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腰椎间盘突出症老年男性和女性躯干肌肉力量与跌倒风险之间的关联。

Association between Trunk Muscle Strength and Fall Risk in Older Men and Women with Lumbar Spondylosis.

作者信息

Ito Tadashi, Sakai Yoshihito, Sugiura Hideshi, Kawai Keitaro, Morita Yoshifumi, Yamazaki Kazunori

机构信息

Three-Dimensional Motion Analysis Room, Aichi Prefectural Mikawa Aoitori Medical and Rehabilitation Center for Developmental Disabilities, Okazaki 444-0002, Japan.

Department of Physical Therapy, Graduate School of Medicine, Nagoya University, Nagoya 461-8673, Japan.

出版信息

Healthcare (Basel). 2021 Apr 29;9(5):521. doi: 10.3390/healthcare9050521.

Abstract

Various factors significantly affect the risk of falls among older adults with lumbar spondylosis. However, the relationship between falls and trunk muscle strength in older men is poorly explored. Thus, we aimed to investigate the relationship between back muscle strength and fall risk in older men and women with lumbar spondylosis. Based on self-reported fall scores, 39 outpatients were classified into two groups. Back and abdominal muscle strength, among other data, were compared between the two groups. Spearman's rank correlation analysis was used to assess the relationship between fall scores and selected variables. Back (r = -0.491, = 0.002) and abdominal muscle strength (r = -0.415, = 0.009) were related to the fall score. Furthermore, back and abdominal muscle strength were related to the fall score in women with a high risk of falls, whereas back muscle strength, erector spinae, and lumbar multifidus cross-sectional areas, and visual analog scale were related to the fall score in men with a high risk of falling. Back muscle strength and fall scores may be useful to assess the risk of falls in older patients with lumbar spondylosis. However, evaluating this relationship may require separate sex-specific analyses.

摘要

多种因素会显著影响患有腰椎病的老年人跌倒的风险。然而,老年男性跌倒与躯干肌肉力量之间的关系鲜有研究。因此,我们旨在调查患有腰椎病的老年男性和女性背部肌肉力量与跌倒风险之间的关系。根据自我报告的跌倒评分,39名门诊患者被分为两组。比较了两组之间的背部和腹部肌肉力量等数据。采用Spearman等级相关分析来评估跌倒评分与选定变量之间的关系。背部肌肉力量(r = -0.491,P = 0.002)和腹部肌肉力量(r = -0.415,P = 0.009)与跌倒评分相关。此外,在跌倒风险较高的女性中,背部和腹部肌肉力量与跌倒评分相关,而在跌倒风险较高的男性中,背部肌肉力量、竖脊肌和腰多裂肌横截面积以及视觉模拟评分与跌倒评分相关。背部肌肉力量和跌倒评分可能有助于评估患有腰椎病的老年患者的跌倒风险。然而,评估这种关系可能需要进行针对性别的单独分析。

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Association between trunk muscle strength and static balance in older women.老年人躯干肌肉力量与静态平衡的关系。
J Women Aging. 2021 May-Jun;33(3):288-297. doi: 10.1080/08952841.2019.1692628. Epub 2019 Nov 18.

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