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Reliability of physical performance and self-reported functional measures in an older population.老年人群身体机能表现及自我报告功能测量的可靠性
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Gait variability and the risk of incident mobility disability in community-dwelling older adults.社区居住老年人的步态变异性与发生行动障碍的风险
J Gerontol A Biol Sci Med Sci. 2007 Sep;62(9):983-8. doi: 10.1093/gerona/62.9.983.
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Increasing the number of gait trial recordings maximises intra-rater reliability of the CODA motion analysis system.增加步态试验记录的数量可使CODA运动分析系统的评分者内信度最大化。
Gait Posture. 2007 Feb;25(2):303-15. doi: 10.1016/j.gaitpost.2006.04.011. Epub 2006 May 24.
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Too much or too little step width variability is associated with a fall history in older persons who walk at or near normal gait speed.步幅宽度变异性过大或过小与以正常步态速度或接近正常步态速度行走的老年人的跌倒史有关。
J Neuroeng Rehabil. 2005 Jul 26;2:21. doi: 10.1186/1743-0003-2-21.
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Test-retest reliability of temporal and spatial gait characteristics measured with an instrumented walkway system (GAITRite).使用仪器化步道系统(GAITRite)测量的时空步态特征的重测信度。
BMC Musculoskelet Disord. 2004 May 17;5:13. doi: 10.1186/1471-2474-5-13.
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Step width variability, but not step length variability or step time variability, discriminates gait of healthy young and older adults during treadmill locomotion.步幅变异性而非步长变异性或步时变异性,可区分健康年轻人和老年人在跑步机上行走时的步态。
J Biomech. 2004 Jun;37(6):935-8. doi: 10.1016/j.jbiomech.2003.11.012.
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Mechanical and metabolic requirements for active lateral stabilization in human walking.人类行走中主动侧向稳定的力学和代谢需求。
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Measuring step kinematic variability on an instrumented treadmill: how many steps are enough?在装有仪器的跑步机上测量步态运动学变异性:多少步足够?
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Gait variability and fall risk in community-living older adults: a 1-year prospective study.社区居住老年人的步态变异性与跌倒风险:一项为期1年的前瞻性研究。
Arch Phys Med Rehabil. 2001 Aug;82(8):1050-6. doi: 10.1053/apmr.2001.24893.
10
Etiology and modification of gait instability in older adults: a randomized controlled trial of exercise.老年人步态不稳的病因及改善:一项运动的随机对照试验
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社区居住老年人步态变异性测量的可靠性和有效性。

The reliability and validity of measures of gait variability in community-dwelling older adults.

作者信息

Brach Jennifer S, Perera Subashan, Studenski Stephanie, Newman Anne B

机构信息

Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA 15260, USA.

出版信息

Arch Phys Med Rehabil. 2008 Dec;89(12):2293-6. doi: 10.1016/j.apmr.2008.06.010.

DOI:10.1016/j.apmr.2008.06.010
PMID:19061741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2705958/
Abstract

OBJECTIVE

To examine the test-retest reliability and concurrent validity of variability of gait characteristics.

DESIGN

Cross-sectional study.

SETTING

Research laboratory.

PARTICIPANTS

Older adults (N=558) from the Cardiovascular Health Study.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURES

Gait characteristics were measured using a 4-m computerized walkway. SD determined from the steps recorded were used as the measures of variability. Intraclass correlation coefficients (ICC) were calculated to examine test-retest reliability of a 4-m walk and two 4-m walks. To establish concurrent validity, the measures of gait variability were compared across levels of health, functional status, and physical activity using independent t tests and analysis of variances.

RESULTS

Gait variability measures from the two 4-m walks demonstrated greater test-retest reliability than those from the single 4-m walk (ICC=.22-.48 and ICC=.40-.63, respectively). Greater step length and stance time variability were associated with poorer health, functional status and physical activity (P<.05).

CONCLUSIONS

Gait variability calculated from a limited number of steps has fair to good test-retest reliability and concurrent validity. Reliability of gait variability calculated from a greater number of steps should be assessed to determine if the consistency can be improved.

摘要

目的

检验步态特征变异性的重测信度和同时效度。

设计

横断面研究。

地点

研究实验室。

参与者

心血管健康研究中的老年人(N = 558)。

干预措施

不适用。

主要观察指标

使用4米计算机化步道测量步态特征。从记录的步数中确定的标准差用作变异性的测量指标。计算组内相关系数(ICC)以检验4米步行和两次4米步行的重测信度。为建立同时效度,使用独立t检验和方差分析比较不同健康水平、功能状态和身体活动水平下的步态变异性测量指标。

结果

两次4米步行的步态变异性测量指标显示出比重测信度高于单次4米步行(ICC分别为0.22 - 0.48和0.40 - 0.63)。步长和站立时间变异性越大,与健康状况、功能状态和身体活动越差相关(P < 0.05)。

结论

从有限步数计算出的步态变异性具有尚可至良好的重测信度和同时效度。应评估从更多步数计算出的步态变异性的信度,以确定一致性是否可以提高。