Physical functioning associated with life-space mobility in later life among men and women

Fristedt, Sofi; Kammerlind, Ann-Sofi; Fransson, Eleonor I.; Bravell, Marie Ernsth

doi:10.1186/s12877-022-03065-9

Cited by 11 publications

(7 citation statements)

References 33 publications

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“…The much earlier starting point and the relatively high burden (four assessments) within the first year after stroke might have led to a selection of healthier and fitter participants in our study; indicated by a markedly better lower extremity function in our sample (Tsunoda et al: median comfortable walking speed of 0.66 m/s vs. our sample: median TUG time of 9.0 s). Median LSA values of our sample are comparable to values found in population-based studies in community-dwelling older adults with median scores typically between 55 and 75 [ 10 – 12 , 41 ]. While in our sample, there was no evidence of a change in LSA over time in the multivariate analyses, Tsunoda et al reported a significant decline within the 2-years follow-up period [ 17 ].…”

Section: Discussionsupporting

confidence: 82%

Self-reported life-space mobility in the first year after ischemic stroke: longitudinal findings from the MOBITEC-Stroke project

et al. 2023

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Background Life-space mobility is defined as the size of the area in which a person moves about within a specified period of time. Our study aimed to characterize life-space mobility, identify factors associated with its course, and detect typical trajectories in the first year after ischemic stroke. Methods MOBITEC-Stroke (ISRCTN85999967; 13/08/2020) was a cohort study with assessments performed 3, 6, 9 and 12 months after stroke onset. We applied linear mixed effects models (LMMs) with life-space mobility (Life-Space Assessment; LSA) as outcome and time point, sex, age, pre-stroke mobility limitation, stroke severity (National Institutes of Health Stroke Scale; NIHSS), modified Rankin Scale, comorbidities, neighborhood characteristics, availability of a car, Falls Efficacy Scale-International (FES-I), and lower extremity physical function (log-transformed timed up-and-go; TUG) as independent variables. We elucidated typical trajectories of LSA by latent class growth analysis (LCGA) and performed univariate tests for differences between classes. Results In 59 participants (mean age 71.6, SD 10.0 years; 33.9% women), mean LSA at 3 months was 69.3 (SD 27.3). LMMs revealed evidence (p ≤ 0.05) that pre-stroke mobility limitation, NIHSS, comorbidities, and FES-I were independently associated with the course of LSA; there was no evidence for a significant effect of time point. LCGA revealed three classes: “low stable”, “average stable”, and “high increasing”. Classes differed with regard to LSA starting value, pre-stroke mobility limitation, FES-I, and log-transformed TUG time. Conclusion Routinely assessing LSA starting value, pre-stroke mobility limitation, and FES-I may help clinicians identify patients at increased risk of failure to improve LSA.

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Section: Discussionsupporting

confidence: 82%

Self-reported life-space mobility in the first year after ischemic stroke: longitudinal findings from the MOBITEC-Stroke project

et al. 2023

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“…Baseline measurements as potential predictors included sociodemographic variables (age, gender, disease), Falls Efficacy Scale-International (FES-I), maximum walking speed (MWS), TUG, Berg Balance Scale (BBS), modified Elderly Mobility Scale (mEMS), Functional Independence Measure (FIM), HDS-R and Vitality Index (VI). Potential predictors were selected according to previous studies 3 , 18 , 19 , 20 , 21 , 22 , 23 , 24 ) or clinical experience.…”

Section: Participants and Methodsmentioning

confidence: 99%

“…Several studies have examined the relationships between sociodemographic variables, physical factors, psychological factors and life-space mobility 3 , 18 , 19 , 20 , 21 , 22 , 23 ) . Peel et al 3 ) reported that ADL, IADL and physical performance accounted for 45.5% of the variance in Life-Space Assessment (LSA) score in regression analysis.…”

Section: Introductionmentioning

confidence: 99%

Predictors of life-space mobility in patients with fracture 3 months after discharge from convalescent rehabilitation ward: a prospective longitudinal study

Saito

Sato²,

Kobayashi³

et al. 2023

J Phys Ther Sci

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To identify predictors of life-space mobility in patients with fracture three months after discharge from convalescent rehabilitation ward. [Participants and Methods] This is a prospective longitudinal study that included patients aged 65 or older with a fracture who were scheduled for discharge home from the convalescent rehabilitation ward. Baseline measurements included sociodemographic variables (age, gender, and disease), the Falls Efficacy Scale-International, maximum walking speed, the Timed Up & Go test, the Berg Balance Scale, the modified Elderly Mobility Scale, the Functional Independence Measure, the revised version of Hasegawa's Dementia Scale, and the Vitality Index up to two weeks before discharge. As a follow-up, the life-space assessment was measured three months after discharge. In the statistical analysis, multiple linear and logistic regression analyses were performed with the life-space assessment score and the life-space level of "places outside your town" as dependent variables.[Results] The Falls Efficacy Scale-International, the modified Elderly Mobility Scale, age, and gender were selected as predictors in the multiple linear regression analysis, whereas in the multiple logistic regression analysis, the Falls Efficacy Scale-International, age, and gender were selected as predictors. [Conclusion] Our study emphasized the importance of fall-related self-efficacy and motor function for life-space mobility. The findings of this study suggest that when considering post-discharge living, therapists should conduct an appropriate assessment and adequate planning.

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“…LSM measures the amount of space a person moves through during a given period 4 . Previous studies have reported a positive correlation between LSM and step count 5 or physical activity and have also shown that decreased LSM may increase the risk of cognitive impairment 6 .…”

Section: Introductionmentioning

confidence: 99%

Effects of interventions on life‐space mobility for community‐dwelling older adults: A systematic review and meta‐analysis

Yoshikawa,

Uzawa,

Ishida

et al. 2023

Geriatrics Gerontology Int

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AimThe present study aimed to conduct a meta‐analysis to evaluate the methods and effects of interventions to increase life‐space mobility among community‐dwelling older adults.MethodsRecords were identified through nine databases. Eligible study designs for inclusion in the review were randomized controlled trials of interventions on life‐space mobility for community‐dwelling older adults. The risk of bias was assessed using the Risk of Bias 2 tool. We followed the Grading of Recommendations, Assessment, Development, and Evaluation approach to summarize the evidence.ResultsFour studies (558 participants) identified via search strategies were included. Two studies involved individualized exercise and lifestyle interventions. In three out of the four studies, individual interventions were applied. Overall, when compared with a control group, the intervention group was more likely to positively affect increasing life‐space mobility (standardized mean difference 0.47, 95% confidence interval [0.020 to 0.92]). The heterogeneity statistic indicated considerable heterogeneity (I2 = 84%). The evidence was downgraded one step owing to imprecision.ConclusionsInterventions on increasing life‐space mobility for community‐dwelling older adults have a positive effect. Combination interventions may be more effective than single interventions, and individual interventions may be more effective than group interventions. However, owing to the limited number of studies, conducting further research to enhance the generalizability of results is crucial. Additionally, subgroup analysis should be conducted to clarify differences in intervention methods and effects. Geriatr Gerontol Int 2023; ••: ••–••.

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Physical functioning associated with life-space mobility in later life among men and women

Cited by 11 publications

References 33 publications

Self-reported life-space mobility in the first year after ischemic stroke: longitudinal findings from the MOBITEC-Stroke project

Self-reported life-space mobility in the first year after ischemic stroke: longitudinal findings from the MOBITEC-Stroke project

Predictors of life-space mobility in patients with fracture 3 months after discharge from convalescent rehabilitation ward: a prospective longitudinal study

Effects of interventions on life‐space mobility for community‐dwelling older adults: A systematic review and meta‐analysis

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