Macedo Luciana Gazzi, Magee David J
Back Pain Research Group, University of Sydney, East Street, Lidcombe, NSW 1825, Australia.
Physiother Theory Pract. 2009 Feb;25(2):145-64. doi: 10.1080/09593980802686870.
The purposes of this study were to investigate whether age influences passive range of motion (PROM) in women and to compare obtained values with other available data. Ninety healthy Caucasian women from 18 to 59 years of age had the PROM of their ankle, knee, hip, shoulder, elbow, and wrist measured by using a standard goniometer. Data were analyzed by using descriptive statistics (mean/SD) and linear regression (to analyze the effect of age on ROM). Age did not significantly influence PROM for the majority of movements tested. For 11 of the tested movements (knee flexion, hip flexion, hip external rotation, glenohumeral and shoulder complex flexion, glenohumeral and shoulder complex external rotation, shoulder complex abduction, shoulder complex extension, and elbow extension), increasing age was associated with a statistically significant decrease in PROM, whereas for ankle dorsiflexion, ankle plantarflexion, ankle inversion, and hip abduction, increasing age was associated with an increase in PROM. The change in PROM associated with age was typically small and ranged from -0.420 to 0.207 degrees per year. The difference in mean PROM between this study and published normative values ranged from -16.6 to +25.9 degrees. For women aged 18 to 59, PROM of the extremities is relatively constant, suggesting that a single table of reference values for adult females is an appropriate approximation for clinical practice except for glenohumeral and shoulder complex external rotation, which were found to clinically significantly decrease with age.
本研究的目的是调查年龄是否会影响女性的被动关节活动度(PROM),并将所得值与其他现有数据进行比较。90名年龄在18至59岁之间的健康白种女性,使用标准角度计测量了她们脚踝、膝盖、髋关节、肩部、肘部和腕部的被动关节活动度。通过描述性统计(均值/标准差)和线性回归(分析年龄对关节活动度的影响)对数据进行分析。对于大多数测试动作,年龄并未显著影响被动关节活动度。在11项测试动作中(膝关节屈曲、髋关节屈曲、髋关节外旋、盂肱关节和肩关节复合体屈曲、盂肱关节和肩关节复合体外旋、肩关节复合体外展、肩关节复合体伸展以及肘关节伸展),年龄增长与被动关节活动度的显著下降相关,而对于踝关节背屈、踝关节跖屈、踝关节内翻和髋关节外展,年龄增长与被动关节活动度的增加相关。与年龄相关的被动关节活动度变化通常较小,每年范围在-0.420至0.207度之间。本研究与已发表的正常值之间的平均被动关节活动度差异范围在-16.6至+25.9度之间。对于18至59岁的女性,四肢的被动关节活动度相对恒定,这表明除了盂肱关节和肩关节复合体外旋随年龄增长在临床上显著下降外,单一的成年女性参考值表对于临床实践是一个合适的近似值。