Browsing by Author "Tuna, Hülya"

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Cross-Cultural Adaptation and Validation of the Turkish Version of the 25-Question Geriatric Locomotive Function Scale
(Turkish Geriatrics Soc, 2025) İlçin, Nursen; Tuna, Hülya; Gurpinar, Baris
Introduction: Locomotive syndrome, characterized by gait disorders, loss of balance, and cognitive difficulties, significantly impacts older adults by increasing morbidity and reducing independence. This study aimed to adapt the 25-item Geriatric Locomotive Function Scale into Turkish and evaluate its validity and reliability. Materials and Method: The translation process involved forward and backward translations by bilingual experts to ensure linguistic and conceptual equivalence with the original scale. A total of 250 individuals aged ≥65 years participated, completing the Turkish version of the scale alongside functional mobility tests; the timed up-and-go, five repetitions of sit-to-stand, two-step, and standing tests. Participants repeated the scale 1 week after the initial evaluation to assess the test–retest reliability. Results: The internal consistency of the Turkish version was excellent (Cronbach’s alpha = 0.952). Test–retest reliability, assessed 1 week apart, yielded an intraclass correlation coefficient of 0.974, indicating excellent reliability. Concurrent validity was examined by correlating scale scores with functional test results. Significant correlations were observed (p < 0.001), with Pearson’s correlation coefficients of 0.472 for timed up-and-go, 0.504 for five repetitions of sit-to-stand, -0.871 for the two-step test, and -0.518 for the standing test. These findings demonstrate that the Turkish version is a valid and reliable tool for assessing mobility impairment and functional limitation in older adults. Conclusion: The adaptation and validation of the 25-item Geriatric Locomotive Function Scale into Turkish provide a comprehensive measure for evaluating and monitoring locomotor function, supporting early detection and intervention in this population.
Citation - WoS: 1
Practices of Physiotherapists on the Risk of Falls and Prevention in Clients Aged 65 and Older: Online Survey Results
(Dokuz eylul univ inst health sciences, 2024) Tuna, Hülya; Gurpınar, Barış; İlçin, Nursen
Purpose: Physiotherapists frequently interact with elderly clients. We aimed to determine the physiotherapists' practices for fall risk and prevention in clients at 65 years and older. Material and Methods: Seventy-two physiotherapists responded to online survey including questions about demographic and professional characteristics, the awareness and practices of physiotherapists on falling and preventing falls. Results: Ninety-one point seven percent of physiotherapists reported that fall risk should be determined in all clients at 65 years and older. Thirty point six percent of them stated that they evaluated the risk of falling in case of necessity, 83.3% stated that they did not use a standard assessment-treatment flow chart for risk of falling. In elderly clients with low or no risk of falling, 8.1% of physiotherapists; In elderly clients with high risk of falling 83.3% of physiotherapist applied a preventive physiotherapy approach to prevent falls. The rate of physiotherapists who provide education and advice on fall prevention to elderly clients with low or no fall risk is 67.9%, while 73.5% prefer assistive device reclamation in elderly clients with a high risk of falling. Conclusion: Interventions should be planned to improve fall risk awareness and practices among physiotherapists by following a standard assessment-treatment flow chart for their clients 65 years and older.