Alternative items for identifying hierarchical levels of physical disability by using physical performance tests in women aged 75 years and older
Alternative items for identifying hierarchical levels of physical disability by using physical performance tests in women aged 75 years and older
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DOI：
10.1111/j.1447-0594.2010.00614.x
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发表时间：
2010-10-01
影响因子：
3.3
通讯作者：
Tanaka, Kiyoji
中科院分区：
文献类型：
--
作者：
Kim, Mi-Ji;Yabushita, Noriko;Tanaka, Kiyoji
目的：通过身体机能测试识别身体残疾等级的个人，并确定区分 75 岁或以上女性身体残疾等级的阈值。方法：对 306 名 75 岁或以上社区居住妇女（范围：75-99 岁）进行横断面观察研究。通过评估选定的日常生活活动（ADL）和与行动相关的功能任务，将身体残疾分为无残疾、行动残疾和日常生活活动（ADL）残疾。身体功能测试包括九项（如力量、平衡、活动能力和步行能力）。为了评估观察到的阈值，为所有量表准备了接受者-操作者曲线。 结果：结果显示，除了单腿站立、串联站立和串联步行测试外，所有性能测试中的所有成对组比较均存在显着差异。患有 ADL 障碍的人无法进行单腿站立 (28.9%)、串联站立 (32.5%)、功能性伸展 (19.3%)、串联行走 (61.4%)、交替步 (53.0%) 和 5 椅坐站 (31.3%) 测试。区分无残疾和行动能力残疾组以及行动能力残疾和 ADL 残疾组之间观察到的阈值如下：定时 Up & Go 测试，8.5 秒和 12.7 秒；常用步态速度，1.05 m/s 和 0.79 m/s；握力分别为19.5公斤和16.3公斤。结论：平衡力和下肢力量测试可以一起用于识别或监测75岁及以上女性身体残疾等级的特征。老年老年国际 2010； 10：302-310。
Aim:To identify individuals at hierarchical levels of physical disability by using physical performance tests and to determine threshold values for the discriminating of levels of physical disability in women aged 75 years or older.Methods:A cross-sectional observational study was conducted on 306 community-dwelling women aged 75 years or order (range, 75-99 years). Physical disability was categorized into no disability, mobility disability and activities of daily living (ADL) disability, by evaluating selected ADL and mobility-related functional tasks. Physical function tests comprised nine items (such as strength, balance, mobility and walking ability). To assess the observed threshold values, receiver-operator curves were prepared for all the scales.Results:The results revealed significant differences among all the pairwise group comparisons in all the performance tests, except in the one-legged stance, tandem stance and tandem walk tests. The individuals with ADL disability were unable to perform the one-legged stance (28.9%), tandem stance (32.5%), functional reach (19.3%), tandem walk (61.4%), alternate step (53.0%) and 5-chair sit-to-stand (31.3%) tests. The observed thresholds for discriminating between the no disability and mobility disability groups and between the mobility disability and ADL disability groups were as follows: timed Up & Go test, 8.5 s and 12.7 s; usual gait speed, 1.05 m/s and 0.79 m/s; and grip strength, 19.5 kg and 16.3 kg, respectively.Conclusion:Tests for balance and lower extremity strength can be used together to identify or monitor the characteristics of the hierarchical levels of physical disability in women aged 75 years or older. Geriatr Gerontol Int 2010; 10: 302-310.