Does functional reach improve with rehabilitation?

Weiner, Debra K.; Bongiorni, Dennis; Studenski, Stephanie A.; Duncan, Pamela W.; Kochersberger, Gary

doi:10.1016/0003-9993(93)90003-s

Cited by 103 publications

(46 citation statements)

References 13 publications

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“…Functional Reach was included as a measure of balance performance (Duncan et al, 1990;Weiner et al, 1992;Weiner et al, 1993). While musculoskeletal pain is associated with falls in older adults (Leveille et al, 2002), the mechanism of this association is unknown.…”

Section: Isodynamic Lifting Taskmentioning

confidence: 99%

The impact of chronic low back pain on older adults: A comparative study of patients and controls

Rudy

Weiner

Lieber

et al. 2007

Pain

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209

179

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Chronic low back pain (CLBP) is one of the most common, poorly understood, and potentially disabling chronic pain conditions from which older adults suffer. Many older adults remain quite functional despite CLBP, and because age-related comorbidities often exist independently of pain (e.g., medical illnesses, sleep disturbance, mobility difficulty), the unique impact of CLBP is unknown. We conducted this research to identify the multidimensional factors that distinguish independent community dwelling older adults with CLBP from those that are pain-free. Three hundred twenty cognitively intact participants (162 with ≥ moderate pain for ≥ 3 months, and 158 pain-free) underwent comprehensive assessment of pain severity, medical comorbidity (illnesses, body mass index, medications), severity of degenerative disc and facet disease, lumbar flexion, psychological constructs (self-efficacy, mood, overall mental health), and self-reported as well as performance-based physical function. Significant differences were ascertained for all 22 measures. Discriminant function analysis revealed that eight measures uniquely maximized the separation between the two groups (self-reported function with the Functional Status Index and the SF-36, performance-based function with repetitive trunk rotation and functional reach, mood with the Geriatric Depression Scale, comorbidity with the Cumulative Illness Rating Scale and BMI, and severity of degenerative disc disease). These results should help to guide investigators that perform studies of CLBP in older adults and practitioners that want an easily adaptable battery for use in clinical settings.

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Section: Isodynamic Lifting Taskmentioning

confidence: 99%

The impact of chronic low back pain on older adults: A comparative study of patients and controls

Rudy

Weiner

Lieber

et al. 2007

Pain

Self Cite

209

179

View full text Add to dashboard Cite

show abstract

“…Duncan et al reported that FR was highly correlated with COPE (r = 0.71) 1) . Moreover, FR is inversely associated with recurrent falls, physical frailty, and physical changes [2][3][4] , as is COPE 5,6) . Although the original method uses reaching forward with one arm, recently, reach distance using two arms has been used to examine dynamic balance [7][8][9][10][11][12][13][14] .…”

Section: Introductionmentioning

confidence: 97%

Comparison of the One-Arm and Two-Arm Functional Reach Test in Young Adults

et al. 2009

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“…Reach distance correlates with fall risk and ADL level 17,18,20) . A relationship between extension of reach distance and improvement of the functional independence measure (FIM) has also been shown in the rehabilitation of patients with cerebrovascular disease 19) . In this study, the mean reach distance of the psychiatric patients was significantly shorter than that of controls, for both males and females.…”

Section: Discussionmentioning

confidence: 92%

“…The test can be easily performed in homes, hospitals, nursing homes, and outpatient clinics; it demonstrates excellent precision and interobserver reliability. Although some reports state that reach distance is correlated with fall risk and ADL level [17][18][19][20] , some reports also state that reach distance is not correlated with ADL level 21) . This discrepancy may relate to differences in movement strategy in FRT.…”

Section: Introductionmentioning

confidence: 99%

Reach Distance and Movement Strategy Patterns During the Functional Reach Test of Psychiatric Patients

et al. 2011

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Abstract.[Purpose] Ability in activities of daily living of psychiatric patients is decreased because of postural control and voluntary movement disorders, and the quality of life of inpatients is also decreased. As preliminary research for evaluating standing balance of psychiatric patients, the purpose of this study was to investigate reach distance and movement strategy while subjects performed the functional reach test.[Subjects] Thirty-eight psychiatric patients and 38 healthy elderly control volunteers participated in this study.[Methods] Reach distance and movement strategy patterns were measured while subjects performed the functional reach test.[Results] The reach distance of the psychiatric patients was significantly shorter than that of the controls. The hip strategy was most often used by both patients and controls. Patients were more likely to select the ankle movement strategy than controls.[Conclusion] Based on the above findings, we speculate that the hip strategy is the ideal movement strategy for safely extending the reach distance of both psychiatric patients and controls. However, psychiatric patients were more likely to select the ankle movement strategy than controls.

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Does functional reach improve with rehabilitation?

Cited by 103 publications

References 13 publications

The impact of chronic low back pain on older adults: A comparative study of patients and controls

The impact of chronic low back pain on older adults: A comparative study of patients and controls

Comparison of the One-Arm and Two-Arm Functional Reach Test in Young Adults

Reach Distance and Movement Strategy Patterns During the Functional Reach Test of Psychiatric Patients

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