超症对老年人的平衡和跌倒风险的影响:系统性审查
Zeinab Gasavi Nezhad1, Steven A Gard2, Mokhtar Arazpour3
1Neuromusculoskeletal Rehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, IRAN; Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Department of Orthotics and Prosthetics, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Gait & posture
|February 20, 2025
概括
老年人的脊柱曲症Hyperkyphosis显著损害平衡,增加了跌倒的风险. 需要有针对性的干预措施来改善这种群体的稳定性并防止其下降.
科学领域:
- 老年学是一门学科.
- 整形外科 整形外科 整形外科
- 生物医学工程 生物医学工程
背景情况:
- 60岁以上的成年人中常见的脊椎曲症 - - 缩症,与平衡障碍和跌倒风险增加有关.
- 60岁以上的人中有多达40%受到影响,但由于研究不一致,对跌倒风险的确切影响尚不清楚.
- 这一系统性审查解决了对老年人超症-平衡关系的清晰度的需求.
研究的目的:
- 系统地审查和综合现有的研究,对超症和老年人的平衡之间的关系.
- 为了澄清超症对平衡障碍和跌倒风险的影响.
- 确定对这一群体有针对性的干预措施的需要.
主要方法:
- 按照PRISMA 2020指南进行系统审查,并注册在PROSPERO.
- 包括观察性研究 (横截面,队列,病例对照) 涉及老年人 (≥60岁) 患有超症.
- 在主要数据库 (PubMed,科学网,Scopus,CINAHL,Cochrane图书馆) 进行全面的文献搜索,并使用STROBE检查清单进行质量评估.
主要成果:
- 包括19项涉及60岁以上成年人的研究,表现出不同的方法质量.
- 通过像科布角度这样的方法来测量的超症始终与静态和动态平衡 (例如,TUG,BBS) 的显著损害有关.
- 报告的跌倒率在24%至64%之间,许多跌倒导致受伤.
结论:
- 超症显著损害平衡,并提高老年人跌倒的风险.
- 降低姿势稳定性和较高的跌倒发病率直接与超症有关.
- 有针对性的干预措施对于增强稳定性,预防跌倒和改善生活质量至关重要.
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