Preliminary Validation of Backward Walking Speed as a Mobility Assessment in Community Dwelling Older Adults

2018 ◽  
Vol 99 (10) ◽  
pp. e70
Author(s):  
Logan Taulbee ◽  
Julia M. Wright ◽  
Allison O' Halloran ◽  
Trishia Yada ◽  
Lauren E. Graham ◽  
...  
2016 ◽  
Vol 24 (2) ◽  
pp. 214-222 ◽  
Author(s):  
Addie Middleton ◽  
George D. Fulk ◽  
Michael W. Beets ◽  
Troy M. Herter ◽  
Stacy L. Fritz

Daily ambulatory activity is associated with health and functional status in older adults; however, assessment requires multiple days of activity monitoring. The objective of this study was to determine the relative capabilities of self-selected walking speed (SSWS), maximal walking speed (MWS), and walking speed reserve (WSR) to provide insight into daily ambulatory activity (steps per day) in community-dwelling older adults. Sixty-seven older adults completed testing and activity monitoring (age 80.39 [6.73] years). SSWS (R2 = .51), MWS (R2 = .35), and WSR calculated as a ratio (R2 = .06) were significant predictors of daily ambulatory activity in unadjusted linear regression. Cutpoints for participants achieving < 8,000 steps/day were identified for SSWS (≤ 0.97 m/s, 44.2% sensitivity, 95.7% specificity, 10.28 +LR, 0.58 −LR) and MWS (≤ 1.39 m/s, 60.5% sensitivity, 78.3% specificity, 2.79 +LR, 0.50 −LR). SSWS may be a feasible proxy for assessing and monitoring daily ambulatory activity in older adults.


Author(s):  
Victoria N. Poole ◽  
On-Yee Lo ◽  
Thomas Wooten ◽  
Ikechukwu Iloputaife ◽  
Lewis A. Lipsitz ◽  
...  

Author(s):  
Ayelet Dunsky ◽  
Aviva Zeev ◽  
Yael Netz

The purpose of the current study was to identify significant predictors of walking speed (WS) among community-dwelling older adults, as it is one of the most representative measures of functioning in their daily lives. Seventy-seven (24 adult men, 26 adult women, and 27 older-adult women) community-dwelling older adults (73.7 ± 4.9 years) performed two assessments, over a 12-month period. Several physical, cognitive, and psychological tests were performed, as well as assessing the preferred WS. Multiple linear regression, stratified by gender, was used to identify significant predictors of future WS. For the adult men, walking and functional performances at the first assessment predicted 71.9%; for adult women, reaction time, walking, and balance performance predicted 64.4%; and, for the older-adult women, fast walking and reaction time predicted 48.2% of the variance of future WS. Clinicians should consider including different exercises for each group of older adults to evaluate and preserve functional abilities.


2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 365-365
Author(s):  
J Zhou ◽  
V Poole ◽  
T Wooten ◽  
O Lo ◽  
I Iloputaife ◽  
...  

2018 ◽  
pp. 1-3
Author(s):  
M. do Carmo Correia de Lima ◽  
T. Loffredo Bilton ◽  
W. Jefferson de Sousa Soares ◽  
L. Paccini Lustosa ◽  
E. Ferriolli ◽  
...  

This study investigates the diagnostic accuracy of the combination of usual walking speed (UWS) and maximum walking speed (MWS) to identify frailty in community-dwelling older adults. A population-based study with 758 participants aged 65 and older was conducted. Frailty syndrome was determined using the Fried phenotype. UWS and MWS were evaluated in a 4.6-meter path. Both measures were categorized using the 1.0 m/s cut points, and participants were categorized into three groups: those with “very good”, “good” and “insufficient” walking reserve capacity (WRC). Of all participants, 9% were identified as frail and 47% as prefrail. The “insufficient” WRC presented a low sensitivity of 0.55, high specificity of 0.91 and moderately useful likelihood ratios (LR+ 6.57, LR- 0.48) to identify frailty. Based on Fagan’s nomogram, an elder’s corresponding post-test probability of being frail with an “insufficient” WRC would be around 40%, which substantially increased the diagnostic accuracy of frailty.


2016 ◽  
Vol 29 (2) ◽  
pp. 215-221 ◽  
Author(s):  
Wakako Inoue ◽  
Tome Ikezoe ◽  
Tadao Tsuboyama ◽  
Ikuya Sato ◽  
Katarzyna Bronislawa Malinowska ◽  
...  

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