不同跌倒风险老年人跨越障碍前后足底压力特征
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河南省科技攻关项目(202102310319),教育部人文社会科学规划基金研究项目(19YJA890038)


Plantar Pressure Characteristics of the Elderly With Different Fall Risks before and after Obstacle Crossing
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    摘要:

    目的 探索不同跌倒风险老年人在跨越障碍前后的步态动力学特征。方法 采用坐立行走计时测试和5次坐立测试对27名社区老年人进行跌倒风险分级,应用足底压力测量系统对老年人跨越障碍前后的足底压力参数进行测试分析。结果 高、低跌倒风险组老年人在跨越障碍前后整体足底压力双峰曲线特征值组间无显著差异(P>0.05)。高跌倒风险组在跨越障碍后X方向压力中心(center of pressure, COP)运行轨迹显著大于低跌倒风险组(P<0.05)。跨越障碍前,高跌倒风险组支撑足第3跖骨峰值压力大于低跌倒风险组(P<0.05)。在跨越障碍后,高跌倒风险组支撑足第1趾骨峰值压力明显小于低跌倒风险组(P<0.05),而高跌倒风险组足跟外侧冲量明显大于低跌倒风险组(P<0.05)。高、低跌倒风险组老年人在跨越障碍前后足底接触面积分布规律基本一致,各区域接触面积组间均无显著差异(P>0.05)。结论 高跌倒风险老人相对低跌倒风险老年人跨越障碍时支撑时间延长,跨越腿足底跖骨区域峰值压力增加,足底COP曲线表现出不对称性,且在冠状面横向变化范围增大。在临床评估中应重点关注跌倒风险人群跨越障碍的足底压力特征。

    Abstract:

    Objective To explore dynamic characteristics of the gait for the elderly with different fall risks before and after obstacle crossing. Methods Twenty-seven elderly people in community were graded as fall risk by using the time up and go test and five-time sit to stand test. The plantar pressure parameters of the elderly before and after obstacle crossing were measured and analyzed by foot pressure measurement system. Results There was no significant difference in the characteristic value of bimodal curve of overall plantar pressure between the high and low fall risk groups before and after obstacle crossing(P>0.05). The center of pressure (COP) trajectory in X direction of high fall risk group after obstacle crossing was significantly greater than that of low fall risk group (P<0.05). Before obstacle crossing, the peak pressure of the 3rd metatarsal of supporting foot was higher in high fall risk group than that in low fall risk group (P<0.05). After obstacle crossing, the peak pressure of the 1st phalanx of supporting foot was significantly lower than that in high fall risk group (P<0.05), while the lateral heel impulse in high fall risk group was significantly larger than that in low fall risk group (P<0.05).The distribution patterns of contact area of the foot for the elderly in two groups before and after obstacle crossing were basically the same, and there was no significant difference in contact area of each plantar region (P>0.05). Conclusions The support time of the elderly with high fall risk is longer than that of the elderly with low fall risk during obstacle crossing, the peak pressure of plantar metatarsal region of the crossing leg increases, and the plantar COP curve shows asymmetry, with an increase in transverse range of the coronal plane. In clinical evaluation, plantar pressure characteristics of people with fall risks during obstacle crossing should be focused on.

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孟站领,张庆来,苑玲伟,甄洁.不同跌倒风险老年人跨越障碍前后足底压力特征[J].医用生物力学,2022,37(4):741-747

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  • 收稿日期:2021-10-13
  • 最后修改日期:2021-11-15
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  • 在线发布日期: 2022-08-25
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