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在社区居住的COPD老年人中进行跌倒风险查的平衡措施:纵向分析

Khang T Nguyen¹, Dina Brooks², Luciana G Macedo¹

¹School of Rehabilitation Science, Faculty of Health Science, McMaster University, Hamilton, ON, Canada.

Respiratory medicine

|May 31, 2024

概括

平衡测试显示出出色的可靠性,但对患有慢性阻塞性肺部疾病 (COPD) 的老年人中跌倒的预测准确性较差. 这些措施最好用于全面的跌倒风险评估.

科学领域:

老年学是指老年学的学科.
肺部医学肺部医学
康复科学康复科学康复科学

背景情况:

慢性阻塞性肺病 (COPD) 与跌倒的风险增加有关.
关于在COPD患者中进行跌倒风险查的适当平衡措施缺乏共识.
居住在社区的患有COPD的老年人是容易摔倒的人群.

研究的目的:

评估常用的平衡措施的可靠性和有效性,用于COPD老年人查跌倒风险.
为了确定特定平衡测试的适用性,以确定在这个人群中跌倒的风险.

主要方法:

对两项涉及174名社区老年人 (≥60岁) 的研究进行了二次分析,这些老年人患有COPD,有跌倒或平衡问题的病史.
评估的平衡措施包括简要的平衡评估系统测试 (简要的BESTest),单脚姿势 (SLS),定时并进行 (TUG) 和TUG双任务 (TUG-DT).
评估可靠性 (测试者之间,测试重复测试),收有效性,已知组有效性 (跌倒史,平衡问题,COPD严重程度),以及对12个月的潜在跌倒的预测有效性.

主要成果:

所有四个平衡指标都显示出优异的测试者之间的可靠性和测试重试可靠性 (ICC=0.88-0.97).
简要的BEST和SLS显示了可接受的已知组有效性,用于秋季历史和余额问题. 根据COPD的严重程度和氧气使用情况,TUG和TUG-DT受到歧视.
所有的测量都显示出对潜在跌倒的预测有效性不足 (AUC<0.70).

结论:

虽然可靠,但评估的平衡措施缺乏足够的准确性来预测COPD老年人的下降.
这些平衡测试最有价值的是,当纳入多因素落风险评估策略为这一群体.

关键词:

资产负债表的平衡情况慢性慢性肺炎是一种慢性慢性肺炎,COPD是一种慢性肺炎.布布布的布布的流动性流动性流动性未来的研究研究前性研究.

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