Kurosawa Chihiro, Shimazu Naoko, Yamamoto Sumiko
School of Rehabilitation, Kanagawa University of Human Services: 1-10-1 Heisei-cho, Yokosuka, Kanagawa 238-8522, Japan.
Department of Assistive Technology Science, Graduate School of International University of Health and Welfare, Japan.
J Phys Ther Sci. 2020 Oct;32(10):663-668. doi: 10.1589/jpts.32.663. Epub 2020 Oct 3.
[Purpose] We need to regularly evaluate motor function to sustain the health of community-dwelling older adults. Our study aimed to identify the kinematic characteristics of healthy older adults in the Timed Up and Go test because the criteria for assessing the motor function of healthy older adults are unclear in the widely used clinical simple methods. [Participants and Methods] In total, 22 healthy younger and 28 healthy older adults participated in this study. Using a 3D motion analysis system, we measured the time ratios, trajectories, trajectory length per unit time, and body inclination angles during the Timed Up and Go test. We compared the kinematic characteristics of the older and younger adults. [Results] The older adults required a longer time ratio to complete the turn and sit subtasks. The trajectory of the older adults' turn subtask was longer than that of the younger adults. Older adults' body inclination angles during the turn subtask were smaller than that of the younger adults. [Conclusion] Healthy older adults had a different kinematic index from younger adults during the Timed Up and Go turn subtask. Therefore, we suggest the kinematic index of posture and turning radius be used to measure Timed Up and Go as a clinically useful index for understanding the motor characteristics of older adults.
[目的]我们需要定期评估运动功能,以维持社区居住老年人的健康。我们的研究旨在确定健康老年人在定时起立行走测试中的运动学特征,因为在广泛使用的临床简单方法中,评估健康老年人运动功能的标准尚不清楚。[参与者与方法]共有22名健康年轻人和28名健康老年人参与了本研究。使用三维运动分析系统,我们测量了定时起立行走测试过程中的时间比率、轨迹、单位时间轨迹长度和身体倾斜角度。我们比较了老年人和年轻人的运动学特征。[结果]老年人完成转身和坐下子任务所需的时间比率更长。老年人转身子任务的轨迹比年轻人的长。老年人在转身子任务期间的身体倾斜角度比年轻人小。[结论]在定时起立行走转身子任务中,健康老年人与年轻人的运动学指标不同。因此,我们建议将姿势和转弯半径的运动学指标用于测量定时起立行走,作为了解老年人运动特征的临床有用指标。