Development of a Model and Review of Clinical Methods of Balance Function in the Elderly Using Structural Equation Modeling

Q4 Medicine pzshkhy blyny bn syn Pub Date : 2021-12-01 DOI:10.52547/ajcm.28.3.194
E. Talebi Ghane, Leila Ghanbari, Saeid Shamloo Kazemi, Rashid Heidari moghadam, H. Naderifar
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Abstract

Background and Objective: Balance disorder is one of the most common problems in the elderly, leading to falls and serious injuries. One of the most important issues in the health of the elderly is balance and its related components. Therefore, the present study aimed to assess balance function tests, the relationship between age and anthropometric index, and perform equilibrium tests using structural equation modeling. Materials and Methods: A total of 136 elderly men and women living in a retirement home in Hamadan were included in this cross-sectional study. Balance function tests included finger-to-nose test, maintaining balance on one foot, standing up and walking tests, and heel-toe walking tests. Data were analyzed using an independent t-test, Pearson correlation coefficient, and structural equation model with 95% confidence using SPSS (version 23) and EQS (version 6.1) software. Results: The mean (standard deviation) age of the participants in this study was 66.05±2.83 and out of 136 patients, 77 (56.62%) cases were female. There was a significant difference between the mean scores of men and women in balance performance tests. In the Finger-to-nose test, women with the dominant and non-dominant hand performed the test in less time, and in other tests, the men performed faster. The intra-class correlation (ICC) coefficient obtained in all tests showed high repeatability of these tests. The coefficients obtained from the structural equation model showed that for every one year increase in age, the motor index and the anthropometric index increased and decreased significantly by 0.68 and 0.60 units, respectively. There was a decrease of 0.06 units in the mean of equilibrium performance tests. The model of fitted structural equations was confirmed based on the fitted goodness index (χ2 was not significant total, (0.095-0.077) 0.089: RMSEA, 0.918CFI: and GFI: 0.908). Conclusion: Age and gender were effective on balance function tests and anthropometric indices. The mean motor index and anthropometric index increased and decreased significantly for every one year increase in age. Furthermore, among the balance performance tests, the most difficult test was related to standing on one leg.
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应用结构方程模型建立老年人平衡功能模型及临床方法综述
背景与目的:平衡障碍是老年人最常见的问题之一,可导致跌倒和严重损伤。老年人健康中最重要的问题之一是平衡及其相关组成部分。因此,本研究旨在评估平衡功能测试、年龄与人体测量指数之间的关系,并使用结构方程模型进行平衡测试。材料和方法:共有136名居住在哈马丹养老院的老年男女参与了这项横断面研究。平衡功能测试包括手指到鼻子测试、单脚保持平衡、站立和行走测试以及足跟行走测试。使用SPSS(版本23)和EQS(版本6.1)软件,使用独立t检验、Pearson相关系数和95%置信度的结构方程模型对数据进行分析。结果:本研究参与者的平均(标准差)年龄为66.05±2.83,136例患者中,77例(56.62%)为女性。在平衡表现测试中,男性和女性的平均得分之间存在显著差异。在手指到鼻子的测试中,拥有优势手和非优势手的女性进行测试的时间更短,而在其他测试中,男性表现更快。在所有测试中获得的类内相关性(ICC)系数显示出这些测试的高重复性。从结构方程模型中获得的系数表明,年龄每增加一年,运动指数和人体测量指数分别显著增加和减少0.68和0.60个单位。平衡性能测试的平均值减少了0.06个单位。基于拟合优度指数(χ2不显著,(0.095-0.077)0.089:RMSEA,0.918CFI:和GFI:0.908),证实了拟合结构方程的模型。年龄每增加一年,平均运动指数和人体测量指数就显著增加和减少。此外,在平衡性能测试中,最困难的测试与单腿站立有关。
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
16
审稿时长
8 weeks
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