A comparison of four functional tests in discriminating fallers from non-fallers in older people
A comparison of four functional tests in discriminating fallers from non-fallers in older people
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DOI：
10.1080/713813432
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发表时间：
2003-01-07
影响因子：
2.2
通讯作者：
Lo, SK
中科院分区：
文献类型：
--
作者：
Chiu, AYY;Au-Yeung, SSY;Lo, SK
目的：哪些关于移动性和平衡的功能测试可以更好地筛查有福尔斯风险的老年人尚不清楚。本研究旨在比较贝格平衡量表（BBS）、Tinetti活动度评分（TMS）、老年活动度量表（EMS）和定时起身行走试验（TUG）对老年人跌倒与非跌倒的鉴别作用。招募的受试者包括17名和22名分别来自公共福尔斯诊所的有单次和多次福尔斯跌倒史的老年人，以及39名没有跌倒史且年龄、性别和BMI与跌倒者相匹配的社区居民。所有受试者进行了一天内的流动性和平衡assessment.Results：单跌倒者表现优于多跌倒者在所有四个功能测试，但比非跌倒者在BBS，TMS和TUG差。BBS表现出最好的鉴别能力，具有高灵敏度和特异性。结论：BBS是四种功能测验中区分跌倒者和非跌倒者最有效的功能测验。
Purpose: Which functional tests on mobility and balance can better screen older people at risk of falls is unclear. This study aims to compare the Berg Balance Scale (BBS), Tinetti Mobility Score (TMS), Elderly Mobility Scale (EMS) and Timed Up and Go test (TUG) in discriminating fallers from non-fallers in older people.Method: This was a case-control study involving one rater who conducted a mobility and balance assessment on subjects using the four functional tests in random sequence. Subjects recruited included 17 and 22 older people with a history of single and multiple falls respectively from a public Falls Clinic, and 39 community-dwellers without fall history and whose age, sex and BMI matched those of the fallers. All subjects underwent the mobility and balance assessment within one day.Results: Single fallers performed better than multiple fallers in all four functional tests but were worse than non-fallers in the BBS, TMS and TUG. The BBS demonstrated the best discriminating ability, with high sensitivity and specificity. The BBS item 'pick up an object from the floor' was the best at screening fallers.Conclusion: BBS was the most powerful functional test of the four in discriminating fallers from non-faller.