FUNCTIONAL REACH - PREDICTIVE-VALIDITY IN A SAMPLE OF ELDERLY MALE VETERANS
FUNCTIONAL REACH - PREDICTIVE-VALIDITY IN A SAMPLE OF ELDERLY MALE VETERANS
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DOI：
10.1093/geronj/47.3.m93
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发表时间：
1992-05-01
期刊：
影响因子：
--
通讯作者：
PRESCOTT, B
中科院分区：
文献类型：
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作者：
DUNCAN, PW;STUDENSKI, S;PRESCOTT, B
一种新的衡量平衡的方法，功能范围，最近被开发出来。功能性伸展是指在站立位置保持固定的支撑基础时，一个人向前伸展超过手臂长度的最大距离。建立了功能延伸的信度、效标和同时结构效度。本研究的目的是评估功能性伸展在识别老年受试者复发性福尔斯风险中的预测有效性。217名老年男性退伍军人（70-104岁）接受基线筛查，并随访6个月以监测福尔斯。在6个月随访期间发生两次或两次以上福尔斯跌倒的受试者被归类为复发性跌倒者。Logistic回归显示，如果个体无法达到，则有两次福尔斯跌倒的调整优势比（OR）为8.07（2.8-23.71）;如果他们的达到小于或等于6英寸，OR为4.02（1.84-8.77）;如果达到大于6英寸但小于10英寸，OR为2.00（1.35-2.98）。功能性伸展和复发性福尔斯之间的关系不受年龄、抑郁或认知的影响。我们的结论是，功能达到是一个简单易用的临床措施，具有预测有效性，在确定复发性福尔斯。
A new measure of balance, functional reach, has been recently developed. Functional reach is the maximal distance one can reach forward beyond arm's length while maintaining a fixed base of support in the standing position. Reliability, criterion, and concurrent construct validity of functional reach have been established. The purpose of this study was to assess the predictive validity of functional reach in identifying elderly subjects at risk for recurrent falls. Two hundred and seventeen elderly, community-dwelling male veterans (aged 70-104) underwent baseline screening and were followed for 6 months to monitor falls. Subjects with two or more falls during the 6-month follow-up were classified as recurrent fallers. Logistic regression reveals that if individuals were unable to reach, the adjusted odds ratio (OR) of having two falls was 8.07 (2.8-23.71); if their reach was less than or equal to 6 inches the OR was 4.02 (1.84-8.77); and if reach was greater than 6 inches but less than 10 inches the OR was 2.00 (1.35-2.98). The association between functional reach and recurrent falls was not confounded by age, depression, or cognition. We conclude that functional reach is a simple and easy-to-use clinical measure that has predictive validity in identifying recurrent falls.