老年人侧向平衡简便测试法的信效度研究  

Reliability and validity of a simple measurement method of lateral balance ability in elderly people

作　　者：曹玲[1] 杨光[2] 永富良一[3] 

机构地区：[1]大连理工大学,116024 [2]沈阳师范大学 [3]日本东北大学

出　　处：《中华老年医学杂志》2013年第11期1202-1205,共4页Chinese Journal of Geriatrics

基　　金：国家社会科学基金资助项目（11CTY023）

摘　　要：目的通过极限侧伸法对老年人侧向平衡控制能力进行测评，探讨该方法的简便性与信效度，为准确掌握老年人侧向平衡控制能力提供简便易行的测量方法，为预防老年人跌倒提供合理的依据。方法本研究83例老年人，平均年龄为（77．3±4．7）岁。用平衡仪测得结果足压中心侧向位移为效标，对简便测试法测得的极限体侧伸的结果进行信度和效度检验。结果左右极限体侧伸距离分别为（14．7±0．4）cm、（14．9±0．3）cm，左右足压中心侧向位移分别为（8．5±1．9）cm、8．5±1．5）cm。极限体侧伸与足压中心侧向位移呈正相关（r=0．70，P〈O．0001）；极限体侧伸测试组内相关系数较高（r=0．97，P〈O．05）。极限体侧伸与年龄（r=0．23）、身高（r=0．28）呈弱相关（P〈o．05），与脚长、脚间距及左右利手均无关（P〉O．05）。结论极限体侧伸能够较准确地反映老年人侧向平衡控制能力，极限体侧伸距离越长，表明侧向平衡能力越稳定。极限体侧伸法具有较好的信效度，而且简便、易测，有推广应用的价值。Objective To evaluate the reliability and validity of extended reach lateral method by assessing the ability of lateral balance control in elderly people, and to provide a simple method to assess the ability of lateral balance control in order to provide a reasonable basis for fall prevention in elderly people. Methods 83 elderly people aged （77.3 ±4.7） years were included in this study. Using lateral displacement of center of foot pressure as the criterion, the reliability and validity of extended reach lateral method was evaluated. Results Left and right sides of lateral reach were （14. 7±0.4） cm and （14.9±0.3） cm. Left and right sides of center of foot pressure excursion were （8.5±1.9） cm and （8.5±1.5） em. Lateral reach was significantly correlated with the center of foot pressure excursion （r =0. 70, P〈0. 001）. Lateral reach had a high intraclass correlation coefficient （r =0.97, P〈0. 05）. Lateral reach was significantly correlated with age and height （r=-0.23 and 0. 28, both P〈0. 05）, while it had no correlations with the foot length, foot pitch and handedness （all P〉0.05）. Conclusions Lateral reach has a high reliability and validity to assess the ability of lateral balance control in elderly people, which is easy to be applicated and popularized.

关 键 词：肌肉骨骼平衡 可重复性 结果 

分 类 号：R395[哲学宗教—心理学]