静止立位と転倒方向および転倒頻度の関連を調査した横断研究

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  • 福田 圭志
    医療法人寿山会喜馬病院　リハビリテーション部
  • 井尻 朋人
    医療法人寿山会喜馬病院　リハビリテーション部
  • 鈴木 俊明
    関西医療大学大学院　保健医療学研究科

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  • A cross-sectional study of the relationship between resting standing position and fall direction and frequency
  • 関西理学療法学会 平成29年度研究助成論文 静止立位と転倒方向および転倒頻度の関連を調査した横断研究
  • カンサイ リガク リョウホウ ガッカイ ヘイセイ 29ネンド ケンキュウ ジョセイ ロンブン セイシ タチイ ト テントウ ホウコウ オヨビ テントウ ヒンド ノ カンレン オ チョウサ シタ オウダン ケンキュウ

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<p>This study aimed to examine differences in the index of kyphosis, center of foot pressure position, and sway in the standing position according to fall direction and frequency. A total of 78 community-dwelling elderly subjects with the ability to walk indoors were classified into three groups: Group I, those who had no falls in the past year; Group II, those who had experienced falls other than backward falls in the past year; and Group III, those who had experienced backward falls in the past year. The following were measured: index of kyphosis in the standing position, eyes-open Y-axis average displacement (average displacement YA), eyes-closed Y-axis average displacement (average displacement YB), eyes-open rectangular sway area (rectangular area A), eyes-closed rectangular sway area (rectangular area B), eyes-open center of gravity locus length (trajectory length A), eyes-closed center of gravity locus length (trajectory length B), and the Romberg ratio. No significant differences were found between the groups. Rectangular area B measured 7.7 ± 14.9 cm2 for those with single falls and 9.7 ± 10.5 cm2 for those with multiple falls. The gender ratio (male/female) was 7/5 for those with single falls and 4/15 for those with multiple falls. The use of a walking aid (Yes/No) was 1/11 for those with single falls and 9/10 for those with multiple falls. The differences were significant (p<0.05). There were no significant differences between the other items measured. Because it is difficult to determine the fall direction and risk in a standing posture with a static balance test, a combination of dynamic balance adjustments may be necessary. Elderly people with a large rectangular sway area in the eyes-closed standing position and elderly females who use walking aids have a greater risk of multiple falls.</p>

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