BEYOND DYSPNEA: FRAILTY, KINESIOPHOBIA, FATIGUE, MUSCLE WEAKNESS AND FUNCTIONNAL DECLINE IN GERIATRIC COPD PATIENTS
DOI:
https://doi.org/10.55197/qjmhs.v5i2.186Keywords:
chronic obstructive pulmonary disease, fatigue, frailty, handgrip strength, kinesiophobia, physical activityAbstract
This study aims to comprehensively evaluate and compare frailty, handgrip strength, physical activity, kinesiophobia, and fatigue in geriatric individuals with COPD and asymptomatic counterparts, and to investigate the specific impact of COPD on these clinical parameters. This study was completed with 25 older adults diagnosed with COPD and 25 asymptomatic elderly without a COPD diagnosis, selected from a total of 87 individuals who visited the Chest Diseases Clinic, were diagnosed with COPD, and agreed to participate in the study. The Fatigue Severity Scale was used to assess the fatigue levels of individuals, the TAMPA Scale of Kinesiophobia to evaluate kinesiophobia, the PRISMA-7 Frailty Test to determine frailty, the Physical Activity Scale for the Elderly (PASE) to assess physical activity levels, and the Handgrip Test to measure handgrip strength. A statistically significant difference was found between individuals with COPD and asymptomatic individuals in terms of fatigue severity level (t=7.157; p=0.000), TAMPA kinesiophobia level (t=6.506; p=0.000), PASE Physical Activity test (t=-4.199; p=0.000), Jamar Right Hand Strength test (t=-2.812; p=0.007), Jamar Left Hand Strength test (t=-2.419; p=0.019), and PRISMA-7 frailty test scores (χ²=10.27; p=0.001). Screening for frailty and kinesiophobia should be included in physiotherapy planning for geriatric COPD patients. Early and comprehensive evaluation of these domains is essential to guide targeted interventions, prevent functional decline, and improve overall quality of life in this population.
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