Feasibility of a Broad Test Battery to Assess Physical Functioning Limitations of People Experiencing Homelessness

Background: People who are homeless experience poor health. Reflective of overall health and factors such as acquired injuries, physical ability or functioning is often low among people who are homeless, but there is a lack of consistency of measures used to evaluate this construct. The aim of this study was to evaluate the feasibility of a broad test battery to evaluate limitations in physical functioning among people who are homeless. Methods: This cross-sectional, observational study occurred in a hospital in Dublin, Ireland. We evaluated lower extremity physical function (Short Physical Performance Battery), falls risk (timed up and go), functional capacity (six-minute walk test), stair-climbing ability (stair climb test), frailty (Clinical Frailty Scale), grip strength (handgrip dynamometer) and muscular mass (calf circumference measurement) in a population of people experiencing homelessness admitted for acute medical care. The test completion rate was evaluated for feasibility. Results: The completion rate varied: 65% (Short Physical Performance Battery), 55.4% (timed up and go), 38% (six-minute walk test), 31% (stair climb test), 97% (Clinical Frailty Scale), 75% (handgrip dynamometer), 74% (calf circumference measurement)). Collectively, the most common reasons for test non-participation were pain (24.1%, n = 40), not feeling well or able enough (20.1%, n = 33), and declined (11%, n = 18). Conclusion: The feasibility of the test battery was mixed as test participation rates varied from 31% to 97%. Physical functioning tests need to be carefully chosen for people who are homeless as many standard tests are unsuitable due to pain and poor physical ability.

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Einsatz und Nutzen funktioneller Parameter als Endpunkte in klinischen Ernährungsstudien

Aktuelle Ernährungsmedizin ◽

10.1055/a-0603-2891 ◽

2018 ◽

Vol 43 (03) ◽

pp. 162-172

Author(s):

Ulrike Haß ◽

Susann Schwejda-Güttes ◽

Katharina Kuhn ◽

Anja Markant

Keyword(s):

Physical Performance ◽

Barthel Index ◽

Performance Test ◽

Peak Torque ◽

Knee Extension ◽

Walk Test ◽

Physical Performance Test ◽

Timed Up And Go ◽

Six Minute Walk Test ◽

Minute Walk

Zusammenfassung Hintergrund Eine ausreichende Muskelkraft und -funktion stellt eine Grundvoraussetzung für die Teilhabe am alltäglichen Leben und der damit verbundenen Autonomie des Patienten dar. Der diagnostische und prognostische Einsatz funktioneller Parameter zur Einschätzung von Muskelkraft und -funktion gewinnt zunehmend an Bedeutung. Hinsichtlich des Nutzens dieser Parameter als Endpunkte in klinischen Ernährungsstudien besteht allerdings noch Klärungsbedarf. Material und Methoden Es wurde eine umfangreiche Literaturrecherche zur Extraktion und Evaluierung etablierter funktioneller Parameter in der medizinischen Literaturdatenbank Pubmed ausgeführt. Die folgenden, häufig in Ernährungsstudien angewendeten, 8 Parameter wurden detailliert aufgearbeitet und miteinander verglichen: Handgreifkraft, knee extension peak torque, Six-Minute-Walk Test (6MWT), Timed-Up-and-Go (TUG), Short Physical Performance Battery (SPPB), Physical Performance Test (PPT), Akzelerometrie und Barthel-Index. Ergebnisse und Schlussfolgerung Die Anwendung der funktionellen Parameter hat sich insbesondere in geriatrischen Ernährungsstudien bewährt. Hier zeigten sich neben der Handgreifkraft, dem SPPB und TUG auch das knee extension peak torque, der 6MWT sowie der Barthel-Index als geeignete funktionelle Endpunkte. Lediglich der PPT zeigte keine nennenswerten Vorteile gegenüber den in dieser Arbeit evaluierten funktionellen Parametern. Außerhalb der geriatrischen Population könnte die Akzelerometrie in der Onkologie als funktioneller Endpunkt in klinischen Ernährungsstudien herangezogen werden. Innerhalb der Intensivmedizin stellt die Nutzung funktioneller Parameter hinsichtlich der erforderlichen willkürlichen Muskelkraft derzeit noch eine Herausforderung dar.

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Uso de test dual en ancianos institucionalizados con diferentes niveles de deterioro cognitivo. Estudio transversal

Revista de la Facultad de Medicina ◽

10.15446/.v66n1.61303 ◽

2018 ◽

Vol 66 (1) ◽

pp. 31-36

Author(s):

Marie Carmen Valenza ◽

María José Ariza-Mateos ◽

Araceli Ortiz-Rubio ◽

Jesús Casilda-López ◽

Ramón Romero-Fernández ◽

...

Keyword(s):

Mental State ◽

Mini Mental State Examination ◽

Walk Test ◽

Timed Up And Go ◽

Six Minute Walk Test ◽

Los Grupos ◽

State Examination ◽

Minute Walk

Introducción. El envejecimiento se ha relacionado con una mayor prevalencia de deterioro cognitivo. Las personas mayores con pérdida de funciones cognitivas presentan elevadas tasas de caídas. El desarrollo de las actividades de la vida diaria engloba dos o más tareas, siendo necesarios componentes cognitivos y motores.Objetivo. Analizar el rendimiento en pruebas sencillas y duales de sujetos en entorno residencial con diferentes grados de deterioro cognitivo.Materiales y métodos. Se realizó un estudio observacional de corte transversal en ancianos institucionalizados >65 años (n=80). Se evaluó el deterioro cognitivo con el Mini-Mental State Examination y se solicitó a los participantes realizar una tarea simple y dual en las pruebas Six-Minute Walk Test (6MWT) y Timed Up and Go (TUG).Resultados. Se distribuyeron los participantes en tres grupos. Se encontraron diferencias significativas entre los grupos con deterioro cognitivo y el grupo sin deterioro cognitivo para las pruebas 6MWT (p<0.05) y TUG (p<0.05), tanto en la tarea simple como en la tarea dual. Un peor rendimiento se asoció con una menor capacidad cognitiva.Conclusión. La severidad del deterioro cognitivo se encuentra relacionada con el desempeño en las tareas duales.

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Associations between patient-reported outcomes and physiatry assessments in an integrative model of a survivorship clinic.

Journal of Clinical Oncology ◽

10.1200/jco.2020.38.15_suppl.e14032 ◽

2020 ◽

Vol 38 (15_suppl) ◽

pp. e14032-e14032

Author(s):

Hira Latif ◽

Kristi D Graves ◽

Cristina Kline-Quiroz ◽

Patrick Martone ◽

Asma Ali Dilawari

Keyword(s):

Cancer Survivors ◽

Physical Functioning ◽

Patient Reported Outcomes ◽

Social Roles ◽

Walk Test ◽

Survivorship Care ◽

Timed Up And Go ◽

Patient Reported ◽

6 Minute Walk Test ◽

Minute Walk

e14032 Background: The Institute of Medicine and Commission on Cancer recommends delivery of comprehensive survivorship care to all cancer survivors. While models exist for high-quality survivorship care, institutions encounter barriers such as lack of resources and training in cancer survivorship. We introduce a shared-care model with physical medicine and rehab (PM&R) to provide comprehensive care to cancer survivors at MedStar Washington Hospital Center. Methods: We implemented a bimonthly survivorship clinic in September 2018, staffed by a medical oncologist, oncology fellow and a cancer rehabilitation fellow. We assessed patient reported outcomes through PROMIS short forms for physical functioning, companionship, satisfaction with social roles and depression. Physiatry assessments included the 6-minute walk test and the Timed Up and Go test. All patients received a treatment summary and survivorship care plan. Results: We evaluated 30 cancer survivors between Sept 2018 and December 2019; mean age was 55.6 years (SD = 10.6 years). Majority were female (60%) and Black (60%). Most patients were overweight or obese (93%) with a mean body mass index of 30.6 mg/m2 (SD = 4.7). Breast (43%) and hematologic malignancy (33%) were the most common cancer diagnoses. The median time between cancer remission and the clinic visit was 16 months (Range = 1 to 65 months). The average score for Timed Up and Go test was within the reference normal value of < 12 sec (8.22 seconds, n = 23). Average distance for the 6-minute walk test was 465.87 meters (n = 18). Survivor age was negatively correlated with the distance walked for the 6-min walk test (r = -0.51, p = 0.027). Better psychosocial functioning assessed with PROMIS were significantly associated with lower scores on the Timed Up and Go Test: satisfaction with social roles (r = -0.67, p = 0.033) and companionship (r = -0.64, p = 0.046); we identified a trend between Timed Up and Go scores and depression (r = 0.47, p = 0.099). Conclusions: An integrative survivorship clinic to provide multidisciplinary survivorship care is a feasible model and results suggest that patients’ physical functioning is significantly associated with psychosocial outcomes. Our approach highlights the importance of assessing both physical functioning and patient-reported outcomes. Future research can evaluate assessments of these outcomes over time.

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Uso de test dual en ancianos institucionalizados con diferentes niveles de deterioro cognitivo. Estudio transversal

Revista de la Facultad de Medicina ◽

10.15446/revfacmed.v66n1.61303 ◽

2018 ◽

Vol 66 (1) ◽

pp. 31-36

Author(s):

Marie Carmen Valenza ◽

María José Ariza-Mateos ◽

Araceli Ortiz-Rubio ◽

Jesús Casilda-López ◽

Ramón Romero-Fernández ◽

...

Keyword(s):

Mental State ◽

Mini Mental State Examination ◽

Walk Test ◽

Timed Up And Go ◽

Six Minute Walk Test ◽

Los Grupos ◽

State Examination ◽

Minute Walk

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Measures of physical performance assessments: Self-Paced Walk Test (SPWT), Stair Climb Test (SCT), Six-Minute Walk Test (6MWT), Chair Stand Test (CST), Timed Up & Go (TUG), Sock Test, Lift and Carry Test (LCT), and Car Task

Arthritis Care & Research ◽

10.1002/acr.20538 ◽

2011 ◽

Vol 63 (S11) ◽

pp. S350-S370 ◽

Cited By ~ 186

Author(s):

Kim Bennell ◽

Fiona Dobson ◽

Rana Hinman

Keyword(s):

Physical Performance ◽

Performance Assessments ◽

Walk Test ◽

Chair Stand ◽

Stand Test ◽

Six Minute Walk Test ◽

Chair Stand Test ◽

Minute Walk

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Ability to work in anaerobic condition is associated with physical performance on the six-minute walk test in older patients receiving cardiac rehabilitation

Journal of Rehabilitation Medicine ◽

10.2340/16501977-1956 ◽

2015 ◽

Vol 47 (5) ◽

pp. 472-477 ◽

Cited By ~ 4

Author(s):

G Pasquini ◽

F Vannetti ◽

R Molino-Lova

Keyword(s):

Cardiac Rehabilitation ◽

Physical Performance ◽

Anaerobic Condition ◽

Older Patients ◽

Walk Test ◽

Ability To Work ◽

Six Minute Walk Test ◽

Minute Walk

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Assessing the feasibility of using the short physical performance battery to measure function in the immediate postoperative period after total knee replacement

European Journal of Translational Myology ◽

10.4081/ejtm.2021.9673 ◽

2021 ◽

Author(s):

Rene Przkora ◽

Kimberly Sibille ◽

Sandra Victor ◽

Matthew Meroney ◽

Christiaan Leeuwenburgh ◽

...

Keyword(s):

Physical Performance ◽

Peak Torque ◽

Knee Extension ◽

Short Physical Performance Battery ◽

Walk Test ◽

Special Equipment ◽

Six Minute Walk Test ◽

Lower Extremity Strength ◽

Total Knee ◽

Minute Walk

Measurements of physical function after total knee arthroplasty (TKA) are uncertain and require investments for special equipment, space, and staff. Therefore, we evaluated the Short Physical Performance Battery (SPPB) 4 to 6 weeks preoperatively and 2 weeks following TKA as this test battery addresses lower extremity strength, coordination, and balance, without additional special investments. For context, we also employed the Six-Minute Walk test (6MWT) and peak torque knee extension. Our analysis consisted of three women and one man, with average ages of 68.3±3.9 years. Patients showed a decrease in all functional measurements: SPPB (mean change: −4.8±1.9, 44% decrease), 6MWT (−0.37±.21 m/s, 34% decrease), and peak torque (−11.8±8.8°/s, 68% decrease). Our findings suggest the SPPB is feasible and can be integrated easily in daily clinical practice.

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