scholarly journals Comparison of Two Electronic Physical Performance Batteries by Measurement Time and Sarcopenia Classification

Sensors ◽  
2021 ◽  
Vol 21 (15) ◽  
pp. 5147
Author(s):  
Chan Mi Park ◽  
Hee-Won Jung ◽  
Il-Young Jang ◽  
Ji Yeon Baek ◽  
Seongjun Yoon ◽  
...  
Keyword(s):  
Physical Performance ◽  
Walking Speed ◽  
Short Physical Performance Battery ◽  
Standing Balance ◽  
Measurement Time ◽  
Test Time ◽  
Lower Extremity Function ◽  
Balance Test ◽  
Balance Tests ◽  
Chair Rise

Background: The Short Physical Performance Battery (SPPB) is a widely accepted test for measuring lower extremity function in older adults. However, there are concerns regarding the examination time required to conduct a complete SPPB consisting of three components (walking speed, chair rise, and standing balance tests) in clinical settings. We aimed to assess specific examination times for each component of the electronic Short Physical Performance Battery (eSPPB) and compare the ability of the original three-component examinations (eSPPB) and a faster, two-component examination without a balance test (electronic Quick Physical Performance Battery, eQPPB) to classify sarcopenia. Methods: The study was a retrospective, cross-sectional study which included 124 ambulatory outpatients who underwent physical performance examination at a geriatric clinic of a tertiary, academic hospital in Seoul, Korea, between December 2020 and March 2021. For eSPPB, we used a toolkit containing sensors and software (Dyphi, Daejeon, Korea) developed to measure standing balance, walking speed, and chair rise test results. Component-specific time stamps were used to log the raw data. Duration of balance examination, 5 times sit-to-stand test (5XSST), and walking speed examination were calculated. Sarcopenia was determined using the 2019 Asian Working Group for Sarcopenia (AWGS) guideline. Results: The median age was 78 years (interquartile range, IQR: 73,82) and 77 subjects (62.1%) were female. The total mean eSPPB test time was 124.8 ± 29.0 s (balance test time 61.8 ± 12.3 s, 49.5%; gait speed test time 34.3 ± 11.9 s, 27.5%; and 5XSST time 28.7 ± 19.1 s, 23.0%). The total mean eQPPB test time was 63.0 ± 25.4 s. Based on the AWGS criteria, 34 (27.4%) patient’s results were consistent with sarcopenia. C-statistics for classifying sarcopenia were 0.83 for eSPPB and 0.85 for eQPPB (p = 0.264), while eQPPB took 49.5% less measurement time compared with eSPPB. Conclusion: Breakdowns of eSPPB test times were identified. Omitting balance tests may reduce test time without significantly affecting the classifying ability of eSPPB for sarcopenia.

117 Study of Development and Validation of the Multi-Sensor based Kiosk Performing Short Physical Performance Battery Automatically

2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv28-iv33
Author(s):  
Heewon Jung ◽  
Jae-Young Lim ◽  
Jihong Park
Keyword(s):  
Older Adults ◽  
Physical Performance ◽  
Gait Speed ◽  
Physical Therapist ◽  
Short Physical Performance Battery ◽  
Standing Balance ◽  
Clinical Test ◽  
Chair Stand ◽  
Stand Test ◽  
Chair Stand Test

Abstract Background Short physical performance battery (SPPB) is a well-accepted clinical test to assess vulnerability in older adults. We aimed to develop and validate a multi-sensor based kiosk (e-SPPB kiosk) which can perform automated measurement for SPPB. Methods The e-SPPB kiosk was developed to measure 3 components of SPPB of standing balance, gait speed, and chair stand test with embedded sensors and algorithms. Feasibility and reliability of the e-SPPB kiosk was assessed with the manually measured SPPB (m-SPPB) by a physical therapist in participants aged 65 or older recruited from the outpatient rehabilitation clinic of the Seoul National University Bundang Hospital, Seongnam, Korea, from November 2018 to April 2019. Results In 34 participants with mean age of 73.6 (standard deviation [SD] 5.4), mean of e-SPPB total score was 10.1 (SD 2.2) and mean of m-SPPB total score was 10.2 (SD 2.3). Concordance between e-SPPB and m-SPPB total score was 0.94 (P<0.001) and agreement by Kappa was 0.65 (P<0.001). Agreements for components of e-SPPB and m-SPPB were 0.68 (P<0.001), 0.73 (P<0.001), 0.92 (P<0.001) for standing balance, gait speed and chair stand test, respectively. Conclusion In older adults, physical performance measured by the e-SPPB kiosk correlated to m-SPPB measured by a single physical therapist. In multicenter studies for older people with physical performance as an outcome or selection criterion, e-SPPB kiosk can be used to reduce possible inter-rater variabilities of SPPB.

scholarly journals Correlation of sarcopenia and depressive mood in older community dwellers: a cross-sectional observational study in China

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038089
Author(s):  
Lei Chen ◽  
Yunlu Sheng ◽  
Hanmei Qi ◽  
Tingting Tang ◽  
Jing Yu ◽  
...  
Keyword(s):  
Physical Performance ◽  
Test Performance ◽  
Gait Speed ◽  
Depressive Mood ◽  
Standing Balance ◽  
Balance Test ◽  
Cross Sectional ◽  
Chair Stand ◽  
Stand Test ◽  
Chair Stand Test

ObjectiveWhether sarcopenia is detrimental to depression is still controversial, which may be due to the three components of the sarcopenia. Our objective was to define the correlation between depression and sarcopenia in older Chinese community dwellers.DesignThe study has a cross-sectional design.SettingThe study was conducted in Jiangsu, China.ParticipantsA total of 101 men and 149 women aged 60 years or older were recruited.Outcome measuresLean tissue mass was measured by dual-energy X-ray absorptiometry. Muscle strength in the upper and lower limbs was measured by a handheld dynamometer and a chair stand test, respectively. Physical performance was assessed by gait speed and standing balance tests. Depressive mood was assessed using the Geriatric Depression Scale-30 (range 0–30).ResultsParticipants in the sarcopenia group had a higher mean depression score than the normal group (p=0.002). Pearson’s correlation analysis showed that depression was negatively associated with muscle strength (handgrip strength: R=−0.170, p=0.028 for women, R=−0.196, p=0.048 for men; chair stand test performance: R=0.252, p=0.002 for women, R=0.311, p=0.001 for men) and physical performance (gait speed: R=−0.200, p=0.009, standing balance test performance: R=−0.224, p=0.006, Short Physical Performance Battery (SPPB): R=−0.218, p=0.007 for women; SPPB: R=−0.252, p=0.01 for men). Multiple linear regression models revealed that depressive mood was inversely associated with chair stand test (β=0.325, p<0.001), gait speed (β=−0.009, p=0.041) and standing balance test (β=−0.24, p=0.016) after adjusting for confounding factors, while no significant correlation was observed between depressive mood and muscle mass.ConclusionThe diagnostic components of sarcopenia—strength of the leg muscles (chair stand test) and physical performance (gait speed and standing balance test)—were associated with depressive mood.

scholarly journals Assessment Through the Short Physical Performance Battery of the Functionality in Individuals With Metabolic Syndrome Exposed to Whole-Body Vibration Exercises

Dose-Response ◽  
2018 ◽  
Vol 16 (3) ◽  
pp. 155932581879453 ◽  
Author(s):  
Laisa Liane Paineiras-Domingos ◽  
Danúbia da Cunha Sá-Caputo ◽  
A.S. Reis ◽  
A. Francisca Santos ◽  
Cíntia Renata Sousa-Gonçalves ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Physical Performance ◽  
Gait Speed ◽  
Whole Body Vibration ◽  
Short Physical Performance Battery ◽  
Whole Body ◽  
Balance Test ◽  
Body Vibration ◽  
Lower Limb Strength ◽  
And Control

Physical activity is recommended in the management of individuals with metabolic syndrome (MetS), and recent studies have suggested whole-body vibration exercise (WBVe) for this population. The aim of this study was to evaluate the functionality through the Short Physical Performance Battery (SPPB) in individuals with MetS after WBVe. The SPPB evaluates the balance, the gait speed, and the lower limb strength (five-chair stand [5CS] test). Forty-four individuals with MetS were divided into WBVe (WBVeG) and control (CG) groups. The individuals of the WBVeG performed 10 sessions of WBVe in an oscillating/vibratory platform (OVP), barefoot, for 3 minutes at the peak-to-peak displacements of 2.5, 5.0, and 7.5 mm, with a resting period of 1 minute (total time: 18 minutes/session). The frequencies ranged from 5 up to 14 Hz. The individuals of the CG performed all the steps of the study, but the OVP was turned off. Before the first and after the tenth session, the individuals performed the SPPB. Significant responses were found in the WBVeG, analyzing the total score of the SPPB ( P = .005), the balance test ( P = .01), the gait speed ( P = .006), and the 5CS test ( P = .03), resulting in the improvement of the functionality of individuals with MetS.

Physical Predictors of Cognitive Function in Individuals With Hypertension: Evidence from the CHARLS Basline Survey

2018 ◽  
Vol 41 (4) ◽  
pp. 592-614 ◽  
Author(s):  
Manhua Zuo ◽  
Changping Gan ◽  
Tingting Liu ◽  
Jun Tang ◽  
Jianping Dai ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Episodic Memory ◽  
Grip Strength ◽  
Physical Performance ◽  
Walking Speed ◽  
Secondary Data ◽  
Performance Measure ◽  
Balance Test ◽  
Physical Performance Measure ◽  
Nationally Representative

The purpose of the study was to examine the independent associations of each individual physical performance measure (i.e., grip strength, walking speed, repeated chair stands, and balance test) with subdomains of cognitive function and to determine predictors for each subdomain of cognitive function. A secondary data analysis was performed using a nationally representative middle-aged and older sample of hypertensive population. The findings showed that after adding all four physical performance measures, stronger grip strength was significantly associated with better visuospatial abilities, episodic memory, orientation/attention, and overall cognitive function. In addition, faster walking speed and faster repeated chair stands were strongly associated with better episodic memory and overall cognitive function, respectively. Because grip strength was significantly associated with several subdomains of cognitive functioning, it seems conceivable that increasing physical activity would improve both grip strength and cognitive function in patients with hypertension.

scholarly journals Trajectories of Short Physical Performance Battery Are Strongly Associated with Future Major Mobility Disability: Results from the LIFE Study

2020 ◽  
Vol 9 (8) ◽  
pp. 2332
Author(s):  
Joshua D. Brown ◽  
Wei-Hsuan Lo-Ciganic ◽  
Hui Shao ◽  
Marco Pahor ◽  
Todd M. Manini
Keyword(s):  
Physical Performance ◽  
Group Membership ◽  
Multinomial Logistic Regression ◽  
Fold Increase ◽  
Short Physical Performance Battery ◽  
Group Model ◽  
Lower Extremity Function ◽  
Mobility Disability ◽  
Life Study ◽  
Group Assignment

Short Physical Performance Battery (SPPB) assessment is a widely used measure of lower extremity function, strength, and balance. In the Lifestyles Interventions and Independence for Elders (LIFE) Study, baseline SPPB and changes throughout the trial were strongly associated with major mobility disability (MMD). This study further investigated this association by identifying trajectories of SPPB and evaluating the predictive validity of SPPB trajectories for future MMD. Participants (n = 1635) aged 70–89 years were randomized to a physical activity or health education intervention and assessed every 6 months for MMD. We used group-based trajectory models (GBTMs) to identify trajectories of a binary outcome for a decrease from baseline SPPB of ≥1. Multinomial logistic regression explored baseline factors associated with group membership. Survival analyses evaluated the association between trajectories with MMD. The GBTM identified a 3-group model which included a “No Decline” group (46.0%), “Late Decline” group (27.7%), and an “Early Decline” group (26.3%). Adjusting for all other baseline characteristics, group assignment during the previous follow-up visit was strongly associated with MMD at the subsequent period. Comparisons between groups showed a 2-to-3-fold increase in MMD comparing the “Late” to “No” decline group and a 4-to-5-fold increase in MMD comparing the “Early” to “No” decline group. Group membership and impact on MMD was not different between intervention arms. Group-based trajectories of SPPB scores identified distinct subgroups in LIFE Study participants. Using these group assignments in outcome models were highly associated with MMD. GBTMs have potential to identify and improve prediction of aging-related decline to better design and identify patients for interventions.

Funktionsdiagnostik der Sarkopenie

2017 ◽  
Vol 26 (01) ◽  
pp. 13-17 ◽  
Author(s):  
F. Genest ◽  
L. Seefried
Keyword(s):  
Physical Performance ◽  
Körperliche Aktivität ◽  
Short Physical Performance Battery ◽  
Walk Test ◽  
Balance Test ◽  
6 Minute Walk Test ◽  
Minute Walk

ZusammenfassungWie der Knochen, so unterliegt auch die Muskulatur kontinuierlichen Umbauund Adaptionsvorgängen, um so eine permanente Anpassung an wechselnde Einflussfaktoren und Anforderungen und damit die Funktionsfähigkeit des Bewegungsapparat zu gewährleisten. Im Alter begünstigt die verminderte körperliche Aktivität einerseits und sich ändernde metabolische und endokrinologische Rahmenbedingungen andererseits die Entwicklung einer Sarkopenie, wobei im Alltag unter diesem Begriff jenseits des reinen Muskelmasseverlustes auch die für die Patienten entscheidendere Verschlechterung der Muskelkraft und -leistung mitsubsumiert werden. Jenseits einer Quantifizierung der Muskelmasse sind daher funktionelle Untersuchungen essenzieller Bestandteil der Sarkopeniediagnostik. Die Erfassung der Kraft erfolgt meist mittels Handkraftdynamometrie. Alternativen sind die Beinpresse oder die Spirometrie. Der gängigste Test zur Evaluation der Leistung ist die Short Physical Performance Battery (SPPB) mit Erfassung der Gehgeschwindigkeit, einem Aufstehtest und einem Balance-Test, alternativ auch der Timed-upand-go-Test und der 6-Minute-Walk-Test. Eine interessante Alternative scheint die Erfassung der Sprungkraft und -leistung durch die sogenannte Mechanografie.

Improving Yield Using Scan and DFT Based Analysis for High Performance PowerPC© Microprocessor

2006 ◽  
Author(s):  
Ray Talacka ◽  
Nandu Tendolkar ◽  
Cynthia Paquette
Keyword(s):  
High Performance ◽  
Yield Enhancement ◽  
Test Time ◽  
Balance Test ◽  
Specific Test ◽  
Defect Location ◽  
Test Methodology ◽  
Memory Arrays ◽  
Scan Chain ◽  
Scan Pattern

Abstract The use of memory arrays to drive yield enhancement has driven the development of many technologies. The uniformity of the arrays allows for easy testing and defect location. Unfortunately, the complexities of the logic circuitry are not represented well in the memory arrays. As technologies push to smaller geometries and the layout and timing of the logic circuitry become more problematic the ability to address yield issue is becoming critical. This paper presents the added yield enhancement capabilities of using e600 core Scan Chain and Scan Pattern testing for logic debug, ways to interpret the fail data, and test methodologies to balance test time and acquiring data. Selecting a specific test methodology and using today's advanced tools like Freescale's DFT/FA has been proven to find more yield issues, earlier, enabling quicker issue resolution.

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