在健康老龄化、轻度认知障碍和痴呆的老年居民中,非优势单腿站立测试时间减少与重复跌倒相关:Wakuya项目。

IF 1.4 Q4 CLINICAL NEUROLOGY Dementia and Geriatric Cognitive Disorders Extra Pub Date : 2021-05-21 eCollection Date: 2021-05-01 DOI:10.1159/000516360
Keiichi Kumai, Mika Kumai, Junko Takada, Jiro Oonuma, Kei Nakamura, Kenichi Meguro
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引用次数: 2

摘要

简介:本研究的目的是澄清在社区环境中健康或轻度认知障碍(MCI)或痴呆的人群中,反复跌倒与睁眼单腿站立(OLS)测试中优势/非优势侧之间的关系。我们从Wakuya镇的39个地区招募了180名参与者。方法:这是一个横断面研究。参与者被分为3个临床痴呆评分(CDR)组,即CDR 0(健康,n = 71), CDR 0.5 (MCI, n = 85)和CDR 1+ (n = 23),并调查了他们在过去一年中的运动功能(握力,6米正常步态速度,计时起来和走测试,OLS测试)和跌倒。结果:CDR为0.5的受试者的单次和重复跌倒率(分别为13.0%和23.4%)高于CDR 0组(分别为12.1%和4.5%),CDR 1+组(分别为15.0%和30.0%)也是如此。对于CDR 0.5组,跌倒频率与左OLS时间呈负相关(具有生物学意义的方向)。其他运动功能测试未发现与跌倒有显著相关性。另一项分析将CDR 0.5组分为2个亚组(重复跌倒与不跌倒或单次跌倒),也表明重复跌倒的受试者的左OLS时间更短。结论:在评估前一年多次跌倒的MCI患者的左OLS时间明显低于没有跌倒或有1次跌倒的MCI患者。没有其他物理测量与过去的重复跌倒有关,包括主要右侧的OLS。在CDR 0和CDR 0+组中未见此类发现。
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Decreased Time on the Nondominant One-Leg Standing Test Associated with Repeated Falls in Older Residents with Healthy Aging, Mild Cognitive Impairment, and Dementia: The Wakuya Project.

Introduction: The aim of this study is to clarify the association between repeated falls and the dominant/nondominant side in the open-eyed one-leg standing (OLS) test among people who are healthy or have mild cognitive impairment (MCI) or dementia in a community setting. We recruited 180 participants from 39 areas in the town of Wakuya.

Methods: This is a cross-sectional study. Participants were classified into 3 Clinical Dementia Rating (CDR) groups, i.e., CDR 0 (healthy, n = 71), CDR 0.5 (MCI, n = 85), and CDR 1+ (n = 23), and they were investigated for motor function (grip strength, 6-m normal gait speed, timed up and go test, and OLS test) and falls during the past year.

Results: Subjects with a CDR of 0.5 had higher rates of single and repeated falls (13.0 and 23.4%, respectively) than the CDR 0 group (12.1 and 4.5%, respectively), as did those in CDR 1+ group (15.0 and 30.0%). For the CDR 0.5 group, the frequency of falls was negatively (biologically meaningful direction) correlated with the left OLS time. No significant correlations with falls were found for other motor function tests. Another analysis separating the CDR 0.5 group into 2 subgroups (repeated falls vs. no or a single fall) also showed that the left OLS time was lower in subjects with repeated falls.

Conclusion: People with MCI who had fallen repeatedly in the year before the assessment had a significantly lower left OLS time compared to those who had not fallen or had had 1 fall with MCI. None of the other physical measures were associated with past repeat falls including OLS on the dominant right side. No such findings were noted in the CDR 0 and CDR 0+ groups.

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来源期刊
Dementia and Geriatric Cognitive Disorders Extra
Dementia and Geriatric Cognitive Disorders Extra Medicine-Psychiatry and Mental Health
CiteScore
4.30
自引率
0.00%
发文量
18
审稿时长
9 weeks
期刊介绍: This open access and online-only journal publishes original articles covering the entire spectrum of cognitive dysfunction such as Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field. Dementia and Geriatric Cognitive Disorders Extra provides additional contents based on reviewed and accepted submissions to the main journal Dementia and Geriatric Cognitive Disorders Extra .
期刊最新文献
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