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跌倒老年人的步态特征。

Characteristics of the gait in old people who fall.

作者信息

Guimaraes R M, Isaacs B

出版信息

Int Rehabil Med. 1980;2(4):177-80. doi: 10.3109/09638288009163984.

DOI:10.3109/09638288009163984
PMID:7239777
Abstract

Observations were made of the gait of 30 people aged 65 and over who were admitted to hospital shortly after suffering a fall without bone injury. These were compared with 22 patients of similar age admitted to the same hospital who had not suffered a recent fall; with 23 normal active old people of whom 7 had fallen recently; and with 24 normal young subjects. The gait of the hospitalized fallers differed from all other groups, and had the following characteristics: slow speed, short step length, narrow stride width, wide range of stepping frequency, large variability of step length, and increasing variability with increasing frequency. These characteristics may reflect loss of automaticity of gait, and this finding may have implications for pathogenesis and rehabilitation.

摘要

对30名65岁及以上因跌倒入院且无骨损伤的患者的步态进行了观察。将这些患者与22名年龄相仿、近期未发生跌倒且入住同一医院的患者;23名正常活动的老年人(其中7人近期有跌倒史);以及24名正常年轻受试者进行了比较。住院跌倒者的步态与所有其他组不同,具有以下特征:速度慢、步长短、步幅窄、步频范围广、步长变异性大,且随着频率增加变异性增大。这些特征可能反映了步态自动性的丧失,这一发现可能对发病机制和康复有影响。

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