老年人腰椎位置觉重测信度研究  

Test-retest Reliability of Lumbar Spine Position Sense for Aging People

作　　者：龚迪 王惠芳 刘晓晨 胡浩宇[1] 郑依莉[1] 王雪强[1] GONG Di;WANG Hui-fang;LIU Xiao-chen;HU Hao-yu;ZHENG Yi-li;WANG Xue-qiang(Shanghai University of Sport,Shanghai 200438,China;Shanghai Yangzhi Rehabilitation Hospital (Shanghai SunshineRehabilitation Center),Shanghai 201619,China)

机构地区：[1]上海体育学院,上海市200438 [2]上海市养志康复医院(上海阳光康复中心),上海市201619

出　　处：《中国康复理论与实践》2019年第4期377-380,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：国家自然科学基金面上项目(No.81871844)~~

摘　　要：目的观察老年人在站立位时腰椎被动位置觉的重测信度。方法筛选社区老年健康志愿者58例,利用等速训练系统,位置觉重现法,测试腰椎前屈15°、30°、60°和背屈15°目标角度,计算绝对误差角度(AE)。1周后再次测试。计算组内相关系数(ICC)和标准误差(SEM,SEM%)。结果两次测试ICC=0.699～0.833,SEM=1.18～3.26,SEM%=26.84%～37.13%。其中男性ICC=0.462～0.818,SEM=1.60～3.68, SEM%=36.37%～48.78%;女性ICC=0.782～0.891, SEM=1.48～2.71, SEM%=28.48%～33.34%。结论老年人站立位被动位置测试重测信度较好,但误差范围较大,需进一步探索更合适的方法。Objective To determine the test-retest reliability of lumbar passive reposition accuracy for older people.Methods A total of 58 healthy older people stood on an isokinetic dynamometer,and passively moved their trunk forward and backward to the target positions as accurately as possible.The targeted positions were set as flexion forward 15°,30°and 60°,and flexion backward 15°.The absolute error(AE)was recorded.They were tested again a week latter.The intraclass correlation coefficient(ICC)and standard errors of measurement(SEM and SEM%)were calculated.Results The ICC of AE was 0.699 to 0.833 for all the subjects,SEM was 1.18 to 3.26,and SEM%was 26.84%to 37.13%.For the men,the ICC was 0.462 to 0.818,SEM was 1.60 to 3.68,and SEM%was 36.37%to 48.78%.For the women,the ICC was 0.782 to 0.891,SEM was 1.48 to 2.71,and SEM%was 28.48%to 33.34%.Conclusions Lumbar passive reposition accuracy is some reliable to assess the position sense for older people.However,there are too large errors for clinical measurement,which need further improvment.

关 键 词：腰椎 本体觉 位置觉 信度 老年 

分 类 号：R681.5[医药卫生—骨科学]