Threshold values of physical performance tests for locomotive syndrome

Threshold values of physical performance tests for locomotive syndrome
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DOI:
10.1007/s00776-013-0382-5
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发表时间:
2013-07-01
影响因子:
1.7
通讯作者:
Hasegawa, Yukiharu
Hasegawa, Yukiharu
中科院分区:
医学4区
文献类型:
--
作者:
Muramoto, Akio;Imagama, Shiro;Hasegawa, Yukiharu

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我们先前的研究确定了哪些身体性能测试对评估运动综合征最有用。本研究通过对406名受试者的计时起立行走试验、单腿站立时间、背肌力量、握力、10 m步态时间和最大步幅的测量,为运动综合征的诊断和风险评估提供了参考值在Yakumo研究2011-12期间,年龄在60-88岁之间(平均68.8 +/- A 6.7岁)的受试者(167名男性,239名女性)。LS定义为在25题老年运动功能量表(GLFS-25)上得分> 16分。使用受试者操作特征分析确定每项体格检查的参考值。女性的LS患病率显著高于男性,GLFS-25评分也显著高于男性:女性,9.2 +/- A 10.3分;男性,6.7 +/- A 8.0分。非LS组中的两种性别在所有体能测试性别中的表现都显著优于LS组,即使在调整年龄后,男性的背部肌肉力量和两种性别的握力除外。除握力外,所有身体表现测试的结果与两种性别的GLFS-25评分显着相关,即使调整了年龄。TUG、单腿站立时间、背部肌力、10 m步态时间、最大步幅和握力的参考值男性分别为6.7 s、21 s、78 kg、5.5 s和119 cm、34 kg,女性分别为7.5 s、15 s、40 kg、6.2 s、104 cm和22 kg。我们建立了GLFS-25定义的用于评估机车综合征时使用的主要身体性能测试的参考值。我们的研究结果可用于表征身体功能,并帮助为每个人量身定制抗LS训练计划。
Our previous study determined which physical performance tests were the most useful for evaluating locomotive syndrome. Our current study establishes reference values for these major physical performance tests with regards to diagnosing and assessing risk of locomotive syndrome (LS).We measured timed-up-and-go test, one-leg standing time, back muscle strength, grip strength, 10-m gait time and maximum stride in 406 individuals (167 men, 239 women) between the ages of 60-88 years (mean 68.8 +/- A 6.7 years) during Yakumo Study 2011-12. The LS was defined as having a score of > 16 points on the 25-Question Geriatric Locomotive Function Scale (GLFS-25). The reference value of each physical test was determined using receiver operating characteristics analysis.Women had a significantly higher prevalence of LS than men did and also scored significantly higher on the GLFS-25: women, 9.2 +/- A 10.3 pts; men, 6.7 +/- A 8.0 pts. Both genders in the non-LS group performed significantly better in all physical performance test gender except for back muscle strength in men and grip strength in both genders than those in the LS group, even after adjusting for age. The results of all the physical performance tests correlated significantly with the GLFS-25 scores of both genders even after adjusting for age except for grip strength. Reference values for TUG, one-leg standing time, back muscle strength, 10-m gait time, maximum stride and grip strength in men were 6.7 s, 21 s, 78 kg, 5.5 s and, 119 cm and 34 kg, respectively, and those for women were 7.5 s, 15 s, 40 kg, 6.2 s, 104 cm, and 22 kg, respectively.We established reference values for major physical performance tests used when assessing locomotive syndrome as defined by the GLFS-25. Our results can be used to characterize physical function and to help tailor an anti-LS training program for each individual.