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.
Int J Environ Res Public Health. 2022 May 26;19(11):6480. doi: 10.3390/ijerph19116480.
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.
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.
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.
Static posturography screenings in clinical practice may also be useful for detecting typical balance changes in older adults.
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。
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。
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。
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。
