远程评估老年人的身体功能:可行性,安全性和与个人管理的协议
Kimberley S van Schooten1,2, Daniel Steffens3,4, Adam Engeler1
1Neuroscience Research Australia, Randwick, New South Wales, Australia.
Age and ageing
|September 27, 2025
概括
远程身体功能评估对于老年人来说是可行的和安全的. 远程五次坐立 (5STS) 和定时起床 (TUG) 测试显示与面对面评估有很好的一致性,支持远程医疗监测.
科学领域:
- 老年学是指老年学的学科.
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 身体功能是老龄化人口的关键健康指标.
- 监测身体功能可以通过灵活的评估方法来增强.
- 可互换的远程和面对面评估为老年人提供了更好的监测灵活性.
研究的目的:
- 评估远程物理功能评估的可行性和安全性.
- 评估远程和实体身体功能测试之间的一致性.
- 确定远程医疗对监测老年人身体功能的可靠性.
主要方法:
- 37名生活在社区中的老年人 (60岁以上) 接受了远程和面对面的评估.
- 测试包括五次坐到站 (5STS),定时起站 (TUG),平衡,4米步行和SPPB.
- 分析了可行性,安全性和协议 (ICC,SDD,kappa) 的情况.
主要成果:
- 远程评估是可行的和安全的,报告了一些轻微的连接问题.
- 对于5STS,TUG和常态余额 (ICCs > 0.77) 发现了良好的协议.
- 对4米步行和SPPB的适度同意;SDD值在临床上是可以接受的.
结论:
- 远程5STS和TUG评估显示出良好的协议,适合远程医疗.
- 建议谨慎解释远程站立平衡和步行速度评估.
- 远程医疗是监测身体功能的一种可行的选择,需要改进协议.
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