Gait speed and activities of daily living function in geriatric patients

Potter, Jan; Evans, A. L.; Duncan, G.

doi:10.1016/s0003-9993(95)81036-6

Cited by 190 publications

(95 citation statements)

References 6 publications

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“…Increased age was associated with increased progression of motor impairment; decreased responsiveness to levodopa treatment; and more severe postural, walking, and cognitive deficits in patients with PD 13,14,15 . The strong influence of age on the physical activity level and the non-influence of disease duration, as observed in this study, have been pointed out by many authors 15,16 . Thus, the decrease in the physical activity level seems to be highly associated with the immobility and sedentarism of older individuals 16 , since the aging process by itself is characterized by a decline in the physical ability and functional performance 17 .…”

Section: Discussionsupporting

confidence: 80%

“…The strong influence of age on the physical activity level and the non-influence of disease duration, as observed in this study, have been pointed out by many authors 15,16 . Thus, the decrease in the physical activity level seems to be highly associated with the immobility and sedentarism of older individuals 16 , since the aging process by itself is characterized by a decline in the physical ability and functional performance 17 . The ability to perform ADL was found to be a predictive factor for the level of physical activity in patients with PD, as previously reported 2 .…”

Section: Discussionsupporting

confidence: 80%

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Main determinants of physical activity levels in individuals with Parkinson’s disease

Lana

Araujo

Cardoso

et al. 2016

Arq. Neuro-Psiquiatr.

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This study analyzed the relationship between patient characteristics, factors associated with Parkinson’s disease (PD), and physical activity level of individuals affected by the disease. Forty-six volunteers with mild-to-moderate idiopathic PD were assessed using sections II/III of the Unified Parkinson’s Disease Rating Scale and their motor functions were classified according to the modified Hoehn and Yahr (HY) scale. Data such as age, disease duration, the Human Activity Profile (HAP), the Fatigue Severity Scale were collected. Lower limb bradykinesia and clinical subtypes of PD were defined. Two models that explained 76% of the variance of the HAP were used. The first comprised age, ability to perform activities of daily living (ADL), and the HY scale; the second comprised age, ability to perform ADL, and lower limb bradykinesia. Possible modifiable factors such as the ability to perform ADL and lower limb bradykinesia were identified as predictors of physical activity level of individuals with PD.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 80%

Main determinants of physical activity levels in individuals with Parkinson’s disease

Lana

Araujo

Cardoso

et al. 2016

Arq. Neuro-Psiquiatr.

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“…Clinical significance was set at a 20 percent difference in parameters [44], a 0.2 m/s increase in walking speed, and a move from classification as a nonambulator to a household or community ambulator. The increase in walking speed was chosen because it has been related to individuals who can independently perform at least one activity of daily living [45].…”

Section: Outcome Measuresmentioning

confidence: 99%

Walking after incomplete spinal cord injury using an implanted FES system: A case report

Hardin¹,

Kobetic²,

Murray³

et al. 2007

JRRD

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Abstract-Implanted functional electrical stimulation (FES) systems for walking are experimentally available to individuals with incomplete spinal cord injury (SCI); however, data on short-term therapeutic and functional outcomes are limited. The goal of this study was to quantify therapeutic and functional effects of an implanted FES system for walking after incomplete cervical SCI. After robotic-assisted treadmill training and overground gait training maximized his voluntary function, an individual with incomplete SCI (American Spinal Injury Association grade C, cervical level 6-7) who could stand volitionally but not step was surgically implanted with an 8-channel receiver stimulator and intramuscular electrodes. Electrodes were implanted bilaterally, recruiting iliopsoas, vastus intermedius and lateralis, tensor fasciae latae, tibialis anterior, and peroneus longus muscles. Twelve weeks of training followed limited activity post-surgery. Customized stimulation patterns addressed gait deficits via an external control unit. The system was well-tolerated and reliable. After the 12-week training, maximal walking distance increased (from 14 m to 309 m), maximal walking speed was 10 times greater (from 0.02 m/s to 0.20 m/s), and physiological cost index was 5 times less (from 44.4 beats/m to 8.6 beats/m). Voluntary locomotor function was unchanged. The implanted FES system was welltolerated, reliable, and supplemented function, allowing the participant limited community ambulation. Physiological effort decreased and maximal walking distance increased dramatically over 12 weeks.

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“…It has also been frequently suggested that mobility (including walking speed and one leg standing with eyes open endurance), and muscle strength and thickness should be included in the ADL indexes (Bassey et al, 1992;Ehashi, 1994;Potter et al, 1995;Rantanen et al, 2002). As mentioned above, the "care required condition" is "the condition which requires ADL assistance".…”

Section: Introductionmentioning

confidence: 99%

Strength and Thickness of Knee Extensor Muscles in Frail Elderly People at Different Levels of Certified Care Need

Ota

Ohta

Nakamura

et al. 2008

Int. J. Sport Health Sci.

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The purpose of this study was to investigate the relationship between levels of certifi ed care need and Instrumental Activities of Daily Living (IADL), mobility and muscle function. The subjects were 73 frail elderly people certifi ed as needing care and 15 independent frail elderly people without dementia. The measurements were the strength and thickness of knee extensor muscles, walking speed and one leg standing endurance test. The IADL was also evaluated by a 13 part questionnaire. The total points of IADL and accomplishment rates of mobility tests showed signifi cant differences according to levels of certifi ed care need, although there was no relation between stage and maximal knee extension strength and muscle thickness. These results indicate that people certifi ed as being in need of long term care might have muscle function similar to independent frail elderly people.

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Gait speed and activities of daily living function in geriatric patients

Cited by 190 publications

References 6 publications

Main determinants of physical activity levels in individuals with Parkinson’s disease

Main determinants of physical activity levels in individuals with Parkinson’s disease

Walking after incomplete spinal cord injury using an implanted FES system: A case report

Strength and Thickness of Knee Extensor Muscles in Frail Elderly People at Different Levels of Certified Care Need

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