The effects of motor learning and prevention readiness of re-falls influencing a prediction of a conclusion of the hip fractures

本研究的目的是确定旨在髋部骨折的功能结论重新获得转移和活动的训练方法。本文利用肌电图对20例健康成人（平均年龄63.4岁）的坐立动作进行了评价，以表征运动学习与肌肉力量的关系。结果表明，受试者的平衡能力与坐立策略之间的关系，即运动和稳定性要求之间的权衡，并提出学习一种有效和熟练地展示肌肉力量的方法的重要性。对9例成人髋部骨折患者（平均年龄82.0岁）进行3种不同的坐立方式（1：无指导、2：扶手、3：时刻策略），并应用肌电图分析肌肉活动特征数据，评价坐立策略的效果。因此，在术后早期，需要活动来保持平衡的“多运动”策略的效果尚不清楚。然而，这一策略促进了竖脊肌的活动，帮助患者控制躯干，并随着训练的进展阶段有效地显示腿部力量肌肉。对51例髋部骨折患者（平均年龄80.9岁）采用主成分分析/因子分析（a Varimax turn）对预防准备结果进行统计分析，评估预防准备预防再次跌倒恐惧的效果。结果提取出贡献度较高的4个因子，并对其进行命名。因素1：对转学的恐惧，因素2：对再次跌倒和上下楼梯的恐惧，因素3：对训练没有焦虑，因素4：整体满足感。从这些结果可以推断，以提高老年残疾人移动和活动能力为目的的训练方法d是学习如何通过瞬间策略促进竖脊肌的活动，有效而巧妙地显示腿部肌肉力量（肌肉活动减少）。此外，我们还需要预测受试者的心理在四个特征因素中所处的位置，并在此基础上进行有效和充分的转移和活动方法干预。少

The purpose of this study is to identify the training method that aimed at reacquisition of transfer and mobility which were the functional conclusion of the hip fractures. The sit-to-stand motion of 20 healthy adults (mean age 63.4years) was evaluated using electromyographic data to characterize the motor learning and relations with muscular strength, As a result, we make much of the association that ability for balance of subjects and the sit-to-stand strategy, that is trade-off between movement and stability requirements, and it was suggested that is the importance of learning a way to show muscular strength efficiently and skillfully on this moving.The three different ways (1: no instruction, 2: arm rest, 3: moment strategy) of sit-to-stand performance of nine adults hip fractured patients (mean age 82.0 yeas) were compared with analysis of muscle activity characteristic data using electromyography to evaluate the effect of sit-to-stand strategy. As a result, the effect of the mome … More nt strategy which require activity for balance was not clear in the postoperative early days. However, it was suggested that this strategy facilitate activity of erector spinae muscle of helping the patient control of the trunk and effective in letting show muscle of leg power efficiently with progress stage of training.An effect of the fall prevention readiness which prevent from fear of re-fall was evaluated for 51 hip fractured patients (mean age, 80.9yeas), using statistical by principal component analysis/factor analysis (a Varimax turn) from prevention readiness findings. As a result, four factors that a contribution ratio was high were extracted, and it was named. Factor 1: fear of transfer, Factor 2: fear of re-fall and stairs up and down, Factor 3: no anxiety for training, Factor 4: global feeling of satisfaction.From these result we can deduce that the training method d that aimed at improvement of transfer and mobility of an elderly handicapped people is to learn the way to facilitate the activity of erector spinae muscle and show leg muscular strength efficiently and skillfully (decrease of muscle activity) by moment strategy. Further more, it was needed that we have prediction of where is psychology of the subject patient located in the four characteristic factor and intervention of transfer and mobility approach effectively and adequately based on this prediction. Less