
• Have received any foot health treatment in the last six months

Sponsors & Collaborators

• Bulent Ecevit University: lead

Study Sites (1)

Zonguldak Center, Kdz. Ereğli İzmirlioğlu and Çaycuma Nursing Homes

Zonguldak, Center, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Kinesiophobia

Condition Hierarchy (Ancestors)

Phobic Disorders; Anxiety Disorders; Mental Disorders

Study Officials

• AYŞE TORAMAN KARAGÜLMEZ

  Ankara Yildirim Beyazıt University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: November 12, 2023
• First Posted: November 18, 2023
• Study Start: July 15, 2024
• Primary Completion: September 15, 2024
• Study Completion: September 16, 2024
• Last Updated: February 6, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)