[Are gait parameters related to knee pain, urinary incontinence and a history of falls in community-dwelling elderly women?].
[Are gait parameters related to knee pain, urinary incontinence and a history of falls in community-dwelling elderly women?].
复制标题
[社区老年妇女的步态参数与膝盖疼痛、尿失禁和跌倒史有关吗？]。
DOI：
10.3143/geriatrics.50.528
复制
发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Yoshifumi Niki
中科院分区：
文献类型：
--
作者：
Hunkyung Kim;Takao Suzuki;H. Yoshida;H. Shimada;Y. Yamashiro;M. Sudo;Yoshifumi Niki
目的
研究步态参数与膝关节疼痛、尿失禁和福尔斯史之间的关系。
方法
2009年对971名70岁以上老年妇女进行全面健康体检，对其中870名进行问卷调查和步态参数结果分析。通过面对面访谈调查评估膝关节疼痛、尿失禁和福尔斯史。步态参数使用步行道测量，以评估步行速度、节奏、步幅、步长、步宽、步行角度、脚趾角度以及右脚和左脚之间的每个参数的差异。进行多元逻辑回归分析，以检查步态参数与膝关节疼痛，尿失禁和福尔斯病史之间的关系。
结果
有膝关节疼痛、尿失禁和福尔斯跌倒史的老年妇女步行速度较慢，步幅和步长较小，步宽和步行角度较大。多因素Logistic回归分析显示，步行速度与轻度膝关节疼痛、尿失禁和单一跌倒史显著相关;中/重度膝关节疼痛与步宽显著相关（OR=0.58，95%CI=0.40-0.84）和行走角度（OR=1.62，95%CI=1.30-2.01）;中/重度尿失禁与步行速度显著相关（OR=0.97，95%CI=0.96-0.99），行走角度（OR=1.14，95%CI=1.02-1.26），左右足行走角度差异（OR=1.43，95%CI=1.09-1.86）;多次福尔斯跌倒史与步幅显著相关（OR=0.85，95%CI=0.79-0.93）和左右足行走角度差（OR=1.36，95%CI=1.01-1.85）。
结论
这些数据表明，结合步行速度和其他步态参数的评估可能是一种有效的筛查方法，用于早期发现老年综合征。
AIM
To examine the association between gait parameters and knee pain, urinary incontinence, and a history of falls.
METHODS
Comprehensive health examinations were conducted in 2009 among 971 elderly women over 70 years of age, in which the questionnaire and gait parameter results of 870 participants were analyzed. Knee pain, urinary incontinence and a history of falls were assessed through face-to-face interview surveys. Gait parameters were measured using a walk-way to assess walking speed, cadence, stride, stride length, step width, walking angle, toe angle and the differences in each parameter between the right and left foot. Multiple logistic regression analyses were performed to examine the associations between the gait parameters and knee pain, urinary incontinence and a history of falls.
RESULTS
The elderly women with knee pain, urinary incontinence and a history of falls had slower walking speeds, smaller strides and strides length, and wider step width and walking angles. The multiple logistic regression analysis showed the walking speed to be significantly associated with mild knee pain and urinary incontinence and single a history of fall; moderate/severe knee pain was significantly associated with step width (OR=0.58, 95%CI=0.40-0.84) and walking angle (OR=1.62, 95%CI=1.30-2.01); moderate/severe urinary incontinence was significantly associated with walking speed (OR=0.97, 95%CI=0.96-0.99), walking angle (OR=1.14, 95%CI=1.02-1.26), and difference in walking angle between the right and left foot (OR=1.43, 95%CI=1.09-1.86); multiple a history of falls was significantly associated with stride length (OR=0.85, 95%CI=0.79-0.93) and the difference in walking angle between the right and left foot (OR=1.36, 95%CI=1.01-1.85).
CONCLUSIONS
The data suggest that combining assessments of walking speed and other gait parameters may be an effective screening method for the early detection of geriatric syndromes.
影响因子：
2.4
作者：
Espy, D. D.;Yang, F.;Bhatt, T.;Pai, Y. -C.
通讯作者：
Pai, Y. -C.