步行变化预测了患有多发性硬化症的老年人中的跌倒
Manuel E Hernandez1,2, Robert W Motl3, Frederick W Foley4,5
1Department of Biomedical and Translational Sciences, Carle Illinois College of Medicine, University of Illinois Urbana-Champaign, Urbana, IL, United States.
概括
增加的步态变化,特别是在双重任务步行时,预测了多发性硬化症 (OAMS) 和健康的老年人 (HOA) 的较高跌倒风险. 这突显了步态变化作为预防跌倒策略的关键指标.
科学领域:
- 老年学是指老年学的学科.
- 神经学 神经学
- 生物力学 生物力学
背景情况:
- 跌倒在老年人中很常见,有或没有多发性硬化症 (MS).
- 步行变化与老年人跌倒有关,但其在MS群体中的预测作用尚不清楚.
研究的目的:
- 调查单任务和双任务行走预测下的步态变异性是否会在患有MS的老年人 (OAMS) 和健康的老年人 (HOA) 中下降.
主要方法:
- 106名HOA (平均年龄69岁) 和95名OAMS (平均年龄65岁) 参与.
- 在单任务和双任务行走时,使用仪器行走道测量了步行变化.
- 在纵向随访期间报告了下降情况.
主要成果:
- 双重任务的步伐长度和摇摆时间以及单一任务的摇摆时间,预测增加了跌倒的危险.
- 在HOA中,预测的单任务动时间变化率下降.
- 在OAMS中,双任务步伐速度,步伐长度和摇摆时间变化预测下降.
结论:
- 增加的步态变化预测OAMS和HOA的跌倒风险更高.
- 心脏动力增加1%与跌倒危险增加4-10%有关.
- 步行条件很重要:HOA的单任务,OAMS的双任务.
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