Study on the correlation and influencing factors of manual function in elderly people
HOU Xue1 WEN Xiaoni2
1.Department of Graduate, Xi’an Physical Education University, Shaanxi Province, Xi’an 710068, China; 2.Department of Sports Medicine, College of Sports and Health Sciences, Xi’an Physical Education University, Shaanxi Province, Xi’an 710068, China
Abstract：Objective To explore the correlation and influencing factors of elderly people’s hand function. Methods A total of 100 elderly residents of Yijun County, Tongchuan City, Shaanxi Province meeting the inclusion criteria from June to Sep- tember 2022 were selected by simple random sampling method. The participants were tested for grip strength, hand flexibility (box and block test [BBT test]), coordination ability, functional extension, timed stand up, and walk, static balance, 30 s sitting and standing, 6 min walking distance, shoulder joint flexibility, lumbar motion and other functional tasks. After excluding invalid data, the test data of 88 elderly people were finally included in this study. Then the correlation and influencing factors were analyzed and studied. Results The BBT values of the left hand and the right hand were (38±8) number/min and (39±8) number/min respectively. The grip strength of the dominant hand was (166.8±75.0) N. The correlation results showed that BBT left hand test was positively correlated with BBT right hand test, grip strength, Schober test, 30 s sitting and standing test, functional extension test, right back scratching test, left back scratching test, static balance and coordination function, and was negatively correlated with age and timing standing and walking test (P＜0.05). BBT right hand test was positively correlated with grip strength, Schober test, 30 s sitting and standing test, functional extension test, right back scratching test, left back scratching test, static balance and coordination function, but was negatively correlated with age and timing standing and walking test (P＜0.05). Grip strength was positively correlated with 6 min walking test, Schober test, 30 s sitting and standing test, functional stretching test, static balance and coordination function, and was negatively correlated with timed standing and walking test (P＜0.05). 6min walking test, timed standing up and walking test, and functional stretching test were all influencing factors of grip strength, among which the test value of timed standing up and walking test has the greatest influence on grip strength (B=-14.916, P=0.030). The regression equation was as follows: grip strength =73.31+0.26×6 min walking test -14.91× timed stand up and walk test +3.61× functional stretching test. Factors affecting hand flexibility included 30 s sitting and standing test, functional extension test, and Schober test, among which Schober test value (B=1.140, P=0.029) had the greatest influence on hand flexibility. Regression equation: hand flexibility =2.58+0.70×30 s sitting and standing +0.25× functional stretching test +1.14×Schober test. Conclusion The manual flexibility and grip strength of the elderly are correlated with functional tasks that reflect postural control, such as standing up and walking, sitting and standing for 30 s, functional extension, static balance, coordination and lumbar motion, among which functional extension test is a common factor affecting grip strength and hand flexibility. It is speculated that hand function assessment may be one of the important methods to indirectly reflect functional extension test.
侯雪1 温晓妮2. 老年人手功能的相关性及影响因素研究[J]. 中国医药导报, 2023, 20(34): 87-91.
HOU Xue1 WEN Xiaoni2. Study on the correlation and influencing factors of manual function in elderly people. 中国医药导报, 2023, 20(34): 87-91.
[1] Seo NJ，Enders LR. Hand grip function assessed by the box and block test is affected by object surfaces [J]. J Hand Ther，2012，25（4）：397-404. [2] Clegg A，Young J，Iliffe S，et al. Frailty in elderly people [J]. Lancet，2013，381（9868）：752-762. [3] 第七次全国人口普查公报~（[1]）（第五号）[N].2021-05- 12. [4] Kamasaki T，Tabira T，Suenaga T，et al. Association between toe pressure strength in the standing position and postural control capability in healthy adults [J]. Gait Posture，2023， 103：86-91. [5] Narciso FV，Damaso AR，Barela JA，et al. Overweight impairs postural control of female night workers [J]. Sleep Sci，2023，16（1）：29-37. [6] Trajkov M，Cuk I，Eminovic F，et al. Relationship between hand grip strength and endurance and postural stability in active and sedentary older women [J]. J Electromyogr Kinesiol，2018，43：62-67. [7] Mathiowetz V，Volland G，Kashman N，et al. Adult norms for the Box and Block Test of manual dexterity[J]. Am J Occup Ther，1985，39（6）：386-391. [8] Davis M，Wang Y，Bao S，et al. The interactions between primary somatosensory and motor cortex during human grasping behaviors [J]. Neuroscience，2022，485：1-11. [9] Vasylenko O，Gorecka MM，Rodríguez-Aranda C. Manual dexterity in young and healthy older adults. 2. Association with cognitive abilities [J]. Dev Psychobiol，2018，60（4）：428- 439. [10] Martin JA，Ramsay J，Hughes C，et al. Age and grip strength predict hand dexterity in adults[J]. PLoS One，2015，10（2）：e0117598. [11] Rodríguez-Aranda C，Mittner M，Vasylenko O. Association between executive functions，working memory，and manual dexterity in young and healthy older adults：An exploratory study [J]. Percept Mot Skills，2016，122（1）：165-192. [12] Natta DD，Alagnidé E，Kpadonou TG，et al. Box and block test in beninese adults [J]. J Rehabil Med，2015，47（10）：970-973. [13] Svensson E，H?覿ger-Ross C. Hand function in charcot marie tooth：Test retest reliability of some measurements [J]. Clin Rehabil，2006，20（10）：896-908. [14] Mathiowetz V，Volland G，Kashman N，et al. Adult norms for the box and block test of manual dexterity [J]. Am J Occup Ther，1985，39（6）：386-391. [15] 王玉龙，郭铁成副，于敏华，等.康复功能评定学[M].康北京：人民卫生出版社，2008. [16] Jofré-Saldía E，Villalobos-Gorigoitíaá，Cofré-Bolados C，et al. Multicomponent training in progressive phases improves functional capacity，physical capacity，quality of life，and exercise motivation in community-dwelling older adults：A randomized clinical trial [J]. Int J Environ Res Public Health，2023，20（3）：2755. [17] Kojima H，Sugimori Y，Shimane K. The modified schober’s test and ankylosing spondylitis [J]. QJM，2022，115（3）：181- 182. [18] Charlier R，Mertens E，Lefevre J，et al. Muscle mass and muscle function over the adult life span：A cross-sectional study in flemish adults [J]. Arch Gerontol Geriatr，2015，61（2）：161-167. [19] Ranganathan VK，Siemionow V，Sahgal V，et al. Effects of aging on hand function [J]. J Am Geriatr Soc，2001，49（11）： 1478-1484. [20] van Lier AM，Payette H. Determinants of handgrip strength in free-living elderly at risk of malnutrition [J]. Disabil Rehabil，2003，25（20）：1181-1186. [21] Kim SH，Kim T，Park JC，et al. Usefulness of hand grip strength to estimate other physical fitness parameters in older adults [J]. Sci Rep，2022，12（1）：17496. [22] Strandkvist V，Larsson A，Pauelsen M，et al. Hand grip strength is strongly associated with lower limb strength but only weakly with postural control in community-dwelling older adults [J]. Arch Gerontol Geriatr，2021，94：104345. [23] Horak FB. Postural orientation and equilibrium：What do we need to know about neural control of balance to prevent falls? [J]. Age Ageing，2006，35 Suppl 2：ii7-ii11. [24] Wi■niowska-Szurlej A，■wirlej-Sozańska A，Wo?覥oszyn N，et al. Association between handgrip strength，mobility，leg strength，flexibility，and postural balance in older adults under long-term care facilities [J]. Biomed Res Int，2019， 2019：1042834. [25] Kalkan AC，Kahraman T，Ugut BO，et al. A comparison of the relationship between manual dexterity and postural control in young and older individuals with parkinson’s disease [J]. J Clin Neurosci，2020，75：89-93. [26] Martinikorena I，Martínez-Ramírez A，Gómez M，et al. Gait variability related to muscle quality and muscle power output in frail nonagenarian older adults [J]. J Am Med Dir Assoc，2016，17（2）：162-167. [27] Gimmon Y，Riemer R，Oddsson L，et al. The effect of plantar flexor muscle fatigue on postural control [J]. J Electromyogr Kinesiol，2011，21（6）：922-938. [28] Lee DR，Jong-Soon Kim L. Effects of hand grip exercise on shoulder joint internal rotation and external rotation peak torque [J]. J Back Musculoskelet Rehabil，2016，29（3）：521- 525. [29] Valent LJ，Dallmeijer AJ，Houdijk H，et al. Effects of hand cycle training on physical capacity in individuals with tetraplegia：A clinical trial [J]. Phys Ther，2009，89（10）：1051- 1060. [30] Saraiva M，Castro MA，Vilas-Boas JP. Muscular and prefrontal cortex activity during dual-task performing in young adults [J]. Eur J Investig Health Psychol Educ，2023，13（4）： 736-747.
2023, Vol. 20 
京公网安备 11010502046598号