地域在住高齢者における起立－歩行動作のバイオメカニクスと運動能力および転倒経験との関連
椅子座位から立ち上がり，歩行に至る一連の動作（起立－歩行動作）について，三次元動作解析装置および床反力計を用いてバイオメカニクス特性を分析し，膝筋力，バランス指標および転倒経験の有無との関連について検討した。対象は健常高齢男性18名（平均年齢73.9±5.3歳）であり，対象にはできるだけ速く起立し，3 m歩行するよう教示した。バランス指標はTUGテスト，Functional Reachテスト，左右最大一歩幅とした。結果として，起立－歩行動作のバイオメカニクス特性と膝筋力およびバランス指標との間に幾つかの相関が認められた。また，転倒群ではTUGテストの所要時間が長く，起立－歩行動作において直立位...
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| Published in | 理学療法科学 Vol. 23; no. 1; pp. 125 - 131 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
理学療法科学学会
2008
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 1341-1667 2434-2807 |
| DOI | 10.1589/rika.23.125 |
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| Abstract | 椅子座位から立ち上がり，歩行に至る一連の動作（起立－歩行動作）について，三次元動作解析装置および床反力計を用いてバイオメカニクス特性を分析し，膝筋力，バランス指標および転倒経験の有無との関連について検討した。対象は健常高齢男性18名（平均年齢73.9±5.3歳）であり，対象にはできるだけ速く起立し，3 m歩行するよう教示した。バランス指標はTUGテスト，Functional Reachテスト，左右最大一歩幅とした。結果として，起立－歩行動作のバイオメカニクス特性と膝筋力およびバランス指標との間に幾つかの相関が認められた。また，転倒群ではTUGテストの所要時間が長く，起立－歩行動作において直立位近くまで立ち上がってから歩き始めるという特徴を示した。 |
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| AbstractList | 椅子座位から立ち上がり，歩行に至る一連の動作（起立－歩行動作）について，三次元動作解析装置および床反力計を用いてバイオメカニクス特性を分析し，膝筋力，バランス指標および転倒経験の有無との関連について検討した。対象は健常高齢男性18名（平均年齢73.9±5.3歳）であり，対象にはできるだけ速く起立し，3 m歩行するよう教示した。バランス指標はTUGテスト，Functional Reachテスト，左右最大一歩幅とした。結果として，起立－歩行動作のバイオメカニクス特性と膝筋力およびバランス指標との間に幾つかの相関が認められた。また，転倒群ではTUGテストの所要時間が長く，起立－歩行動作において直立位近くまで立ち上がってから歩き始めるという特徴を示した。 椅子座位から立ち上がり, 歩行に至る一連の動作(起立-歩行動作)について, 三次元動作解析装置および床反力計を用いてバイオメカニクス特性を分析し, 膝筋力, バランス指標および転倒経験の有無との関連について検討した. 対象は健常高齢男性18名(平均年齢73.9±5.3歳)であり, 対象にはできるだけ速く起立し, 3m歩行するよう教示した. バランス指標はTUGテスト, Functional Reachテスト, 左右最大一歩幅とした. 結果として, 起立-歩行動作のバイオメカニクス特性と膝筋力およびバランス指標との間に幾つかの相関が認められた. また, 転倒群ではTUGテストの所要時間が長く, 起立-歩行動作において直立位近くまで立ち上がってから歩き始めるという特徴を示した. |
| Author | 新小田, 幸一 甲田, 宗嗣 |
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| DOI | 10.1589/rika.23.125 |
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| References | 6) 島田裕之，内山 靖，加倉井周一：高齢者の日常生活内容と身体機能に関する研究．日本老年医学会雑誌，2002, 39: 197-203. 13) Chou SW, Wong AM, Leong CP, et al.: Postural control during sit-to stand and gait in stroke patients. Am J Phys Med Rehabil, 2003, 82: 42-47. 15) Large J, Gan N, Basic D, et al.: Using the timed up and go test to stratify elderly inpatients at risk of falls. Clin Rehabil, 2006, 20: 421-428. 14) Inkster L, Eng JJ, MacIntyre DL, et al.: Leg muscle torque is reduced in Parkinson's disease and relates to the ability to rise from a chair. Mov Disord, 2003, 18: 157-162. 7) Kerr A, Durward B, Kerr KM: Defining phases for the sit-to-walk movement. Clin Biomech, 2004, 19: 385-390. 4) Chiu AY, Au-Yeung SS, Lo SK: A comparison of four functional tests in discriminating fallers from non-fallers in older people. Disabil Rehabil, 2003, 25: 45-50. 12) Cheng PT, Liaw MY, Wong MK, et al.: The sit-to-stand movement in stroke patients and its correlation with falling. Arch Phys Med Rehabil, 1998, 79: 1043-1046. 2) Podsiadlo D, Sandra R: The timed up & go: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 1991, 39: 142-148. 3) Newton RA: Balance screening of an inner city older adult population. Arch Phys Med Rehabil, 1997, 78: 587-591. 29) Lord SR, Rogers MW, Howland A, et al.: Lateral stability, sensorimotor function and falls in older people. J Am Geriatr Soc, 1999, 47: 1077-1081. 17) Schaubert KL, Bohannon RW: Reliability and validity of three strength measures obtained from community-dwelling elderly persons. J Strength Cond Res, 2005, 19: 717-720. 31) Lajoie Y, Gallagher SP: Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Arch Gerontol Geriatr, 2004, 38: 11-26. 26) Suzuki T, Sugiura M, Furuna T, et al. : Association of physical performance and falls among the community elderly in Japan in a five year follow-up study. Nippon Ronen Igakkai Zasshi, 1999, 36: 472-478. 8) Magnan A, McFadyen BJ, St-Vincent G: Modification of the sit-to-stand task with the addition of gait initiation. Gait Posture, 1996, 4: 232-241. 22) Inkster L, Eng JJ, MacIntyre DL, et al.: Leg muscle torque is reduced in Parkinson's disease and relates to the ability to rise from a chair. Movement Disord, 2003, 18: 157-162. 1) Mathias S, Nayak US, Isaacs B: Balance in elderly patients: the "get-up and go" test. Arch Phys Med Rehabil, 1986, 67: 387-389. 27) Patrick O, Riley DEK, Rita AP: Biomechanical analysis of failed sit-to-stand. IEEE, 1997, 5: 353-359. 5) Hansen K, Mahoney J, Palta M: Risk factors for lack of recovery of ADL independence after hospital discharge. J Am Geriatr Soc, 1999, 47: 360-365. 24) Patchay S, Gahery Y, Serratrice G: Early postural adjustments associated with gait initiation and age-related walking difficulties. Mov Disord, 2002, 17: 317-326. 10) Berger RA, Riley PO, Mann RW, et al.: Total body dynamics in ascending stairs and rising from a chair following total knee arthroplasty. Trans Orthop Res Soc, 1988, 13: 542. 16) Cho BL, Scarpace D, Alexander NB: Tests of stepping as indicators of mobility, balance, and fall risk in balance-impaired older adults. Am Geriatr Soc, 2004, 52: 1168-1173. 25) Tokuno CD, Eng JJ: Gait initiation is dependent on the function of the paretic trailing limb in individuals with stroke. Gait Posture, 2006, 24: 424-428. 28) Pavol MJ, Pai YC: Deficient limb support is a major contributor to age differences in falling. J Biomech, 2007, 40: 1318-1325. 18) 臨床歩行分析研究会（編）：関節モーメントによる歩行分析．医歯薬出版，東京，1997. 9) Kouta M, Shinkoda K, Kanemura N: Sit-to-walk versus sit-to-stand or gait initiation: biomechanical analysis of young men. J Phys Ther Sci, 2006, 18: 201-206. 19) Duncan PW, Weiner DK, Chandler J, et al.: Functional reach: a new clinical measure of balance. J Gerontol, 1990, 45: 192-197. 23) Kin MC, Eng JJ: The relationship of lower-extremity muscle torque to locomotor performance in people with stroke. Phys Ther, 2003, 83: 49-57. 11) Alexander NB, Gu MJ, Branch M, et al.: Geriatrics: Does log torque influence rising from chair in older adults. Rehabil R D Prog Rep, 1995, 32: 101-102. 20) 上岡洋晴，岡田真平：健康診断，身体機能測定5：健脚度の測定・評価．武藤芳照・他（編），転倒予防教室：転倒予防への医学的対応 2版．日本医事新報，東京，1999, pp89-97. 30) Brauer SG, Burns YR, Galley P: A prospective study of laboratory and clinical measures of postural stability to predict community-dwelling fallers. J Gerontol A Biol Sci Med Sci, 2000, 55: 69-76. 21) Evans JG, Robert LK: Improving the health of older people: a world view. Oxford Univ. Press, New York, 1990, pp296-315. |
| References_xml | – reference: 26) Suzuki T, Sugiura M, Furuna T, et al. : Association of physical performance and falls among the community elderly in Japan in a five year follow-up study. Nippon Ronen Igakkai Zasshi, 1999, 36: 472-478. – reference: 18) 臨床歩行分析研究会（編）：関節モーメントによる歩行分析．医歯薬出版，東京，1997. – reference: 20) 上岡洋晴，岡田真平：健康診断，身体機能測定5：健脚度の測定・評価．武藤芳照・他（編），転倒予防教室：転倒予防への医学的対応 2版．日本医事新報，東京，1999, pp89-97. – reference: 28) Pavol MJ, Pai YC: Deficient limb support is a major contributor to age differences in falling. J Biomech, 2007, 40: 1318-1325. – reference: 13) Chou SW, Wong AM, Leong CP, et al.: Postural control during sit-to stand and gait in stroke patients. Am J Phys Med Rehabil, 2003, 82: 42-47. – reference: 16) Cho BL, Scarpace D, Alexander NB: Tests of stepping as indicators of mobility, balance, and fall risk in balance-impaired older adults. Am Geriatr Soc, 2004, 52: 1168-1173. – reference: 12) Cheng PT, Liaw MY, Wong MK, et al.: The sit-to-stand movement in stroke patients and its correlation with falling. Arch Phys Med Rehabil, 1998, 79: 1043-1046. – reference: 11) Alexander NB, Gu MJ, Branch M, et al.: Geriatrics: Does log torque influence rising from chair in older adults. Rehabil R D Prog Rep, 1995, 32: 101-102. – reference: 9) Kouta M, Shinkoda K, Kanemura N: Sit-to-walk versus sit-to-stand or gait initiation: biomechanical analysis of young men. J Phys Ther Sci, 2006, 18: 201-206. – reference: 29) Lord SR, Rogers MW, Howland A, et al.: Lateral stability, sensorimotor function and falls in older people. J Am Geriatr Soc, 1999, 47: 1077-1081. – reference: 8) Magnan A, McFadyen BJ, St-Vincent G: Modification of the sit-to-stand task with the addition of gait initiation. Gait Posture, 1996, 4: 232-241. – reference: 15) Large J, Gan N, Basic D, et al.: Using the timed up and go test to stratify elderly inpatients at risk of falls. Clin Rehabil, 2006, 20: 421-428. – reference: 6) 島田裕之，内山 靖，加倉井周一：高齢者の日常生活内容と身体機能に関する研究．日本老年医学会雑誌，2002, 39: 197-203. – reference: 14) Inkster L, Eng JJ, MacIntyre DL, et al.: Leg muscle torque is reduced in Parkinson's disease and relates to the ability to rise from a chair. Mov Disord, 2003, 18: 157-162. – reference: 4) Chiu AY, Au-Yeung SS, Lo SK: A comparison of four functional tests in discriminating fallers from non-fallers in older people. Disabil Rehabil, 2003, 25: 45-50. – reference: 1) Mathias S, Nayak US, Isaacs B: Balance in elderly patients: the "get-up and go" test. Arch Phys Med Rehabil, 1986, 67: 387-389. – reference: 23) Kin MC, Eng JJ: The relationship of lower-extremity muscle torque to locomotor performance in people with stroke. Phys Ther, 2003, 83: 49-57. – reference: 5) Hansen K, Mahoney J, Palta M: Risk factors for lack of recovery of ADL independence after hospital discharge. J Am Geriatr Soc, 1999, 47: 360-365. – reference: 7) Kerr A, Durward B, Kerr KM: Defining phases for the sit-to-walk movement. Clin Biomech, 2004, 19: 385-390. – reference: 24) Patchay S, Gahery Y, Serratrice G: Early postural adjustments associated with gait initiation and age-related walking difficulties. Mov Disord, 2002, 17: 317-326. – reference: 17) Schaubert KL, Bohannon RW: Reliability and validity of three strength measures obtained from community-dwelling elderly persons. J Strength Cond Res, 2005, 19: 717-720. – reference: 30) Brauer SG, Burns YR, Galley P: A prospective study of laboratory and clinical measures of postural stability to predict community-dwelling fallers. J Gerontol A Biol Sci Med Sci, 2000, 55: 69-76. – reference: 27) Patrick O, Riley DEK, Rita AP: Biomechanical analysis of failed sit-to-stand. IEEE, 1997, 5: 353-359. – reference: 3) Newton RA: Balance screening of an inner city older adult population. Arch Phys Med Rehabil, 1997, 78: 587-591. – reference: 10) Berger RA, Riley PO, Mann RW, et al.: Total body dynamics in ascending stairs and rising from a chair following total knee arthroplasty. Trans Orthop Res Soc, 1988, 13: 542. – reference: 19) Duncan PW, Weiner DK, Chandler J, et al.: Functional reach: a new clinical measure of balance. J Gerontol, 1990, 45: 192-197. – reference: 22) Inkster L, Eng JJ, MacIntyre DL, et al.: Leg muscle torque is reduced in Parkinson's disease and relates to the ability to rise from a chair. Movement Disord, 2003, 18: 157-162. – reference: 25) Tokuno CD, Eng JJ: Gait initiation is dependent on the function of the paretic trailing limb in individuals with stroke. Gait Posture, 2006, 24: 424-428. – reference: 21) Evans JG, Robert LK: Improving the health of older people: a world view. Oxford Univ. Press, New York, 1990, pp296-315. – reference: 2) Podsiadlo D, Sandra R: The timed up & go: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 1991, 39: 142-148. – reference: 31) Lajoie Y, Gallagher SP: Predicting falls within the elderly community: comparison of postural sway, reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers. Arch Gerontol Geriatr, 2004, 38: 11-26. |
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| Snippet | 椅子座位から立ち上がり，歩行に至る一連の動作（起立－歩行動作）について，三次元動作解析装置および床反力計を用いてバイオメカニクス特性を分析し，膝筋力，バランス指標および転倒経験の有無との関連について検討した。対象は健常高齢男性18名（平均年齢73.9±5.3歳）であり，対象にはできるだけ速く起立し，3... 椅子座位から立ち上がり, 歩行に至る一連の動作(起立-歩行動作)について, 三次元動作解析装置および床反力計を用いてバイオメカニクス特性を分析し, 膝筋力, バランス指標および転倒経験の有無との関連について検討した. 対象は健常高齢男性18名(平均年齢73.9±5.3歳)であり, 対象にはできるだけ速く起立し,... |
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| SubjectTerms | 起立－歩行動作 転倒 高齢者 |
| Title | 地域在住高齢者における起立－歩行動作のバイオメカニクスと運動能力および転倒経験との関連 |
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