Department of Surgical Sciences, Uppsala University, Entrance 85, 1 Stairs, Physiotherapy Ward, SE-751 85 Uppsala, Sweden.
Arch Gerontol Geriatr. 2011 Sep-Oct;53(2):e114-7. doi: 10.1016/j.archger.2010.07.005. Epub 2010 Aug 12.
With aging, the incidence of falls and fractures increases. There has during the last decades been secular changes in demographics so that the proportion of elderly increases in society. Hence, there is an increasing need for clinicians to be able to make a solid appraisal of the elderly patient's functional capacity, as to identify individuals with an increased risk to fall. If high risk individuals could be targeted fall preventive strategies might be implemented in specific risk cohorts. This would require reference values for muscle strength tests and functional tests, in order to defined high risk individuals performing inferior. From the MrOS Sweden cohort, 999 subjects aged 70-80 years were evaluated. Muscle strength and functional performance was tested by timed-stands test, 6-m and 20-cm narrow walk tests and Jamar handgrip strength test. Normative data is presented. With increasing age, there was a 10-18% successively decline in performance throughout the entire age span. This study provides reference values for handgrip strength and functional muscle tests in 70-80 years old men. The decline in the test values with increasing age, infer the use of age-specific normative data when using these tests both in clinical and research settings.
随着年龄的增长,跌倒和骨折的发生率增加。在过去几十年中,人口统计学发生了变化,老年人在社会中的比例增加。因此,临床医生越来越需要能够对老年患者的功能能力进行全面评估,以识别跌倒风险增加的个体。如果能够针对高风险个体采取预防跌倒策略,就可以在特定的风险人群中实施。这需要肌肉力量测试和功能测试的参考值,以便定义表现较差的高风险个体。从 MrOS 瑞典队列中,评估了 999 名 70-80 岁的受试者。通过定时站立测试、6 米和 20 厘米窄道行走测试以及 Jamar 握力测试来测试肌肉力量和功能表现。本文呈现了正常参考值。随着年龄的增长,整个年龄段的表现逐渐下降 10-18%。本研究提供了 70-80 岁男性手握力和功能性肌肉测试的参考值。随着年龄的增长,测试值的下降表明,在临床和研究环境中使用这些测试时,应使用特定年龄的正常参考值。