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健康老年人独立从地板上站起来的生物力学。

The Biomechanics of Healthy Older Adults Rising from the Floor Independently.

机构信息

Curtin School of Allied Health, Curtin University, Perth, WA 6102, Australia.

enAble Institute, Curtin University, Perth, WA 6102, Australia.

出版信息

Int J Environ Res Public Health. 2023 Feb 16;20(4):3507. doi: 10.3390/ijerph20043507.

Abstract

A third of older adults will fall each year and many will not be injured. Getting up from the floor in a timely manner is important, however it is unclear what technique older adults use to get themselves up off the ground unassisted, whether there are differences between men and women in getting up and what functional joint kinematics are used to rise from the floor. This study included a convenience sample of 20 older adults (65+ years) to answer these questions. Participants completed a series of movement tasks (i.e., rising from the floor using their own technique, a specified technique, walking 10 m and five repeated sit-to-stands), with temporospatial and joint kinematic data captured using an 18-camera 3D Vicon motion analysis system. Results found three techniques preferred by participants; the sit-up (n = 12), side-sit (n = 4) and the roll over (n = 4), with no differences found between sexes. The sit-up technique requires a higher degree of hip and knee flexion to complete compared to the side-sit and roll over. It may be beneficial for health professionals to work with older adults to identify their preferred technique for rising from the floor and encourage regular practice of this skill.

摘要

三分之一的老年人每年都会跌倒,其中许多人不会受伤。然而,老年人能否及时从地板上站起来非常重要,目前尚不清楚老年人在没有帮助的情况下自主起身的技巧是什么,男性和女性在起身方面是否存在差异,以及使用哪些功能性关节运动学从地板上站起来。本研究纳入了 20 名老年人(65 岁以上)的便利样本,旨在回答这些问题。参与者完成了一系列运动任务(即使用自己的技巧、指定的技巧、行走 10 米和重复五次坐立站起),使用 18 个摄像头的 3D Vicon 运动分析系统捕获时空和关节运动学数据。结果发现参与者更喜欢三种技巧;仰卧起坐(n = 12)、侧坐(n = 4)和翻滚(n = 4),性别之间没有差异。与侧坐和翻滚相比,仰卧起坐需要更高程度的髋关节和膝关节弯曲才能完成。健康专业人员可能需要与老年人合作,确定他们从地板上站起来的首选技巧,并鼓励他们经常练习这一技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7796/9958992/00edec202470/ijerph-20-03507-g001.jpg

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