Physical Performance Test and Activities of Daily Living Scales in the Assessment of Health Status in Elderly People

Rozzini, Renzo; Frisoni, Giovanni B.; Bianchetti, Angelo; Zanetti, Orazio; Trabucchi, Marco

doi:10.1111/j.1532-5415.1993.tb06460.x

Cited by 118 publications

(66 citation statements)

References 25 publications

(47 reference statements)

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“…There also has been a moderately good correlation when comparing entire scales. [36][37][38] Only one study to date has examined why performancebased measures and self-report measures of functional status are not highly correlated. Kempen et al studied the relation between self-report measures and performancebased measures in a subsample of the population-based Groningen Longitudinal Aging Study.…”

Section: Discussionmentioning

confidence: 99%

Measures of functional status in community-dwelling elders

Sherman

Reuben

1998

J Gen Intern Med

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OBJECTIVE:To evaluate two performance-based measures of functional status and assess their correlation with self-report measures. DESIGN:Cross-sectional study. PARTICIPANTS:Of the 363 community-dwelling elders enrolled in a trial of comprehensive geriatric assessment who participated, all had at least one of four target conditions (urinary incontinence, depression, impaired functional status, or history of falling). I n the last 15 years, a tremendous amount of research on quantifying how well individuals function has been reported. 1 Valid, reliable instruments have been developed to measure impairment, screen for early disability, and measure change over time. Assessing function is particularly important in the elderly, as the prevalence of functional disability increases with age. 2 Most instruments have relied either on patient self-report, 3 or on direct observation of the individual performing a variety of tasks (performance-based measures). 4 Although there is widespread agreement that screening for functional status in older persons is important, 5 the preferred method is still uncertain. Moreover, it is unclear whether self-report and performance-based measures can be used interchangeably. Previous studies comparing different measures of functional status assessment have typically found a good but not great correlation. The reason for this less-than-perfect agreement is not clear. Some possibilities are that the scales are measuring different aspects of function, that function is too complex to measure precisely with questionnaires or short performance assessments, or that the method of assessment is responsible for the differences. 6 When considering screening for functional impairment in clinical settings, several questions remain: Which instrument should be used? Is one method (self-report vs performance-based) preferable? Does the method of measurement affect the type of impairment detected? Using data obtained from community-dwelling elders, we addressed three study questions: (1) whether two commonly used performance-based measures, the National Institute on Aging (NIA) Battery of lower extremity function 7 and the Physical Performance Test (PPT), 8 are reliable and valid; (2) how well these two performance-based measures correlate with each other and with self-report measures of function; and (3) whether there are particular areas in which these two types of measures correlate highly. MEASUREMENTS:

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Section: Discussionmentioning

confidence: 99%

Measures of functional status in community-dwelling elders

Sherman

Reuben

1998

J Gen Intern Med

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“…In relation to their complexity and difficulty, the activities of daily living can be defined as "basic" (Basic Activities of Daily Living-BADL), "instrumental" (Instrumental Activities of Daily Living-IADL) or "advanced" (Advanced Activities of Daily Living-AADL) [17]. An impairment of functional status, in all its manifestations, represents a risk for complications, mortality, and increased need for care and assistance [18].…”

Section: Assessment Of Functional Statusmentioning

confidence: 99%

Goals of surgery and assessment tools for elderly patients referred for cardiac and noncardiac surgery

Coccia

Rozzini

2017

Monaldi Arch Chest Dis

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“…The modified disability score as assessed by number of functions lost in the BADL categories (from A to D with a progressively increasing number of functions lost), as previously used [16], was considered as a specific outcome. In the present version of the BADL, the meanings of each category were as follows: A = loss of 1 function among those explored; B = loss of 2 functions (bathing and another function); C = loss of 3 functions (bathing, dressing and another function), and D = loss of more than 3 functions.…”

Section: Methodsmentioning

confidence: 99%

“…Criteria for inclusion into the study were a distance <250 m at the baseline time-walked test [13]and at least one of the following: presence of significant oxygen desaturation (SatO 2 ≤85%) during the walk test despite oxygen supplementation (when used), a dyspnea score ≥3 as assessed by the Borg scale [14]at end of effort, chronic breathlessness score ≥4 as assessed by the MRC scale [15], disability score ≥B as assessed by number of functions lost in the modified Basic Activity of Daily Living (BADL) scale [16]. …”

Section: Methodsmentioning

confidence: 99%

Occupational Therapy and Pulmonary Rehabilitation of Disabled COPD Patients

Lorenzi

Cilione²,

Rizzardi³

et al. 2004

Respiration

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Background: Occupational therapy (OT) has been defined as a task of rehabilitation for disabled patients, giving them maximal function and independence to sustain specific activities of daily living. Objectives: To evaluate the effectiveness of OT as an adjunctive measuring during pulmonary rehabilitation (PR) of hospitalized COPD patients. Methods: A prospective clinical trial with parallel groups was undertaken in severely disabled COPD patients (n = 71, age 73 ± 5 years). They were assigned to either OT+PR (n = 47, FEV₁ 46 ± 21%pred.) or PR (n = 24, FEV₁ 44 ± 12%pred.). PR consisted of eighteen 3-hour daily sessions, whilst OT (domestic activities) was added 3 times a week up to nine 1-hour sessions. Six-min walk (6MWD) with evaluation of BORG dyspnea (D) and leg fatigue (F) scores at end of effort, breathlessness sensation (B) by means of the MRC scale as well as the number of functions lost in the Basic Activity of Daily Living (BADL) categories were assessed as outcomes before (T₀) and after (T₁) rehabilitation. Results: 6MWD (from 165 ± 63 to 233 ± 66 and from 187 ± 52 to 234 ± 65 m in the OT+PR and PR groups, respectively), D (from 4.9 ± 2.1 to 3.2 ± 1.6 and from 5.3 ± 2.1 to 3.4 ± 2.1), F (from 6.1 ± 0.5 to 4.5 ± 1.7 and from 5.9 ± 0.8 to 4.3 ± 0.8) and B (from 4.3 ± 0.9 to 3.0 ± 0.9 and from 4.2 ± 1.0 to 3.2 ± 0.8) had similarly improved (p < 0.01) in both groups at T₁. The percentage distribution of patients across the BADL categories significantly changed (p = 0.004) in OT+PR (from 17 to 61%, from 70 to 34% and from 23 to 5% in categories A, B and C, respectively) but not in the PR group. Conclusions: The addition of OT to comprehensive PR is able to specifically improve the outcome of severely disabled COPD inpatients.

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Physical Performance Test and Activities of Daily Living Scales in the Assessment of Health Status in Elderly People

Abstract: Chronic diseases may affect functional status in a manner that is insensitive to traditional self-report ADL and IADL measures. Performance-based measures may capture this impairment before more severe functional loss emerges.

Cited by 118 publications

References 25 publications

Measures of functional status in community-dwelling elders

Measures of functional status in community-dwelling elders

Goals of surgery and assessment tools for elderly patients referred for cardiac and noncardiac surgery

Occupational Therapy and Pulmonary Rehabilitation of Disabled COPD Patients

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