scholarly journals The upper limb Physiological Profile Assessment: Description, reliability, normative values and criterion validity

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0218553 ◽  
Author(s):  
Lewis A. Ingram ◽  
Annie A. Butler ◽  
Lee D. Walsh ◽  
Matthew A. Brodie ◽  
Stephen R. Lord ◽  
...  
Keyword(s):  
Upper Limb ◽  
Criterion Validity ◽  
Normative Values ◽  
Physiological Profile ◽  
Physiological Profile Assessment

ASSOCIATION BETWEEN BERG BALANCE, PHYSIOLOGICAL PROFILE ASSESSMENT AND PHYSICAL ACTIVITY, PHYSICAL FUNCTION AND BODY COMPOSITION: A CROSS-SECTIONAL STUDY

2015 ◽  
pp. 1-7
Author(s):  
D.J. SMEE ◽  
H.L. BERRY ◽  
G. WADDINGTON ◽  
J. ANSON
Keyword(s):  
Body Composition ◽  
Physical Function ◽  
Risk Measures ◽  
Berg Balance Scale ◽  
Cross Sectional ◽  
Physiological Profile ◽  
Falls Risk ◽  
Balance Scale ◽  
The Relationship ◽  
Physiological Profile Assessment

Background: Falls are of great concern to older adults and costly to the health system. In addition the relationship between falls risk and falls risk predictor characteristics is complex. Objective: This study aimed to explore the relationship between two objective fall-risk measures tools, the Physiological Profile Assessment and the Berg Balance Scale and to determine how an individual’s sex, level of physical function, health-related and body composition characteristics impact these objective falls risk measures. Design: A cross-sectional, observational study. Participants: 245 community-dwelling older adults (M age=68.12 years, SD=6.21; 69.8% female). Measurements: Participants were assessed for falls-risk (Physiological Profile Assessment and the Berg Balance Scale), physical activity, physical functional and body composition characteristics. Pearson product-moment correlation coefficients were calculated to examine bivariate relationships and hierarchical multiple linear regression modelling was used to estimate the contribution of each predictor in explaining variance in falls-risk. Results: In females, there was a weak association between the two objective falls-risk measures (r =-0.17 p <0.05). The number of falls in the previous 12 months explained 6% of variance in Physiological Profile Assessment scores, with bone density of the lumbar spine contributing a further 1%. In males and females, variance in the Berg Balance Scale showed that age (25%) and physical function (16% for females, 28% for males) contributed significantly to the explaining variance in the falls-risk measure. Conclusion: Sex differences are apparent and as such males and females should be assessed (and potentially treated) differently with regards to falls risk. Results indicate that both falls risk assessment tools measure aspects of balance but are not interchangeable. The Berg Balance Scale may be more discriminative in older, less functioning adults and the Physiological Profile Assessment is more useful in assessing falls risk in females.

Normative values for the Unsupported Upper Limb Exercise (UULEX) test and 6-min Pegboard and Ring test (6PBRT) in healthy Canadian adults

2017 ◽  
Author(s):  
Vanessa Lima ◽  
Dina Brooks ◽  
Stacey Konidis ◽  
Tamara Araujo ◽  
Giane Ribeiro-Samora ◽  
...  
Keyword(s):  
Upper Limb ◽  
Ring Test ◽  
Normative Values ◽  
Limb Exercise

scholarly journals Fall risk in people with MS: A Physiological Profile Assessment study

2016 ◽  
Vol 2 ◽  
pp. 205521731664113 ◽  
Author(s):  
Phu D Hoang ◽  
Meryem Baysan ◽  
Hilary Gunn ◽  
Michelle Cameron ◽  
Jenny Freeman ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Reaction Time ◽  
Contrast Sensitivity ◽  
Fall Risk ◽  
Quadriceps Strength ◽  
Risk Scores ◽  
Future Research ◽  
Reference Database ◽  
Physiological Profile ◽  
Physiological Profile Assessment

Introduction The Physiological Profile Assessment (PPA) is used in research and clinical practice for assessing fall risk. We compared PPA test performance between people with multiple sclerosis (MS) and healthy controls, determined the fall-risk profile for people with MS and developed a reference database for people with MS. Methods For this study, 416 ambulant people with MS (51.5 ± 12.0 years) and 352 controls (52.8 ± 12.2 years) underwent the PPA (tests of contrast sensitivity, proprioception, quadriceps strength, reaction time and sway) with composite fall-risk scores computed from these measures. MS participants were followed prospectively for falls for 3 months. Results The MS participants performed significantly worse than controls in each PPA test. The average composite fall-risk score was also significantly elevated, indicating a “marked” fall risk when compared with controls. In total, 155 MS participants (37.3%) reported 2 + falls in the follow-up period. Frequent fallers performed significantly worse than non-frequent fallers in the contrast sensitivity, reaction time and sway tests and had higher PPA composite scores. Conclusions In line with poor PPA test performances, falls incidence in people with MS was high. This study provides comprehensive reference data for the PPA measures for people with MS that could be used to inform future research and clinical practice.

scholarly journals Physiological risk of falls, physical and aerobic capacity in community-dwelling elderly

2020 ◽  
Vol 33 ◽  
Author(s):  
Lygia Paccini Lustosa ◽  
Jederson Soares da Silva ◽  
Danielle Aparecida Gomes Pereira ◽  
Marcella Guimarães Assis ◽  
Leani Souza Máximo Pereira
Keyword(s):  
Aerobic Capacity ◽  
Preventive Measures ◽  
Neurological Diseases ◽  
Community Dwelling ◽  
Physiological Profile ◽  
Sensory Deficits ◽  
Risk Of Falls ◽  
The Mean ◽  
Physiological Risk ◽  
Physiological Profile Assessment

Abstract Introduction: Falls are multifactorial and are related to the aging process, reduced functional capacity, comorbidities, sensory deficits, muscle weakness, postural instability and decreased protective response. Objective: To verify the correlation between physiological risk of falls and physical and aerobic capacity of the community-dwelling elderly. Method: Participated elderly individuals from the community, aged ≥65 years, without distinction of sex, race, and/or social class. We excluded cognitive impairments, locomotion incapacity, neurological diseases or sequelae, and/or severe pain that prevented the performance of the tests. We evaluated risk of falls (Physiological Profile Assessment - PPA), physical capacity (Short Physical Performance Battery - SPPB) and aerobic capacity (Shuttle Walk Test - ISWT). Results: Participated 59 elderly (71.8±5.0 ys). The mean performance in PPA was 0.4±0.4; SPPB was 10.4±1.7 and ISWT was 281±111.7 meters. PPA presented a moderate and statistically significant correlation (P<0.001) for SPPB (r= -0.53) and ISWT (r= -0.46). Conclusion: There is a moderate correlation between the physiological risk of falls (PPA) and functional (SPPB) and aerobic capacity (ISWT). Preventive measures to reduce the risk of falls should include strategies to increase functional and aerobic capacity. It is suggested the systematic use of SPPB in clinical practice.

scholarly journals Percentile curves for Brazilian children evaluated with the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition

2020 ◽  
Vol 22 ◽  
Author(s):  
Luciana Ferreira ◽  
José Luiz Lopes Vieira ◽  
Francielli Ferreira da Rocha ◽  
Pamela Norraila da Silva ◽  
Francielle Cheuczuk ◽  
...  
Keyword(s):  
Upper Limb ◽  
Motor Development ◽  
Brazilian Population ◽  
Fine Motor ◽  
Normative Values ◽  
Running Speed ◽  
Motor Proficiency ◽  
Percentile Curves ◽  
Limb Coordination ◽  
Brazilian Children

Abstract This study aimed to (1) create percentile curves and norms for the eight subtests of the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition (BOT-2) for 6- to 10-year-old Brazilian children and to (2) compare them to the values of the original test manual. To that, we tested a sample of 931 Brazilian children (477 girls, 454 boys) with ages between 6 to 10 with the BOT-2 assessment. The LMS method was used to generate the percentile curves and normative values, with the LMSchartmaker Pro software version 2.54. Results demonstrate that girls had significantly higher scores for the fine motor precision, fine motor integration, manual dexterity and balance subtests, while boys had significantly higher scores on upper-limb coordination, running speed and agility, and the strength subtests. The findings also indicated higher values for the Brazilian group in the subtests of bilateral coordination, running speed and agility, balance, and upper-limb coordination when compared to the North American normative sample. The percentile curves illustrate the increase in motor proficiency levels as age increases, with different trajectories for each subtest. Future studies should continue the investigation of cultural norms and appropriate assessments for the Brazilian population. Here, the creation of percentile curves and norms that are better suited for the Brazilian population can significantly help with assessment and intervention for motor development in distinct settings and with typical and atypical school-age children.

scholarly journals ABILITY OF THE PHYSIOLOGICAL PROFILE ASSESSMENT TO CLASSIFY FALLER TYPE: A PROSPECTIVE COHORT STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S471-S471
Author(s):  
Deborah A Jehu ◽  
Jennifer C Davis ◽  
Kristin Velsey ◽  
Winnie Cheung ◽  
Teresa Liu-Ambrose
Keyword(s):  
Older Adults ◽  
Risk Assessment ◽  
Fall Prevention ◽  
Fall Risk ◽  
Vancouver General Hospital ◽  
Community Dwelling ◽  
Medical Attention ◽  
Physiological Profile ◽  
Fall Risk Assessment ◽  
Physiological Profile Assessment

Abstract Accurately identifying older adults who will experience subsequent falls is important for the provision of secondary fall prevention. The purpose of this study was to determine the accuracy of the Physiological Profile Assessment (PPA) – a valid and reliable fall-risk assessment [1] – in predicting subsequent falls over a 12-month period in older adults who sought for medical attention after an index fall. Seven hundred thirty-seven community-dwelling adults, aged 70 years and older, who were seen at the Vancouver General Hospital Fall Prevention Clinic, completed the PPA at their initial visit. Falls over the subsequent 12 months were tracked prospectively via monthly falls calendars. All individuals received geriatric care at baseline. Binary logistic regressions were performed to determine the accuracy of classifying two prospective faller types: 1) no additional falls; 2) one or more additional fall(s). Baseline PPA, age, and sex were entered as independent variables. During the 12 month observation period, 345 participants had no additional falls (Age:81.3±6.6yrs;Female=251) and 392 fell one or more times (Age:82.3±6.5yrs;Female=230). The classification accuracy was 51.3% for those who had no additional falls and 64.8% for those with one or more additional fall(s) (Overall:58.5%;χ2=29.0;PPA:β=-0.21;Age:β=-0.01;Sex:β=-60). The PPA was not able to accurately differentiate between those who did and did not subsequently fall. Fall-risk assessment sensitivity and specificity should be improved in older adults seeking medical attention following an index fall to inform secondary fall prevention. [1] Lord SR, et al., 2003. Phys Ther.

scholarly journals Risk of falls in Brazilian elders with and without low back pain assessed using the Physiological Profile Assessment: BACE study

2016 ◽  
Vol 20 (6) ◽  
pp. 502-509 ◽  
Author(s):  
Nayza M. B. Rosa ◽  
Bárbara Z. Queiroz ◽  
Renata A. Lopes ◽  
Natalia R. Sampaio ◽  
Daniele S. Pereira ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Low Back ◽  
Physiological Profile ◽  
Risk Of Falls ◽  
Physiological Profile Assessment

scholarly journals The Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores in 961 Japanese volunteers

2020 ◽  
Vol 28 (3) ◽  
pp. 230949902097065
Author(s):  
Takafumi Hosokawa ◽  
Tsuyoshi Tajika ◽  
Morimichi Suto ◽  
Hirotaka Chikuda
Keyword(s):  
Regression Analysis ◽  
Upper Limb ◽  
Patient Reported Outcomes ◽  
Older Age ◽  
Normative Values ◽  
Manual Labor ◽  
Medical Facility ◽  
Median Score ◽  
Female Sex ◽  
Patient Reported

Introduction: Patient-reported outcomes recently have been used to assess treatment outcomes. The Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) is a particularly convenient and useful tools. However, data on the normative values of Japanese population are lacking, so the present study was conducted to gather this information. Methods: We assessed 1098 volunteers over 18 years of age (363 men and 735 women, average 50 years old) who had not received upper limb treatment in a medical facility. These participants included our institution’s staff, their family members, and the participants in the group meetings held by institution’s staff. Their occupations were also examined. We divided occupations into nonmanual and manual labor. These factors of the participants were then analyzed to clarify which (if any) influenced the QuickDASH. Results: Valid answers were obtained from 961 subjects (87.5%). The median score was 2 (mean: 4.8) in the overall population, 0 (mean: 2.6) in men, and 2.5 (mean: 6.0) in women. The scores increased with age and were higher in women than in men. There were no significant differences by manual labor. Female sex and older age were identified as factors that influenced the QuickDASH score in the multiple regression analysis. There were high correlations among QuickDASH, work and sports/music scores. Conclusions: The present study provided QuickDASH scores for Japanese volunteers who had not received upper limb treatment in a medical facility. The scores were associated with older age and female sex. This study helps us to know the degree of potential upper limb impairment in the general population, and will help in populational strategies as primary and secondary preventive medicine for upper limb-related diseases.

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