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Dergiler / Samsun Sağlık Bilimleri Dergisi / 2026 / Cilt: 10 Sayı: 1

Non-Spesifik Bel Ağrılı Hastalarda Konvansiyonel Fizyoterapinin Ağrı, Esneklik, Denge ve Fiziksel Kapasite Üzerine Etkinliğinin İncelenmesi

Investigation of The Effectiveness of Conventional Physiotherapy on Pain, Flexibility, Balance and Physical Capacity in Patients with Non-Specific Back Pain

Mücahit Öztop(MEHMET AKIF ERSOY UNIVERSITY)0000-0002-9369-3381
Serbay Şekeröz(YUZUNCU YIL UNIVERSITY)0000-0001-8921-8492
Emine Aslan Telci(PAMUKKALE UNIVERSITY)0000-0003-2749-295X
Fatma Nur Altın(ADNAN MENDERES UNIVERSITY)0000-0002-9782-3964
Nesrin Yağcı0000-0002-5669-4932
Ayşe Sarsan(PAMUKKALE UNIVERSITY)0000-0002-6930-6441
Sayfa
67–80
Yayın Tarihi
2025-04-30
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular: Çalışmaya katılan kişilerin konvansiyonel fizyoterapi programı so nucunda GAS ile değerlendirilen aktivite ve istirahat ağrı değerlerinde, Modifiye Schober ve sağ ve sol taraf için Lateral Fleksiyon Esneklik testi ile değerlendirilen esneklik değerlerinde ve Zamanlı Kalk Yürü Testi ile değerlendirilen fonksiyonel kapasitelerinde anlamlı iyileşme görüldü (p 0.05).

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Amaç: Bel ağrısı kalıcı fonksiyonel kayıplara neden olabilen ve insanların yak laşık %84'ünü hayatında en az bir kez etkilediği bilinen küresel sağlık sisteminin en sık karşılaştığı problemlerden biridir.
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Temel Bulgular & Veri:Bu çalışmada, non-spesifik bel ağrısı yaşayan hastalarda konvansiyonel fizyoterapinin ağrı, esneklik, denge ve fiziksel kapasite üzerine etkisini incelemeyi amaçladık.
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Sonuç & Katkı:Bulgular: Çalışmaya katılan kişilerin konvansiyonel fizyoterapi programı so nucunda GAS ile değerlendirilen aktivite ve istirahat ağrı değerlerinde, Modifiye Schober ve sağ ve sol taraf için Lateral Fleksiyon Esneklik testi ile değerlendirilen esneklik değerlerinde ve Zamanlı Kalk Yürü Testi ile değerlendirilen fonksiyonel kapasitelerinde anlamlı iyileşme görüldü (p 0.05).
🔬Tür:Araştırma Makalesi
📍Kapsam:190 hasta
⚙️Değişkenler:Bel ağrısı · Konvansiyonel fizyoterapi · Egzersiz

Özet

Amaç: Bel ağrısı kalıcı fonksiyonel kayıplara neden olabilen ve insanların yak laşık %84'ünü hayatında en az bir kez etkilediği bilinen küresel sağlık sisteminin en sık karşılaştığı problemlerden biridir. Bu çalışmada, non-spesifik bel ağrısı yaşayan hastalarda konvansiyonel fizyoterapinin ağrı, esneklik, denge ve fiziksel kapasite üzerine etkisini incelemeyi amaçladık. Yöntem: Bu çalışma, hastaneye fizyoterapi ve rehabilitasyon için başvuran non-spesifik bel ağrılı 190 hasta üzerinde gerçekleştirildi. Çalışmaya dahil edilen tüm hastalara Hotpack, TENS, Terapötik Ultrasondan oluşan konvansiyonel fizyo terapi ve hastaya özel egzersiz programı üç hafta boyunca uygulandı. Fizyoterapi öncesi ve sonrasında kişilerin ağrı şiddeti Görsel Analog Skala, esneklikleri Modi fiye Schober testi ve Lateral Fleksiyon testi, statik dengeleri Tek Ayak Üstünde Dur ma testi, fonksiyonel kapasiteleri ise Zamanlı Kalk Yürü testi ile değerlendirildi. Değerlendirmeler tedavi öncesi ve sonrası olarak iki defa gerçekleştirildi. Bulgular: Çalışmaya katılan kişilerin konvansiyonel fizyoterapi programı so nucunda GAS ile değerlendirilen aktivite ve istirahat ağrı değerlerinde, Modifiye Schober ve sağ ve sol taraf için Lateral Fleksiyon Esneklik testi ile değerlendirilen esneklik değerlerinde ve Zamanlı Kalk Yürü Testi ile değerlendirilen fonksiyonel kapasitelerinde anlamlı iyileşme görüldü (p 0.05). Sonuçlar ve Öneriler: Çalışmanın sonuçları konvansiyonel fizyoterapi ve spi nal stabilizasyon egzersiz programının ağrı, esneklik ve fonksiyonel kapasitede anlamlı iyileşmeler sağladığını göstermiştir. Konvansiyonel fizyoterapi ve hastaya özel egzersizlerin uzun dönem etkileri ilerleyen çalışmalarda incelenmelidir.

Abstract

Aim: Low back pain is one of the most common issues faced by the global he althcare system, known to affect approximately 84% of people at least once in their lifetime and potentially leading to persistent functional impairments. In this study, we aimed to examine the effect of conventional physiotherapy on pain, flexibility, balance and physical capacity in patients experiencing non-specific low back pain. Method: This study was conducted on 190 patients with non-specific low back pain who presented to the hospital for physiotherapy and rehabilitation. All parti cipants in the study underwent a conventional physiotherapy program consisting of Hotpack, TENS, and Therapeutic Ultrasound, as well as a patient specific exer cise program for three weeks. Pain intensity was assessed using the Visual Analog Scale, flexibility was evaluated with the Modified Schober test and Lateral Flexion test, static balance was measured using the One-Leg Stand Test, and functional capacity was assessed using the Timed Up and Go Test before and after physiothe rapy. All evaluations were made two times as before and after treatment. Results: Significant improvements were observed in the activity and rest pain scores assessed with the GAS, flexibility values assessed with the Modified Scho ber test and the right and left Lateral Flexion Flexibility tests, and functional ca pacity evaluated with the Timed Up and Go Test (p 0.05). Conclusions and Suggestions: The results of the study demonstrated that the conventional physiotherapy and spinal stabilization exercise program provided significant improvements in pain, flexibility, and functional capacity. The long term effects of conventional physiotherapy and patient specific exercise should be investigated in future studies.

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Bu Makaleye Atıf Yap

Öztop, M., Şekeröz, S., Telci, E. A., Altın, F. N., Yağcı, N., Sarsan, A. (2025). Non-Spesifik Bel Ağrılı Hastalarda Konvansiyonel Fizyoterapinin Ağrı, Esneklik, Denge ve Fiziksel Kapasite Üzerine Etkinliğinin İncelenmesi. Samsun Sağlık Bilimleri Dergisi, Cilt: 10 Sayı: 1, 67–80. https://doi.org/10.47115/jshs.1446033

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Kaynakça (54)

  1. Airaksinen, O., Brox, J. I., Cedraschi, C., Hildebrandt, J., Klaber-Moffett, J., Kovacs, F.,. & COST B13 Working Group on Guidelines for Chronic Low Back Pain. (2006). European guidelines for the management of chronic nonspecific low back pain. European Spine Journal, 15(Suppl 2), s192. https://doi.org/10.1007/s00586-006-1072-1
  2. Akyol, Y., Durmuş, D., Alayli, G., Tander, B., Ulus, Y., & Cantürk, F. (2009). Lomber Spinal Stenozlu Hastalarda Fizik Tedavi Ajanlarının Etkinliği. Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, 55(4). https://ftrdergisi.com/uploads/sayilar/232/buyuk/141-1462.pdf.
  3. Balagué, F., Mannion, A. F., Pellisé, F., & Cedraschi, C. (2012). Non-specific low back pain. The Lancet, 379(9814), 482-491. https://doi.org/10.1016/S0140-6736(11)60610-7
  4. Briggs, R. C., Gossman, M. R., Birch, R., Drews, J. E., & Shaddeau, S. A. (1989). Balance performance among noninstitutionalized elderly women. Physical Therapy, 69(9), 748-756. https://doi.org/10.1093/ptj/69.9.748
  5. Bennie, S., Bruner, K., Dizon, A., Fritz, H., Goodman, B., & Peterson, S. (2003). Measurements of balance: comparison of the ‘Time Up and Go’ test and Functional Reach test with the Berg Balance Scale. Journal of Physical Therapy Science, 15(2), 93-97. https://doi.org/10.1589/jpts.15.93
  6. Campbell, T. S., Johnson, J. A., & Zernicke, K. A. (2020). Gate control theory of pain. In Encyclopedia of behavioral medicine (pp. 914-916). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-39903-0_1134
  7. Chen, H. M., Wang, H. H., Chen, C. H., & Hu, H. M. (2014). Effectiveness of a stretching exercise program on low back pain and exercise self-efficacy among nurses in Taiwan: a randomized clinical trial. Pain Management Nursing, 15(1), 283-291. https://doi.org/10.1016/j.pmn.2012.10.003
  8. Chou, R., Côté, P., Randhawa, K., Torres, P., Yu, H., Nordin, M.,.Cedraschi, C. (2018). The Global Spine Care Initiative: applying evidence-based guidelines on the non-invasive management of back and neck pain to low-and middle-income communities. European Spine Journal, 27, 851-860. https://doi.org/10.1007/s00586-017-5433-8
  9. Coşkun, G., & Can, F. (2012). Kronik bel ağrısında dinamik ve statik stabilizasyon egzersizlerinin ağrı ve fonksiyonel düzeye etkileri. Fizyoterapi Rehabilitasyon, 23(2), 65-72. https://dergipark.org.tr/tr/download/article-file/138072
  10. Demoulin, C., Distree, V., Tomasella, M., Crielaard, J. M., & Vanderthommen, M. (2007, November). Lumbar functional instability: a critical appraisal of the literature. In Annales De Readaptation Et De Medecine Physique, Vol. 50, No. 8, pp. 677-684. https://doi.org/10.1016/j.annrmp.2007.05.007
  11. Ebadi, S., Ansari, N. N., Henschke, N., Naghdi, S., & van Tulder, M. W. (2011). The effect of continuous ultrasound on chronic low back pain: protocol of a randomized controlled trial. BMC musculoskeletal disorders, 12, 1-6. http://www.biomedcentral.com/1471-2474/12/59
  12. Foster, N. E., Anema, J. R., Cherkin, D., Chou, R., Cohen, S. P., Gross, D. P.,. Woolf, A. (2018). Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet, 391(10137), 2368-2383. https://doi.org/10.1016/S0140-6736(18)30489-6
  13. Gur Kabul, E., Basakci Calik, B., Oztop, M., & Cobankara, V. (2021). The efficacy of manual soft‐tissue mobilization in ankylosing spondylitis: A randomized controlled study. International Journal of Rheumatic Diseases, 24(3), 445-455. https://doi.org/10.1111/1756-185X.14072
  14. Haladay, D. E., Miller, S. J., Challis, J., & Denegar, C. R. (2013). Quality of systematic reviews on specific spinal stabilization exercise for chronic low back pain. Journal of orthopaedic & sports physical therapy, 43(4), 242-250. https://www.jospt.org/doi/10.2519/jospt.2013.4346
  15. Hoy, D., March, L., Brooks, P., Woolf, A., Blyth, F., Vos, T., & Buchbinder, R. (2010). Measuring the global burden of low back pain. Best Practice & Research Clinical Rheumatology, 24(2), 155-165. https://doi.org/10.1016/j.berh.2009.11.002
  16. Hoy, D., March, L., Brooks, P., Blyth, F., Woolf, A., Bain, C.,. Buchbinder, R. (2014). The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Annals Of The Rheumatic Diseases, 73(6), 968-974. https://doi.org/10.1136/annrheumdis-2013-204428
  17. John, J. N., Ugwu, E. C., Okezue, O. C., Ekechukwu, E. N. D., Mgbeojedo, U. G., John, D. O., & Ezeukwu, A. O. (2023). Kinesiophobia and associated factors among patients with chronic non-specific low back pain. Disability and Rehabilitation, 45(16), 2651-2659. https://doi.org/10.1080/09638288.2022.2103747
  18. Jordan, J. L., Konstantinou, K., & O'Dowd, J. (2011). Herniated lumbar disc. BMJ Clinical Evidence. 2011, 1118. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3275148/
  19. Jorgensen, J. E., Afzali, T., & Riis, A. (2018). Effect of differentiating exercise guidance based on a patient’s level of low back pain in primary care: a mixed-methods systematic review protocol. BMJ Open, 8(1), e019742. https://doi.org/10.1136/bmjopen-2017-019742
  20. Khadilkar, A., Milne, S., Brosseau, L., Wells, G., Tugwell, P., Robinson, V.,. & Saginur, M. (2005). Transcutaneous electrical nerve stimulation for the treatment of chronic low back pain: a systematic review. Spine, 30(23), 2657-2666. DOI: 10.1097/01.brs.0000188189.21202.0f
  21. Kulaber, A., Yılmaz, H., & Yavuzer, M. G. (2019). Kronik Bel ağrılı Hastalarda Fizyoterapi Uygulamalarının Etkinliği. Haliç Üniversitesi Sağlık Bilimleri Dergisi, 2(1), 17-28 https://dergipark.org.tr/en/pub/husagbilder/issue/43841/435132
  22. Luoto, S., Aalto, H., Taimela, S., Hurri, H., Pyykkö, I., & Alaranta, H. (1998). One-footed and externally disturbed two-footed postural control in patients with chronic low back pain and healthy control subjects: A controlled study with follow-up. Spine, 23(19), 2081-2089. https://doi.org/10.1097/00007632-199810010-00008
  23. Macrae, I. F., & Wright, V. (1969). Measurement of back movement. Annals of the rheumatic diseases, 28(6), 584. https://doi.org/10.1136/ard.28.6.584
  24. Marshall, L. M., Litwack-Harrison, S., Cawthon, P. M., Kado, D. M., Deyo, R. A., Makris, U. E.,. & Study of Osteoporotic Fractures (SOF) Research Group. (2016). A prospective study of back pain and risk of falls among older community-dwelling women. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 71(9), 1177-1183. https://doi.org/10.1093/gerona/glv225
  25. Meziat Filho, N., Coutinho, E. S., & Azevedo e Silva, G. (2015). Association between home posture habits and low back pain in high school adolescents. European Spine Journal, 24, 425-433. https://doi.org/10.1007/s00586-014-3571-9
  26. Mordeniz, C., & Sıvacı, R. (2010). Kronik bel ağrısında medikal tedavi (Derleme). Kocatepe Tıp Dergisi, 11(1), 43-55. https://doi.org/10.18229/ktd.88204
  27. Nieminen, L. K., Pyysalo, L. M., & Kankaanpää, M. J. (2021). Prognostic factors for pain chronicity in low back pain: a systematic review. Pain reports, 6(1), e919. https://doi.org/10.1097/PR9.0000000000000919
  28. Ocak, F. D. M., Karaaslan, M., Tutar, İ., Konuralp, N., Guzelant, A., & Özgüzel, H. (2007). Lomber Disk Hernilerinde Konservatif Tedavi Etkinliğinin Klinik Parametreler ve Manyetik Rezonans Görüntüleme Yöntemi İle Değerlendirilmesi. Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, 53(3). https://research.ebsco.com/c/jsxlxs/viewer/pdf/37ziol57zb
  29. Otman, S. A., & Köse, N. (2008). Antropometrik Ölçümler: Tedavi Hareketlerinde Temel Değerlendirme Prensipleri. Yücel Ofset Yayınları, Ankara.
  30. Panjabi, M. M. (1992). The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. Journal of Spinal Disorders, 5, 383-383. https://doi.org/10.1097/00002517-199212000-00001
  31. Picavet, H. S. J., & Schouten, J. S. A. G. (2003). Musculoskeletal pain in the Netherlands: prevalences, consequences and risk groups, the DMC3-study. Pain, 102(1-2), 167-178 https://doi.org/10.1016/s0304-3959(02)00372-x
  32. Quittan, M. (2002). Management of back pain. Disability and Rehabilitation, 24(8), 423-434. https://doi.org/10.1080/09638280110108850
  33. Rasmussen-Barr, E., Nilsson-Wikmar, L., & Arvidsson, I. (2003). Stabilizing training compared with manual treatment in sub-acute and chronic low-back pain. Manual Therapy, 8(4), 233-241. https://doi.org/10.1016/S1356-689X(03)00053-5
  34. Sadler, S. G., Spink, M. J., Ho, A., De Jonge, X. J., & Chuter, V. H. (2017). Restriction in lateral bending range of motion, lumbar lordosis, and hamstring flexibility predicts the development of low back pain: a systematic review of prospective cohort studies. BMC Musculoskeletal Disorders, 18, 1-15. https://doi.org/10.1186/s12891-017-1534-0
  35. Sakulsriprasert, P., Vachalathiti, R., & Kingcha, P. (2021). Association among pain, disability, and functional capacity in patients with chronic non-specific low back pain: A cross-sectional study. Journal of Back and Musculoskeletal Rehabilitation, 34(1), 149-157. https://doi.org/10.3233/BMR-200168
  36. Shahbandar, L., & Press, J. (2005). Diagnosis and nonoperative management of lumbar disk herniation. Operative Techniques in Sports Medicine, 13(2), 114-121. https://doi.org/10.1053/j.otsm.2005.08.002
  37. Sikiru, L., & Hanifa, S. (2010). Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital. African Health Sciences, 10(1), 26. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2895788
  38. Stankovic, A., Lazovic, M., Kocic, M., Dimitrijevic, L., Stankovic, I., Zlatanovic, D., & Dimitrijevic, I. (2012). Lumbar stabilization exercises in addition to strengthening and stretching exercises reduce pain and increase function in patients with chronic low back pain: randomized clinical open-label study. Turkish Journal of Physical Medicine & Rehabilitation/Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi, 58(3). DOI: 10.4274/tftr.22438
  39. Suni, J. H., Oja, P., Miilunpalo, S. I., Pasanen, M. E., Vuori, I. M., & Bös, K. (1998). Health-related fitness test battery for adults: associations with perceived health, mobility, and back function and symptoms. Archives Of Physical Medicine And Rehabilitation, 79(5), 559-569 https://doi.org/10.1016/S0003-9993(98)90073-9
  40. Sung, P. S. (2003). Multifidi muscles median frequency before and after spinal stabilization exercises. Archives of Physical Medicine And Rehabilitation, 84(9), 1313-1318. https://doi.org/10.1016/S0003-9993(03)00139-4
  41. Şahin, N., Albayrak, İ., Karahan, A. Y., & Uğurlu, H. (2011). Kronik bel ağrılı hastalarda fizik tedavinin etkinliği. Genel Tıp Derg, 21(1), 17-20. https://research.ebsco.com/c/jsxlxs/viewer/pdf/ztby24yuy5
  42. Tariq, N., Khan, Z., & Veqar, Z. (2023). Effect of whole-body vibration on balance or proprioception in nonspecific chronic low back pain: A systematic review. Journal of Chiropractic Medicine, 22(4), 284-293. https://doi.org/10.1016/j.jcm.2023.04.006
  43. Teixeira, A. L. S., da Silva, N. F., & da Silva Filho, E. M. (2017). Evaluation of functional disability and pain in patients with chronic low back pain submitted to physiotherapy. Manual Therapy, Posturology & Rehabilitation Journal, 14, 0-0. http://dx.doi.org/10.17784/mtprehabjournal.2016.14.374
  44. Van Tulder, M. W., Koes, B. W., & Bouter, L. M. (1997). Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions. Spine, 22(18), 2128-2156. https://journals.lww.com/spinejournal/fulltext/1997/09150/Conservative_Treatment_of_Acute_and_Chronic.12.aspx
  45. Van Tulder, M., Koes, B., & Bombardier, C. (2002). Low back pain. Best Practice & Research. Clinical Rheumatology, 16(5), 761–775. https://doi.org/10.1053/berh.2002.0267
  46. Wertli, M. M., Eugster, R., Held, U., Steurer, J., Kofmehl, R., & Weiser, S. (2014). Catastrophizing—a prognostic factor for outcome in patients with low back pain: a systematic review. The Spine Journal, 14(11), 2639-2657. https://doi.org/10.1016/j.spinee.2014.03.003
  47. Yağcı, N., Cavlak, U., Baskan, E., & Öztop, M. (2020). Geriatrik bireylerde bel ağrısı riski. Cukurova Medical Journal, 45(2), 421-427. https://doi.org/10.17826/cumj.641324
  48. Yilmaz Yelvar, G. D., Çırak, Y., Dalkılınç, M., Parlak Demir, Y., Guner, Z., & Boydak, A. (2017). Is physiotherapy integrated virtual walking effective on pain, function, and kinesiophobia in patients with non-specific low-back pain? Randomised controlled trial. European Spine Journal, 26, 538-545. https://doi.org/10.1007/s00586-016-4892-7
  49. Airaksinen, O., Brox, J. I., Cedraschi, C., Hildebrandt, J., Klaber-Moffett, J., Kovacs, F.,. & COST B13 Working Group on Guidelines for Chronic Low Back Pain. (2006). European guidelines for the management of chronic nonspecific low back pain. European Spine Journal, 15(Suppl 2), s192. https://doi.org/10.1007/s00586-006-1072-1
  50. Chou, R., Côté, P., Randhawa, K., Torres, P., Yu, H., Nordin, M.,.Cedraschi, C. (2018). The Global Spine Care Initiative: applying evidence-based guidelines on the non-invasive management of back and neck pain to low-and middle-income communities. European Spine Journal, 27, 851-860. https://doi.org/10.1007/s00586-017-5433-8
  51. Foster, N. E., Anema, J. R., Cherkin, D., Chou, R., Cohen, S. P., Gross, D. P.,. Woolf, A. (2018). Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet, 391(10137), 2368-2383. https://doi.org/10.1016/S0140-6736(18)30489-6
  52. Hoy, D., March, L., Brooks, P., Blyth, F., Woolf, A., Bain, C.,. Buchbinder, R. (2014). The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Annals Of The Rheumatic Diseases, 73(6), 968-974. https://doi.org/10.1136/annrheumdis-2013-204428
  53. Khadilkar, A., Milne, S., Brosseau, L., Wells, G., Tugwell, P., Robinson, V.,. & Saginur, M. (2005). Transcutaneous electrical nerve stimulation for the treatment of chronic low back pain: a systematic review. Spine, 30(23), 2657-2666. DOI: 10.1097/01.brs.0000188189.21202.0f
  54. Marshall, L. M., Litwack-Harrison, S., Cawthon, P. M., Kado, D. M., Deyo, R. A., Makris, U. E.,. & Study of Osteoporotic Fractures (SOF) Research Group. (2016). A prospective study of back pain and risk of falls among older community-dwelling women. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 71(9), 1177-1183. https://doi.org/10.1093/gerona/glv225