A comparison of four functional tests in discriminating fallers from non-fallers in older people
A comparison of four functional tests in discriminating fallers from non-fallers in older people
复制标题
区分老年人跌倒者和非跌倒者的四种功能测试的比较
DOI：
10.1080/dre.25.1.45.50
复制
发表时间：
2003
影响因子：
2.2
通讯作者：
S. Lo
中科院分区：
文献类型：
--
作者：
A. Chiu;S. Au;S. Lo
目的：尚不清楚哪些针对活动性和平衡性的功能测试可以更好地筛查有跌倒风险的老年人。本研究旨在比较 Berg 平衡量表 (BBS)、Tinetti 活动评分 (TMS)、老年人活动量表 (EMS) 和计时起立测试 (TUG) 在区分老年人跌倒者和非跌倒者方面的作用。方法：这是一项病例对照研究，涉及一名评估者，使用随机顺序的四项功能测试对受试者进行活动性和平衡性评估。招募的受试者包括来自公立跌倒诊所的分别有一次和多次跌倒史的 17 名和 22 名老年人，以及 39 名没有跌倒史且年龄、性别和体重指数与跌倒者相匹配的社区居民。所有受试者在一天内接受了活动能力和平衡能力评估。结果：在所有四项功能测试中，单个跌倒者的表现均优于多个跌倒者，但在 BBS、TMS 和 TUG 方面均低于非跌倒者。 BBS表现出最好的判别能力，具有较高的敏感性和特异性。 BBS 项目“从地板上捡起一个物体”是筛选跌倒者的最佳选择。结论：BBS 是四种功能测试中区分跌倒者和非跌倒者的最有力的功能测试。
Purpose : Which functional tests on mobility and balance can better screen older people at risk of falls is unclear. This study aims to compare the Berg Balance Scale (BBS), Tinetti Mobility Score (TMS), Elderly Mobility Scale (EMS) and Timed Up and Go test (TUG) in discriminating fallers from non-fallers in older people. Method : This was a case-control study involving one rater who conducted a mobility and balance assessment on subjects using the four functional tests in random sequence. Subjects recruited included 17 and 22 older people with a history of single and multiple falls respectively from a public Falls Clinic, and 39 community-dwellers without fall history and whose age, sex and BMI matched those of the fallers. All subjects underwent the mobility and balance assessment within one day. Results : Single fallers performed better than multiple fallers in all four functional tests but were worse than non-fallers in the BBS, TMS and TUG. The BBS demonstrated the best discriminating ability, with high sensitivity and specificity. The BBS item `pick up an object from the floor' was the best at screening fallers. Conclusion : BBS was the most powerful functional test of the four in discriminating fallers from non-faller.
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DOI：
10.1001/jama.1993.03500010075035
发表时间：
1993-01
期刊：
JAMA
影响因子：
--
作者：
M. Tinetti;Wen-Liang Liu;Elizabeth B. Claus
通讯作者：
M. Tinetti;Wen-Liang Liu;Elizabeth B. Claus
影响因子：
4.6
作者：
Beck;Shultz Ek
通讯作者：
Beck;Shultz Ek
影响因子：
3.2
作者：
Shumway-Cook, A;Brauer, S;Woollacott, M
通讯作者：
Woollacott, M
影响因子：
6.7
作者：
Vellas, BJ;Wayne, SJ;Garry, PJ
通讯作者：
Garry, PJ