Development of a Physical Performance and Mobility Examination

Winograd, Carol Hutner; Lemsky, Carolyn; Nevitt, Michael C.; Nordstrom, Terrence M.; Stewart, Anita L.; Miller, Christina J.; Blöch, D.

doi:10.1111/j.1532-5415.1994.tb06535.x

Cited by 124 publications

(76 citation statements)

References 28 publications

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“…It has been reported that the ability level of movement activity decreases with age, and that it significantly relates to comprehensive ADL ability level [19][20][21] . Lower limb activities representing movement activity are considered to be important assessment tools even in healthy older people.…”

Section: Discussionmentioning

confidence: 99%

ADL ability characteristics of partially dependent older people: Gender and age differences in ADL ability

Sato

Demura

Tanaka

et al. 2001

Environ Health Prev Med

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Age and gender differences in ADL ability were investigated using 568 Japanese partially dependent older people (PD, Mean age=82.2± ± ± ±7.76 years) living in welfare institutions. The subjects were asked about 17 ADL items representing 7 ADL domains by the professional staff working at subjects' institutions. Each item was assessed by a dichotomous scale of "possible" or "impossible". Item proportions of "possible" response were calculated for gender and age groups (60s, 70s, 80s and 90s). Two-way analysis of variance (ANOVA) using the arcsine transformation method indicated no gender differences. Significant decreases in ADL ability with aging were found in 13 of the 17 items. The dependency of ADL in the PD significantly increases with aging, and there is no significant difference in this trend between men and women. The dependency of more difficult activities using lower limb increase from the 70s, and independency of lowdifficult activities such as manual activities, feeding and changing posture while lying is maintained until the 80s and over.

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Section: Discussionmentioning

confidence: 99%

ADL ability characteristics of partially dependent older people: Gender and age differences in ADL ability

Sato

Demura

Tanaka

et al. 2001

Environ Health Prev Med

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“…The physical performance and mobility examination (PPME) was developed to fill the need for a performance measure of physical functioning and mobility appropriate for hospitalized and frail elders [51]. Tasks were selected that could be safely and reliably administered at the bedside, office, or home by non-professionals after brief training.…”

Section: Physical Performance and Mobility Examinationmentioning

confidence: 99%

Batteries assessing health related fitness in the elderly: a brief review

Varela

Ayán

2008

Eur Rev Aging Phys Act

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Evaluation of physical functioning is a key issue in clinical geriatrics and in aging research. In recent years, different physical performance batteries in which individuals are asked to perform several tasks and are evaluated using different criteria have been designed and used in elderly populations. These batteries include different types of test which range from basic motor abilities to relevant everyday activities, depending on the construct area in the domain of physical function that must be measured. This paper reviews and classifies the main physical functioning batteries that can be found in the scientific field of aging research in order to provide knowledge on selection, administration, and interpretation of this indispensable assessment tools.

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“…It is considered that the PD who could walk without assistance was particularly superior in ADL ability level compared to the others. Winograd et al (1994) indicated the importance of mobility assessment, and developed the mobility examination (ME). They reported that as a result of examining the correlations between ME score and two ADL scores using a basic ADL index (Katz et al, 1970) and an instrumental ADL index (Lawton and Brody, 1969), significant relationships were found between mobility level and ADL ability.…”

Section: Discussionmentioning

confidence: 99%

“…Except for walking activity in G1 and G2, all domain scores are significantly correlated to overall score in all groups. Winograd et al (1994) reported that one-fifth to onethird of older hospitalized patients are dependent, one-fifth to one-third of community-dwelling elders reported difficulty walking, and more than one-third of men and half of women over age 85 reported difficulty walking up 10 steps. In Japan, it is also reported that 80% of older hospitalized patients are dependent (Takeda et al, 1994).…”

Section: The Relationships Between Adl Domain Scores and Overall Scorementioning

confidence: 99%

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Characteristics of ADL Ability on Partially Dependent Older Adults. Comparison among Different Ambulatory Activities Levels.

et al. 1999

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Abstract. The purpose of the present study was to clarify the characteristics of ADL ability among different ambulatory level groups. The subjects were 448 partially dependent older adults (PD; 126 male, 81.7 -8.22 year; 322 female, 82.5 -7.25 year) over 60 years of age, and they were divided into 3 groups based on ambulatory activity level; G1 could not walk without assistance; G2 could walk with a stick; G3 could walk without assistance. The PD were asked 17 ADL questionnaires representing seven ADL domains to evaluate the ADL ability. Total and domain ADL scores, and achievement rates for each item were calculated, and compared among different ambulatory activity groups. It is confirmed that ADL ability level in PD significantly relates to ambulatory level and becomes gradually higher as the ambulatory activity level advances. It is considered that in the G1, lower limb ability level is low, and the contribution of ability level regarding changing posture and manual activities to total ADL ability level is high. On the other hand, in the G3 the achievement levels in manual activities and high-difficulty ADLs using lower limbs reflects the differences in the ADL ability level among individuals. Gender differences for ADL ability are not found in any ADL domain, while age differences are found in only the G3. It is inferred that for the G1, the achievement levels of ADLs are largely influenced by disease morbidity and age contributes very little to the decline of ability level.

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Development of a Physical Performance and Mobility Examination

Abstract: The PPME is a reliable and valid performance-based instrument measuring physical functioning and mobility in hospitalized and frail elderly.

Cited by 124 publications

References 28 publications

ADL ability characteristics of partially dependent older people: Gender and age differences in ADL ability

ADL ability characteristics of partially dependent older people: Gender and age differences in ADL ability

Batteries assessing health related fitness in the elderly: a brief review

Characteristics of ADL Ability on Partially Dependent Older Adults. Comparison among Different Ambulatory Activities Levels.

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