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首页> 外文期刊>Archives of Physical Medicine and Rehabilitation >Reliability and fall experience discrimination of cross step moving on four spots test in the elderly
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Reliability and fall experience discrimination of cross step moving on four spots test in the elderly

机译：老年人四个斑点试验中跨越跨越跨越的可靠性和秋季经验

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Objectives: To examine the reliability and fall experience discrimination of the Cross Step Moving on Four Spots Test (CSFT) and the relationship between CSFT and fall-related physical function. Design: The reliability of the CSFT was examined in a test-retest format with the same tester. Fall history, fall risk, fear of falling, activities of daily living (ADL), and various physical parameters were measured for all participants. Setting: A community center and university medical school. Participants: Elderly community-dwelling subjects (N=533; 62 men, 471 women) aged 65 to 94 years living independently. Interventions: Not applicable. Main Outcome Measures: Time to complete all the CSFT steps required, fall risk score, ADL score, and fall-related physical function (isometric muscle strength: toe grip, plantar flexion, knee extension, hip flexion, hand grip; balance: 1-leg standing time with eyes open, functional reach test using an elastic stick; and gait: 10-m maximal walking speed). Results: The trial-to-trial reliability test indicated good reliability of the CSFT in both sexes (intraclass correlation coefficient =.833 in men,.825 in women). However, trial-to-trial errors increased with an increase in the CSFT values in both sexes. Significant correlations were observed between the CSFT values and scores for most fall-related physical function tests in both sexes. However, the correlation coefficient for all significant correlations was <0.5. Two-way analysis of variance (sex × fall experience) revealed that the fall experience is a significant factor affecting CSFT values; values in fallers were significantly lower than those in nonfallers. The odds ratios in logistic regression analysis were significant in both sexes (men, 1.35; women, 1.48). As determined by the Youden index, the optimal cutoff value for identifying fall experience was 7.32 seconds, with an area under the curve of.676. Conclusions: The CSFT can detect fall experience and is useful in the evaluation of different fall-related physical functions including muscle strength, balance, and mobility.
机译：目的：检查横跨四个斑点测试（CSFT）的跨越移动的可靠性和秋季经验，以及CSFT与坠落与坠落与坠落的物理功能之间的关系。设计：用相同的测试仪以测试 - RETEST格式检查CSFT的可靠性。秋季历史，坠落风险，害怕下降，日常生活活动（ADL）以及所有参与者的各种物理参数。环境：社区中心和大学医学院。参与者：老年社区住宅（N = 533; 62名男子，471名女性）独立生活65至94岁。干预措施：不适用。主要观察指标：时间完成所需的所有CSFT步骤，跌倒风险评分，ADL得分和坠落坠落的物理功能（等距肌肉力量：脚趾抓握，跖屈，膝关节延伸，髋部屈曲，手柄;平衡：1-腿部站点与眼睛开放，功能达到试验，使用弹性棒;和步态：10米的最大步行速度）。结果：试验可靠性试验表明，两性中的CSFT（男性，女性中腹部相关系数= .833）的良好可靠性。但是，两性中的CSET值增加时，试验误差增加。 CSFT值和分数之间观察到显着的相关性，以获得两性的大多数患有与坠入坠落的物理功能测试。然而，所有显着相关性的相关系数<0.5。双向分析方差（性别×秋季经验）揭示了秋季经验是影响CSFT值的重要因素;衰败中的价值观明显低于非降低人员。物流回归分析中的差距在两性（男性，1.35;女性，1.48）中都是显着的。根据YENEN指数决定，识别秋季经验的最佳截止值为7.32秒，其中曲线为676。结论：CSFT可以检测到秋季经验，可用于评估不同的坠落与腰部相关的物理功能，包括肌肉力量，平衡和移动性。

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