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老年人定时起立行走测试背后的物理因素。

Physical factors underlying the Timed "Up and Go" test in older adults.

作者信息

Benavent-Caballer Vicent, Sendín-Magdalena Alejandro, Lisón Juan Francisco, Rosado-Calatayud Pedro, Amer-Cuenca Juan José, Salvador-Coloma Pablo, Segura-Ortí Eva

机构信息

Department of Physiotherapy, University Cardenal Herrera-CEU, Spain.

Department of Physiotherapy, University Cardenal Herrera-CEU, Spain.

出版信息

Geriatr Nurs. 2016 Mar-Apr;37(2):122-7. doi: 10.1016/j.gerinurse.2015.11.002. Epub 2015 Dec 17.

Abstract

The purpose of this study was to investigate a range of selected physical measures for their relative contributions and extent to which they may explain the performance of the Timed "Up and Go" test (TUG) in a sample of healthy older adults. The participants where 194 adults aged 65 and older with no cognitive impairment and independent in their daily activities from local senior centres and a geriatric nursing home in Valencia, Spain. Age, body mass index (BMI), TUG, Berg balance scale (BBS), One-leg stand test (OLS), grip strength, chair stand test (STS-5), knee extension strength and rectus femoris cross-sectional area (CSA) where measured. Moderate to high significant associations were found between the TUG performance and BBS and knee extension strength (r = -.561 and -.397). A stepwise multiple regression analysis showed that the BBS was a significant and independent predictor (AdjR(2) = .373) for the TUG performance. The TUG is highly correlated with the BBS score and knee extension strength, measures that represent common performance tasks in everyday life. The BBS was demonstrated to be the most significant factor explaining the TUG performance. The TUG is demonstrated to be a useful tool for predicting changes in functional balance measured with the BBS. The mobility decline may be better explained as the sum of deficits across multiple domains rather than as a single entity. Clinicians would benefit of those findings by a better understanding of the physical measures, in addition to designing more accurate interventions focusing on the enhancement of mobility.

摘要

本研究的目的是调查一系列选定的身体测量指标,以确定它们对健康老年人样本中定时起立行走测试(TUG)表现的相对贡献及解释程度。研究对象为194名65岁及以上的成年人,他们无认知障碍且日常生活自理,来自西班牙巴伦西亚当地的老年中心和一家老年护理院。测量了年龄、体重指数(BMI)、TUG、伯格平衡量表(BBS)、单腿站立测试(OLS)、握力、椅子站立测试(STS-5)、膝关节伸展力量和股直肌横截面积(CSA)。结果发现,TUG表现与BBS及膝关节伸展力量之间存在中度到高度的显著相关性(r = -0.561和-0.397)。逐步多元回归分析表明,BBS是TUG表现的一个显著且独立的预测指标(调整R² = 0.373)。TUG与BBS评分及膝关节伸展力量高度相关,这些指标代表了日常生活中的常见表现任务。结果表明,BBS是解释TUG表现的最显著因素。TUG被证明是预测用BBS测量的功能平衡变化的有用工具。行动能力下降可能更好地解释为多个领域缺陷的总和,而非单一因素。临床医生通过更好地理解这些身体测量指标,除了设计更精准的干预措施以增强行动能力外,还将从这些发现中受益。

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