Poncumhak Puttipong, Phadungkit Supaporn, Chokphukiao Pakwipa, Intaruk Roongnapa, Amatachaya Pipatana, Amatachaya Sugalya
School of Physical Therapy, Faculty of Associated Medical Sciences Khon Kaen University, Khon Kaen, Thailand.
Improvement of Physical Performance and Quality of Life (IPQ) Research Group Khon Kaen University, Khon Kaen, Thailand.
Hong Kong Physiother J. 2022 Dec;42(2):125-136. doi: 10.1142/S1013702522500123. Epub 2022 Jul 22.
Older individuals face a high risk of mobility and body composition decline, which can affect their independence. In light of a current uncertain healthcare situation created by the coronavirus (COVID-19) pandemic, healthcare paradigm has been shifted with increased demand for a practical measure to promote standard home healthcare services for all individuals, including older adults.
This study explored the feasibility and validity of seated push-up tests (SPUTs) as clinical measures to reflect the body composition, muscle strength, and mobility among community-dwelling older individuals, aged years ().
Participants were cross-sectionally assessed using SPUTs with various demanding forms, including the 1-time SPUT (1SPUT) along with its upper limb loading SPUT (ULL-SPUT), 5-time SPUT (5SPUT), 10-time SPUT (10SPUT), and 1-min SPUT (1minSPUT) and standard measures.
Participants who passed and failed a 1SPUT showed significant differences in the outcomes of all standard measures (). The ULL-SPUT significantly correlated to all body composition, muscle strength, and mobility (-0.785; ). Outcomes of 1minSPUT significantly correlated with muscle strength and mobility outcomes (-0.526; ). Participants reported no adverse effects following the SPUTs.
The findings suggest the use of the 1SPUT, ULL-SPUT, and 1minSPUT as practical measures to reflect the body composition, muscle strength, and mobility of older individuals, according to their functional levels. The tests may especially clinically benefit those with lower limb limitations and those in settings with limited space and equipment.
老年人面临身体活动能力下降和身体成分改变的高风险，这可能影响他们的独立性。鉴于冠状病毒病（COVID-19）大流行造成当前医疗保健形势不确定，医疗保健模式已经转变，对为包括老年人在内的所有个体推广标准家庭医疗服务的实用措施的需求增加。
本研究探讨坐位俯卧撑测试（SPUT）作为反映社区居住的年龄在[具体年龄范围]岁的老年人身体成分、肌肉力量和身体活动能力的临床测量方法的可行性和有效性。
使用具有各种难度形式的SPUT对参与者进行横断面评估，包括单次SPUT（1SPUT）及其上肢负荷SPUT（ULL-SPUT）、5次SPUT（5SPUT）、10次SPUT（10SPUT）和1分钟SPUT（1minSPUT）以及标准测量方法。
通过和未通过1SPUT的参与者在所有标准测量结果方面存在显著差异（[具体差异情况]）。ULL-SPUT与所有身体成分、肌肉力量和身体活动能力显著相关（-0.785；[相关系数具体情况]）。1minSPUT的结果与肌肉力量和身体活动能力结果显著相关（-0.526；[相关系数具体情况]）。参与者报告在SPUT测试后没有不良反应。
研究结果表明，根据老年人的功能水平，使用1SPUT、ULL-SPUT和1minSPUT作为反映其身体成分、肌肉力量和身体活动能力的实用测量方法。这些测试可能对下肢有局限性的人和空间及设备有限的环境中的人尤其具有临床益处。
