Langhammer Birgitta, Stanghelle Johan K
a Sunnaas Rehabilitation Hospital, Faculty of Health Sciences , Oslo Metropolitan University , Oslo , Norway.
b Sunnaas Rehabilitation Hospital and Faculty of Medicine , University of Oslo , Nesoddtangen , Norway.
Brain Inj. 2019;33(2):183-188. doi: 10.1080/02699052.2018.1540796. Epub 2018 Nov 7.
To evaluate the feasibility and usability of the senior fitness test (SFT) in persons with acquired brain injury (ABI).
A pilot cohort design with a convenience sample of persons with ABI was used.
Persons with ABIs (n = 47) were younger than their healthy counterparts (n = 172) were but performed significantly worse on sit to stand, 6-min walk test (6MWT) and 2.45-m up and go. This difference was accentuated in the age groups >60 years of age. Persons with ABIs, divided into subgroups traumatic brain injury (TBI; n = 12) and cerebral insult (CI; n = 35), showed significant differences in leg strength, upper extremity flexibility and walking capacity. Persons with CI were weaker, less flexible in upper and lower extremities, walked shorter distance and were less mobile. CI but not TBI performed significantly worse when compared to healthy elderly persons.
This study indicates that SFT is feasible, safe and useful tool for persons with ABI, to evaluate physical capacity, endurance, strength and flexibility. The submaximal test was well tolerated and could be performed by all participants irrespective of age or diagnosis. The distribution of test scores indicates responsiveness to change and no ceiling or floor effects.
评估老年人健身测试(SFT)在获得性脑损伤(ABI)患者中的可行性和可用性。
采用便利抽样的试点队列设计,纳入ABI患者。
ABI患者(n = 47)比健康对照者(n = 172)年轻,但在坐立试验、6分钟步行试验(6MWT)和2.45米起立行走试验中的表现明显较差。这种差异在年龄大于60岁的人群中更为明显。ABI患者分为创伤性脑损伤(TBI;n = 12)和脑损伤(CI;n = 35)亚组,在腿部力量、上肢灵活性和步行能力方面存在显著差异。CI患者较弱,上下肢灵活性较差,行走距离较短,活动能力较低。与健康老年人相比,CI患者(而非TBI患者)的表现明显更差。
本研究表明,SFT是评估ABI患者身体能力、耐力、力量和灵活性的一种可行、安全且有用的工具。次最大负荷测试耐受性良好,所有参与者均可进行,无论年龄或诊断如何。测试分数的分布表明该测试对变化有反应,且无天花板效应或地板效应。