Association of spinal inclination with physical performance measures among community-dwelling Japanese women aged 40 years and older
Association of spinal inclination with physical performance measures among community-dwelling Japanese women aged 40 years and older
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DOI：
10.1111/ggi.12020
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发表时间：
2013-10-01
影响因子：
3.3
通讯作者：
Kusano, Yosuke
中科院分区：
文献类型：
--
作者：
Abe, Yasuyo;Aoyagi, Kiyoshi;Kusano, Yosuke
脊柱倾斜度评估脊柱的整体姿势。然而，脊柱倾斜与身体表现之间的关系尚未完全阐明。因此，本研究旨在探讨脊柱倾斜与体能测试的关系。方法研究对象为107名40 ~ 84岁的日本女性。脊柱姿势通过计算机辅助装置评估为向垂直线倾斜。倾斜值增加意味着脊柱向前倾斜。身体表现通过以下方法测量：6米步行时间、站立时间、功能伸展、计时Up & Go测试和握力。研究人员还收集了参与者的合并症、骨质疏松症、膝关节疼痛、背痛、前一年跌倒、定期运动和使用非甾体抗炎药（NSAIDs）的信息。结果spearson相关分析显示脊柱倾斜度与各项体能指标有显著相关性。经年龄调整后的Pearson偏相关分析显示，在6米步行时间、椅子站立时间、功能延伸和Timed Up & Go测试中，倾斜度增加与身体功能差有显著关联，但在握力方面没有关联。经年龄、握力、合并症、骨质疏松、膝关节疼痛、背痛、前一年跌倒、定期活动和服用非甾体抗炎药等因素调整后的线性回归分析显示，脊柱倾斜与6米步行时间、站立椅子时间、功能延伸和Timed Up & Go测试功能差有关。结论脊柱前倾与各项体能指标的损害有关。应促进对潜在疾病的适当预防和治疗。Geriatr Gerontol; 2012；13: 881 - 886。
AimSpinal inclination assesses spinal posture as a whole. However, the association between spinal inclination and physical performance has not yet been fully elucidated. Therefore, this study aimed to explore the association of spinal inclination with physical performance measures.MethodsThe participants were 107 Japanese women aged 40-84years. Spinal posture was assessed as inclination to a perpendicular line by using a computer-assisted device. Increased inclination value means forward inclination of the spine. Physical performance was measured by using the following methods: 6-m walking time, chair stand time, functional reach, Timed Up & Go Test, and grip strength. Information on participants' comorbidities, osteoporosis, knee joint pain, back pain, falls in the previous year, regular exercise and usage of non-steroidal anti-inflammatory drugs (NSAIDs), was also collected.ResultsPearson's correlation analysis showed significant associations between spinal inclination and all of the physical performance measures. Pearson's partial correlation analysis adjusted for age showed significant associations of increased inclination with poor physical functioning in 6-m walking time, chair stand time, functional reach, and Timed Up & Go Test, but not in grip strength. Linear regression analysis adjusted for age, grip strength, number of comorbidities, osteoporosis, knee joint pain, back pain, falls in previous year, regular activity and taking NSAIDs showed that spinal inclination was associated with poor function in 6-m walking time, chair stand time, functional reach and Timed Up & Go Test.ConclusionForward spinal inclination was associated with impairment in various physical performance measures. Proper prevention and treatment of underlying disorders should be prompted. Geriatr Gerontol Int 2012; 13: 881-886.