Walker J M, Sue D, Miles-Elkousy N, Ford G, Trevelyan H
Phys Ther. 1984 Jun;64(6):919-23. doi: 10.1093/ptj/64.6.919.
The purposes of this study were to expand the data base of active range of motion (ROM) in the upper and lower extremities of older persons measured by goniometry and to determine if differences exist related to age, sex, and physical activity. Active ROM was measured with a clinical goniometer in 28 joint motions of the upper and lower extremities of the right side in 60 older subjects. Thirty men and 30 women were equally divided in two age groups of 60 to 69 and 75 to 84 years of age. Multivariate analysis of variance showed no significant differences in ROM that were attributable to sex and age. In univariate tests, however, 12 motions were significantly different (p less than .05) between the sexes, but only in 4 motions was the difference greater than intertester error. Physical activity, as assessed by a questionnaire and a rating scale, was not related to specific changes of joint range. Within the older subjects, however, a significant relationship between ROM and age or ROM and physical activity cannot be assumed. These results suggest that a data base of normative values is needed for older individuals.
本研究的目的是扩大通过测角法测量的老年人上下肢主动活动范围（ROM）的数据库，并确定是否存在与年龄、性别和身体活动相关的差异。使用临床测角仪对60名老年人右侧上下肢的28个关节运动进行了主动ROM测量。30名男性和30名女性被平均分为60至69岁和75至84岁两个年龄组。多变量方差分析显示，ROM在性别和年龄方面没有显著差异。然而，在单变量测试中，12项运动在性别之间存在显著差异（p小于0.05），但只有4项运动的差异大于测试者间误差。通过问卷和评分量表评估的身体活动与关节活动范围的具体变化无关。然而，在老年受试者中，不能假定ROM与年龄或ROM与身体活动之间存在显著关系。这些结果表明，需要建立老年人的正常值数据库。
