Age- and Gender-Related Test Performance in Community-Dwelling Elderly People: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and Gait Speeds

Physical Therapy - Tập 82 Số 2 - Trang 128-137 - 2002
Teresa M Steffen1, Timothy A. Hacker2, L A Mollinger3
1TM Steffen, PT, PhD, is Director, Program in Physical Therapy, Concordia University Wisconsin, 12800 N Lake Shore Dr, Mequon, WI 53097 (USA).
2TA Hacker, PhD, is Assistant Scientist, University of Wisconsin Medical School, Cardiology Section, University of Wisconsin–Madison, Madison, Wis
3L Mollinger, PT, MS, is Assistant Professor, Concordia University Wisconsin

Tóm tắt

Abstract

Background and Purpose. The interpretation of patient scores on clinical tests of physical mobility is limited by a lack of data describing the range of performance among people without disabilities. The purpose of this study was to provide data for 4 common clinical tests in a sample of community-dwelling older adults. Subjects. Ninety-six community-dwelling elderly people (61–89 years of age) with independent functioning performed 4 clinical tests. Methods. Data were collected on the Six-Minute Walk Test (6MW), Berg Balance Scale (BBS), and Timed Up & Go Test (TUG) and during comfortable- and fast-speed walking (CGS and FGS). Intraclass correlation coefficients (ICCs) were used to determine the test-retest reliability for the 6MW, TUG, CGS, and FGS measurements. Data were analyzed by gender and age (60–69, 70–79, and 80–89 years) cohorts, similar to previous studies. Means, standard deviations, and 95% confidence intervals for each measurement were calculated for each cohort. Results. The 6MW, TUG, CGS, and FGS measurements showed high test-retest reliability (ICC [2,1]=.95–.97). Mean test scores showed a trend of age-related declines for the 6MW, BBS, TUG, CGS, and FGS for both male and female subjects. Discussion and Conclusion. Preliminary descriptive data suggest that physical therapists should use age-related data when interpreting patient data obtained for the 6MW, BBS, TUG, CGS and FGS. Further data on these clinical tests with larger sample sizes are needed to serve as a reference for patient comparisons.

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Tài liệu tham khảo

2001, Guide to Physical Therapist Practice, Phys Ther, 81, 9

Cooper, 1968, A means of assessing maximal oxygen uptake: correlation between field and treadmill testing, JAMA, 203, 201, 10.1001/jama.1968.03140030033008

Swisher, 1998, Use of the Six-Minute Walk/Run Test to predict peak oxygen consumption in older adults, Cardiopulmonary Physical Therapy, 9, 3, 10.1097/01823246-199809030-00002

Milligan, 1997, Using a 6-minute walk test to predict outcomes in patients with left ventricular dysfunction, Rehabil Nurs, 22, 177, 10.1002/j.2048-7940.1997.tb02095.x

Bittner, 1993, Prediction of mortality and morbidity with a 6-minute walk test in patients with left ventricular dysfunction, JAMA, 270, 1702, 10.1001/jama.1993.03510140062030

Cahalin, 1996, The six-minute walk test predicts peak oxygen uptake and survival in patients with advanced heart failure, Chest, 110, 325, 10.1378/chest.110.2.325

Kadikar, 1997, The six-minute walk test: a guide to assessment for lung transplantation, J Heart Lung Transplant, 16, 313

Faggiano, 1997, Assessment of oxygen uptake during the 6-minute walking test in patients with heart failure: preliminary experience with a portable device, Am Heart J, 134, 203, 10.1016/S0002-8703(97)70125-X

Guyatt, 1985, How should we measure function in patients with chronic heart and lung disease, J Chronic Dis, 38, 517, 10.1016/0021-9681(85)90035-9

Montgomery, 1998, The clinical utility of a six-minute walk test in peripheral arterial occlusive disease patients, J Am Geriatr Soc, 46, 706, 10.1111/j.1532-5415.1998.tb03804.x

Cahalin, 1995, The relationship of the 6-minute walk test to maximal oxygen consumption in transplant candidates with end-stage lung disease, Chest, 108, 452, 10.1378/chest.108.2.452

Lipkin, 1986, Six-minute walking test for assessing exercise capacity in chronic heart failure, Br Med J (Clin Res Ed), 292, 653, 10.1136/bmj.292.6521.653

Enright, 1998, Reference equations for the six-minute walk in healthy adults, Am J Resp Critic Care Med, 158, 1384, 10.1164/ajrccm.158.5.9710086

Berg, 1989, Measuring balance in elderly: preliminary development of an instrument, Physiotherapy Canada, 41, 304, 10.3138/ptc.41.6.304

Berg, 1992, Clinical and laboratory measures of postural balance in an elderly population, Arch Phys Med Rehabil, 73, 1073

Shumway-Cook, 1997, The effect of multidimensional exercises on balance, mobility, and fall risk in community-dwelling older adults, Phys Ther, 77, 46, 10.1093/ptj/77.1.46

Bogle-Thorbahn, 1996, Use of the Berg Balance Test to predict falls in elderly persons, Phys Ther, 76, 576, 10.1093/ptj/76.6.576

Liston, 1996, Reliability and validity of measures obtained from stroke patients using the Balance Master, Arch Phys Med Rehabil, 77, 425, 10.1016/S0003-9993(96)90028-3

Berg, 1992, Measuring balance in the elderly: validation of an instrument, Can J Public Health, 83, S7

Wolf, 1999, Establishing the reliability and validity of measurements of walking time using the Emory Functional Ambulation Profile, Phys Ther, 79, 1122, 10.1093/ptj/79.12.1122

Shumway-Cook, 1997, Predicting the probability for falls in community-dwelling older adults, Phys Ther, 77, 812, 10.1093/ptj/77.8.812

O'Brien, 1997, Balance and skeletal alignment in a group of elderly female fallers and nonfallers, J Gerontol A Biol Sci Med Sci, 52, B221, 10.1093/gerona/52A.4.B221

Daubney, 1999, Lower-extremity muscle force and balance performance in adults aged 65 years and older, Phys Ther, 79, 1177, 10.1093/ptj/79.12.1177

Riddle, 1999, Interpreting validity indexes for diagnostic tests: an illustration using the Berg Balance Test, Phys Ther, 79, 939, 10.1093/ptj/79.10.939

Newton, 1997, Balance screening of an inner city older adult population, Arch Phys Med Rehabil, 78, 587, 10.1016/S0003-9993(97)90423-8

Mathias, 1986, Balance in elderly patients: the “Get-Up and Go” Test, Arch Phys Med Rehabil, 67, 387

Podsiadlo, 1991, The timed “Up & Go”: a test of basic functional mobility for frail elderly persons, J Am Geriatr Soc, 39, 142, 10.1111/j.1532-5415.1991.tb01616.x

Hughes, 1998, Relationship among performance on stair ambulation, Functional Reach, and Timed Up and Go tests in older adults, Issues on Ageing, 21, 18

Shumway-Cook, 2000, Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test, Phys Ther, 80, 896, 10.1093/ptj/80.9.896

Rockwood, 2000, Feasibility and measurement properties of the Functional Reach and the Timed Up and Go Tests in the Canadian Study of Health and Aging, J Gerontol A Biol Sci Med Sci, 55, M70, 10.1093/gerona/55.2.M70

Medley, 1997, The effect of assistive devices on the performance of community dwelling elderly on the Timed Up and Go Test, Issues on Ageing, 20, 3

Di Fabio, 1997, Use of the “Fast Evaluation of Mobility, Balance, and Fear” in elderly community dwellers: validity and reliability, Phys Ther, 77, 904, 10.1093/ptj/77.9.904

Nikolaus, 1996, Prospective value of self-report and performance-based tests of functional status for 18-month outcomes in elderly patients, Aging Clin Exp Res, 8, 271, 10.1007/BF03339578

Thompson, 1998, Performance of individuals with Parkinson's disease on the Timed Up & Go, Neurology Report, 22, 16, 10.1097/01253086-199822010-00009

Martinez-Martin, 1997, A new clinical tool for gait evaluation in Parkinson's disease, Clin Neuropharmacol, 20, 183, 10.1097/00002826-199706000-00001

Smith, 1996, Long latency ankle responses to dynamic perturbation in older fallers and non-fallers, J Am Geriatr Soc, 44, 1447, 10.1111/j.1532-5415.1996.tb04069.x

Bohannon, 1997, Comfortable and maximum walking speed of adults aged 20–79 years: reference values and determinants, Age Ageing, 26, 15, 10.1093/ageing/26.1.15

Wade, 1987, Walking after stroke: measurement and recovery over the first 3 months, Scand J Rehabil Med, 19, 25

Holden, 1984, Clinical gait assessment in the neurologically impaired: reliability and meaningfulness, Phys Ther, 64, 35, 10.1093/ptj/64.1.35

Fransen, 1997, Reliability of gait measurements in people with osteoarthritis of the knee, Phys Ther, 77, 944, 10.1093/ptj/77.9.944

Cress, 1995, Relationship between physical performance and self-perceived physical function, J Am Geriatr Soc, 43, 93, 10.1111/j.1532-5415.1995.tb06372.x

Harada, 1995, Screening for balance and mobility impairment in elderly individuals living in residential care facilities, Phys Ther, 75, 462, 10.1093/ptj/75.6.462

Perry, 1995, Classification of walking handicap in the stroke population, Stroke, 26, 982, 10.1161/01.STR.26.6.982

Hageman, 1986, Comparison of gait of young women and elderly women, Phys Ther, 66, 1382, 10.1093/ptj/66.9.1382

Murray, 1969, Walking patterns in healthy old men, J Gerontol, 24, 169, 10.1093/geronj/24.2.169

Oberg, 1993, Basic gait parameters: reference data for normal subjects, 10–79 years of age, J Rehabil Res Dev, 30, 210

Ferrandez, 1990, Slowness in elderly gait, Exp Aging Res, 16, 79, 10.1080/07340669008251531

Ostrosky, 1994, A comparison of gait characteristics in young and old subjects, Phys Ther, 74, 637, 10.1093/ptj/74.7.637

Blanke, 1989, Comparison of gait of young men and elderly men, Phys Ther, 69, 144, 10.1093/ptj/69.2.144

Elble, 1991, Stride-dependent changes in gait of older people, J Neurol, 238, 1, 10.1007/BF00319700

Himann, 1988, Age-related changes in speed of walking, Med Sci Sports Exerc, 20, 161, 10.1249/00005768-198820020-00010

Finley, 1969, Locomotion patterns in elderly women, Arch Phys Med Rehabil, 50, 140

Winter, 1990, Biomechanical walking pattern changes in the fit and healthy elderly, Phys Ther, 70, 340, 10.1093/ptj/70.6.340

Seeley, 1995, Is postmenopausal estrogen therapy associated with neuromuscular function or falling in elderly women, Arch Intern Med, 155, 293, 10.1001/archinte.1995.00430030087010

Ringsberg, 1998, Balance and gait performance in an urban and a rural population, J Am Geriatr Soc, 46, 65, 10.1111/j.1532-5415.1998.tb01015.x

Leiper, 1991, Relationships between physical activity and temporal-distance characteristics of walking in elderly women, Phys Ther, 71, 791, 10.1093/ptj/71.11.791

Steele, 1996, Timed walking tests of exercise capacity in chronic cardiopulmonary illness, J Cardiopulm Rehabil, 16, 25, 10.1097/00008483-199601000-00003

Menard-Rothe, 1997, Self-selected walking velocity for functional ambulation in patients with end-stage emphysema, J Cardiopulm Rehabil, 17, 85, 10.1097/00008483-199703000-00003

Duncan, 1998, A randomized, controlled pilot study of a home-based exercise program for individuals with mild and moderate stroke, Stroke, 29, 2055, 10.1161/01.STR.29.10.2055