Comprehensive Physical Function Assessment in Elderly People

Abstract

In elderly people with mobility limitations, abnormalities in posture and gait contribute to the greater decline of physical motor function. The aim of the review article was to determine the comprehensive physical motor function assessment. Muscle function was assessed with the grip strength. Gait function was assessed with walking time tests conducted at a normal pace. Balance function was assessed with one-legged standing time. The 6-min walking distance test (6MD) was performed in a 10-m, straight corridor. Walking efficiency during the 6MD trials was measured using the Cosmed K4b2 (Rome, Italy), an indirect calorimetry system specifically designed to measure energy expenditure in nonlaboratory settings. The center of pressure was recorded using a balance board (Wii; Nintendo Co., Ltd., Kyoto, Japan). A vibratory stimulus was applied alternately to two muscles by fixing two vibrators from the vibration device onto the participant's gastrocnemius and lumbar multifidus muscle. These findings show that an assessment affecting postural control under proprioceptive stimulation might be a good indicator of elderly people. Also, the objective assessment of walking efficiency might be important for identifying the risk of external activity limitation or functional limitations among the late elderly.

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“…As principais variáveis foram medidas e ajustadas estatisticamente por seu impacto na relação entre exposição e resultado em todos os estudos. Apenas nove artigos 10,37,41,54,57,59,84,85,89 Em cada perfil de sujeitos é fundamental considerar questões específicas para a adequada escolha do teste a ser utilizado, como idade, nível de consciência, capacidade de seguir instruções, motivação, fraqueza, fatigabilidade, e a própria condição clínica do sujeito 2 , pois selecionar uma medida inadequada de resultado pode levar a conclusões incorretas sobre a condição do indivíduo e sobre os benefícios do tratamento 2,95,96 . Entretanto, os testes funcionais possuem algumas limitações.…”

Optimized criteria for locomotion-based healthspan evaluation in C. elegans using the WorMotel system

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The effect of personalized nursing intervention based on CGA on the quality of life for elderly patients with chronic diseases

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