Examination of the functional fitness level adapted to the frail elderly of the light care level

本研究的目的是探讨由AAHPERD开发的60岁以上老年人功能体适能测试对体弱老年人的内容效度。本研究中使用的功能适应性测试最初由AAHPERD（1989）开发，并通过使用日本健康老年人样本的长期研究进行了修订（Yaguchi，et. 1998）。对居住在自己家中和几家养老院的体弱老人进行了汽水协调试验和动态平衡试验两个测试项目，将这些受试者从"独立水平"分为"需要支持水平"和"日本护理保险制度估计的护理等级1 - 2"。2006年的测验效度研究样本为75名老年人，2007年的测验项目临床适应性研究样本为250名老年人。 ...更多信息 苏打水协调性测试和动态平衡测试的t项表明与包括握力，5米间隔步行，用Barthel指数（了解老年人的身体ADL水平）和TCI（了解老年人的工具性ADL水平）等健康指标进行统计分析，并对控制性别和年龄的协方差分析（ANACOVA）结果表明，两项功能体适能测试项目与其他体适能测试项目及其他健康指标之间存在显著的相关性，因此，苏打水协调性测试和动态平衡测试两项功能体适能测试项目可以作为检测老年人功能体适能水平的有效测试项目。控制性别和年龄的协方差分析表明，两项功能体适能测试项目与其他体适能测试项目与健康指标之间存在显著的相关性。结果表明，功能体适能水平是影响健康指标的重要因素，其中，功能体适能水平被划分为四个评分水平。本研究采用米仓等人开发的TRW痴呆评定量表的分测验--卡片分类任务，对被试的认知功能进行了测试。al（2005）的研究结果表明，苏打水协调测验和动态平衡测验的执行过程中都包含工作记忆，因此，工作记忆与两个功能适能测验项目之间存在显著的相关性，从而证实了功能适能测验项目对体弱老年人的重要性。少

The object of this study was to examine the content validity for giving the functional fitness test for the aged over 60 years of age developed by the AAHPERD to the frail elderly persons. The functional fitness test used in this study was originally developed by AAHPERD(1989) and also revised by the long-term study using Japanese healthy elderly samples(Yaguchi, et. al.1998). The two test items consisting of the soda pop coordination test and the dynamic balance test were given to the frail elderly persons living in both their own homes and in the several nursing homes for the aged.These subjects were classified into from "the independent level" to both " the needing support level" and " the care gradel-2 estimated by the Japan care insurance system. The sample size was consisted of 75 elderly persons for the test validity study in 2006 and the 250 persons for the clinical adaptability study of the test items in 2007.The results were as follows.From the correlation matrix, the two tes … More t items of the soda pop coordination test and the dynamic balance test indicated statistically significant relationship with the other fitness test items consisting of the grip strength, the walking of 5 meters interval, the leg-muscle strength and the other health indices consisting of Barthel index for knowing the elderly physical ADL level and TMIG for the instrumental ADL level.The analyses of covariance for controlling for sex and age (ANACOVA) showed the significant intercorrelations among the the two functional fitness test items and the other fitness test items and other health indices.Consequently the two test items consisting of the soda pop coordination test and the dynamic balance test were confirmed to be useful test items for examining the functional fitness level of the frail elderly persons.The critical adaptability study was administered by using the sample consisting of 250 frail elderly persons.The analyses of covariance for controlling for sex and age showed the significant intercorrelations among the two functional fitness test items and the other fitness test items and the health indices. As the results the functional fitness levels which were classified into the four score levels by using semi-interquartile range(Q) indicated to be useful influencing factors toward the health indices. The performance of the card classification task which is a subtest item of the TRW dementia rating scale developed by Yonekura, et. al (2005) indicated significant intercorrelations with the two functional fitness test items because the working memory is contained in the performance process of both the soda pop coordination test and the dynamic balance test.The significance of giving the functional fitness test items to the frail elderly persons were confirmed from the results mentioned above. Less