康复工程

基于灰色关联分析的老年人下肢肌力手持式肌力测试仪评估

  • 杨鹏 ,
  • 孙丽红 ,
  • 韩雪晶 ,
  • 蔡青青
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  • 1.河北工业大学控制科学与工程学院,天津市 300130;
    2.智能康复装置与检测技术教育部工程研究中心,天津市 300130
杨鹏(1960-),男,汉族,河北秦皇岛市人,博士,教授,博士研究生导师,主要研究方向:复杂系统行为与模型的研究,老年人能力评估。E-mail: yphebut@163.com。

收稿日期: 2017-03-06

  修回日期: 2017-06-09

  网络出版日期: 2017-11-03

基金资助

国家科技支撑计划项目(No.2015BAI06B03)

Evaluation of Lower Limb Muscle Strength with Hand-held Dynamometry in Elderly Based on Grey Relational Analysis

  • YANG Peng ,
  • SUN Li-hong ,
  • HAN Xue-jing ,
  • CAI Qing-qing
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  • 1. School of Control Science and Engineering, Hebei University of Technology, Tianjin 300130, China;
    2. Engineering Research of Intelligent Rehabilitation Equipment and Testing Technology, Ministry of Education, Tianjin 300130, China

Received date: 2017-03-06

  Revised date: 2017-06-09

  Online published: 2017-11-03

摘要

目的 对老年人下肢肌力进行量化评估。方法 2016年12月至2017年3月,50名老年受试者纳入研究。确定了老年人下肢肌力评估指标,包括髋外展肌、髋内收肌、髋伸肌、髋屈肌、膝伸肌、膝屈肌、踝背屈肌、踝跖屈肌,并结合手持式肌力测试仪(HHD)进行等长肌力测试。建立灰色关联分析法数学模型进行决策与评估,通过徒手肌力检查(MMT)给出的老年人下肢肌力的分级标准进行评判。结果 能力完好的老年受试者为13名,其余37名属于轻度障碍水平。结论 基于对老年人下肢肌力量化评估需求,建立了一种老年人下肢肌力的客观评估模型,便于为老年人下肢肌力分级,进而进行不同的康复指导。

本文引用格式

杨鹏 , 孙丽红 , 韩雪晶 , 蔡青青 . 基于灰色关联分析的老年人下肢肌力手持式肌力测试仪评估[J]. 中国康复理论与实践, 2017 , 23(10) : 1203 -1208 . DOI: 10.3969/j.issn.1006-9771.2017.10.017

Abstract

Objective To quantitatively assess the lower extremity muscle strength of the elderly.Methods From December, 2016 to March, 2017, 50 old subjects were enrolled. The evaluation indexes of lower extremity muscle strength of the elderly were determined as hip abductors, hip adductors, hip extensors, hip flexors, knee extensors, knee flexors, ankle dorsiflexors and ankle plantarflexors with the hand-held dynamometry. The data of 50 subjects were collected and the grey relational analysis model was used to make the decision and evaluation. The grading criteria for lower limb muscle strength of the elderly were given by Manual Muscle Test.Results Totally, 13 elderly subjects were well-matched, and the other 37 subjects were mildly disordered.Conclusion Based on the need for quantitative assessment of muscle strength of the lower limbs in the elderly, an Objective evaluation model of the lower extremity muscle strength of the elderly was established, which facilitated to grade the elderly lower extremity muscle strength and then to carry out different rehabilitation guidance.

参考文献

[1] Di Giulio C, Daniele F, Tipton CM. Angelo Mosso and muscular fatigue: 116 years after the first Congress of Physiologists: IUPS commemoration [J]. Adv Physiol Educ, 2006, 30(2): 51-57.
[2] 唐玉成,吴卅. 国外老年人肌肉力量评价指标综述[J]. 中国运动医学杂志, 2012, 31(5): 456-461.
[3] 蒋奇永,徐秀林. 等长肌力测试的研究与应用[J]. 中国组织工程研究与临床康复, 2011, 15(15): 2813-2816.
[4] 刘珊珊,谭思洁. 老年人肌力评定和锻炼方法的研究进展[J]. 中国康复医学杂志, 2012, 27(1): 96-98.
[5] 刘浩,贾延兵,王俊,等. 新型便携式肌力测定仪测量下肢肌肉的信度研究[J]. 中国康复, 2016, 31(1): 74-75.
[6] 焦伟国,周明,彭楠,等. 社区老年人下肢骨骼肌肌力衰变的趋势和特点[J]. 中国康复医学杂志, 2013, 28(5): 440-444.
[7] Schrama PP, Stenneberg MS, Lucas C, et al. Intra-examiner reliability of hand-held dynamometry in the upper extremity: A systematic review [J]. Arch Phys Med Rehabil, 2014, 95(12): 2444-2469.
[8] Jackson SM, Cheng MS, Smith AR Jr, et al. Intrarater reliability of hand held dynamometry in measuring lower extremity isometric strength using a portable stabilization device [J]. Musculoskelet Sci Pract, 2017, 27: 137-141.
[9] Thorborg K, Petersen J, Magnusson SP, et al. Clinical assessment of hip strength using a hand-held dynamometer is reliable [J]. Scand J Med Sci Sports, 2010, 20(3): 493-501.
[10] Bohannon RW. Test-retest reliability of hand-held dynamometry during a single session of strength assessment [J]. Phys Ther, 1986, 66(2): 206-209.
[11] Davis PR, Mckay MJ, Baldwin JN, et al. Repeatability, consistency, and accuracy of hand-held dynamometry with and without fixation for measuring ankle plantarflexion strength in healthy adolescents and adults [J]. Muscle Nerve, 2017, 56(5):896-900.
[12] Alfuth M, Hahm MM. Reliability, comparability, and validity of foot inversion and eversion strength measurements using a hand-held dynamometer [J]. Int J Sports Phys Ther, 2016, 11(1): 72-84.
[13] 牛会永. 基于灰色理论的城市道路交通安全评价研究[J]. 中国安全科学学报, 2005, 15(9): 92-95.
[14] 刘思峰,蔡华,杨英杰,等. 灰色关联分析模型研究进展[J].系统工程理论与实践, 2013, 33(8): 2041-2046.
[15] 孙玉春,李泽兵. 衰老对老年人关节功能及肌力的影响与运动康复评估[J]. 中国临床康复, 2003, 7(6): 954-955, 957.
[16] 彭楠,周明,朱亚琼,等. 老年人下肢肌力和功能性活动测试与步速的相关性[J]. 中国康复理论与实践, 2014, 20(12): 1101-1104.
[17] Schmitt WH Jr, Cuthbert SC. Common errors and clinical guidelines for manual muscle testing: "the arm test" and other inaccurate procedures [J]. Chiropr Osteopat, 2008, 16(1): 16.
[18] 王盛,姜文君. 徒手肌力检查发展史及分级进展[J]. 中国康复理论与实践, 2015, 21(6): 666-669.
[19] 史惟, 朱默,骆丹丹,等. 手持式电子肌力测定仪在痉挛型脑瘫儿童下肢肌力测定中的信度研究[J]. 中华物理医学与康复杂志, 2010, 32(12): 907-910.
[20] Douma RK, Soer R, Krijnen WP, et al. Reference values for isometric muscle force among workers for the Netherlands: a comparison of reference values [J]. BMC Sports Sci Med Rehabil, 2014, 6(1): 10.
[21] Buckinx F, Croisier JL, Reginster JY, et al. Reliability of muscle strength measures obtained with a hand-held dynamometer in an elderly population [J]. Clin Physiol Funct Imaging, 2017, 37(3): 332-340.
[22] Andrews AW, Thomas MW, Bohannon RW. Normative values for isometric muscle force measurements obtained with hand-held dynamometers [J]. Phys Ther, 1996, 76(3): 248-259.
[23] Bohannon RW. Reference values for extremity muscle strength obtained by hand-held dynamometry from adults aged 20 to 79 years [J]. Arch Phys Med Rehabil, 1997, 78(1): 26-32.
[24] Bohannon RW. Literature reporting normative data for muscle strength measured by hand-held dynamometry: A systematic review [J]. Isokinet Exerc Sci, 2011, 19(3): 143-147.
[25] Mentiplay BF, Perraton LG, Bower KJ, et al. Assessment of Lower limb muscle strength and power using hand-held and fixed dynamometry: a reliability and validity study [J]. PLoS One, 2015, 10(10): e0140822.
[26] Stark T, Walker B, Phillips JK, et al. Hand-held dynamometry correlation with the gold standard isokinetic dynamometry: a systematic review [J]. PM R, 2011, 3(5): 472-479.
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