握力与贾马尔相比:评估握力强度的新动力仪的挑战
Cédric Villain1, Soazig Lebaube2, Corinne Kremer2
1Department of Geriatric Medicine, Centre Hospitalier Universitaire de Caen Normandie, Normandie Univ., UNICAEN, INSERM U1075, COMETE, Caen, France.
概括
Gripwise设备与Jamar对老年人手握强度 (HGS) 评估的测试有很好的相关性. 然而,较低的Gripwise读数需要调整切断值以准确诊断肉症.
科学领域:
- 老年学是一门学科.
- 临床诊断 临床诊断 临床诊断
- 肌肉骨健康 肌肉骨健康
背景情况:
- 萨科佩尼亚的诊断部分依赖于手握强度 (HGS) 的评估.
- 贾马尔动力表是黄金标准,而Gripwise提供了一个便携式替代品.
- 之前的实验室测试显示,Gripwise的测量与Jamar的测量相关.
研究的目的:
- 为了确认Gripwise和Jamar HGS测量在老年住院患者之间的相关性.
- 确定Gripwise是否可以可靠地用于临床环境中的HGS评估,以诊断肉类病.
主要方法:
- 一个单中心的横截面研究包括348名65岁及以上的住院患者.
- 参与者被随机分配使用Jamar或Gripwise设备开始测量.
- 计算了最大值和平均值的类内相关系数 (ICC).
主要成果:
- 在Jamar和Gripwise之间发现了很高的相关性 (最大值为ICC=0.93,平均值为0.94).
- 与Jamar (48%) 相比,Gripwise在较高比例的患者中发现了低HGS (71%).
- 用于Gripwise的替代切断值 (女性<12公斤,男性<22公斤) 显示出高的诊断性能.
结论:
- Gripwise设备是老年住院患者HGS评估的可靠工具,与Jamar有很强的相关性.
- 对Gripwise进行调整的诊断断断线是必要的,以便在这个人群中准确识别手握强度低和肉眼症.
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