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Journal of the American Geriatrics... Dec 2019
Topics: Aged; Aging; Frail Elderly; Geriatrics; Humans; Mobility Limitation
PubMed: 31483072
DOI: 10.1111/jgs.16118 -
American Journal of Physical Medicine &... Feb 2018Mobility activity modifications indicate early functional losses that act as precursors to future declines among community-dwelling older adults. However, there is...
OBJECTIVES
Mobility activity modifications indicate early functional losses that act as precursors to future declines among community-dwelling older adults. However, there is scarce evidence on whether activity modifications indicate poorer physical health among adults with symptomatic osteoarthritis, a major cause of disability. Our purpose was to investigate whether patient-reported mobility activity modifications indicated poorer physical health among adults with symptomatic knee osteoarthritis.
DESIGN
Secondary cross-sectional analysis of randomized trial data was performed. Preclinical Disability Questionnaire was used to group participants into the following three categories: difficulty, modified, and no difficulty walking/stair climbing. Kruskal Wallis and χ tests were used to compare clinical factors across groups.
RESULTS
Among 121 participants (median age = 60 yrs; 73% female; 60% white), less than 10% had modified walking/stair climbing. Compared with those with no walking difficulty, participants with modified walking had significantly less balance (P = 0.01) and global health (P = 0.01) as well as greater knee pain (P = 0.05) and physical disability (P = 0.04). Those with modified stair climbing had significantly smaller walking distances (P = 0.03) compared with those with no difficulty stair climbing.
CONCLUSIONS
Activity modifications may signal early impairments in physical health among people with symptomatic knee osteoarthritis. If confirmed, patient-reported activity modifications may enhance symptom evaluation in osteoarthritis and enable a better understanding of the disablement process.
Topics: Adult; Chi-Square Distribution; Cross-Sectional Studies; Disability Evaluation; Exercise; Female; Humans; Knee Joint; Male; Middle Aged; Mobility Limitation; Osteoarthritis, Knee; Physical Therapy Modalities; Postural Balance; Randomized Controlled Trials as Topic; Range of Motion, Articular; Single-Blind Method; Statistics, Nonparametric; Tai Ji; Walking
PubMed: 28763325
DOI: 10.1097/PHM.0000000000000802 -
Journal of Cardiopulmonary... May 2022Despite known health benefits of cardiac rehabilitation (CR) for patients with cardiovascular disease (CVD), only a quarter of eligible patients attend. Among CR...
PURPOSE
Despite known health benefits of cardiac rehabilitation (CR) for patients with cardiovascular disease (CVD), only a quarter of eligible patients attend. Among CR barriers are physical (eg, walking) and in-person attendance limitations. The purpose of this study was to determine the prevalence of difficulty walking and dependence on another person to attend medical appointments among people with and without CVD using national survey data.
METHODS
We compared the prevalence of difficulty walking and difficulty attending medical appointments alone among adults with and without CVD using national survey data from the Behavioral Risk Factor Surveillance System (BRFSS) from 2015-2019. We used logistic regression and Rao-Scott χ2 analysis while controlling for several social determinants of health as covariates.
RESULTS
Of 2 212 973 respondents, 200 087 (9.04%) had CVD. The odds of individuals with CVD experiencing either difficulty walking or difficulty attending medical appointments alone were >3 times greater than the odds for individuals without CVD. In all adults with CVD, 42% reported difficulty walking and 20% reported dependence on another person to attend medical appointments. In all adults with CVD, 46% reported difficulty with one or both difficulties compared with 14% of adults without CVD.
CONCLUSIONS
We estimate that 11.9 million Americans with self-reported CVD have difficulty walking, or are dependent on another person to attend medical appointments, or both. Alternative models of CR that adapt to these limitations are needed to increase attendance of CR so that all adults with CVD can improve their health outcomes.
Topics: Adult; Cardiac Rehabilitation; Cardiovascular Diseases; Humans; Mobility Limitation; Office Visits; Prevalence; United States
PubMed: 35135965
DOI: 10.1097/HCR.0000000000000669 -
International Journal of Environmental... Dec 2018We aimed to evaluate the prevalence of sociodemographic factors with the presence and different degrees of walking difficulties in elderly above 65 years, and to analyze...
We aimed to evaluate the prevalence of sociodemographic factors with the presence and different degrees of walking difficulties in elderly above 65 years, and to analyze association between evaluated variables and the presence and degree of waking difficulties. In the population based study, 3540 individuals age above 65 years from Serbia were recruited. Further predictors were analyzed: gender, age, level of education, marital status, body mass index (BMI), index of well-being and place of residence. We assessed difficulty in walking half a km on level ground without the use of any aid (Group-1); and difficulty in walking up or down 12 steps (Group-2). Walking difficulties were categorized as no difficulty, some difficulty, a lot of difficulty and cannot do at all. For present difficulty significant predictors were: age (Group-1 (OR-3.022)/Group-2 (OR-3.825)), gender (Group-1 (OR-0.337)/Group-2 (OR-0.311)), educational level (Group-1 (OR-0.689)/Group-2 (OR-0.556)) and place of residence (Group-2 (OR-1.523)) while for non-performing the task, significant predictors were: age (Group-1 (OR-1.998)/Group-2 (OR-2.096)), gender (Group-1 (OR-0.629)/Group-2 (OR-0.495)), BMI (Group-1 (OR-1.219)/Group-2 (OR-1.305)), marital status (Group-1 (OR 0.764)/Group-2 (OR-0.769)), educational level (Group-1 (OR-0.679)/Group-2 (OR-0.719)) and index of well-being (Group-2 (OR-0.764)). Understanding of predictors, and their role on functional decline in elderly is of great importance for the development of specific population-based health programs to prevent further functional loss and preserve achieved functional gains.
Topics: Aged; Aged, 80 and over; Female; Frail Elderly; Health Surveys; Humans; Male; Mobility Limitation; Population Surveillance; Serbia; Socioeconomic Factors; Walking
PubMed: 30586888
DOI: 10.3390/ijerph16010037 -
The Journals of Gerontology. Series A,... Aug 2019
Topics: Accidental Falls; Aged; Humans; Mobility Limitation; Postural Balance
PubMed: 30892593
DOI: 10.1093/gerona/glz064 -
Clinical Pediatrics Sep 2019
Topics: Ascorbic Acid Deficiency; Child, Preschool; Humans; Male; Mobility Limitation
PubMed: 31271043
DOI: 10.1177/0009922819861282 -
PloS One 2016Environmental barriers increase risk for mobility difficulties in old age. Mobility difficulty is preceded by a phase where people try to postpone a difficulty through...
BACKGROUND
Environmental barriers increase risk for mobility difficulties in old age. Mobility difficulty is preceded by a phase where people try to postpone a difficulty through mobility modification. We studied whether perceived environmental mobility barriers outdoors correlate with mobility modification and mobility difficulty, predict development of mobility difficulty over a two-year follow-up, and whether mobility modification alleviates the risk for difficulty.
METHODS
At baseline, 848 people aged 75-90 were interviewed face-to-face. Telephone follow-up interviews were conducted one (n = 816) and two years (n = 761) later. Environmental barriers to mobility were self-reported using a15-item structured questionnaire at baseline, summed and divided into tertiles (0, 1 and 2 or more barriers). Mobility difficulty was assessed as self-reported ability to walk 2 km at all assessment points and categorized into 'no difficulty', 'no difficulty but mobility modifications' (reducing frequency, stopping walking, using an aid, slowing down or resting during the performance) and 'difficulty'.
RESULTS
At baseline, 212 participants reported mobility modifications and 356 mobility difficulties. Those reporting one or multiple environmental barriers had twice the odds for mobility modifications and up to five times the odds for mobility difficulty compared to those reporting no environmental barriers. After multiple adjustments for health and functioning, reporting multiple environmental barriers outdoors continued to predict the development of incident mobility difficulty over the two-year follow-up. Mobility modifications attenuated the association.
CONCLUSION
For older people who successfully modify their performance, environmental influence on incident mobility difficulty can be diminished. Older people use mobility modification to alleviate environmental press on mobility.
Topics: Activities of Daily Living; Aged; Aged, 80 and over; Female; Follow-Up Studies; Humans; Independent Living; Male; Mobility Limitation; Self Report; Surveys and Questionnaires; Walking
PubMed: 27104750
DOI: 10.1371/journal.pone.0154396 -
BioMed Research International 2019Muscle strength impairments are related to mobility limitations and other untoward outcomes. This narrative review, therefore, describes considerations relative to the... (Review)
Review
Muscle strength impairments are related to mobility limitations and other untoward outcomes. This narrative review, therefore, describes considerations relative to the definition and measurement of muscle strength. Thereafter, practical options for measuring muscle strength are described and their clinimetric properties are delineated. Information provided herein may help students, clinicians, and researchers select the strength tests best suited to their research needs and limitations.
Topics: Biomedical Research; Humans; Mobility Limitation; Muscle Strength; Muscle, Skeletal
PubMed: 30792998
DOI: 10.1155/2019/8194537 -
Krankenpflege. Soins Infirmiers 2017
Topics: Aged; Female; Humans; Interdisciplinary Communication; Intersectoral Collaboration; Male; Mobility Limitation; Nurse Clinicians; Physical Therapy Modalities
PubMed: 30549653
DOI: No ID Found -
International Journal of Environmental... Nov 2021Powered mobility devices (PMD) promote independence, social participation, and quality of life for individuals with mobility limitations. However, some individuals would... (Review)
Review
BACKGROUND
Powered mobility devices (PMD) promote independence, social participation, and quality of life for individuals with mobility limitations. However, some individuals would benefit from PMD, but may be precluded access. This is particularly true for those with cognitive impairments who may be perceived as unsafe and unable to use a PMD. This study explored the relationships between cognitive functioning and PMD use. The objectives were to identify cognitive functions necessary to use a PMD and describe available PMD training approaches.
METHODS
A scoping review was undertaken.
RESULTS
Seventeen studies were included. Four examined the predictive or correlational relationships between cognitive functioning and PMD use outcomes with intellectual functions, visual and visuospatial perception, attention, abstraction, judgement, organization and planning, problem solving, and memory identified as having a relation with PMD use outcome in at least one study. Thirteen others studied the influence of PMD provision or training on users' PMD capacity and cognitive outcomes and reported significative improvements of PMD capacities after PMD training. Six studies found improved cognitive scores after PMD training.
CONCLUSIONS
Cognitive functioning is required to use a PMD. Individuals with heterogeneous cognitive impairment can improve their PMD capacities. Results contribute to advancing knowledge for PMD provision.
Topics: Cognition; Humans; Mobility Limitation; Quality of Life; Self-Help Devices; Social Participation
PubMed: 34886194
DOI: 10.3390/ijerph182312467