An Impairment and Disability Assessment and Treatment Protocol for Community-Living Elderly Persons

Koch, Marie L.; Gottschalk, Margaret; Baker, Dorothy I.; Palumbo, Sally; Tinetti, Mary E.

doi:10.1093/ptj/74.4.286

Cited by 57 publications

(24 citation statements)

References 10 publications

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“…For each of the transfer (toilet, tub/shower, and bed) and mobility tasks (kitchen mobility, transition between locations, and enter/ exit the home), a set of potentially useful interventions was developed for each of the four groups (i.e., from unable to sit to able to walk). The interventions were developed based on a review of relevant publications and the input of our expert panel, along with an architect specializing in AT and home modification [39][40][41][42][43].…”

Section: Adaptive Strategiesmentioning

confidence: 99%

Development of a teletechnology protocol for in-home rehabilitation

Hoenig

Sanford²,

Butterfield³

et al. 2006

JRRD

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Abstract-Our ability to provide in-home rehabilitation is limited by distance and available personnel. We may be able to meet some rehabilitation needs with videoconferencing technology. This article describes the feasibility of teletechnology for delivering multifactorial, in-home rehabilitation interventions to community-dwelling adults recently prescribed a mobility aid. We used standard telephone lines to provide twoway video and audio interaction. The interventions included prescription of and/or training in functionally based exercises, home-hazard assessment, assistive technology, environmental modifications, and adaptive strategies. Patients were evaluated in three transfer and three mobility tasks, and appropriate treatment was provided over the course of four visits. To date, 13 of the 14 subjects enrolled in the rehabilitation study have completed all four visits (56 visits total). Equipment-related problems were most common early in the study, particularly on the initial visit to a subject's house.We identified (mean ± standard deviation [SD]) 13.1 ± 7.9 mobility/self-care problems per subject and made 12.5 ± 8.3 recommendations per subject to address those problems. At 6-week follow-up, 60.1 percent of our recommendations had been implemented. The greatest number of problems was identified for tub transfers (mean ± SD = 3.4 ± 1.4), the greatest number of recommendations was made for toilet transfers (mean ± SD = 3.1 ± 3.4), and the most frequently implemented recommendations were for transition between locations. Overall, our results show promise that both the telerehabilitation technology and intervention procedures are feasible.

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Section: Adaptive Strategiesmentioning

confidence: 99%

Development of a teletechnology protocol for in-home rehabilitation

Hoenig

Sanford²,

Butterfield³

et al. 2006

JRRD

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“…One of these scales [Performance-Oriented Mobility Assessment (POMA)-I, see Appendix 1] was developed by Tinetti in 1986 so as to determine the risk of falls [9]. Within a few years (1986)(1987)(1988)(1989)(1990)(1991)(1992)(1993)(1994), Tinetti made some modifications in the components of POMA to be used as an outcome measure in her research population, developed, tested, and released its various versions [1,[9][10][11][12][13][14]. Some maneuvers were included or excluded in compliance with the conditions of the population under investigation.…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the Turkish version of the Performance-Oriented Mobility Assessment I

Yücel¹,

Şahin

Doğu

et al. 2012

Eur Rev Aging Phys Act

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The Performance-Oriented Mobility Assessment (POMA)-I is widely used assessment tool for evaluation of balance and gait properties. The aim of this study was to translate POMA-I to Turkish and to assess its reliability and validity. People with amputated lower extremities using prosthetics, those who underwent orthopedic surgery within the last 6 months, those dependent on wheel chairs and also bed-ridden patients, subjects with dementia and Alzheimer's disease, and illiterate people were excluded. After translation into Turkish, the Turkish version of the scale was applied on the participants at 2-week intervals. Volunteers ≥65 years of age were enrolled in the study. Internal consistencies of POMA subscale scores of postural balance and gait, and total score were calculated using Cronbach's α coefficient. The Turkish version was evaluated with respect to inter-and intrarater reliability and test-retest reliability intraclass correlation coefficient (ICC). For validation, Pearson's correlation coefficient between POMA and Berg Balance Scale (BBS) and Timed Up and Go Test (TUGT) was estimated. Eighty participants enrolled in the study with a mean age of 76.5± 6.75 years. In the reliability evaluation of the scale, considering postural balance, gait, and total score, Cronbach's α coefficients were found to be 0.72, 0.83, and 0.88, respectively. ICCs were detected above 0.70 for test-retest reliability and also for interrater and intrarater reliability. In validation study POMA total score had a strong positive correlation with BBS total score (r00.86, p<0.0001), and also a negative correlation with TUGT (r0−0.75, p<0.0001). According to the results of this study, the Turkish version of the POMA-I scale has been found to be a reliable and a valid scale for elderly Turkish people.

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“…Equally effective, however, as suggested by the studies cited above, may be a flexibility program designed to increase the ROM and decrease the stiffness of the muscles that oppose dorsiflexion. Others have also acknowledged the involvement of joint flexibility in gait parameters (Bowes et al, 1992;Koch, Gottschalk, Baker, Palumbo, & Tinetti, 1994;Schultz, 1992), and impairments in ROM as a risk factor for falls and mobility problems (Koch et al, 1994;Studenski, Duncan, & Chandler, 1991;Tinetti, Baker, & Garrett, 1993a). As with muscular strength and endurance therefore, if flexibility could be increased or maintained with training, the hope is that it would help to reduce either the incidence or the severity of ADL performance decrements, "thus preserving independence" (U.S. Department, 1990).…”

Section: A3ementioning

confidence: 99%

“…Koch et al (1994) included both upper and lower body ROM and upper and lower body strength measures in developing an impairment and disability assessment and treatment protocol. For flexibility, a criterion for intervention ("If ROM is less than considered necessary for activities of daily living") was set for various movement planes of shoulder, elbow, hip, and ankle joints, and a criterion value in degrees of ROM was established for each of these.…”

Section: Kexibility Improvementsmentioning

confidence: 99%

“Muscular Fitness”—Easing the Burden of Disability for Elderly Adults

Phillips¹,

Haskell²

1995

Journal of Aging and Physical Activity

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(1990) has specified as a key objective the reduction of disability in the performance of activities of daily living (ADL) for persons over the age of 65 years. Many ADL involve combinations of muscular strength, muscular endurance, and flexibility, three components that together have been referred to as "muscular fimess." The capacity of the elderly to remain functionally independent, therefore, may depend less on cardiovascular fitness, which has traditionally been the focus of health related fimess research, than on these components of muscular fitness. This review addresses the issue of muscular fitness and disability in the elderly by considering three questions: Is muscular fitness associated with ADL performance? Can muscular fitness be improved with exercise training? Do improvements in muscular fitness improve ADL performance? Answers to these questions will have important implications for future research and program implementation. Although initial findings are promising, more data are needed on the effect of muscular fitness on functional independence and quality of life in the elderly.

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An Impairment and Disability Assessment and Treatment Protocol for Community-Living Elderly Persons

Cited by 57 publications

References 10 publications

Development of a teletechnology protocol for in-home rehabilitation

Development of a teletechnology protocol for in-home rehabilitation

Reliability and validity of the Turkish version of the Performance-Oriented Mobility Assessment I

“Muscular Fitness”—Easing the Burden of Disability for Elderly Adults

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