Rising from the floor in older adults
Rising from the floor in older adults
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DOI：
10.1111/j.1532-5415.1997.tb03088.x
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发表时间：
1997-05-01
影响因子：
6.3
通讯作者：
Channer, D
中科院分区：
文献类型：
--
作者：
Alexander, NB;Ulbrich, J;Channer, D
目的：主要目标是确定老年人从地板上站起来的能力。第二个目标是探索在使用或不使用辅助设备的情况下，上升能力可能会有什么不同。设计：对年轻、健康的老年人和聚集的老年人进行横断面分析。设置：基于大学的实验室和聚集的住房设施。项目：年轻人对照组(12名男性和12名女性，平均年龄23岁)，健康的老年人(12名男性和12名女性，平均年龄73岁)，以及聚集的老年人(32名女性和6名男性，平均年龄80岁)。健康的老年女性(n=12，平均年龄75岁)和居住在会众的女性(n=27，平均年龄81岁)被确定用于进一步的分析。干预：从受控的初始身体姿势(仰卧、侧卧、俯卧、四肢和坐姿)以及在使用或不使用家具支撑的情况下，拍摄从地板上站起的时间和时间。主要观察指标：受试者是否成功地站起来，如果他们成功了，上升所需的时间。与基准任务相比，受试者也对他们感觉到的任务难度进行了评级，从仰卧位置站起来。结果：老年人比年轻人更难从地板上站起来。健康的老年人上升的时间是年轻人的两倍，而会众老年人上升的时间是健康老年人的两到三倍。尽管所有年轻健康的老年人都从各个姿势站了起来，但会众住房居民中有一部分人无法从任何姿势站起来，当试图在没有支撑的情况下站起来时，有24%的人站不起来，当试图在有支撑的情况下站起来时，有13%的人站不起来。聚集在一起的老人最有可能成功的时候，是从侧卧的位置站起来，同时使用家具作为支撑。老年人和年轻健康的老年人站得越快，站起来的难度就越小。结论：在老年人居住的人群中，无法从地板上站起来的情况相对常见。根据不同组之间完成上升的时间差异，确定不同的上升策略的差异，以及在有或没有支撑的不同位置上升的潜在生物力学要求似乎是有用的。这些数据可能会作为未来干预措施的基础，以提高从地板上站起来的能力。
OBJECTIVE: The primary goal was to determine the ability of older adults to rise from the floor. A secondary goal was to explore how rise ability might differ based on initial body positions and with or without the use of an assistive device.DESIGN: Cross-sectional analysis of young, healthy older, and congregate housing older adults.SETTING: University-based laboratory and congregate housing facility.PARTICIPANTS: Young adult controls (12 men and 12 women, mean age 23 years), healthy older adults (12 men and 12 women, mean age 73 years), and congregate housing older adults (32 women and 6 men, mean age 80 years). The healthy older adult women (n = 12, mean age 75 years) and a subset of the congregate housing women (n = 27, mean age 81 years) were identified for further analyses.INTERVENTION: Videotaping and timing of rising from the floor from controlled initial body positions (supine, on side, prone, all fours, and sitting) and with or without the use of a furniture support.MAIN OUTCOME MEASURES: Whether subjects were successful in rising, and if they were, the time taken to rise. Subjects also rated their perceived difficulty of the task as compared to the reference task, rising from a supine position.RESULTS: Older adults have more difficulty rising from the floor than younger adults. The healthy old took twice as long as the young to rise, whereas the congregate old took two to three times as long as the healthy old to rise. Although all young and healthy old rose from every position, a subset of the congregate housing residents was unable to rise from any position, 24% when attempting to rise without a support and 13% when attempting to rise with a support. Congregate old were most likely to be successful when rising from a side-lying position while using the furniture for support. The more able congregate old, as well as the young and healthy old, rose more quickly and admitted to the least difficulty when rising from the all fours position.CONCLUSIONS: The inability to rise from the floor is relatively common in congregate housing older adults. Based on the differences between groups in time to complete the rise, determining the differences in rise strategies, and the underlying biomechanical requirements of rising from differ ent positions with or without a support would appear to be useful. These data may serve as the foundation for future interventions to improve the ability to rise from the floor.