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住院老年患者的时空步态参数:跌倒者与非跌倒者的比较。

Spatio-Temporal Gait Parameters of Hospitalized Older Patients: Comparison of Fallers and Non-Fallers.

机构信息

Department of Geriatrics, La Robertsau Geriatric Hospital, University Hospital of Strasbourg, 83 Rue Himmerich, 67000 Strasbourg, France.

Department of Public Health, Methods in Clinical Research, University Hospitals of Strasbourg, 67000 Strasbourg, France.

出版信息

Int J Environ Res Public Health. 2023 Mar 4;20(5):4563. doi: 10.3390/ijerph20054563.

Abstract

Gait disorders are predisposing factors for falls. They are accessible to rehabilitation and can be analyzed using tools that collect spatio-temporal parameters of walking, such as the GAITRite mat. The objective of this retrospective study was to find differences between the spatio-temporal parameters in patients who had fallen compared to patients who did not fall in a population of older patients hospitalized in acute geriatrics department. Patients over 75 years were included. For each patient, spatio-temporal parameters were collected using the GAITRite mat. The patients were divided into two groups according to whether they had a history of fall. The spatio-temporal parameters were compared between the two groups and in relation to the general population. Sixty-seven patients, with an average age of 85.9 ± 6 years, were included. The patients had comorbidities, cognitive impairment and were polymedicated. The mean walking speed was 51.4 cm/s in non-fallers group and 47.3 cm/s in fallers group ( = 0.539), indicating pathological walking in comparison with the general population of the same age (average 100 cm/s). No association was found between the spatio-temporal parameters and fall, probably linked to many confounding factors such as the pathogenicity of walking of our patients and their comorbidities.

摘要

步态障碍是跌倒的诱发因素。它们可以通过康复治疗,并且可以使用收集行走时空参数的工具进行分析,例如 GAITRite 垫。本回顾性研究的目的是在急性老年科住院的老年患者人群中,比较跌倒患者和未跌倒患者的时空参数是否存在差异。纳入了 75 岁以上的患者。使用 GAITRite 垫为每位患者收集时空参数。根据患者是否有跌倒史将患者分为两组。比较两组患者之间以及与一般人群的时空参数。共纳入 67 例患者,平均年龄为 85.9 ± 6 岁。患者有合并症、认知障碍和多种药物治疗。无跌倒组患者的平均行走速度为 51.4 cm/s,跌倒组为 47.3 cm/s( = 0.539),与同龄一般人群(平均 100 cm/s)相比,行走速度较慢,提示存在病理性行走。时空参数与跌倒之间未发现关联,可能与我们患者的行走病理特性及其合并症等许多混杂因素有关。

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Normative spatiotemporal gait parameters in older adults.老年人正常的时空步态参数。
Gait Posture. 2011 May;34(1):111-8. doi: 10.1016/j.gaitpost.2011.03.024. Epub 2011 Apr 29.

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