中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
CHINESE JOURNAL OF REHABILITATION THEORY & PRACTICE
2013年
1期
66-69
,共4页
周明%彭楠%朱才兴%石荣光%方继红%李令臣%李宏伟%李家玉%郭占芳
週明%彭楠%硃纔興%石榮光%方繼紅%李令臣%李宏偉%李傢玉%郭佔芳
주명%팽남%주재흥%석영광%방계홍%리령신%리굉위%리가옥%곽점방
跌倒%社区%老年人%功能性步态评价%Berg平衡量表
跌倒%社區%老年人%功能性步態評價%Berg平衡量錶
질도%사구%노년인%공능성보태평개%Berg평형량표
fall%community%elderly%Functional Gait Assessment%Berg balance scale
目的比较功能性步态评价(FGA)和Berg平衡量表(BBS)对75~85岁中国社区老年人跌倒的预测价值。方法随机选取北京市3个社区75~85岁老年人162人进行FGA、BBS评估,根据过去1年内是否跌倒分为跌倒组和非跌倒组。结果跌倒组和非跌倒组FGA和BBS均有非常高度显著性差异(P<0.001)。FGA总分与BBS总分显著正相关(r=0.723, P=0.001)。除闭眼行走(P=0.31)外,FGA总分与其他分项明显正相关(P<0.01);FGA受试者工作特征曲线下面积比为0.901,BBS为0.872。根据Youden指数,FGA对跌倒的预测值为19.5(满分30分),敏感性85.5%,特异性81.2%;BBS的预测值为48.5(满分56分),敏感性78.3%,特异性83.3%。结论 FGA预测社区老年人跌倒的敏感性优于BBS,特异性与BBS相似,总体效能优于BBS。
目的比較功能性步態評價(FGA)和Berg平衡量錶(BBS)對75~85歲中國社區老年人跌倒的預測價值。方法隨機選取北京市3箇社區75~85歲老年人162人進行FGA、BBS評估,根據過去1年內是否跌倒分為跌倒組和非跌倒組。結果跌倒組和非跌倒組FGA和BBS均有非常高度顯著性差異(P<0.001)。FGA總分與BBS總分顯著正相關(r=0.723, P=0.001)。除閉眼行走(P=0.31)外,FGA總分與其他分項明顯正相關(P<0.01);FGA受試者工作特徵麯線下麵積比為0.901,BBS為0.872。根據Youden指數,FGA對跌倒的預測值為19.5(滿分30分),敏感性85.5%,特異性81.2%;BBS的預測值為48.5(滿分56分),敏感性78.3%,特異性83.3%。結論 FGA預測社區老年人跌倒的敏感性優于BBS,特異性與BBS相似,總體效能優于BBS。
목적비교공능성보태평개(FGA)화Berg평형량표(BBS)대75~85세중국사구노년인질도적예측개치。방법수궤선취북경시3개사구75~85세노년인162인진행FGA、BBS평고,근거과거1년내시부질도분위질도조화비질도조。결과질도조화비질도조FGA화BBS균유비상고도현저성차이(P<0.001)。FGA총분여BBS총분현저정상관(r=0.723, P=0.001)。제폐안행주(P=0.31)외,FGA총분여기타분항명현정상관(P<0.01);FGA수시자공작특정곡선하면적비위0.901,BBS위0.872。근거Youden지수,FGA대질도적예측치위19.5(만분30분),민감성85.5%,특이성81.2%;BBS적예측치위48.5(만분56분),민감성78.3%,특이성83.3%。결론 FGA예측사구노년인질도적민감성우우BBS,특이성여BBS상사,총체효능우우BBS。
Objective To compare the prediction of Functional Gait Assessment (FGA) and Berg balance scale (BBS) for fall among community-dwelling older adults aged 75~85 years old. Methods 162 older adults randomly selected from 3 communities in Beijing were evaluated with FGA and BBS. They were divided as fallers and nonfallers according to the history of fall during the last year. Results The scores of FGA and BBS increased significantly in the nonfallers compared with the fallers (P<0.001). The total scores of FGA correlated with the scores of BBS (r=0.723, P<0.001). The total scores of FGA significantly correlated with the scores of items of FGA (P<0.01), ex-cept that of walking with eyes closed (P=0.31). According to the Receiver Operating Characteristic (ROC) Curve, the area under the curve was 0.901 for FGA, and 0.872 for BBS. According to the Youden index, the cutoff value of FGA was 19.5, with sensitivity of 85.5% and specificity of 81.2%. The cutoff value of BBS was 48.5, with sensitivity of 78.3%and specificity of 83.3%. Conclusion FGA is more effec-tive than BBS for predicting the fall in community-dwelling older adults, which is more sensitive and similarly specific.