护理机构老年患者下肢负重比与助行器使用的关系

T. Kimura, K. Nishihara
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引用次数: 1

摘要

【目的】本研究以护理机构中不同行走类型的老年患者为研究对象。我们研究了下肢负重比(下肢WBR)是否有助于确定助行器的需求和类型。[方法]将68例在护理机构住院的老年患者分为无手杖组、t型手杖组、步行车组。测量下肢WBR(坐/站)、握力、单腿站立、10米步行、FRT、TUG。采用单因素方差分析对各目标组按行走类型进行检验,采用多元回归分析对影响下肢WBR的因素进行检验。[结果]各指标对不同步行类型的目标人群均有显著影响。同时提取下肢WBR(站立)(β =0.418, p<0.001)和握力(β =0.386, p<0.001)作为下肢WBR(坐位)的显著相关因素。提取单腿站立(β =0.214, p<0.039)和下肢WBR(坐着)(β = 0.526, p<0.001)作为下肢WBR(站立)的显著相关因素。[结论]下肢WBR是临床决策选择助行器的有效辅助工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationship between the weight-bearing ratio of the lower limb and usage of walking aids for elderly patients in care facilities
: [Purpose] This study focused on elderly patients in care facilities with various walking types. We examined whether the weight-bearing ratio of the lower limb (lower limb WBR) can help in determining the requirement and type of walking aids. [Method] Sixty-eight elderly patients admitted in care facilities were enrolled in this study and clas-sified into three groups: caneless, T-shaped cane, walking vehicle. The lower limb WBR (sitting-/-standing), grip strength, one leg standing, 10-m Walking test, FRT, TUG were measured. One-way ANOVA was used to examine each target group by walking type, and multiple regression analysis was used to examine the factors affecting lower limb WBR. [Result] All the measurement had a significant impact on each target group accord-ing to the walking type. Moreover the lower limb WBR (standing) ( β =0.418, p<0.001) and grip strength ( β =0.386, p<0.001) were extracted as significant related factors for lower limb WBR (sitting). One-leg standing ( β =0.214, p<0.039) and lower limb WBR (sitting) ( β = 0.526, p<0.001) were extracted as significant related factors for lower limb WBR (standing). [Conclusion] The lower limb WBR was an effective aid in the clinical decision-making to se-lect walking aids.
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