老年人使用优势腿或非优势腿跨越不同高度障碍时 跌倒风险的差异性
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国家自然科学基金项目(12102235),山东省自然科学基金项目(ZR2022MH163),国家体育总局科技创新项目(23KJCX058)


Differences of Fall Risk in Older Adults Crossing Obstacles at Different Heights with the Dominant or Non-dominant Leg
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    目的 研究老年人以优势腿或非优势腿跨越不同高度障碍时的跌倒风险,为老年人跨越障碍防跌倒措施的开发提供参考。方法 16名老年人分别以优势腿和非优势腿随机跨越15%、30%、45%腿长高度的障碍,使用三维动作捕捉系统和三维测力台记录运动学与动力学数据。结果 老年人使用非优势腿跨越障碍时,30%腿长高度的后腿前后方向动态稳度显著小于15%腿长高度(P<0.05,Cohen’s d =0.628);后腿垂直足趾间隙显著小于优势腿跨越(P=0.041,Cohen's d=0.516),前腿垂直足趾间隙(P<0.001,Cohen's d=0.685)、前腿前后足趾间隙(P=0.043,Cohen's d=0.616)显著大于优势腿跨越。结论 相较于使用优势腿跨越,老年人使用非优势腿跨越时在障碍前的前后方向身体稳定性较差,跌倒风险更大;在跨越不同高度障碍时,后腿被障碍绊倒的风险更大。

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    Objective To study the fall risk of older adults stepping over obstacles of different heights with their dominant or non-dominant legs and provide references for developing fall prevention measures for the elderly during obstacle-crossing. Methods Sixteen older adults randomly stepped over obstacles at 15%, 30%, and 45% of their leg heights with their dominant and non-dominant legs. A three-dimensional (3D) motion capture system and 3D force platform were used to record kinematic and kinetic data. Results When older adults used their non-dominant leg to step over obstacles, the dynamic stability in the anterior-posterior direction of the trailing leg at 30% of leg length height was significantly lower than that at 15% of leg length height (P < 0.05, Cohen’s d = 0.628); the vertical toe clearance of the trailing leg was significantly smaller than that of the dominant leg (P = 0.041, Cohen's d = 0.516), and the vertical toe clearance (P<0.001, Cohen's d = 0.685) and anterior-posterior toe clearance (P = 0.043, Cohen's d = 0.616) of the leading leg were significantly greater than those of the dominant leg. Conclusions Compared to stepping over obstacles with the dominant leg, older adults have a greater risk of falling in the anterior-posterior direction before obstacles when using the non-dominant leg. There is also a greater risk of the trailing leg tripping over obstacles of different heights.

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杨晨,孙威,陈岩.老年人使用优势腿或非优势腿跨越不同高度障碍时 跌倒风险的差异性[J].医用生物力学,2024,39(5):946-953

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  • 收稿日期:2024-04-10
  • 最后修改日期:2024-05-19
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  • 在线发布日期: 2024-10-25
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