Predicting 3-Year Incident Mobility Disability in Middle-Aged and Older Adults Using Physical Performance Tests.

Predicting 3-year incident mobility disability in middle-aged and older adults using physical performance tests.

Filed under: Rehab Centers

Arch Phys Med Rehabil. 2012 Nov 16;
Deshpande N

OBJECTIVES: To identify a standard physical performance test that can predict3-year incident mobility disability (IMD) independent of demographics DESIGN: Longitudinal cohort study SETTING: Population-based middle aged and older cohort PARTICIPANTS: Community-living middle-aged and older persons (age:50-85 years) without baseline mobility disability (n=622). INTERVENTIONS: Not applicable MAIN OUTCOME MEASURES: Mobility disability was ascertained at baseline and at 3-year follow-up using an established self-report method: self-reported inability to walk a quarter mile without resting or inability to walk up a flight of stairs unsupported. Physical performance tests included self-selected usual gait speed, time required to complete 5 times sit-to-stand (5tSTS) and 400 m brisk walking. Demographic variables age, sex, height and weight were recorded. RESULTS: Overall, 13.5% participants reported 3-year IMD. Usual gait speed <1.2 m/s, requiring >13.6 seconds to complete 5tSTS and completing 400 m at <1.19m/s walking speed were highly predictive of future mobility disability independent of demographics. CONCLUSIONS: Inability to complete 5tSTS in < 13.7 seconds can be a clinically convenient guideline for monitoring and for further assessment of middle-aged and older persons, in order to prevent or delay future mobility disability. HubMed – rehab


[In Process Citation].

Filed under: Rehab Centers

Assist Inferm Ric. 2012 Jul-Sep; 31(3): 138-44
Borca A

. The observation as a strategy to generate research questions: an experience in a psychiatric ward. Introduction. The daily activity could, and should, be the natural setting where research hypotheses are generated, specifically in areas of care where the frequency of problems Evidence Based Practice “orphans” is high, such as psychiatry. Aims. To test the possibility and the yeld of identifying-formulating research needs and hypotheses from – within nursing duties. Methods. Prospective registration of clinical conditions decisions to be taken from a position of substantial uncertainty over a pilot period of 7 working days. Results. Up to 39 diagnostic, therapeutic, rehabilitation, organizational, behavioral problems have been and included in the diary and associated with one or more hypothesis considered to be a potential need/opportunity for observational and/or experimental research. Conclusions. Psychiatry is very rarely among the priorities of nursing attention and research, thus exposing nursing care to a systematic risk of empirical-uncontrolled practices.
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Biomechanics of sit-to-stand transition after muscle damage.

Filed under: Rehab Centers

Gait Posture. 2012 Nov 16;
Spyropoulos G, Tsatalas T, Tsaopoulos DE, Sideris V, Giakas G

The purpose of the study was to examine the effects of exercise-induced muscle damage on the biomechanics of the sit-to-stand transition (STST). Seventeen volunteers participated in an intense, eccentric based, muscle damage protocol of knee flexors and extensors via an isokinetic dynamometer. Kinematic and kinetic data were collected using a 10-camera optoelectronic system and a force plate 24h before and 48h after exercise. Statistical analysis showed significant differences in kinematic and kinetic parameters after exercise. Forty-eight hours after exercise, the strategy did change and the knee joint relative effort level increased significantly. Pelvic and hip kinematics, in conjunction with the knee extension joint moment, provided an efficient mechanism to support the participants’ locomotor system during the STST. These results may be of great significance in designing supportive devices, as well as composing rehabilitation programs for young or elderly individuals, with various musculoskeletal pathologies.
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