Nagrajan Anjana, D'Souza Sebestina A
Department of Gerontology, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, North Carolina, USA.
Department of Occupational Therapy, School of Allied Health Sciences, Manipal University, Manipal, India.
J Cross Cult Gerontol. 2017 Mar;32(1):71-93. doi: 10.1007/s10823-016-9310-4.
Floor-sitting is culturally relevant to the Indian context. The present study aimed to examine the effect of age and activity on the movement patterns used and time taken to perform floor-sitting in Indian adults. Video-recordings of 30 young (23.30 ± 2.53 years) and 30 older (69.67 ± 6.45 years) adults performing floor-sitting without and with an activity (simulated feeding) were analyzed using the Floor-sitting Movement Analysis Proforma (FMAP) developed for the study. For inter-rater reliability of the FMAP, two raters analyzed the performance of a random sample of 20 participants. An almost perfect inter-rater agreeability (κ ≥ .8) was obtained for the FMAP. Cross-legged sitting was the most preferred (95%) floor-sitting position. Older adults used more number of movement components, asymmetrical patterns, more support, and more time (p < .001) as compared to the young adults. The activity facilitated the use of optimal movement strategies in young and older adults. The activity significantly increased time taken to rise from floor-sitting (p = .004). The study establishes the influence of age and activity on performance of floor-sitting. Older adults use lower developmental movement patterns that may be a "normal" adaptation to age-related sensorimotor changes. Retraining of floor-sitting is a "culturally" desired goal among Indian adults and should involve the practice of age-appropriate movement patterns in the context of meaningful activities.
在印度的背景下，席地而坐具有文化相关性。本研究旨在探讨年龄和活动对印度成年人进行席地而坐时所采用的运动模式以及所需时间的影响。使用为该研究开发的席地而坐运动分析表格（FMAP），对30名年轻成年人（23.30 ± 2.53岁）和30名年长成年人（69.67 ± 6.45岁）在无活动和有活动（模拟喂食）情况下进行席地而坐的视频记录进行了分析。为了评估FMAP的评分者间信度，两名评分者对20名参与者的随机样本表现进行了分析。FMAP获得了几乎完美的评分者间一致性（κ≥.8）。盘腿而坐是最受欢迎的（95%）席地而坐姿势。与年轻成年人相比，年长成年人使用的运动成分更多、模式不对称、支撑更多且用时更长（p <.001）。该活动促进了年轻和年长成年人采用最佳运动策略。该活动显著增加了从席地而坐起身所需的时间（p =.004）。该研究确定了年龄和活动对席地而坐表现的影响。年长成年人使用较低水平的发展性运动模式，这可能是对与年龄相关的感觉运动变化的一种“正常”适应。在印度成年人中，重新训练席地而坐是一个“文化上”期望达到的目标，并且应该在有意义的活动背景下进行适合年龄的运动模式练习。
