评估 60 岁以上老年人的平衡能力和跌倒风险

Norbert Gruszczyński, Radosław Perkowski
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摘要

导言老年人跌倒是公共卫生和医疗保健领域的一个重大问题。老年人跌倒也被列入老年医学巨头,平衡和跌倒风险评估是老年医学综合评估(CGA)的重要组成部分。据估计,在社区独立生活的 65 岁以上老人中,几乎每三人中就有一人每年跌倒一次。这些估计数字随着年龄的增长而增加,在 80 岁以上的老年人中,每两个老人中就有一个可能至少摔倒一次。本研究旨在评估 60 岁以上独立生活在社会中的老年人的平衡能力和跌倒风险。材料和方法研究招募了 40 名同意参加研究并符合纳入标准的 60 岁以上老年人。研究使用了三种功能测试来评估老年人的平衡能力和跌倒风险:定时起立行走(TUG)、四方步测试(FSST)和单腿站立(OLS)。研究结果研究表明,随着年龄的增长,受试者在定时上下楼测试中的表现较差,rho = 0.38;p < 0.05,在四方步测试中的表现较差,rho = 0.53;p < 0.01。在单腿站立测试(OLS)中,虽然老年人的成绩比年轻人差,但不同性别或年龄组之间没有明显的统计学差异。表现测试结果与体重指数之间没有明显的统计学关联。临床测试的平均结果表明,研究中的老年人具有良好的平衡能力,跌倒的风险较低。
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Assessment of balance and risk of falls in people over 60 years old
Introduction: Falls of the elderly are a significant problem for public health and healthcare. They are also included in the geriatric giants, and the assessment of balance and risk of falls is an important part of the comprehensive geriatric assessment (CGA). It is estimated that almost one in three people over the age of 65 living independently in a community suffers one fall per year. These estimates increase with age, and in people older than 80 years, every second senior may experience at least one fall. The aim of the study was to assess the balance and risk of falls in people over 60 years of age living independently in society. Materials and methods: The study enrolled 40 seniors over the age of 60 who agreed to participate in the study and met the inclusion criteria. Three functional tests were used to assess balance and the risk of falls among seniors: the Timed Up and Go (TUG), the Four Square Step Test (FSST) and One-leg standing (OLS). Result: The study shows that as age increases, subjects perform worse on the Timed Up and Go rho = 0.38 test; p < 0.05 and in the Four Square Step Test rho = 0.53; p < 0.01. No statistically significant differences were observed between genders or age groups in the One Leg Standing test (OLS), although older people scored worse than younger age groups. There were no statistically significant associations between performance test results and BMI. The average results of the clinical tests show that the seniors in the study had good balance and a low risk of falling.
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