Association of activities of daily living with load during step ascent motion in nursing home-residing elderly individuals: An observational study.
Association of activities of daily living with load during step ascent motion in nursing home-residing elderly individuals: An observational study.
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居住在疗养院的老年人在阶梯上升运动中日常生活活动与负荷的关联：一项观察性研究。
DOI：
10.1097/phm.0000000000000954
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Ichihashi N.
中科院分区：
文献类型：
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作者：
Masaki M;Ikezoe T;Kamiya M;Araki K;Isono R;Kato T;Kusano K;Tanaka M;Sato S;Hirono T;Kita K;Tsuboyama T;Ichihashi N.
目的本研究旨在探讨 32 名居住在疗养院的老年人的日常生活活动独立性与登高运动负荷和其他运动功能的关系。设计采用功能独立性测量来评估日常生活活动独立性。在阶梯上升任务期间，在阶梯上升平台上测量上部（即，拉起）和下部（即，推起）水平的负载。髋伸肌、膝伸肌、跖屈肌和股四头肌设定力量；使用迈步测试下肢敏捷性；并测量髋关节和膝关节疼痛的严重程度。还测量了单腿站立和平衡功能到达距离以及最大步行速度、定时起立时间、五椅站立时间和阶梯上升时间来评估活动能力。结果逐步回归分析显示，阶梯上升运动期间的推起负荷和定时起立时间是功能独立测量得分的显着且独立的决定因素。功能独立测量得分随着俯卧撑负荷的减少和定时起立行走时间的增加而降低。结论研究结果表明，根据任务的特殊性，一项登高任务的上台阶运动期间的俯卧撑峰值负荷和定时起立行走都可以部分解释居住在疗养院的老年人的日常生活活动的功能独立测量得分。下肢肌肉力量、敏捷性、疼痛或平衡测量并未增加预测。
ObjectiveThis study aimed to examine the association of independence in activities of daily living with the loads during step ascent motion and other motor functions in 32 nursing home–residing elderly individuals.DesignIndependence in activities of daily living was assessed by using the Functional Independence Measure. The loads at the upper (ie, pulling up) and lower (ie, pushing up) levels during the step ascent task was measured on a step ascent platform. Hip extensor, knee extensor, plantar flexor muscle, and quadriceps setting strengths; lower extremity agility using the stepping test; and hip and knee joint pain severities were measured. One-legged stance and functional reach distance for balance and maximal walking speed, timed up-and-go time, five-chair-stand time, and step ascent time were also measured to assess mobility.ResultsStepwise regression analysis revealed that the load at pushing up during step ascent motion and timed up-and-go time were significant and independent determinants of Functional Independence Measure score. Functional Independence Measure score decreased with decreased load at pushing up and increased timed up-and-go time.ConclusionsThe study results suggest that depending on task specificity, both one step up task's push-up peak load during step ascent motion and timed up-and-go can partially explain activities of daily living's Functional Independence Measure score in nursing home–residing elderly individuals. Lower extremity muscle strength, agility, pain, or balance measures did not add to the prediction.