在老年人中使用身体表现来定义腿部功率损伤的临床上有意义的切断点:波士顿RISE的二次分析
Hye Chang Rhim1, Rachel E Ward2, Thomas G Travison3
1Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, MA 02115; Spaulding Rehabilitation Hospital, Charlestown, MA.
Archives of physical medicine and rehabilitation
|September 28, 2023
概括
这项研究使用爬楼梯功率测试 (SCPT) 确定了关键的腿部功率值,以检测老年人的运动限制. 这些发现可以指导康复策略,以改善功能移动性.
科学领域:
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
- 生物医学工程 生物医学工程
背景情况:
- 腿部力量对于老年人的移动性至关重要.
- 爬楼梯功率测试 (SCPT) 测量腿部功率,但没有确定的临床值.
- 确定这些门对于有针对性的干预至关重要.
研究的目的:
- 使用SCPT建立临床上有意义的腿部功率损伤值.
- 为了将SCPT得分与由短物理性能电池 (SPPB) 定义的移动性限制相关联.
主要方法:
- 来自老年人的波士顿康复性障碍研究的基线数据的横截面分析.
- 在社区居住的老年人 (N=413) 使用SCPT和SPPB进行评估.
- 接收器操作特征曲线和Youden的J统计数据确定了SCPT运动限制的最佳值 (SPPB ≤9).
主要成果:
- 确定了SCPT运动限制的最佳值:男性3.07瓦/千克 (AUC=0.78) 和女性2.59瓦/千克 (AUC=0.81).
- 灵敏度和特异性值表明在识别受损个体方面具有很好的准确性.
- 分类和回归树分析证实了类似的值.
结论:
- 确定了SCPT识别的运动能力有限的老年人腿部功率损伤的临床上有意义的值.
- 这些门可以为康复护理提供信息,以提高功能移动性.
- 建议在更大的临床试验中进一步验证.
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