《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (1): 66-69.

• 论文 • 上一篇    下一篇

功能性步态评价与Berg 平衡量表对社区老年人跌倒风险的预测价值

周明，彭楠，朱才兴，石荣光，方继红，李令臣，李宏伟，李家玉，郭占芳   

  1. 1.解放军总医院南楼康复医学科，北京市100853；2.北极寺干休所门诊部，北京市100085；3.玉泉路干休所卫生所，北京市100039。
  • 收稿日期:2012-09-26 修回日期:2012-11-22 出版日期:2013-01-25 发布日期:2013-01-25
  • 通讯作者: 彭楠

Predictive Value of Functional Gait Assessment and Berg Balance Scale for Fall in Community-dwelling Older Adults

ZHOU Ming,PENG Nan, ZHU Cai-xing, et al.   

  1. Department of Rehabilitation of Nan Lou, Chinese PLA General Hospital, Beijing 100853, China
  • Received:2012-09-26 Revised:2012-11-22 Published:2013-01-25 Online:2013-01-25

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摘要： 目的比较功能性步态评价(FGA)和Berg 平衡量表(BBS)对75~85 岁中国社区老年人跌倒的预测价值。方法随机选取北京市3 个社区75~85 岁老年人162 人进行FGA、BBS 评估，根据过去1 年内是否跌倒分为跌倒组和非跌倒组。结果跌倒组和非跌倒组FGA 和BBS 均有非常高度显著性差异(P<0.001)。FGA 总分与BBS 总分显著正相关(r=0.723, P=0.001)。除闭眼行走(P=0.31)外，FGA 总分与其他分项明显正相关(P<0.01)；FGA 受试者工作特征曲线下面积比为0.901，BBS 为0.872。根据Youden 指数，FGA 对跌倒的预测值为19.5(满分30 分)，敏感性85.5%，特异性81.2%；BBS 的预测值为48.5(满分56 分)，敏感性78.3%，特异性83.3%。结论FGA预测社区老年人跌倒的敏感性优于BBS，特异性与BBS 相似，总体效能优于BBS。

关键词: 跌倒, 社区, 老年人, 功能性步态评价, Berg 平衡量表

Abstract: Objective To compare the prediction of Functional Gait Assessment (FGA) and Berg balance scale (BBS) for fall among community-dwelling older adults aged 75~85 years old. Methods 162 older adults randomly selected from 3 communities in Beijing were evaluated with FGA and BBS. They were divided as fallers and nonfallers according to the history of fall during the last year. Results The scores of FGA and BBS increased significantly in the nonfallers compared with the fallers (P<0.001). The total scores of FGA correlated with the scores of BBS (r=0.723, P<0.001). The total scores of FGA significantly correlated with the scores of items of FGA (P<0.01), except that of walking with eyes closed (P=0.31). According to the Receiver Operating Characteristic (ROC) Curve, the area under the curve was 0.901 for FGA, and 0.872 for BBS. According to the Youden index, the cutoff value of FGA was 19.5, with sensitivity of 85.5% and specificity of 81.2%. The cutoff value of BBS was 48.5, with sensitivity of 78.3% and specificity of 83.3%. Conclusion FGA is more effective than BBS for predicting the fall in community-dwelling older adults, which is more sensitive and similarly specific.

Key words: fall, community, elderly, Functional Gait Assessment, Berg balance scale