Single‐Leg Squats Identify Independent Stair Negotiation Ability in Older Adults Referred for a Physiotherapy Mobility Assessment at a Rural Hospital

2013 ◽  
Vol 61 (7) ◽  
pp. 1146-1151 ◽  
Author(s):  
Rowena L. Hockings ◽  
David D. Schmidt ◽  
Christopher W. Cheung
Keyword(s):  
Older Adults ◽  
Rural Hospital ◽  
Mobility Assessment ◽  
Stair Negotiation

scholarly journals Toe Clearance Rehabilitative Slippers for Older Adults With Fall Risk: A Randomized Controlled Trial

2021 ◽  
Vol 12 ◽  
pp. 215145932110291
Author(s):  
Atsuko Satoh ◽  
Yukoh Kudoh ◽  
Sangun Lee ◽  
Masumi Saitoh ◽  
Miwa Miura ◽  
...  
Keyword(s):  
Older Adults ◽  
Fall Risk ◽  
Controlled Trial ◽  
Intervention Group ◽  
Berg Balance Scale ◽  
Control Group ◽  
Mobility Assessment ◽  
Before And After ◽  
Day Services ◽  
And Control

Introduction: To evaluate fall-prevention rehabilitative slippers for use by self-caring, independent older adults. Materials and Methods: This assessor-blinded, randomized, and controlled 1-year study included 59 self-caring, independent participants (49 women) who attended day services. The mean age of participants was 84.0 ± 5.3 years. Participants were randomly selected from 8 nursing homes. We tested slippers top-weighted with a lead bead (200, 300, or 400 g). Intervention group participants walked while wearing the slippers for 10-20 min, 1-3 days/week at the day service center. Fall risk was measured using the Berg Balance Scale and the Tinetti Performance-Oriented Mobility Assessment (POMA) before and at 3-month intervals after the intervention/control phase. Results: After 12 months, the intervention group demonstrated significant improvement. Berg Balance and POMA compared to the control group ( p < .05 p < .01, respectively). Mobility scores improved significantly for both measurements in the intervention group before and after ( p < .01), but the control group had significantly lower scores. Discussion: Overall, falls decreased in the intervention group from 10 to 7, and control group falls increased from 9 to 16 ( p = .02). No adverse events related to the intervention were reported. Conclusions: Rehabilitation training slippers may reduce falls in older adults.

scholarly journals The Role of Cognitive Factors in Old Age Balance Impairments

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Priyanka Yadav
Keyword(s):  
Older Adults ◽  
Dual Task ◽  
Sensory System ◽  
T Test ◽  
Cognitive Factors ◽  
Attention And Memory ◽  
Mobility Assessment ◽  
Task Training ◽  
Dual Task Training

The ability of human beings to perform more than one task at a time has long been focus of study in the literature on human attention and memory. Older adults are more penalized when they must divide their attention between two input resources i.e input and holding or holding and responding. Falls have potentially devastating physical, social and psychological consequences. Falling is one of the most serious problems associated with ageing. Sensory system deteriorates with age, increased attention is allocated to “HIGHTEN” the signal coming from this system in order to gain necessary information for postural control. Older adults show marked reduction in the ability to perform the postural and cognitive task simultaneously. A study was conducted by physiotherapy and psychology students in a small town of Haryana on institutionalized older adults in which Dual task training under various sets of instruction that is Fixed priority and Variable priority instruction sets effects the balance who are living in residential care facilities. Tinneti Performance Oriented Mobility Assessment (POMA) and Mini mental status examination were used as tools to assess balance and cognitive abilities. Various studies related to the role of cognitive factors in balance impairments were reviewed. Data was analyzed using SPSS 13.0 software packages and paired sample t –test within the group and independent sample t – test between the groups with p – value at a significance level of p < 0.05 was used. The result of the study supported the hypothesis that there is significant improvement in balance of institutionalized elderly people who received dual task training with variable priority instruction set. (p < 0.001). The use of validated measurement tool like Tinnetti performance oriented mobility assessment on balance allowed clearer interpretation of the results. There is improvement in TPOMA Scores after 4 weeks training program in both groups. This shows that cognitive factors do play an important role in maintaining balance and coordination. Any impairment related to sensory system or cognition leads to balance impairments and increased risk for falls.

scholarly journals Dual-Task Stair Negotiation of Older Adults: Effects of Type 2 Diabetes

2013 ◽  
Vol 37 ◽  
pp. S52
Author(s):  
Etienne J. Bisson ◽  
Patricia A. Hewston ◽  
Nandini Deshpande
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Dual Task ◽  
Stair Negotiation

Older Adults’ Attitudes About Future Mobility Changes and the Usefulness of Mobility Assessment Materials

2020 ◽  
pp. 073346482094792
Author(s):  
Bethany A. West ◽  
Gwen Bergen ◽  
Briana Moreland
Keyword(s):  
Older Adults ◽  
Confidence Intervals ◽  
Telephone Survey ◽  
Mobility Assessment

Objectives: To understand older adults’ attitudes about future mobility and usefulness of mobility assessment materials. Methods: Data came from a telephone survey of 1,000 older adults aged 60–74 years. After answering baseline questions, respondents received mobility assessment materials, then completed follow-up interviews. Respondents were asked about future mobility challenges. During baseline and follow-up, subjects were asked four questions about their mobility as they aged which measured thinking about mobility, thinking about protecting mobility, confidence in protecting mobility, and motivation to protect mobility. Differences in percent of respondents’ attitudes between baseline and follow-up and 95% confidence intervals were calculated. Results: Driving (42%) was the most commonly reported challenge. Significant increases from baseline to follow-up in thinking about mobility (25%), thinking about protecting mobility (39%), and confidence in protecting mobility (29%) were reported. Discussion: Brief mobility assessment materials can encourage older adults to consider future mobility. Planning for changes can prolong safe mobility.

Biomechanical constraints to stair negotiation

2018 ◽  
Author(s):  
Constantinos Maganaris ◽  
Vasilios Baltzopoulos ◽  
David Jones ◽  
Irene Di Giulio ◽  
Neil Reeves ◽  
...  
Keyword(s):  
Older Adults ◽  
Dynamic Stability ◽  
Ankle Joint ◽  
The Elderly ◽  
The Body ◽  
Centre Of Mass ◽  
Centre Of Pressure ◽  
Younger Adults ◽  
Stair Negotiation ◽  
Biomechanical Constraints

This chapter discusses strategies that older and younger people employ to negotiate stairs based on experiments performed on an instrumented staircase in lab environment aiming at identifying ways to reduce stair fall risk for the elderly. Stair negotiation was found to be more demanding for the knee and ankle joint muscles in older than younger adults, with the demand increasing further when the step-rise was higher. During descent of stairs with higher step-rises, older adults shifted the centre of mass (COM) posteriorly, behind the centre of pressure (COP) to prevent forward falling. A decreased step-going resulted in a slower descent of the centre of mass in the older adults and standing on a single leg for longer than younger adults. A greater reliance on the handrails and rotation of the body in the direction of the handrail was also observed when the step-going was decreased during descent, which allowed this task to be performed with better dynamic stability, by maintaining the COM closer to the COP. These findings have important implications for stair design and exercise programs aiming at improving safety on stairs for the elderly.

The Case for Mobility Assessment in Hospitalized Older Adults: American Geriatrics Society White Paper Executive Summary

2018 ◽  
Vol 67 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Heidi L. Wald ◽  
Ravishankar Ramaswamy ◽  
Michael H. Perskin ◽  
Lloyd Roberts ◽  
Michael Bogaisky ◽  
...  
Keyword(s):  
Older Adults ◽  
White Paper ◽  
American Geriatrics Society ◽  
Executive Summary ◽  
Mobility Assessment ◽  
Hospitalized Older Adults

Cognitive performances better identify fallers than mobility assessment among older adults with fear of falling

2019 ◽  
Author(s):  
Antoine Langeard ◽  
Laurence Desjardins-Crépeau ◽  
Marianne Lemay ◽  
Marie-Christine Payette ◽  
Louis Bherer ◽  
...  
Keyword(s):  
Older Adults ◽  
Fear Of Falling ◽  
Mobility Assessment

Standing, Transition, and Walking Ability in Older Adults: The Case for Independently Evaluating Different Domains of Mobility Function

Gerontology ◽  
2022 ◽  
pp. 1-12
Author(s):  
Sherri Thomson ◽  
Boyd Badiuk ◽  
Jessy Parokaran Varghese ◽  
Vanessa Thai ◽  
William E. McIlroy ◽  
...  
Keyword(s):  
Older Adults ◽  
Gait Speed ◽  
Walking Ability ◽  
Risk Markers ◽  
Mobility Function ◽  
Sit To Stand ◽  
Mobility Assessment ◽  
Standard Assessment ◽  
Assessment Approach ◽  
Degree Of Association

<b><i>Background:</i></b> Independent mobility is a complex behavior that relies on the ability to walk, maintain stability, and transition between postures. However, guidelines for assessment that details <i>what</i> elements of mobility to evaluate and <i>how</i> they should be measured remain unclear. <b><i>Methods:</i></b> Performance on tests of standing, sit-to-stand, and walking were evaluated in a cohort of 135 complex, comorbid, and older adults (mean age 87 ± 5.5 years). Correlational analysis was conducted to examine the degree of association for measures within and between mobility domains on a subset of participants (<i>n</i> = 83) able to complete all tasks unaided. Participants were also grouped by the presence of risk markers for frailty (gait speed and grip strength) to determine if the level of overall impairment impacted performance scores and if among those with risk markers, the degree of association was greater. <b><i>Results:</i></b> Within-domain relationships for sit-to-stand and walking were modest (rho = 0.01–0.60). Associations either did not exist or relationships were weak for measures reflecting different domains (rho = −0.35 to 0.25, <i>p</i> &#x3e; 0.05). As expected, gait speed differed between those with and without frailty risk markers (<i>p</i> &#x3c; 0.001); however, balance and sit-to-stand measures did not (<i>p</i> ≥ 0.05). <b><i>Conclusions:</i></b> This study highlights the need to independently evaluate different mobility domains within an individual as a standard assessment approach. Modest within-domain relationships emphasize the need to account for multiple, unique control challenges within more complex domains. These findings have important implications for standardized mobility assessment and targeted rehabilitation strategies for older adults.

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