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衰老与步态功能:对影响步态变异性的多种因素的研究

Aging and Gait Function: Examination of Multiple Factors that Influence Gait Variability.

作者信息

Gamwell Hope E, Wait Seaver O, Royster Jackson T, Ritch Brody L, Powell Sarah C, Skinner Jared W

机构信息

Department of Health and Exercise Science, Appalachian State University, Boone, NC, USA.

出版信息

Gerontol Geriatr Med. 2022 Feb 24;8:23337214221080304. doi: 10.1177/23337214221080304. eCollection 2022 Jan-Dec.

Abstract

This investigation aimed to identify parameters of reduced functionality that are responsible for variations in the normal gait cycle. Sixteen older adults (55-85 years; nine males) and eighteen young adults (18-40 years; eight males) were enrolled. Assessments included walking trials, questionnaires, and assessed maximal and submaximal dorsiflexors (DF) and plantar flexors (PF) force. Multiple relationships were found between the muscular capabilities of the ankle and gait variability in older adults. For both the DF and PF muscles, the older adults produced significantly lower maximal force production and higher levels of force variability than younger adults; physical activity (PA) level was also significantly correlated. The reduction in muscular strength was concurrent with increased force variability and deficits in spatiotemporal gait parameters, suggesting an age-related worsening of the central motor control. Our results found that PA engagement could preserve gait quality and independence. These are essential considerations for further research on the cause and reduction of falls in older adults.

摘要

本研究旨在确定导致正常步态周期变化的功能减退参数。招募了16名老年人(55 - 85岁;9名男性)和18名年轻人(18 - 40岁;8名男性)。评估包括步行试验、问卷调查,并评估最大和次最大背屈肌(DF)和跖屈肌(PF)力量。研究发现老年人踝关节肌肉能力与步态变异性之间存在多种关系。对于DF和PF肌肉,老年人产生的最大力量明显低于年轻人,且力量变异性水平更高;身体活动(PA)水平也存在显著相关性。肌肉力量的下降与力量变异性增加及时空步态参数缺陷同时出现,表明与年龄相关的中枢运动控制恶化。我们的研究结果发现,参与身体活动可以保持步态质量和独立性。这些是进一步研究老年人跌倒原因及减少跌倒的重要考虑因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f63/8882934/7767424d98bb/10.1177_23337214221080304-fig1.jpg

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