PHYSICAL PERFORMANCE-MEASURES THAT PREDICT FALLER STATUS IN COMMUNITY-DWELLING OLDER ADULTS
PHYSICAL PERFORMANCE-MEASURES THAT PREDICT FALLER STATUS IN COMMUNITY-DWELLING OLDER ADULTS
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DOI：
10.2519/jospt.1992.16.3.123
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发表时间：
1992-09-01
影响因子：
6.1
通讯作者：
MOLDAVON, R
中科院分区：
文献类型：
--
作者：
MACRAE, PG;LACOURSE, M;MOLDAVON, R
福尔斯是老年人致命和非致命伤害的主要原因。准确确定与老年人福尔斯相关的危险因素是必要的，不仅对个体患者的管理，而且对跌倒预防计划的发展。本研究的目的是评估临床措施的有效性，如单腿站立试验（OLST），坐立试验（STST），手动肌肉测试（MMT），并在预测跌倒状态的反应速度在社区居住的老年人（N = 94，年龄60-89岁）。评估的变量是单腿站立（通过OLST测量），STST和MMT的12个不同的肌肉群（髋屈肌，髋外展肌，髋内收肌，膝屈肌，膝伸肌，踝背屈肌，踝跖屈肌，肩屈肌，肩外展肌，肘屈肌，肘伸肌和手指屈肌），和反应速度（通过视觉手反应和运动时间任务测量）。在接受评估的94名老年人中，28名（29.7%）报告在过去一年中至少有一次跌倒。判别分析显示，有六个变量，显着区分跌倒者和nonfallers。这些变量包括踝背屈肌、膝屈肌、髋外展肌和膝伸肌的MMT，以及OLST和STST的时间。结果表明，简单的肌肉骨骼功能的临床措施可以区分从nonfallers在社区居住的老年人跌倒。
Falls are a leading cause of fatal and nonfatal injuries among the elderly. Accurate determination of risk factors associated with falls in older adults is necessary, not only for individual patient management, but also for the development of fall prevention programs. The purpose of this study was to evaluate the effectiveness of clinical measures, such as the one-legged stance test (OLST), sit-to-stand test (STST), manual muscle tests (MMT), and response speed in predicting faller status in community-dwelling older adults (N = 94, age 60-89 years). The variables assessed were single-leg standing (as measured by OLST), STST, and MMT of 12 different muscle groups (hip flexors, hip abductors, hip adductors, knee flexors, knee extensors, ankle dorsiflexors, ankle plantarflexors, shoulder flexors, shoulder abductors, elbow flexors, elbow extensors, and finger flexors), and speed of response (as measured by a visual hand reaction and movement time task). Of the 94 older adults assessed, 28 (29.7%) reported at least one fall within the previous year. The discriminant analysis revealed that there were six variables that significantly discriminated between fallers and nonfallers. These variables included MMT of the ankle dorsiflexors, knee flexors, hip abductors, and knee extensors, as well as time on the OLST and the STST. The results indicate that simple clinical measures of musculoskeletal function can discriminate fallers from nonfallers in community-dwelling older adults.