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弹性地板对社区居住老年人动态平衡和步态特征的影响。

Effects of Compliant Flooring on Dynamic Balance and Gait Characteristics of Community-dwelling Older Persons.

机构信息

Somporn Sungkarat, Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand, 50200; E-mail address:

出版信息

J Nutr Health Aging. 2019;23(7):665-668. doi: 10.1007/s12603-019-1211-0.

DOI:10.1007/s12603-019-1211-0
PMID:31367732
Abstract

BACKGROUND

Compliant flooring while providing the impact force attenuation in the event of falls, its low stiffness characteristic might impair balance and gait which consequently resulted in an increase in the risk of falling.

OBJECTIVE

To investigate the effects of compliant flooring on dynamic balance and gait performance of older adults under challenging conditions.

DESIGN AND PARTICIPANTS

A cross-sectional designed with repeated measured. Thirty five community-dwelling older adults (mean age 74.91 ± 6.51 yrs) participated in this study.

MEASUREMENT

Modified Dynamic Gait Index (mDGI) and Timed Up and Go (TUG) were used to assess dynamic balance. Spatio-temporal gait parameters were measured under comfortable and maximal speed. All tests were administered on the vinyl and compliant flooring in random order.

RESULTS

The time taken to complete TUG and the mDGI scores were similar between the two flooring types (p ≥ 0.05). Overall, gait characteristics were comparable when walking on the compliant and vinyl flooring for both speeds except for swing time, step time, and cadence.

CONCLUSION

The present study demonstrated that compliant flooring did not significantly affect dynamic balance and had minimal effects on gait characteristics. The compliant flooring appears to be safe for installing in self-ambulating older adult's home.

摘要

背景

弹性地板在发生跌倒时能提供冲击力衰减,但它的低刚性特性可能会损害平衡和步态,从而增加跌倒的风险。

目的

研究弹性地板对老年人在挑战性条件下动态平衡和步态性能的影响。

设计和参与者

一项具有重复测量的横断面设计。35 名居住在社区的老年人(平均年龄 74.91 ± 6.51 岁)参加了这项研究。

测量

改良动态步态指数(mDGI)和计时起立行走(TUG)用于评估动态平衡。在舒适和最大速度下测量时空步态参数。所有测试均在随机顺序下在乙烯基和弹性地板上进行。

结果

在两种地板类型之间,完成 TUG 和 mDGI 评分的时间相似(p≥0.05)。总体而言,在两种速度下,在弹性和乙烯基地板上行走时的步态特征相似,除了摆动时间、步幅时间和步频。

结论

本研究表明,弹性地板不会显著影响动态平衡,对步态特征的影响很小。弹性地板似乎可以安全地安装在自行活动的老年人的家中。

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本文引用的文献

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Feasibility of Compliant Flooring in Long-Term Care: Results from a Stakeholder Symposium.长期护理中柔性地板的可行性:利益相关者研讨会的结果
Can J Aging. 2018 Mar;37(1):84-94. doi: 10.1017/S0714980817000551. Epub 2017 Dec 29.
2
Compliant flooring to prevent fall-related injuries in older adults: A scoping review of biomechanical efficacy, clinical effectiveness, cost-effectiveness, and workplace safety.用于预防老年人跌倒相关伤害的柔性地板:生物力学功效、临床效果、成本效益及工作场所安全性的范围综述
PLoS One. 2017 Feb 6;12(2):e0171652. doi: 10.1371/journal.pone.0171652. eCollection 2017.
3
Investigating the fall-injury reducing effect of impact absorbing flooring among female nursing home residents: initial results.
调查减震地板对女性养老院居民跌倒伤害的降低效果:初步结果。
Inj Prev. 2015 Oct;21(5):320-4. doi: 10.1136/injuryprev-2014-041468. Epub 2015 Apr 1.
4
Energy absorption during impact on the proximal femur is affected by body mass index and flooring surface.在股骨近端撞击过程中,能量吸收受体重指数和地板表面的影响。
J Biomech. 2014 Jul 18;47(10):2391-7. doi: 10.1016/j.jbiomech.2014.04.026. Epub 2014 Apr 28.
5
Pilot cluster randomised controlled trial of flooring to reduce injuries from falls in wards for older people.老年人病房地板以减少跌倒伤害的试点整群随机对照试验。
Age Ageing. 2013 Sep;42(5):633-40. doi: 10.1093/ageing/aft067. Epub 2013 Jul 17.
6
Risk factors for falls among older adults: a review of the literature.老年人跌倒的危险因素:文献综述。
Maturitas. 2013 May;75(1):51-61. doi: 10.1016/j.maturitas.2013.02.009. Epub 2013 Mar 22.
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Interventions for preventing falls in older people living in the community.针对社区中老年人预防跌倒的干预措施。
Cochrane Database Syst Rev. 2012 Sep 12;2012(9):CD007146. doi: 10.1002/14651858.CD007146.pub3.
8
Fall and fracture rates following a change from carpet to vinyl floor coverings in a geriatric rehabilitation hospital. A longitudinal, observational study.老年康复医院内由地毯更换为乙烯基地板后跌倒和骨折发生率。一项纵向观察性研究。
Clin Rehabil. 2013 Mar;27(3):258-63. doi: 10.1177/0269215512455530. Epub 2012 Jul 27.
9
Characterization of the protective capacity of flooring systems using force-deflection profiling.利用力-挠度曲线描记法对地板系统的保护能力进行特性描述。
Med Eng Phys. 2013 Jan;35(1):108-15. doi: 10.1016/j.medengphy.2012.04.006. Epub 2012 May 29.
10
Accelerometry-based gait analysis, an additional objective approach to screen subjects at risk for falling.基于加速度计的步态分析,一种额外的客观方法,用于筛查有跌倒风险的受试者。
Gait Posture. 2012 Jun;36(2):296-300. doi: 10.1016/j.gaitpost.2012.03.015. Epub 2012 Apr 17.