Hip strength: ankle proprioceptive threshold ratio predicts falls and injury in diabetic neuropathy.
Hip strength: ankle proprioceptive threshold ratio predicts falls and injury in diabetic neuropathy.
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DOI：
10.1002/mus.24134
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发表时间：
2014-09
期刊：
影响因子：
3.4
通讯作者：
Ashton-miller, James A.
中科院分区：
文献类型：
--
作者：
Richardson, James K.;Demott, Trina;Allet, Lara;Kim, Hogene;Ashton-miller, James A.
我们确定了周围神经功能下降的老年人与福尔斯和跌倒相关损伤相关的下肢神经肌肉能力。32名受试者（67.4 ± 13.4岁; 19名2型糖尿病患者）代表了一系列周围神经功能，通过踝关节额状面本体感受阈值、踝关节和髋关节额状面运动功能以及1年的前瞻性随访进行了评价。分别有20例（62.5%）和14例（43.8%）受试者报告了福尔斯和跌倒相关损伤。髋内收肌扭矩发展率与踝关节本体感受阈值的比值（HipSTR/AnkPRO）预测了福尔斯（伪R2 = 0.726）和损伤（伪R2 = 0.382）。在HipSTR/AnkPRO存在下，没有其他变量保持显著性。研究人群中跌倒和受伤风险与HipSTR/AnkPRO呈负相关。神经性踝关节感觉障碍患者快速增加髋关节力量可降低福尔斯和相关损伤的风险。
We determined lower limb neuromuscular capacities associated with falls and fall-related injuries in older people with declining peripheral nerve function. Thirty-two subjects (67.4 ± 13.4 years; 19 with type 2 diabetes), representing a spectrum of peripheral neurologic function, were evaluated with frontal plane proprioceptive thresholds at the ankle, frontal plane motor function at the ankle and hip, and prospective follow-up for 1 year. Falls and fall-related injuries were reported by 20 (62.5%) and 14 (43.8%) subjects, respectively. The ratio of hip adductor rate of torque development to ankle proprioceptive threshold (HipSTR/AnkPRO) predicted falls (pseudo-R2 = .726) and injury (pseudo-R2 = .382). No other variable maintained significance in the presence of HipSTR/AnkPRO. Fall and injury risk in the population studied is related inversely to HipSTR/AnkPRO. Increasing rapidly available hip strength in patients with neuropathic ankle sensory impairment may decrease risk of falls and related injuries.
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影响因子：
3.5
作者：
CAVANAGH, PR;DERR, JA;ORCHARD, TJ
通讯作者：
ORCHARD, TJ
影响因子：
16.2
作者：
Gregg, EW;Sorlie, P;Geiss, L
通讯作者：
Geiss, L
影响因子：
5.5
作者：
Loram, ID;Lakie, M
通讯作者：
Lakie, M
DOI：
10.1016/j.apmr.2008.01.023
发表时间：
2008-09-01
影响因子：
4.3
作者：
Hilliard, Marjorie Johnson;Martinez, Katherine M.;Rogers, Mark W.
通讯作者：
Rogers, Mark W.
影响因子：
2.1
作者：
Allet, Lara;Kim, Hogene;Richardson, James K.
通讯作者：
Richardson, James K.