老年人腰椎位置觉重测信度研究

doi:10.3969/j.issn.1006-9771.2019.04.002

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (4): 377-380.doi: 10.3969/j.issn.1006-9771.2019.04.002

老年人腰椎位置觉重测信度研究

龚迪¹, 王惠芳², 刘晓晨¹, 胡浩宇¹, 郑依莉¹, 王雪强¹

1.上海体育学院，上海市 200438
2.上海市养志康复医院(上海阳光康复中心)，上海市 201619

收稿日期:2018-09-02 修回日期:2018-10-08 出版日期:2019-04-20 发布日期:2019-04-24
通讯作者: 王雪强，E-mail： qiang897@163.com
作者简介:龚迪(1988-)，男，汉族，河南太康县人，硕士研究生，主管治疗师，主要研究方向：骨与关节运动损伤康复。
基金资助:
国家自然科学基金面上项目(No. 81871844)

Test-retest Reliability of Lumbar Spine Position Sense for Aging People

GONG Di¹, WANG Hui-fang², LIU Xiao-chen¹, HU Hao-yu¹, ZHENG Yi-li¹, WANG Xue-qiang¹

1.Shanghai University of Sport, Shanghai 200438, China
2.Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), Shanghai 201619, China

Received:2018-09-02 Revised:2018-10-08 Published:2019-04-20 Online:2019-04-24
Contact: WANG Xue-qiang, E-mail: qiang897@163.com
Supported by:
National Natural Science Foundation of China (General) (No. 81871844)

摘要/Abstract

摘要： 目的观察老年人在站立位时腰椎被动位置觉的重测信度。方法筛选社区老年健康志愿者58例，利用等速训练系统，位置觉重现法，测试腰椎前屈15°、30°、60°和背屈15°目标角度，计算绝对误差角度(AE)。1周后再次测试。计算组内相关系数(ICC)和标准误差(SEM, SEM%)。结果两次测试ICC = 0.699~0.833，SEM = 1.18~3.26，SEM% = 26.84%~37.13%。其中男性ICC = 0.462~0.818，SEM = 1.60~3.68，SEM% = 36.37%~48.78%；女性ICC = 0.782~0.891，SEM = 1.48~2.71，SEM% = 28.48%~33.34%。结论老年人站立位被动位置测试重测信度较好，但误差范围较大，需进一步探索更合适的方法。

关键词: 腰椎, 本体觉, 位置觉, 信度, 老年

Abstract: Objective To determine the test-retest reliability of lumbar passive reposition accuracy for older people. Methods A total of 58 healthy older people stood on an isokinetic dynamometer, and passively moved their trunk forward and backward to the target positions as accurately as possible. The targeted positions were set as flexion forward 15°, 30° and 60°, and flexion backward 15°. The absolute error (AE) was recorded. They were tested again a week latter. The intraclass correlation coefficient (ICC) and standard errors of measurement (SEM and SEM%) were calculated. Results The ICC of AE was 0.699 to 0.833 for all the subjects, SEM was 1.18 to 3.26, and SEM% was 26.84% to 37.13%. For the men, the ICC was 0.462 to 0.818, SEM was 1.60 to 3.68, and SEM% was 36.37% to 48.78%. For the women, the ICC was 0.782 to 0.891, SEM was 1.48 to 2.71, and SEM% was 28.48% to 33.34%. Conclusions Lumbar passive reposition accuracy is some reliable to assess the position sense for older people. However, there are too large errors for clinical measurement, which need further improvment.

Key words: lumbar, proprioception, position sense, reliability, aged

中图分类号:

R681.5

龚迪, 王惠芳, 刘晓晨, 胡浩宇, 郑依莉, 王雪强. 老年人腰椎位置觉重测信度研究[J]. 《中国康复理论与实践》, 2019, 25(4): 377-380.

GONG Di, WANG Hui-fang, LIU Xiao-chen, HU Hao-yu, ZHENG Yi-li, WANG Xue-qiang. Test-retest Reliability of Lumbar Spine Position Sense for Aging People[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(4): 377-380.

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老年人腰椎位置觉重测信度研究

Test-retest Reliability of Lumbar Spine Position Sense for Aging People

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