功能性动作筛查联合功能性体适能测试在普通老年人群中的应用研究

An applied study on functional movement screen combined with functional fitness in the elderly

目的通过功能性动作筛查(FMS)与功能性体适能(FF)测试,对普通老年人群身体功能性运动能力进行评价分析,探索FMS联合FF在普通老年人群运动促健康中的应用。方法对64例60~70岁的老年人(男性28例、女性36例)进行FMS和坐站、坐位体前屈、站立-走3项FF测试。结果老年人FMS分值普遍偏低,存在肢体两侧功能性运动能力不对称的情况,其中肩关节差异最为明显;女性FMS总分略高于男性,肩部灵活性与直腿抬高2个动作的性别差异较为显著;女性FF值低于男性,其坐位体前屈测试显著优于男性,且与肩部灵活性与直腿抬高有着较强的正相关,但FMS与FF总体上相关性不强。结论FMS联合FF可形成更加完整的人体运动认识,大幅度提高功能性运动能力评估的精准度。建议老年人运动前使用FMS与FF的联合评估,更好地提高运动锻炼的科学性,充分发挥运动抗衰老的作用。

Objective To evaluate and analyze the functional movement ability of the body of the general elderly population through the Functional Movement Screening(FMS)and Functional Fitness(FF)tests,and to explore the application of the FMS combined with the FF for exercise for health in the general elderly population.Methods Sixty-four older adults aged 60~70 years(28 males and 36 females)were tested with the FMS and three FF tests:sit-to-stand,chair flexion,and sit-to-stand-walk.Results The FMS scores of the elderly were generally low,and there was asymmetry in functional mobility between the two sides of the limbs,of which the most obvious difference was in the shoulder joint;the total FMS score of the females was slightly higher than that of the males,and the gender differences in the 2 movements of shoulder dexterity and straight-leg raising were more significant;the FF values of the females were lower than those of the males,and their chair flexion was significantly better than those of the males,and there was a strong positive correlation between FMS and FF,but FMS and FF had no significant correlation with each other.However,the overall correlation between FMS and FF was not strong.Conclusion The FMS combined with the FF can form a more complete understanding of human movement and substantially improve the accuracy of functional mobility assessment.It is recommended to use the combined assessment of FMS and FF before exercise in the elderly to better improve the science of exercise and give full play to the anti-aging effect of exercise.