Jette A M, Branch L G, Berlin J
New England Research Institute, Watertown, Massachusetts.
J Gerontol. 1990 Nov;45(6):M203-8. doi: 10.1093/geronj/45.6.m203.
This article summarizes the results of a longitudinal investigation of the progression of sight, hearing, and musculoskeletal impairments and their association with change in physical disability, in 10 ADLs among members of the Massachusetts Health Care Panel Study. The findings confirm widely held clinical beliefs that specific types of musculoskeletal decrement are an important cause of physical disability among older persons. Decrement in hand function is a significant musculoskeletal impairment influencing limitations in Basic ADL, and progression of Instrumental ADL dysfunction is influenced by progression of lower extremity impairments. Progression of sight and hearing impairments was not associated with change in physical disability. Musculoskeletal impairments, one of the most prevalent and symptomatic chronic complaints of middle and old age, deserve increased attention from epidemiologists, disability researchers, and clinicians seeking ways to prevent disablement among the aged.
本文总结了一项纵向调查的结果，该调查针对马萨诸塞州医疗保健小组研究中的成员，研究了视力、听力和肌肉骨骼损伤的进展情况及其与身体残疾变化的关联，涉及10项日常生活活动（ADL）。研究结果证实了广泛存在的临床观点，即特定类型的肌肉骨骼功能减退是老年人身体残疾的一个重要原因。手部功能减退是一种显著的肌肉骨骼损伤，会影响基本日常生活活动的受限情况，而工具性日常生活活动功能障碍的进展则受下肢损伤进展的影响。视力和听力损伤的进展与身体残疾的变化无关。肌肉骨骼损伤是中老年人群中最普遍且有症状的慢性疾病之一，值得流行病学家、残疾研究人员和临床医生更多关注，他们致力于寻找预防老年人残疾的方法。
