对平衡,移动性,下肢力量和功能的身体性能测试的痴呆症特异性适应:在痴呆症患者中进行可靠性研究
Bettina Barisch-Fritz1, Jelena Krafft2, Janina Krell-Roesch2
1Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Karlsruhe, Germany. bettina.barisch-fritz@kit.edu.
BMC geriatrics
|November 15, 2025
概括
针对痴呆症患者 (PwD) 进行的适应性体能测试显示,可靠性改善不足. 定时和行走 (TUG) 测试步行阶段表现出最高的可靠性,这表明未来的适应应该尽量减少认知负载.
科学领域:
- 老年学是一门学科.
- 康复科学 康复科学 康复科学
- 临床评估 临床评估
背景情况:
- 可靠的身体性能测试对于评估痴呆症患者 (PwD) 和干预有效性至关重要.
- 现有的测试往往缺乏足够的可靠性,为这一群体.
- 这项研究评估了PwD适应的平衡,移动性和力量测试.
研究的目的:
- 调查痴呆症患者适应的体力表现测试的测试-重新测试可靠性.
- 评估特定调整对平衡,移动性和下肢功能测试可靠性的影响.
主要方法:
- 在养老院对PWD进行了一周间隔的测试-重新测试可靠性研究.
- 对"虚弱和受伤:协同研究干预技术" (FICSIT) 进行了调整,用于平衡,定时和移动 (TUG) 测试用于移动性,以及坐立 (STS) 测试用于下肢功能.
- 使用诸如变化系数 (CV) 和类内相关系数 (ICC) 等指标来评估绝对可靠性和相对可靠性.
主要成果:
- 在不同测试中,可靠性值有所不同:FICSIT (平衡) 从0.258到0.505,TUG (移动性) 从0.011到0.860,STS (强度/功能) 从0.506到0.678.
- 绝对可靠性 (CV) 从23.5%到92.8%不等.
- 在基线和重新测试测量之间没有发现统计学上显著的差异.
结论:
- 与原始版本相比,对测试管理和评分的调整并没有持续提高可靠性.
- 图格测试的步态阶段表现出最高的可靠性.
- 未来的研究应该旨在减少PWD物理性能测试中的认知需求,可能使用增强现实等辅助技术.
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