踝关节本体感觉减退是老年人跌倒的一个危险因素。
Decreased Joint Position Sense of the Ankle Joint Is a Risk Factor for Falls in the Elderly.
作者信息
Kanemitsu Munekazu, Nakasa Tomoyuki, Ikuta Yasunari, Adachi Nobuo
机构信息
Department of Orthopaedic Surgery, Akiota Hospital, Akiōta, JPN.
Department of Artificial Joints and Biomaterials, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, JPN.
出版信息
Cureus. 2023 Dec 25;15(12):e51084. doi: 10.7759/cureus.51084. eCollection 2023 Dec.
BACKGROUND
Falls in the elderly are common causes of morbidity, mortality, loss of independence, and poor quality of life. We hypothesized that decreased ankle position sense is one among several risk factors that might lead to falls.
METHODS
A total of 54 feet from 28 patients over 65 years of age and 10 feet from five healthy volunteers were included. Measurements of ankle position sense, medical history, and fall history within a year were obtained, which were compared between the groups.
RESULTS
The mean replication error angle of internal and external rotation was significantly higher in the elderly, and the mean replication error angle of internal rotation was significantly higher in the group with a history of falls.
CONCLUSION
The mean replication error angle of internal rotation and a history of fractures were significant risk factors for falls. Hence, an increase in the mean replication error angle of internal rotation may increase the risk of falls in the elderly population.
背景
老年人跌倒乃是导致发病、死亡、失去独立生活能力以及生活质量低下的常见原因。我们推测踝关节位置觉减退是可能导致跌倒的多种风险因素之一。
方法
纳入了28名65岁以上患者的54只脚以及5名健康志愿者的10只脚。获取了踝关节位置觉、病史以及一年内的跌倒史测量数据，并在两组之间进行了比较。
结果
老年人内外旋的平均重复误差角度显著更高，且有跌倒史的组内旋平均重复误差角度显著更高。
结论
内旋平均重复误差角度和骨折史是跌倒的重要风险因素。因此，内旋平均重复误差角度的增加可能会增加老年人群跌倒的风险。
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