与腰部疼痛和下肢异动力学肌肉强度和平衡的年龄相关差异
Hazal Genç1, Gamze Demircioğlu2
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Bahçeşehir University, Istanbul, Turkey.
Journal of back and musculoskeletal rehabilitation
|February 19, 2025
概括
患有慢性腰部疼痛的老年人表现出肌肉力量和平衡的减少,增加了跌倒的风险. 定制康复是改善老龄化人口结果的关键.
科学领域:
- 老年学是指老年学的学科.
- 肌肉骨健康 肌肉骨健康
- 康复科学 康复科学 康复科学
背景情况:
- 衰老显著影响身体功能,包括肌肉力量和平衡.
- 慢性腰部疼痛 (CLBP) 影响着越来越多的老年人群,需要了解与年龄有关的功能变化.
- 研究老化如何影响CLBP患者的疼痛,力量和平衡对于有效管理至关重要.
研究的目的:
- 研究患有CLBP的个体下肢肌肉强度和平衡的年龄相关差异.
- 为了比较年轻和年长的CLBP患者群体之间的功能结果.
主要方法:
- 一项涉及110名CLBP患者的横截面研究,分为两个年龄组.
- 使用奥斯韦斯特里残疾指数评估疼痛和残疾.
- 通过异动力动力学测量下肢肌肉强度的测量.
- 使用Biodex平衡系统评估平衡和跌倒风险.
主要成果:
- 在疼痛或残疾水平上没有发现与年龄相关的显著差异.
- 在各种速度下观察到四头四肢和腿筋峰值扭矩的与年龄相关的显著下降.
- 年长的成年人表现出明显更高的跌倒风险和较差的姿势稳定性.
- 四头肌强度与各个年龄组的跌倒风险密切相关.
结论:
- 与肌肉力量和平衡的年龄相关的缺陷在CLBP患者中很明显,独立于疼痛和残疾水平.
- 这些发现强调了在CLBP的康复策略中考虑特定年龄的重要性.
- 根据与年龄相关的功能变化优化干预措施可以提高治疗效率和患者的生活质量.
相关概念视频
01:19The Effect of Aging on Tissues
Several body functions deteriorate with age. The external signs of aging are easily identifiable. For example, the skin becomes dry, less elastic, and thins out, forming wrinkles. The skin of the face begins to appear looser due to a decrease in the levels of elastic and collagen fibers in the connective tissue. Additionally, melanin production in the hair follicle decreases with age, resulting in gray hair. Moreover, the senses of sight and hearing decline, so glasses and hearing aids may...
01:29Bone Disorders
Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...
01:09Changes in the Appendicular Skeleton with Age
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
01:28Disorders of the Skeletal Muscle
The clinical conditions affecting the skeletal muscle tissue are broadly categorized as musculoskeletal and neuromuscular disorders.
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
Musculoskeletal disorders
Musculoskeletal disorders involve injuries and conditions affecting the skeletal muscles and associated connective tissues. These disorders can arise from acute biomechanical stresses or chronic overuse and can occur across different age groups. Common injuries include sprains, fractures, and muscular strains, often resulting from...
01:12Alterations in Muscle Tone ll
Alterations in muscle tone are common manifestations of neurological disorders and reflect dysfunction within different nervous system regions. Spasticity, paratonia, and dystonia represent distinct forms of hypertonia, each with unique mechanisms, clinical features, and diagnostic importance.CharacteristicsSpasticity happens from upper motor neuron lesions and is characterized by velocity-dependent resistance to passive movement. Clinical features include:Exaggerated deep tendon reflexesClonus...
01:11Alterations in Muscle Tone lll
Rigidity and myotonia are distinct abnormalities of muscle tone that affect resistance and relaxation during movement. Although both involve altered muscle contraction, they arise from different neurological and muscular mechanisms.CharacteristicsRigidity is characterized by uniform resistance to passive movement across the entire range, independent of speed, affecting flexors and extensors equally. It may appear as lead-pipe rigidity (smooth, constant resistance) or cogwheel rigidity...