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平衡功能的临床评估:常模数据以及性别和年龄的影响

Clinical assessment of balance: normative data, and gender and age effects.

作者信息

Vereeck Luc, Wuyts Floris, Truijen Steven, Van de Heyning Paul

机构信息

Hoger Instituut voor Kinesitherapie & Ergotherapie, Department of Health Care Sciences, University College of Antwerp, Belgium.

出版信息

Int J Audiol. 2008 Feb;47(2):67-75. doi: 10.1080/14992020701689688.

DOI:10.1080/14992020701689688
PMID:18236239
Abstract

The purpose of this study was to provide age specific normative data of clinical gait and balance tests and to determine to what extent gender contributes to differences in postural control. Standing balance and walking performance was tested in 318 asymptomatic adults. The logistic regression, using both 10- and 30-second time limits as a dichotomization point, revealed a significant age effect for standing on foam with eyes closed, tandem Romberg with eyes closed (TR-EC), and one leg stance (eyes open and closed). The actual effect of decline was different for each test. Both tandem gait and dynamic gait index showed a ceiling effect up to 60 years of age, with a rapid decline of performance for subjects in their seventies. Linear regression equations indicated that for both men and women, timed up and go test (TUG) times increased with age, but even older subjects should perform the TUG in 10 seconds or less. Women performed significantly poorer on the TUG and TR-EC (30-second time limit).

摘要

本研究的目的是提供临床步态和平衡测试的特定年龄规范数据,并确定性别在多大程度上导致姿势控制差异。对318名无症状成年人进行了站立平衡和行走性能测试。逻辑回归以10秒和30秒的时间限制作为二分点,结果显示,闭眼站在泡沫上、闭眼串联罗姆伯格试验(TR-EC)和单腿站立(睁眼和闭眼)存在显著的年龄效应。每项测试的实际下降效应有所不同。串联步态和动态步态指数在60岁之前均呈现上限效应,70多岁的受试者表现迅速下降。线性回归方程表明,男性和女性的计时起立行走测试(TUG)时间均随年龄增加,但即使是年龄较大的受试者,TUG测试时间也应在10秒或更短时间内完成。女性在TUG和TR-EC(30秒时间限制)测试中的表现明显较差。

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