评估静态平衡,平衡信心和心力衰竭和保存弹射部分的患者的跌倒率:综合分析
Andriana Teloudi1, Maria Anifanti1, Konstantinos Chatzinikolaou2
1Laboratory Sports Medicine, Department of Physical Education & Sport Science, Aristotle University of Thessaloniki, 57001 Thessaloniki, Greece.
Sensors (Basel, Switzerland)
|October 16, 2024
概括
与健康个体相比,心力衰竭患有保存喷射分数 (HFpEF) 的患者表现出较差的静态平衡和较高的跌倒率. 然而,基于实验室的平衡测试与真实世界的下降没有相关性,这突显了HFpEF平衡评估的复杂性.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 生物力学 生物力学
背景情况:
- 慢性心力衰竭 (CHF) 与虚弱,跌倒和住院病例有关.
- 随着年龄的增长,心脏衰竭与保存的喷射分数 (HFpEF) 增加,并与非心血管死亡率相关.
- HFpEF患者经常经历平衡障碍和跌倒风险增加.
研究的目的:
- 为了评估HFpEF患者与健康对照人群相比的静态平衡.
- 评估任务困难对平衡控制歧视的影响.
- 调查静态平衡,平衡信心,跌倒,肌肉质量和力量之间的关联.
主要方法:
- 72名HFpEF患者和72名匹配对照在一个力量平台上进行了静态平衡测试 (双边姿势,Tandem-Romberg姿势).
- 余额信任度是使用活动特定余额信任度 (ABC) 尺度来衡量的;记录了下跌历史.
- 用动力计和生物电阻分析来评估下肢力量和瘦肌量.
主要成果:
- 在两种姿势测试中,HFpEF患者的静态平衡显著降低 (p < 0.05).
- 患有HFpEF的患者报告说,平衡信心降低了21.5%,跌倒率增加了72.9% (p < 0.05).
- 在实验室环境中,静态平衡与跌倒,力量或肌肉质量有很小的相关性.
结论:
- 患有HFpEF的患者有静态平衡受损,平衡信心降低,导致跌倒增加.
- 双边立场测试在区分HFpEF患者与对照患者方面更有效.
- 虽然基于实验室的静态平衡降低了HFpEF,但它无法预测现实世界的跌幅,这些跌幅与信心,年龄和力量有关.
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