Igarashi Tatsuya, Miyata Kazuhiro, Tamura Shuntaro, Otani Tomohiro, Iizuka Takamitsu, Usuda Shigeru
Physical Therapy Division, Department of Rehabilitation, Numata Neurosurgery and Cardiovascular Hospital: 8 Sakaemachi, Numata-shi, Gunma 378-0014, Japan.
Gunma University Graduate School of Health Sciences, Japan.
J Phys Ther Sci. 2022 Nov;34(11):752-758. doi: 10.1589/jpts.34.752. Epub 2022 Nov 1.
[Purpose] To clarify the relationship between lower extremity function and activities of daily living and characterize lower extremity function in hospitalized middle-aged and older adults with subacute cardiovascular disease. [Participants and Methods] The Short Physical Performance Battery, 6-minute walk distance, and functional independence measure tests were conducted in 79 inpatients with subacute cardiovascular disease (mean age, 76.7 ± 11.9 years; 34 females). Multiple regression analysis used the functional independence measure score as the dependent variable and the Short Physical Performance Battery and 6-minute walk distance scores as independent variables. Cross-tabulations were performed for each age group, and patients who performed the Short Physical Performance Battery and 6-minute walk distance tests were divided into two groups by their respective cutoff values. [Results] Only the Short Physical Performance Battery (β=0.568) and 6-minute walk distance (β=0.479) scores were adopted as significant independent variables in each multiple regression model. The age <75 years group had the most patients with both good lower extremity function and aerobic capacity, whereas the age ≥75 years group had the most patients with both functions impaired. [Conclusion] Although cardiovascular disease is generally associated with decreased aerobic capacity, many older patients with cardiovascular disease in this study had decreased lower extremity function, too.
[目的] 阐明下肢功能与日常生活活动之间的关系,并描述亚急性心血管疾病住院中老年患者的下肢功能特征。[参与者与方法] 对79例亚急性心血管疾病住院患者(平均年龄76.7±11.9岁;34例女性)进行简短体能状况量表、6分钟步行距离和功能独立性测量测试。多元回归分析以功能独立性测量得分作为因变量,简短体能状况量表和6分钟步行距离得分作为自变量。对每个年龄组进行交叉制表,将进行简短体能状况量表和6分钟步行距离测试的患者按各自的临界值分为两组。[结果] 在每个多元回归模型中,仅简短体能状况量表得分(β=0.568)和6分钟步行距离得分(β=0.479)被作为显著自变量采用。年龄<75岁组中同时具有良好下肢功能和有氧运动能力的患者最多,而年龄≥75岁组中两项功能均受损的患者最多。[结论] 虽然心血管疾病通常与有氧运动能力下降有关,但本研究中的许多老年心血管疾病患者也存在下肢功能下降的情况。