老年人握力、认知和手灵巧的关系:一项初步研究

P. Roshan, N. SricharanK, A. M. M. Mussamil
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摘要

背景与目的:老年人最重要的两个因素是认知和手部运动功能,最明显的是对精细运动活动的要求很高。正常的衰老过程包括认知和感觉运动功能的下降,从而影响日常生活活动的表现。灵活度测量有助于早期发现手功能衰退,对老年人的手灵活度进行量化是必要的,不仅是为老年人的工作设计,而且是为老年人的产品和系统日常活动设计。力的控制是必要的抓地力,因为大多数日常物品需要获得的力量来移动,而不是最大的力量。而使用大的握力会导致老化的神经运动系统的变化,而不是触觉传入功能受损。一些老年人由于周围肌肉的重组,手部和手臂肌肉可能产生不太稳定的等距力。握力与认知有较大的相关性,认知功能的恶化是ad的高危因素。因此,握力被认为是认知能力下降和痴呆的早期标志。目的是寻找老年人握力、认知和手灵巧之间的关系。方法:根据选择标准招募16名受试者。受试者分别使用MoCA、手持式测力仪和9洞柱测试来评估认知、握力和手灵巧度。结果:采用Karl Pearson相关进行统计分析。结果表明,认知与左右侧握力之间存在中度相关,p值为0.031,r值为0.540,p = 0.40, r = 0.517;认知与左右侧手灵巧之间存在弱相关,p值为0.162,r = -。p =。180,r= -。分别为353。结论:研究显示左右侧认知与握力之间存在中度相关,与手灵巧之间存在弱相关。
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Relationship Between Hand Grip Strength, Cognition, And Hand Dexterity In Older Adults: A Pilot Study
Background and Objective: In older adults most important two factor is cognition and hand motorfunctions, most noticeable in requiring much skill in fine motor activities. The normal process of aginginvolves declines in cognitive and sensorimotor functions that affect performance of activities of dailyliving. Dexterity measures help to detects early decline of hand function and it is necessary to quantifymanual dexterity of older adults not only design for work but also for the product and system daily activitiesby older adults. Force control is necessary for grip because most daily object required acquired force formovement not maximum force. While using large grip forces can lead to changes in the aging neuromotorsystem other than impaired tactile afferent functioning. Some older adults may produce less stable isometricforces with hand and arm muscles because of peripheral reorganization of their muscles. There is greaterconnection between hand grip strength and cognition, the deterioration of cognitive function is a high risk ofAD. Therefore, handgrip strength considers as an early marker of cognitive decline and incident dementia.Objective is to find relationship between hand grip strength, cognition, and hand dexterity in older adults.Methodology: 16 subjects were recruited on the basis of selection criteria. Subjects evaluated cognition,grip strength, and hand dexterity using outcome measures are MoCA, hand held dynamometer, and 9-holepeg test respectively.Results: Karl Pearson correlation were used for the statistical analysis. The result showed that moderatecorrelation between cognition and grip strength for right and left side with p value 0.031 and r value 0.540,and p = 0.40 and r = 0.517 respectively and weak correlation between cognition and hand dexterity for bothright and left with p value 0.162 and r = -.367 and p = .180, r= -.353 respectively.Conclusion: the study shows moderate association between cognition and grip strength and weak correlationbetween cognition and hand dexterity for both right and left side.
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