摘要
目的探讨社区老年人常速行走的步态特征与过去1年跌倒史的关系。方法采用方便抽样法,选取合肥市某社区的135例老年人作为研究对象,过去1年内,跌倒者23例,未跌倒者112例。应用一般资料调查表、简易智能状态检查量表和便携式步态分析仪采集老年人的人口社会学资料、健康资料、跌倒相关信息及10 m常速行走步态参数,比较跌倒者与未跌倒者之间是否存在差异。结果比较两组的计时-起立-行走测试耗时、摆动强度、落脚强度、离地时脚的角度、速度,差异有统计学意义(均P<0.05)。结论社区老年人常速行走时,动态平衡能力、摆动强度、落脚强度越弱,离地时脚的角度越小,速度越慢,跌倒的可能性越大。
Objective To explore gait features at usual speed of community-dwelling elderly people,and its rela- tionship with history of falls in the past one year. Methods According to history of falls in the past one year, 135 elderly people in Hefei City were recruited and divided into railers(23 cases) and non-fallers(112 cases). Self-de- signed questionnaires were completed by all participants to collect data including gender,age,frequency of exercise, BMI,Barthel Index,MMSE,fear of fall and so on. Gait parameters were measured by IDEEA LifeGait when partici- pants walked for 10 meters at usual speed. Results Between fallers with non-railers,the time of Timed Up and Go Test had statistically significant differences(P〈0.05). Gait analysis results showed that swing power,foot fall,pre- swing angle,speed had statistically significant differences between two groups (all P〈0.05). Conclusion When community-dwelling elderly people are walking at usual speed,the shorter of the time of Timed Up and Go Test, the weaker of swing power,foot fall and pre-swing angle and the slower speed is,the more possible falls will occur.
出处
《中华护理杂志》
CSCD
北大核心
2017年第1期44-48,共5页
Chinese Journal of Nursing