Objective To explore an objective evaluation model for the elderly extremity muscle strength. Methods Evaluation index system of extremity muscle strength was established by analyzing the structure and movement mechanism of the limbs of the elderly, and an evaluation model of extremity muscle strength of the elderly based on entropy weight-fuzzy comprehensive evaluation was proposed. Moreover, the muscle strength data of the elderly are collected by the hand-held dynamometry MicroFet3. Results The entropy weight method was used to obtain the objective weight of each index, and the disadvantages of the given weight by the expert in the fuzzy comprehensive evaluation method were eliminated, which could effectively assist the doctor to give the correct evaluation. Conclusion Actual examples showed that the proposed evaluation model is effective and objective, which helps to overcome the subjectivity of manual muscle testing to achieve the rehabilitation treatment and classification management of the elderly. A new idea is put forward to evaluate the strength of the extremity in the elderly.
SUN Li-hong
,
YANG Peng
,
DONG Yao
,
CAI Qing-qing
. Fuzzy Comprehensive Evaluation of Extremity Muscle Strength in Elderly Based on Entropy Weight Method[J]. Chinese Journal of Rehabilitation Theory and Practice, 2017
, 23(12)
: 1464
-1469
.
DOI: 10.3969/j.issn.1006-9771.2017.12.018
[1] 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]. 中国组织工程研究, 2003, 7(6): 954-955.
[2] 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.
[3] 李爱君,高瑞尧,郑琦玮,等. 提高老年人肌肉力量和心肺功能的运动处方研究进展[J]. 中国康复理论与实践, 2017, 23(2): 179-184.
[4] 高亚南,许永利,陈雪丽. 老年综合评估在老年康复中的应用[J]. 中国康复理论与实践, 2013, 19(5): 452-456.
[5] 窦祖林,南登昆. 徒手肌力检查与定量肌力检查相关性初探[J]. 中国康复医学杂志, 1992, 7(3): 109-111.
[6] 周谋望,杨延砚,葛杰,等. 健康成人等张肌力测试的重测信度研究[J]. 中国康复医学杂志, 2005, 20(10): 724-727.
[7] 任跃兵,杨利民,张承韶,等. 等速运动训练在肘关节内骨折术后早期康复中的应用[J]. 中国康复医学杂志, 2011, 26(10): 939-944.
[8] 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.
[9] 张程. 5-DOF上肢康复机器人AHP-模糊综合康复评价方法研究[D]. 沈阳:东北大学, 2012.
[10] 邹锦慧,刘树元. 人体解剖学[M]. 北京:科学出版社, 2012: 198-230.
[11] 宋利平,王强,周平,等. 并联式髋关节康复机构设计及分析[J]. 西华大学学报自然科学版, 2013, 32(3): 77-80.
[12] 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.
[13] 任海静,胡景萍,任海妹. 老年人肌力减退及预防的研究进展[J]. 中国老年学, 2013, 33(21): 5484-5487.
[14] Gafner S, Bastiaenen CHG, Terrier P, et al. Evaluation of hip abductor and adductor strength in the elderly: a reliability study [J]. Eur Rev Aging Phys Act, 2017, 14(1): 5.
[15] 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.
[16] 王建辉,张程,纪雯,等. 基于AHP-模糊综合评判的上肢康复机器人康复评价方法[J]. 沈阳大学学报(自然科学版), 2012, 24(3): 47-51.
[17] Arnold CM, Warkentin KD, Chilibeck PD, et al. The reliability and validity of handheld dynamometry for the measurement of lower-extremity muscle strength in older adults [J]. J Strength Cond Res, 2010, 24(3): 815-824.
[18] 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.
[19] Bohannon RW. Hand-held dynamometry: a practicable alternative for obtaining objective measures of muscle strength [J]. Isokinet Exerc Sci, 2012, 20(4): 301-315.
[20] 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.
[21] 林济铿,李童飞,赵子明,等. 基于熵权模糊综合评价模型的电力系统黑启动方案评估[J]. 电网技术, 2012, 36(2): 115-120.
[22] Bohannon RW. Upper extremity strength and strength relationships among young women [J]. J Orthop Sports Phys Ther, 1986, 8(3): 128-133.
[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] 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.
[25] 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.
[26] Holt KL, Raper DP, Boettcher CE, et al. Hand-held dynamometry strength measures for internal and external rotation demonstrate superior reliability, lower minimal detectable change and higher correlation to isokinetic dynamometry than externally-fixed dynamometry of the shoulder [J]. Phys Ther Sport, 2016, 21: 75-81.
[27] 杨鹏,孙丽红,韩雪晶,等.基于灰色关联分析的老年人下肢肌力评估[J]. 中国康复理论与实践, 2017, 23(10): 85-90.