School of Nursing, Usha Kundu MD College of Health, University of West Florida, Pensacola, FL, USA.
Emory College of Arts and Sciences, Emory University, Atlanta, GA, USA.
Physiother Res Int. 2020 Jul;25(3):e1835. doi: 10.1002/pri.1835. Epub 2020 Feb 15.
The purpose of this study was to determine the relationship between objective and subjective findings of motor function measures in older adults following a 12-week adapted tango intervention.
A quasi-experimental repeated-measures design was used. Secondary analysis of the experimental group (Tango) data is reported here. The study took place in diverse senior independent living communities in an urban metropolitan area. Sixty-two older adults participated (n = 62, age: M = 82.3, SD = 8.8 years). Participants were assigned to 20 sessions of 90-min tango classes over 12 weeks. Motor function, depression, mental, and physical quality of life were measured before and after intervention. At post-test, satisfaction and subjective measures of motor function were assessed by participants indicating their level of agreement with statements that they improved in objective domains of motor function. Correlations were performed between subjectively rated agreement and changes in motor function, depression, and quality of life.
A strong negative correlation was found between subjective ratings and empirically observed improvements in balance (r = -.423) and endurance (r = -.241), although participant ratings correlated moderately with manual dual tasking (r = .319) and weakly correlated with lower body strength (r = .188). Decreased depression was correlated with subjectively improved lower body strength (r = .271) and endurance (r = .254). Improved mental quality of life was strongly (r = .423) correlated with subjectively improved balance and moderately correlated with improved manual dual tasking (r = .306).
After rehabilitation, even with improved depression and quality of life, older adults may not perceive empirically observed motor function improvements, particularly in balance and lower body strength. This study informs clinicians on the importance of assessing subjective data during rehabilitation to provide older adults with person-centred care.
本研究旨在确定在 12 周适应性探戈干预后，老年人运动功能测量的客观和主观结果之间的关系。
采用准实验重复测量设计。这里报告的是实验组（探戈）数据的二次分析。该研究在城市大都市区的各种老年人独立生活社区进行。共有 62 名老年人参加（n = 62，年龄：M = 82.3，SD = 8.8 岁）。参与者被分配到 20 节 90 分钟的探戈课程，共 12 周。在干预前后测量运动功能、抑郁、心理和身体生活质量。在测试后，参与者通过表明他们在运动功能的客观领域有所改善的程度来评估满意度和对运动功能的主观测量。对主观评定的一致性与运动功能、抑郁和生活质量的变化之间进行了相关性分析。
发现主观评定与平衡（r = -.423）和耐力（r = -.241）方面的实证观察到的改善之间存在强烈的负相关，尽管参与者的评定与手动双重任务（r =.319）中度相关，与下肢力量（r =.188）弱相关。抑郁程度降低与主观上改善的下肢力量（r =.271）和耐力（r =.254）相关。心理生活质量的提高与主观上平衡的改善呈强烈相关（r =.423），与手动双重任务的改善呈中度相关（r =.306）。
在康复后，即使抑郁和生活质量有所改善，老年人可能也不会感知到实证观察到的运动功能改善，特别是在平衡和下肢力量方面。本研究提醒临床医生在康复期间评估主观数据的重要性，为老年人提供以患者为中心的护理。
