Reliability of the 400‐M Usual‐Pace Walk Test as an Assessment of Mobility Limitation in Older Adults

Rolland, Yves; Cesari, Matteo; Miller, Michael E.; Penninx, Brenda W. J. H.; Atkinson, Hal H.; Pahor, Marco

doi:10.1111/j.1532-5415.2004.52267.x

Cited by 165 publications

(119 citation statements)

References 20 publications

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“…In the 400-m walk test, the individual is asked to complete the task within 15 minutes. In our SPRINTT experience and consistent with the literature 44) , the person who fails the test usually stops it within the first 5-8 minutes; it is quite unlikely that one will fail the test upon approaching the maximum time limit. In other words, the 15-minute limit is there not to stress the individual and challenge his/her reserves but to put an end to a task that a slow walker will be quite unlikely to complete.…”

Section: Absence Of Disabilitysupporting

confidence: 71%

Physical Frailty and Sarcopenia: Development of a Framework for Supporting Interventions Against Incident Mobility Disability

Cesari

2017

Ann Geriatr Med Res

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In 2014, the Innovative Medicines Initiative funded a 48-million Euros project entitled "Sarcopenia and Physical fRailty IN older people: multi-componenT Treatment strategies" (SPRINTT). The SPRINTT consortium federates partners from academia, industry, and the private sector to address an important gap in the geriatric field: the lack of a standardized and clinically relevant definition of sarcopenia. In particular, the SPRINTT project aims to involve all major stakeholders in the framing of a skeletal muscle-specific risk profile that exposes the individual at risk of negative health-related outcomes (in particular, disability), is amenable to benefiting from preventive interventions, and meets the standards requested by regulatory agencies. During the first year of activity, the SPRINTT consortium has implemented a "Physical Frailty & Sarcopenia" (PF&S) condition that considers existing evidence and regularly exchanges information with the European Medicines Agency. This condition is currently the study objective of a 3-year randomized controlled trial in multiple countries across Europe. The trial aims to verify whether a multicomponent intervention (based on physical activity and nutritional counseling) can prevent the onset of mobility disabilities in community-dwelling older persons with PF&S. The present article provides an overview of the SPRINTT background and rationale and explains the details of the PF&S condition.

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Section: Absence Of Disabilitysupporting

confidence: 71%

Physical Frailty and Sarcopenia: Development of a Framework for Supporting Interventions Against Incident Mobility Disability

Cesari

2017

Ann Geriatr Med Res

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“…We included death, because frail older persons have high mortality rates, and possible differences in mortality between the two groups could have substantially influenced the interpretation of study results. Secondary outcomes were changes in SPPB score and time to walk 400 m, which are both reliable proxy measures of disability, with good predictive validity for multiple adverse outcomes (13,26). Tests used to establish the main outcomes were administered by physical therapists who were blind to group assignment and who had no additional contact with participants.…”

Section: Discussionmentioning

confidence: 99%

A randomized, controlled trial of disability prevention in frail older patients screened in primary care: the FRASI Study. Design and baseline evaluation

et al. 2006

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“…Heart rate was monitored continually. The 400-m W has strong face validity as a mobility measure and test-retest reliability is high (28).…”

Section: Methodsmentioning

confidence: 99%

Effect of high‐speed power training on muscle performance, function, and pain in older adults with knee osteoarthritis: A pilot investigation

Sayers¹,

Gibson²,

Cook³

2011

Arthritis Care & Research

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Objective. To examine the effect of high-speed power training (HSPT) on muscle performance, mobility-based function, and pain in older adults with knee osteoarthritis. Methods. Thirty-three participants (mean ؎ SD age 67.6 ؎ 6.8 years) were randomized to HSPT (n ‫؍‬ 12), slow-speed strength training (SSST; n ‫؍‬ 10), or control (CON; n ‫؍‬ 11) for a 12-week intervention. HSPT performed 3 sets of 12-14 repetitions at 40% of the 1-repetition maximum (1RM) "as fast as possible," SSST performed 3 sets of 8 -10 repetitions at 80% of the 1RM slowly, and CON performed stretching and warm-up exercises. Outcome measures included leg press (LP) 1RM and LP peak power (PP) from 40 -90% of the 1RM and the corresponding PP velocity (PPV) and PP force; 400-meter walk, Berg Balance Scale, and timed chair rise; and self-reported function and pain using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Analysis of variance models were used to compare changes from baseline to 12 weeks. Statistical significance was accepted at P < 0.05. Results. LP PP improved in both HSPT and SSST compared to CON (P ‫؍‬ 0.04). LP PPV improved only in HSPT (P ‫؍‬ 0.01).There were also improvements in timed chair rise (P ‫؍‬ 0.002), WOMAC function (P ‫؍‬ 0.004), and WOMAC pain (P ‫؍‬ 0.02) across all of the groups. Conclusion. HSPT was effective at improving function and pain, but no more so than either SSST or CON. Because HSPT improved multiple muscle performance measures (strength, power, and speed), it is a more effective resistance training protocol than SSST and may increase safety in this population, especially when high-speed movements are required during daily tasks.

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Reliability of the 400‐M Usual‐Pace Walk Test as an Assessment of Mobility Limitation in Older Adults

Cited by 165 publications

References 20 publications

Physical Frailty and Sarcopenia: Development of a Framework for Supporting Interventions Against Incident Mobility Disability

Physical Frailty and Sarcopenia: Development of a Framework for Supporting Interventions Against Incident Mobility Disability

A randomized, controlled trial of disability prevention in frail older patients screened in primary care: the FRASI Study. Design and baseline evaluation

Effect of high‐speed power training on muscle performance, function, and pain in older adults with knee osteoarthritis: A pilot investigation

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