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Developmental Medicine and Child... Oct 2018
Topics: Humans; Mobility Limitation; Wheelchairs
PubMed: 29856072
DOI: 10.1111/dmcn.13932 -
Archives of Gerontology and Geriatrics 2012This study examines whether and how report of a change in walking behavior, incident PCMD, predicts subsequent reduction in walking activity.
PURPOSE
This study examines whether and how report of a change in walking behavior, incident PCMD, predicts subsequent reduction in walking activity.
MATERIALS AND METHODS
Data are from a prospective study of 436 community-dwelling women age 70-79 years. Outcome measures include subjective and objective measures of walking ability at 3 years.
PRINCIPAL RESULTS
Incident PCMD is associated with the loss of walking abilities at 3-years, regardless of baseline physical impairment. Compared to women without, women with incident PCMD at 1.5 years after baseline were 2.7 (95%CI 1.4-7.2) times more likely to report that they no longer walk outdoors at least 8 blocks and 4.9 (1.9-13.1) times more likely to report new difficulty walking. Incident PCMD was also associated with declines in objective outcomes. Incident PCMD is an independent marker of subsequent decreased walking activity.
MAJOR CONCLUSIONS
Incident PCMD appears to be a target for programs to prevent declines in walking activity in older adults.
Topics: Aged; Female; Humans; Mobility Limitation; Prospective Studies; Risk; Walking
PubMed: 21944428
DOI: 10.1016/j.archger.2011.08.018 -
Journal of Rehabilitation Research and... 2016Mobility scooters are three- or four-wheeled power mobility devices regularly used by people who have difficulty ambulating. They also differ from power wheelchairs in... (Review)
Review
Mobility scooters are three- or four-wheeled power mobility devices regularly used by people who have difficulty ambulating. They also differ from power wheelchairs in terms of their driving controls, programmability, seating, and mounting method. Given their growing popularity and anecdotal concerns around their use, a scoping review was undertaken to identify empirical research about mobility scooters and to analyze their study design and purpose. Data sources included MedLINE, Cumulative Index to Nursing and Allied Health Literature, Embase, and PsychINFO. Thirty-two studies met the inclusion criteria. Most studies were descriptive in nature and reported information about scooter users' demographics, scooter-related activities, and accidents. The most common study design was a pre- and postintervention followed by a cross-sectional survey and retrospective review. Despite the increasing use of mobility scooters, surprisingly little scooter-related research has been conducted. Given the nature of most of the research in this area, further empirical evidence is needed to develop a better understanding about the frequency and causes of scooter accidents and the efficacy of interventions to improve users' skills, mobility, and safety.
Topics: Accident Prevention; Biomedical Research; Consumer Product Safety; Education, Nonprofessional; Equipment Safety; Humans; Mobility Limitation; Self-Help Devices
PubMed: 27898156
DOI: 10.1682/JRRD.2015.05.0084 -
Topics in Stroke Rehabilitation Apr 2018Background Stroke is the leading cause of severe disability and many survivors report long-term physical or cognitive impairments that may impact their ability to... (Review)
Review
UNLABELLED
Background Stroke is the leading cause of severe disability and many survivors report long-term physical or cognitive impairments that may impact their ability to achieve community mobility (CM).
PURPOSE
To determine the extent to which people with chronic stroke achieve CM compared to age-matched norms or non-neurologically impaired controls. Methods The StrokEDGE outcome measures were searched to identify validated tools that included >25% of items addressing CM. MEDLINE, CINAHL, Google Scholar, PubMed, PEDro and the Cochrane databases were searched from 2001 to 2015 with the identified outcome measures cross-referenced against search terms related to stroke and CM.
INCLUSION CRITERIA
utilized a validated CM outcome measure, chronic (>3 months post) stroke survivors, and randomized controlled trial, observational or cohort study design. One reviewer screened the studies and performed data extraction and three performed quality appraisal. Fourteen studies met all inclusion criteria. Results Stroke survivors have impaired CM as demonstrated by 30-83% of normative or non-stroke subject CM scores. As time post-stroke increased, CM improved only slightly. Factors found to correlate with the CM were age, education, general well-being, emotional state, motor function and coordination, independence in activities of daily living, balance, endurance and driving status. Limitations of this review include a relatively high functioning cohort, no meta-analysis and reliance on outcome measures not specifically designed to measure CM. Conclusion Survivors of stroke may experience a significant decrease in CM compared to people without neurological injury. Rehabilitation addressing motor function, coordination, independence in activities of daily living, balance and endurance may be important for achieving higher levels of CM. Outcome measures directly addressing CM are needed.
Topics: Community Participation; Humans; Mobility Limitation; Stroke Rehabilitation
PubMed: 29322861
DOI: 10.1080/10749357.2017.1419617 -
Neurology Dec 2015
Topics: Humans; Male; Middle Aged; Mobility Limitation; POEMS Syndrome; Walking
PubMed: 26628493
DOI: 10.1212/WNL.0000000000002168 -
Nursing Apr 2020
Topics: Accidental Falls; Humans; Mobility Limitation; Nursing Care; Risk Management
PubMed: 32142013
DOI: 10.1097/01.NURSE.0000657004.70351.93 -
The Journal of Family Practice Nov 2017A 14-year-old Caucasian boy presented to our clinic with a complaint of left anterior hip pain. The patient had been running during a flag football match when he...
A 14-year-old Caucasian boy presented to our clinic with a complaint of left anterior hip pain. The patient had been running during a flag football match when he suddenly developed a sharp, stabbing pain in his left hip. He said he felt a "pop" in his left groin while his left foot was planted and he was cutting to the right. The patient said this was followed by worsening pain with ambulation and hip flexion. The patient had considerable difficulty walking into the exam room. On physical examination, he had significant tenderness to palpation along the anteromedial thigh and groin. The patient's strength was 1/5 with left hip flexion. There was apparent muscle firing, but no significant leg movement. He had full passive range of motion and there was no soft-tissue swelling, erythema, or other integumentary changes.
Topics: Adolescent; Arthralgia; Athletic Injuries; Diagnosis, Differential; Femoral Fractures; Fracture Dislocation; Groin; Hip Joint; Humans; Male; Mobility Limitation; Radiography; Range of Motion, Articular; Thigh; Walking
PubMed: 29099512
DOI: No ID Found -
American Journal of Public Health Feb 2015
Topics: Disabled Persons; Female; Humans; Male; Mobility Limitation; Smoking; Smoking Cessation
PubMed: 25574698
DOI: 10.2105/AJPH.2014.302528 -
JAMA Sep 2013Mobility limitations are common in older adults, affecting the physical, psychological, and social aspects of an older adult's life. (Review)
Review
IMPORTANCE
Mobility limitations are common in older adults, affecting the physical, psychological, and social aspects of an older adult's life.
OBJECTIVE
To identify mobility risk factors, screening tools, medical management, need for physical therapy, and efficacy of exercise interventions for older primary care patients with limited mobility.
EVIDENCE ACQUISITION
Search of PubMed and PEDro from January 1985 to March 31, 2013, using the search terms mobility limitation, walking difficulty, and ambulatory difficulty to identify English-language, peer-reviewed systematic reviews, meta-analyses, and Cochrane reviews assessing mobility limitation and interventions in community-dwelling older adults. Articles not appearing in the search referenced by reviewed articles were also evaluated.
FINDINGS
The most common risk factors for mobility impairment are older age, low physical activity, obesity, strength or balance impairment, and chronic diseases such as diabetes or arthritis. Several tools are available to assess mobility in the ambulatory setting. Referral to physical therapy is appropriate, because physical therapists can assess mobility limitations and devise curative or function-enhancing interventions. Relatively few studies support therapeutic exercise to improve mobility limitation. Strong evidence supports resistance and balance exercises for improving mobility-limiting physical weakness and balance disorders. Assessing a patient's physical environment and the patient's ability to adapt to it using mobility devices is critical.
CONCLUSIONS AND RELEVANCE
Identification of older adults at risk for mobility limitation can be accomplished through routine screening in the ambulatory setting. Addressing functional deficits and environmental barriers with exercise and mobility devices can lead to improved function, safety, and quality of life for patients with mobility limitations.
Topics: Aged; Exercise Therapy; Humans; Mass Screening; Mobility Limitation; Physical Therapy Modalities; Primary Health Care; Referral and Consultation; Risk Factors
PubMed: 24045741
DOI: 10.1001/jama.2013.276566 -
Critical Care Nursing Quarterly 2013
Topics: Cooperative Behavior; Critical Care Nursing; Early Ambulation; Humans; Mobility Limitation; Organizational Innovation
PubMed: 23221436
DOI: 10.1097/CNQ.0b013e3182750698