Physical and performance measures for the identification of mild to moderate frailty
Physical and performance measures for the identification of mild to moderate frailty
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DOI：
10.1093/gerona/55.6.m350
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发表时间：
2000-06-01
影响因子：
5.1
通讯作者：
Kohrt, WM
中科院分区：
文献类型：
--
作者：
Brown, M;Sinacore, DR;Kohrt, WM
背景资料。导致老年人身体虚弱的因素的相对重要性和关联性尚不清楚。上肢和下肢力量、活动范围、平衡、协调、感觉的体能测量。对107名老年受试者进行步态和步态评估，并与36分体能测试(PPT)的分数进行比较。PPT上的分数与力量和平衡、步态、几个运动值范围和感觉的测量显著相关。受试者还根据PPT的得分进行分组，即不虚弱(32-36分)。身体轻度虚弱(25-31分)。或中等虚弱(17-24分)。随后使用ANOVA和Bonferroni事后分析来检查身体测量与这一脆弱指数的关系。平衡措施。障碍路线、Berg评分、Romberg测试的完整串联部分和快速步速在三组之间有显著差异。多元逐步回归分析表明，最强的变量组合解释了PPT中73%的变异，包括障碍成绩、髋关节外展力量、Romberg测试的半同步部分和协调(钉板)。这些结果进一步揭示了导致老年人身体虚弱的因素的相对重要性，以及在治疗计划中应考虑的老年人身体虚弱的补救因素。
Background. The relative importance and association of factors contributing to physical frailty in elderly persons are unclear.Methods. Physical measures of upper and lower extremity strength, range of motion, balance, coordination, sensation. and gait were evaluated in relation to scores obtained on a 36-point physical performance test (PPT) in 107 elderly subjects.Results. Scores on the PPT were significantly associated with the measures of strength and balance, gait, several range of motion values, and sensation. Subjects were also grouped according to score on the PPT as not frail (32-36 points). mildly frail (25-31 points). or moderately frail (17-24 points). ANOVA followed by Bonferroni post hoc analyses were used to examine the relationships of physical measures to this index of frailty. Balance measures. an obstacle course, the Berg scale, the full tandem portion of the Romberg test, and fast gait speed were significantly different among the three groups. Multiple stepwise regression analyses indicated that the strongest combination of variables, explaining 73% of all the variance in the PPT, included obstacle course performance, hip abduction strength, the semitandem portion of the Romberg test, and coordination (pegboard).Conclusions. Results provide further insight into the relative importance of factors that contribute to frailty and factors that should be considered in treatment planning for the remediation of physical frailty in old adults.