Assessing Mobility in Older Adults: The UAB Study of Aging Life-Space Assessment

Physical Therapy - Tập 85 Số 10 - Trang 1008-1019 - 2005
Claire Peel1, Patricia Sawyer Baker2, David L. Roth3, Cynthia J. Brown4, Eric Bodner5, Richard M. Allman6
1C Peel, PT, PhD, is Associate Dean, School of Health Related Professions, and Investigator, Birmingham/Atlanta VA Geriatric Research Education and Clinical Center (GRECC), Birmingham, Ala
2P Sawyer Baker, PhD, is Assistant Professor, Division of Gerontology and Geriatric Medicine, University of Alabama at Birmingham
3DL Roth, PhD, is Professor, Department of Biostatistics, Center for Aging, University of Alabama at Birmingham, Investigator, Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center
4CJ Brown, MD, is Assistant Professor and Investigator, Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, Division of Gerontology and Geriatric Medicine, University of Alabama at Birmingham
5EV Bodner, BS, is Information Systems Specialist III, Department of Gerontology and Geriatric Medicine, University of Alabama at Birmingham
6RM Allman, MD, is Professor and Director, Birmingham/Atlanta VA Geriatric Research, Education, and Clinical Center, Center for Aging, Division of Gerontology and Geriatric Medicine, University of Alabama at Birmingham

Tóm tắt

Abstract Background and Purpose. The University of Alabama at Birmingham (UAB) Study of Aging Life-Space Assessment (LSA) is a relatively new instrument to measure mobility. The purpose of this report is to describe the relationships between LSA and traditional measures of physical function, sociodemographic characteristics, depression, and cognitive status. Subjects. Subjects were a stratified random sample of 998 Medicare beneficiaries aged ≥65 years. The sample was 50% African American, 50% male, and 50% from rural (versus urban) counties. Methods. In-home interviews were conducted. Mobility was measured using the LSA, which documents where and how often subjects travel and any assistance needed during the 4 weeks prior to the assessment. Basic activities of daily living (ADL) and instrumental activities of daily living (IADL), cognitive status, income level, presence of depressive symptoms, and transportation resources were determined. The Short Physical Performance Battery (SPPB) was used to assess physical performance. Results. Simple bivariate correlations indicated a significant relationship between LSA and all variables except residence (rural versus urban). In a regression model, physical function (ADL, IADL) and physical performance (SPPB) accounted for 45.5% of the variance in LSA scores. An additional 12.7% of the variance was explained by sociodemographic variables, and less than 1% was explained by cognition and depressive symptoms. Discussion and Conclusion. The LSA can be used to document patients' mobility within their home and community. The LSA scores are associated with a person's physical capacity and other factors that may limit mobility. These scores can be used in combination with other tests and measures to generate clinical hypotheses to explain mobility deficits and to plan appropriate interventions to address these deficits.

Từ khóa


Tài liệu tham khảo

Wolfson, 1990, Gait assessment in the elderly: a gait abnormality rating scale and its relation to falls, J Gerontol, 45, M12, 10.1093/geronj/45.1.M12

Shumway-Cook, 2001, Motor Control: Theory and Practical Applications, 401

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

Granger, 1993, Functional assessment in rehabilitation medicine: introduction and brief background, Phys Med Rehabil Clin North Am, 4, 417, 10.1016/S1047-9651(18)30561-8

Lawton, 1982, A research and service oriented multilevel assessment instrument, J Gerontol, 37, 91, 10.1093/geronj/37.1.91

Baker, 2003, Measuring life-space mobility in community-dwelling older adults, J Am Geriatr Soc, 51, 1610, 10.1046/j.1532-5415.2003.51512.x

Parker, 2001, A life-space approach to functional assessment of mobility in the elderly, Journal of Gerontological Social Work, 35, 35, 10.1300/J083v35n04_04

May, 1985, The Life-Space Diary: a measure of mobility in old people at home, Int Rehabil Med, 7, 182, 10.3109/03790798509165993

Tinetti, 1990, The nursing home life-space diameter: a measure of extent and frequency of mobility among nursing home residents, J Am Geriatr Soc, 38, 1311, 10.1111/j.1532-5415.1990.tb03453.x

Stalvey, 1999, The life-space questionnaire: a measure of the extent of mobility of older adults, Journal of Applied Gerontology, 18, 460, 10.1177/073346489901800404

Steen, 2001, Cognitive function and functional ability: a cross-sectional and longitudinal study at ages 85 and 95 in a non-demented population, Aging Clin Exp Res, 13, 68, 10.1007/BF03351528

Patrick, 1996, Aspects of cognitive status as predictors of mobility following geriatric rehabilitation, Aging Clin Exp Res, 8, 328, 10.1007/BF03339589

Shumway-Cook, 2003, Environmental components of mobility disability in community-living older persons, J Am Geriatr Soc, 51, 393, 10.1046/j.1532-5415.2003.51114.x

1998, Health Status of Rural Alabamians

Kovar, 1994, Functional disability: activities and instrumental activities of daily living, Focus on Assessment Techniques. Ann Rev Gerontol Geriatr, 14, 57

Dawson, 1987, National Center for Health Statistics: Functional Limitations of Individuals Age 65 Years and Over. Advance Data, Vital and Health Statistics, 133

Gurland, 1977–78, The Comprehensive Assessment and Referral Evaluation (CARE): rationale development and reliability, Int J Aging Hum Dev, 8, 9, 10.2190/CL3J-0E20-97XX-MV5L

Guralnik, 1994, A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission, J Gerontol, 49, M85, 10.1093/geronj/49.2.M85

Guralnik, 2000, Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the Short Physical Performance Battery, J Gerontol A Biol Sci Med Sci, 55, M221, 10.1093/gerona/55.4.M221

Sheikh, 1986, Geriatric Depression Scale (GDS): recent evidence and development of a shorter version, Clinical Gerontologist, 5, 165, 10.1300/J018v05n01_09

Folstein, 1975, “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician, J Psychiatr Res, 12, 189, 10.1016/0022-3956(75)90026-6

2003, State Income Tax Burdens on Low-Income Families in 2002

2004, Poverty 2001—Poverty Thresholds 2001

Murden, 1991, Mini-Mental State exam scores vary with education in blacks and whites, J Am Geriatr Soc, 39, 149, 10.1111/j.1532-5415.1991.tb01617.x

Leveille, 2002, Disabling symptoms: what do older women report, J Gen Intern Med, 17, 766, 10.1046/j.1525-1497.2002.20229.x

Leveille, 2000, Sex differences in the prevalence of mobility disability in old age: the dynamics of incidence, recovery, and mortality, J Gerontol Soc Sci, 55, S41, 10.1093/geronb/55.1.S41

Gill, 2002, A program to prevent functional decline in physically frail, elderly persons who live at home, N Engl J Med, 347, 1068, 10.1056/NEJMoa020423

Thông tin
Thông tin xuất bản

Physical Therapy

Tập 85 Số 10

1008-1019

Thông tin tác giả