運動機能別にみた高齢者の転倒関連因子の比較

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  • Comparison of fall-related factors of the elderly with good or poor motor function
  • 運動機能別にみた高齢者の転倒関連因子の比較 : ロジスティック回帰分析を用いた前向き研究による検討
  • ウンドウ キノウ ベツ ニ ミタ コウレイシャ ノ テントウ カンレン インシ ノ ヒカク : ロジスティック カイキ ブンセキ オ モチイタ マエムキ ケンキュウ ニ ヨル ケントウ
  • prospective study using logistic regression analysis
  • ―ロジスティック回帰分析を用いた前向き研究による検討―

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[Purpose] This study divides subjects into good motor function vs. poor motor function groups, then compares fall-related factors of the two groups. [Subjects] The subjects were 78 elderly outpatients and day-rehabilitation service users who visited the clinic for rehabilitation medicine (78.6±4.8 years). [Methods] Subjects were evaluated using Timed Up and Go test (TUG), Knee Extension Strength test, Modified Functional Reach Test (mFRT), and vibration sensing, then monitored for one year after the assessments to learn whether they experienced falls. Logistic regression analysis was then performed to identify fall-related factors using the various test results as independent variables. The subjects were also divided into two groups-a good motor function group and a poor motor function group-based on the results of the TUG test, and fall-related factors were derived for the two groups using the same procedure described above. [Results] The logistic regression results revealed that mFRT and vibration sensing were significant fall-related factors for all subjects, vibration sensing was a significant factor for the good motor function group, and the Knee Extension Strength test and mFRT were significant factors for the poor motor function group. [Conclusions] Various factors affect the incidence of falls in older adults, but our findings suggest that fall risk assessment accuracy can be improved by focusing on vibration sensing for those with good motor function while several tests may be required for those with poor motor function.

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