Background: Activities and participation play important roles in the maintenance of healthy aging. The maintenance of these factors optimizes social life to increase the quality of life with aging. However, there is a lack of questionnaires in Turkish to evaluate activity and participation among older people. This study translated and cross-culturally adapted the Oxford Participation and Activities Questionnaire (Ox-PAQ) into Turkish and investigated its psychometric properties in the older adult population. Methods: The Turkish version of the Ox-PAQ was produced after a translation and back-translation process. The Ox-PAQ was administered to 230 and 60 individuals for construct validity and reliability analyses, respectively. To assess the test-retest reliability of the Turkish Ox-PAQ, the questionnaire was reapplied 7 days after the first interview. Cronbach's alpha (α) was used to evaluate the internal consistency. The Ox-PAQ was compared to the Short Form-12 and the Katz Index of Independence in Activities of Daily Living Scale to determine its validity. Results: The Turkish Ox-PAQ showed excellent internal consistency (α=0.98) and test-retest reliability (intraclass correlation coefficient=0.98, 0.96, and 0.97 for the subscales of routine activity level, social engagement, and emotional well-being, respectively). In the validity analysis, factor analysis demonstrated a probable structure of the three factors that together explained 66.35% of the total variance. The Turkish Ox-PAQ was correlated with the other comparison measures used in this study. Conclusion: The Turkish Ox-PAQ is a reliable and valid questionnaire to evaluate the participation and activity levels of older people (Clinical Trial Number: NCT04368754).

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BackgroundOsteoarthritis (OA) is the most prevalent chronic degenerative joint disease in the elderly population. The main signs and clinical symptoms of this disease are pain, edema, stiffness, and articular instability. OA is considered to be an intrinsic risk factor for the occurrence of falls. Falls constitute as one of the major public health concerns. They frequently have a negative impact on the daily life of elderly people and could lead an increase of dependence, fear of new falls, fractures, immobility and death.ObjectivesThe purpose of this study was to compare physical performance and gait speed among older people with knee osteoarthritis with and without a history of falls.MethodsThe community-dwelling older people (65 and older) were recruited from different social senior groups and from the Hacettepe University Hospital Geriatric Outpatient Clinic. 102 patients were screened and 62 subjects with unilateral knee OA were evaluated. We used a standardized questionnaire, consisting of sociodemographic datas, cognitive function, and history of falls during the previous year. Thirty one elderly with a history of falls and also 31 without a history of falls were studied. Physical performance was evaluated with Short Physical Performance Test (SPPT). Walking speeds were measured with Six Metre Walk Test. Fear of falling (FOF) was assessed by a question (Do you have fear of falling? yes/no)ResultsThere were no differences between faller and non-faller elderly people in terms of age (76±8,4 years) and BMI (30,4±3,1 kg/m2). A statistically significant difference was found in terms of walking speeds and short physical performance test (p<0,005, p<0,005).ConclusionsAs a result of this study, it was shown that the elderly people with knee OA and who have history of falls present worse performance in functional mobility and require a longer period of time to walking.References Huang MH, Lin YS, Yang RC, Lee CL. A comparison of various therapeutic exercises on the functional status of patients with knee osteoarthritis. Semin Arthritis Rheum 2003; 32: 398–406.Hinman RS, Bennell KL, Metcalf BR, Crossley KM. Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology 2002; 41: 1388–1394. Disclosure of InterestNone declared

BackgroundOsteoporosis (OP) is a generalized skeletal disorder characterized by compromised bone strength and deterioration of bone quality, often leading to fragility. Elderly osteoporosis is being public health problem that highly affects people especially above 65 years. Physiotheraphy and rehabilitation programs are important in the prevention and management of osteoporosis. Exercises improve mobility in elder inpatient by increasing activity, muscular strength, flexibility, and reducing the risk of falls and length of stay in hospital.ObjectivesThe aim of our study was to investigate the effects of physiotherapy and rehabilitation program on mobility, physical activity and quality of life in elderly inpatient.MethodsA hundred and twenty four patient with OP (mean age: 73,03±5,9) participated in this study. A total of patients who were randomized as study and control group followed by Hacettepe University Faculty of Medicine Department of Internal Medicine, Division of Geriatric Medicine Department of Physiotheraphy and Rehabiltation, Geriatric Rehabilitation Unit were, were included to the study. Assessment for cognitive function (Mini Mental State Test), functional mobility (De Morton Mobility Index), activities of daily living (Katz Index of Independence in Activities of Daily Living), quality of life (EuroQol-5D) were used at admission and discharge in hospital. Thirty minutes physiotherapy and rehabilitation program including breathing, balance and coordination and strengthening exercises was performed by the intervention group under supervision of physiotherapist during the stay in hospital. Control group did not special exercise, they continued their activities of daily living. exercise. Length of stay in hospital of all participant was recorded.ResultsSixty two patients were randomly assigned to the each group.The groups were similar in sociodemographical feature (p>0.05). Improvements in mobility, quality of life and daily physical activity levels were found in the study group (p<0.05). There were no significant differences between control and intervention group in length of stay in hospital (p>0.05).ConclusionsThese results revealed the necessity of physiotherapy and rehabilitation program to prevent negative effects of the hospitalization process of the geriatric patients with osteoporosis.References Muche, J., McCarty, S., & Kishner, S. (2015). Geriatric Rehabilitation.Curran, E., Clifford, S., Forman, S., & Power, D. (2014, September). Screening of Osteoporosis Treatment in Patients Presenting with Fragility Fractures in a Geriatric Active Rehab Unit. In Irish Journal Of Medical Science (Vol. 183, Pp. S334-S335). 236 Grays Inn Rd, 6th Floor, London Wc1x 8hl, England: Springer London Ltd. Disclosure of InterestNone declared

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