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静态平衡仪截断值在识别老年人跌倒风险中的应用。

The Use of Static Posturography Cut-Off Scores to Identify the Risk of Falling in Older Adults.

机构信息

Institute of Health Sciences, Medical College, Rzeszow University, Warzywna 1A Street, 35-310 Rzeszów, Poland.

Homes of Medical Care Rehabilitation Center Donum Corde, Budy Głogowskie 835B Street, 36-060 Głogów Małopolski, Poland.

出版信息

Int J Environ Res Public Health. 2022 May 26;19(11):6480. doi: 10.3390/ijerph19116480.


DOI:10.3390/ijerph19116480
PMID:35682064
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9180727/
Abstract

BACKGROUND: Falling is the most common accident that occurs in daily living and the second leading cause of unintentional injury death worldwide. The complexity of the risk factors associated with falling makes older people at risk of falling difficult to identify. The aim of the study was to identify the cut-off scores of standing posturography measures that can be used to predict the risk of falling in older adults. METHODS: This observational study involved 267 elderly people aged 65 to 85 years (73.99 SD 7.51) living in south-eastern Poland. The subjects were divided into two groups: a group with a high risk of falling and a group with a low risk of falling, based on their timed up-and-go test. Postural stability was assessed during eyes-open and eyes-closed trials using the two-plate stability platform CQ Stab 2P. RESULTS: The best accuracy, sensitivity, and specificity were observed for the sway path, anterior-posterior sway path, and medial-lateral sway path with open and closed eyes. The clinical cut-off score to predict the risk of falling was 350.63 for the sway path with open eyes, 272.64 for the anterior-posterior sway path, and 159.63 for the medial-lateral sway path. The clinical cut-off score for sway path with closed eyes was 436.11. CONCLUSIONS: Static posturography screenings in clinical practice may also be useful for detecting typical balance changes in older adults.

摘要

背景:跌倒在日常生活中最常见,也是全球范围内导致非故意伤害死亡的第二大原因。与跌倒相关的危险因素复杂,使得老年人跌倒的风险难以识别。本研究旨在确定可用于预测老年人跌倒风险的站立姿势描记术测量的截断分数。

方法:本观察性研究纳入了 267 名年龄在 65 至 85 岁(73.99 ± 7.51)之间、居住在波兰东南部的老年人。根据他们的起立-行走测试,将这些受试者分为高跌倒风险组和低跌倒风险组。使用 CQ Stab 2P 双板稳定平台,在睁眼和闭眼试验中评估姿势稳定性。

结果:在睁眼和闭眼时,摆动路径、前后摆动路径和左右摆动路径的准确性、灵敏度和特异性最高。预测跌倒风险的临床截断值为睁眼时的摆动路径为 350.63,前后摆动路径为 272.64,左右摆动路径为 159.63。闭眼时的摆动路径的临床截断值为 436.11。

结论:在临床实践中,静态姿势描记术筛查也可能有助于检测老年人的典型平衡变化。

相似文献

[1]
The Use of Static Posturography Cut-Off Scores to Identify the Risk of Falling in Older Adults.

Int J Environ Res Public Health. 2022-5-26

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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Cureus. 2025-7-25

[2]
Circadian disruption is associated with altered postural control in aged individuals under eye closed condition.

Front Neurosci. 2025-4-30

[3]
The Role of Periarticular Knee Muscle Torques in Ensuring the Body Balance of Older Adults with Balance Disturbances.

J Clin Med. 2025-5-7

[4]
Assessing Static Balance, Balance Confidence, and Fall Rate in Patients with Heart Failure and Preserved Ejection Fraction: A Comprehensive Analysis.

Sensors (Basel). 2024-10-4

[5]
Fall risk classification with posturographic parameters in community-dwelling older adults: a machine learning and explainable artificial intelligence approach.

J Neuroeng Rehabil. 2024-1-29

[6]
Body Balance of Children and Youths with Visual Impairment (Pilot Study).

Int J Environ Res Public Health. 2022-9-5

本文引用的文献

[1]
The impact of a multicomponent-functional training with postural correction on functional balance in the elderly with a history of falling.

J Exp Orthop. 2022-3-1

[2]
Evidence on physical activity and falls prevention for people aged 65+ years: systematic review to inform the WHO guidelines on physical activity and sedentary behaviour.

Int J Behav Nutr Phys Act. 2020-11-26

[3]
Development and validation of a robotic multifactorial fall-risk predictive model: A one-year prospective study in community-dwelling older adults.

PLoS One. 2020-6-25

[4]
Center of pressure displacement characteristics differentiate fall risk in older people: A systematic review with meta-analysis.

Ageing Res Rev. 2020-6-19

[5]
Center of pressure characteristics from quiet standing measures to predict the risk of falling in older adults: a protocol for a systematic review and meta-analysis.

Syst Rev. 2019-9-7

[6]
Predicting incident falls: Relationship between postural sway and limits of stability in older adults.

Hum Mov Sci. 2019-8

[7]
Optimising costs in reducing rate of falls in older people with the improvement of balance by means of vestibular rehabilitation (ReFOVeRe study): a randomized controlled trial comparing computerised dynamic posturography vs mobile vibrotactile posturography system.

BMC Geriatr. 2019-1-3

[8]
Inter-gender differences of balance indicators in persons 60-90 years of age.

Clin Interv Aging. 2018-5-11

[9]
Characteristics, consequences and prevention of falls in institutionalised older adults in the province of Malaga (Spain): a prospective, cohort, multicentre study.

BMJ Open. 2018-2-23

[10]
Age-Related Changes in Postural Control in Physically Inactive Older Women.

J Geriatr Phys Ther. 2019

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