An Investigation of the Predictors of Comfortable and Fast Gait Speed in Community-Dwelling Older Adults

التفاصيل البيبلوغرافية
العنوان: An Investigation of the Predictors of Comfortable and Fast Gait Speed in Community-Dwelling Older Adults
المؤلفون: Nicole Dawson, Lauren Haffke, Ashleigh Trapuzzano, Alison Mantel, Sara Chizmar
المصدر: Journal of Geriatric Physical Therapy. 42:E62-E68
بيانات النشر: Ovid Technologies (Wolters Kluwer Health), 2019.
سنة النشر: 2019
مصطلحات موضوعية: Male, medicine.medical_specialty, Health Status, medicine.medical_treatment, Body Mass Index, Executive Function, 03 medical and health sciences, Cognition, 0302 clinical medicine, Gait (human), Physical medicine and rehabilitation, Linear regression, medicine, Humans, Muscle Strength, 030212 general & internal medicine, Muscle, Skeletal, Gait, Postural Balance, Aged, Balance (ability), Aged, 80 and over, Rehabilitation, Middle Aged, Mental Status and Dementia Tests, Walking Speed, Lower Extremity, Socioeconomic Factors, Test score, Female, Observational study, Independent Living, Geriatrics and Gerontology, Psychology, human activities, Body mass index, 030217 neurology & neurosurgery
الوصف: Background/purpose To identify the unique predictors of comfortable and fast gait speed in community-dwelling older adults using measures of physical performance (eg, lower extremity strength and balance), self-reported balance confidence, and global cognitive function. Methods Demographic information was collected from 60 healthy, community-dwelling older adults older than 60 years. Participants completed the following assessments: Mini-Mental State Examination; Activities-Specific Balance Confidence Scale; 30-second Chair Stand (30-SCS); Functional Reach (FR); and gait speed (comfortable and fast) using the GAITRite system. Hierarchical linear regression was used to examine the relationship of both fast and comfortable gait speeds with functional performance (CST and FR), cognition (Mini-Mental State Examination), Activities-Specific Balance Confidence Scale, and demographic information (age, gender, and body mass index). Results and discussion Functional performance measures (30-SCS and FR) explained 55.4% and 64.7%, respectively, of the variance in comfortable and fast gait speed. Unique predictors for comfortable gait speed included 30-SCS, FR, and body mass index. Unique predictors of fast gait speed included 30-SCS, FR, gender, body mass index, and Activities-Specific Balance Confidence Scale score. These predictors explained 68.5% and 80.4% of the total variance in comfortable and fast gait speed, respectively. Global cognition was not a unique predictor of gait speed when performance measures were statistically controlled. However, the current study measured global cognitive status rather than the specific cognitive constructs, such as processing speed or executive function. Further research is needed to determine the role of cognition in the composition of gait speed. Conclusions Gait speed is an important indicator for many outcomes such as fall risk, mortality, and functional status. Understanding that key variables of strength and balance comprise a large portion of gait speed allows clinicians to better direct their care and optimize rehabilitation outcomes. This study specifically used functional measures of strength and balance that can be easily implemented in the clinical setting.
تدمد: 1539-8412
DOI: 10.1519/jpt.0000000000000216
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::97647b16261e5b80b64e17bfc128903d
https://doi.org/10.1519/jpt.0000000000000216
رقم الانضمام: edsair.doi.dedup.....97647b16261e5b80b64e17bfc128903d
قاعدة البيانات: OpenAIRE
الوصف
تدمد:15398412
DOI:10.1519/jpt.0000000000000216