老年妇女的肩部绑架强度和旋转部撕裂之间的关系:一项一般人口研究
Hannah Hinsley1, Charlotte Ganderton2,3, Nigel K Arden4
1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK hannah.hinsley@nhs.net.
BMJ open
|July 17, 2023
概括
与年龄相关的旋转手套撕裂显著降低了70岁以上女性的肩膀力量. 完全厚度的撕裂减少了30-40%的强度,影响了日常活动,特别是较大的撕裂.
科学领域:
- 整形外科 整形外科 整形外科
- 老年医学 老年医学
- 肌肉骨研究 研究
背景情况:
- 旋转手套撕裂是很常见的,特别是在老龄化.
- 了解它们对肩膀力量的影响对于管理老年人功能衰退至关重要.
研究的目的:
- 为了研究与年龄相关的旋转带撕裂对一般人口队列中肩膀强度的影响.
- 为了确定撕裂的大小和年龄是否会影响力量的减少.
主要方法:
- 在Chingford 1000女性队列中对446名女性 (年龄在64-87岁) 进行了横截面观察研究.
- 使用肌肉计测量肩膀强度;通过超声波评估旋转手套病理.
- 撕裂按尺寸分类:正常,部分,全厚 (>0和≤2.5厘米) 和大全厚 (>2.5厘米).
主要成果:
- 年龄,疼痛和非主导手臂的力量下降.
- 旋转袖口撕裂对70岁以下女性的力量没有孤立的影响.
- 在70岁以上的女性中,全厚眼 (>0和≤2.5厘米) 的强度降低了6.3N (p<0.001),较大的眼 (>2.5厘米) 的强度降低了12.7N (p<0.001).
结论:
- 旋转手套撕裂不会影响70岁以下的人的肩膀力量.
- 在70岁以上的女性中,全厚眼显著降低了肩膀力量 (30-40%).
- 大量的眼与失去执行日常活动的能力有关.
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