MUSCULOSKELETAL IMPAIRMENTS AND PHYSICAL DISABLEMENT AMONG THE AGED
MUSCULOSKELETAL IMPAIRMENTS AND PHYSICAL DISABLEMENT AMONG THE AGED
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DOI：
10.1093/geronj/45.6.m203
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发表时间：
1990-11-01
期刊：
影响因子：
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通讯作者：
BERLIN, J
中科院分区：
文献类型：
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作者：
JETTE, AM;BRANCH, LG;BERLIN, J
本文总结了马萨诸塞州卫生保健小组研究中10名ADL成员对视力、听力和肌肉骨骼损害的进展及其与身体残疾变化的关系的纵向调查结果。这一发现证实了人们普遍持有的临床信念，即特定类型的肌肉骨骼减少是老年人身体残疾的重要原因。手功能减退是一种重要的肌肉骨骼损伤，影响基础ADL的局限性，而工具性ADL功能障碍的进展受下肢损害进展的影响。视力和听力障碍的进展与身体残疾的变化无关。肌肉骨骼损伤是中老年最常见和最有症状的慢性主诉之一，值得流行病学家、残疾研究人员和临床医生更多地关注，寻求预防老年人残疾的方法。
This article summarizes the results of a longitudinal investigation of the progression of sight, hearing, and musculoskeletal impairments and their association with change in physical disability, in 10 ADLs among members of the Massachusetts Health Care Panel Study. The findings confirm widely held clinical beliefs that specific types of musculoskeletal decrement are an important cause of physical disability among older persons. Decrement in hand function is a significant musculoskeletal impairment influencing limitations in Basic ADL, and progression of Instrumental ADL dysfunction is influenced by progression of lower extremity impairments. Progression of sight and hearing impairments was not associated with change in physical disability. Musculoskeletal impairments, one of the most prevalent and symptomatic chronic complaints of middle and old age, deserve increased attention from epidemiologists, disability researchers, and clinicians seeking ways to prevent disablement among the aged.