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老年人家庭自测空间步态参数的正常范围及其与健康变量的关系。

Normal limits of home measured spatial gait parameters of the elderly population and their association with health variables.

机构信息

Consorci Sanitari del Garraf, Vilanova i la Geltrú, Barcelona, Spain.

Department of Genetics, Microbiology and Statistics, Faculty of Biology, University of Barcelona, Barcelona, Spain.

出版信息

Sci Rep. 2018 Sep 4;8(1):13193. doi: 10.1038/s41598-018-31507-1.

Abstract

Gait studies in the elderly population have been always conducted in gait labs or spacious clinical facilities, which influence gait parameters, and also implies that the participants have to be able to move to these facilities. Indoors gait characteristics of the elderly population have been very little studied. In this study, we aim to define the normal limits of the spatial gait parameters of the elderly, when walking at home, and to analyze relationship existing between the spatial gait parameters to other health variables. For such purpose, we conducted a transversal study on a probabilistic sample of 431 Spanish community-dwelling older, in which the spatial gait parameters were recorded by using an ink footprints method. We found that the mean stride length indoors was 88.47 cm (SD:26.05 cm; mean CI95%:85.52-91.41 cm), and the mean step width was 10.34 cm (SD:4.37 cm; mean CI95%:9.84-10.83 cm). Stride length was shorter in women and the oldest group, and was significantly influenced by the strength, balance, and physical activity. Stride width was larger in the oldest group and mainly affected by balance. A composite parameter including width and normalized stride length was independent from sex, and strongly differentiated between age groups. This parameter was affected by strength.

摘要

老年人的步态研究通常在步态实验室或宽敞的临床设施中进行,这会影响步态参数,并且还意味着参与者必须能够移动到这些设施。室内老年人的步态特征研究得很少。在这项研究中,我们旨在定义老年人在室内行走时的空间步态参数的正常范围,并分析这些空间步态参数与其他健康变量之间的关系。为此,我们对一个具有概率代表性的 431 名西班牙社区居住的老年人进行了横断面研究,通过使用墨迹足印法记录空间步态参数。我们发现,室内步长的平均值为 88.47cm(SD:26.05cm;平均 95%置信区间:85.52-91.41cm),步宽的平均值为 10.34cm(SD:4.37cm;平均 95%置信区间:9.84-10.83cm)。女性和最年长组的步长较短,且步长明显受力量、平衡和身体活动的影响。步宽在最年长组较大,主要受平衡影响。包括宽度和标准化步长的综合参数不受性别影响,且能很好地区分年龄组。该参数受力量影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac9b/6123415/d764801b6247/41598_2018_31507_Fig1_HTML.jpg

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