Use of a Cane for Ambulation: Marker and Mitigator of Impairment in Older People Who Report No Difficulty Walking

Pine, Zachary M.; Gurland, Barry J.; Chren, Mary‐Margaret

doi:10.1046/j.1532-5415.2002.50057.x

Cited by 20 publications

(12 citation statements)

References 19 publications

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“…Key words: equipment usage; mobility impairment; residual task difficulty; AHEAD database D isability in the elderly is a multifaceted phenomenon long used to describe the well-being of the elderly. 1,2 Elderly persons generally cope with disability by using equipment, 3 personal assistance, 4 or both. 5 The goal of such coping is to increase functioning, improving quality of life, but the measurement of disability is complex, and alternative approaches yield differing results.…”

Section: Resultsmentioning

confidence: 99%

The Effect of Equipment Usage and Residual Task Difficulty on Use of Personal Assistance, Days in Bed, and Nursing Home Placement

Taylor

Hoenig

2003

J American Geriatrics Society

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Equipment for indoor mobility or transfers apparently resolves difficulty for some users of the equipment but not for others. Residual task difficulty in spite of equipment for indoor mobility and transferring is linked with worse outcomes, including increased dependency on personal assistance and more days in bed. This shows that more attention is needed to determine whether equipment prescribed is appropriate for a patient's difficulty and that follow-up assessment is crucial after equipment is prescribed.

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Section: Resultsmentioning

confidence: 99%

The Effect of Equipment Usage and Residual Task Difficulty on Use of Personal Assistance, Days in Bed, and Nursing Home Placement

Taylor

Hoenig

2003

J American Geriatrics Society

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“…by using assistive devices or personal assistance, the life-space area and the frequency of travel may be maintained. Adapting compensatory strategies reflects decreased capability or pre-clinical disability, but at the same time such adaptations may post-pone changes in the frequency or distance of mobility patterns 7,8 In older people, restrictions in perceived participation have been reported most frequently for outdoor mobility. 9 Outdoor activities are activities that that take place outside of the home, they may occur in the near vicinity or over a larger life-space area.…”

mentioning

confidence: 99%

Association Between Physical Performance and Sense of Autonomy in Outdoor Activities and Life‐Space Mobility in Community‐Dwelling Older People

Portegijs

Rantakokko

Mikkola

et al. 2014

J American Geriatrics Society

115

103

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Objectives To study the relationship between physical performance and sense of autonomy in outdoor activities with life‐space mobility—the spatial area a person purposefully moves through in daily life—in community‐dwelling older people. Design Cross‐sectional analyses of baseline data of the Life‐Space Mobility in Old Age cohort study. Setting Structured interviews in participants' homes. Participants Community‐dwelling people aged 75 to 90 (N = 848). Measurements Sense of autonomy outdoors (Impact on Participation and Autonomy questionnaire subscale), life‐space mobility (Life‐Space Assessment; University of Alabama, Birmingham Study of Aging), and Short Physical Performance Battery. Results The median score for life‐space mobility was 64.0. In linear regression models, poorer physical performance and more‐limited sense of autonomy were independently associated with more restrictions in life‐space mobility, explaining approximately one‐third of the variation in life‐space mobility. Physical performance also had an indirect effect on life‐space mobility through sense of autonomy outdoors. Subgroup analyses of 5‐year age groups and sex revealed that the associations were somewhat stronger in women and the oldest age group. Conclusion Physical performance and sense of autonomy in outdoor activities explained a substantial portion of the variation in life‐space mobility in healthy older people, indicating that physical and psychosocial factors play a role in maintaining mobility in old age.

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“…12 M Pine et al also concluded that older people who deny any difficulty in walking but still use cane are at a greater risk of developing difficulty in walking and other new mobility problems compared to those who do not use a cane while walking. 13 Clinical observation and empirical evidence indicated a high prevalence of disuse and abandonment of mobility aids among older adults. Surveys indicated that almost half of the reported problems associated with the use of cane or walker fall under the category of difficulty and/or risky to use.…”

Section: Discussionmentioning

confidence: 99%

Determination of Agility in Elderly using Assistive Device by 8 Foot Up and Go Test

Chhabra

Desai

Kumar

2018

JIAG

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Background: With increasing age agility starts declining. Use of an assistive device hopefully aids in improving balance, agility, and confidence. There are fewer studies of objective quantification of agility with the use of the assistive device. This study aims to determine the agility in elderly using an assistive device by 8 foot up and go test. Methods: A comparative, experimental study was done on 60 Healthy adults of age 75 to 85 years. Subjects were asked to perform 8 foot up and go agility test initially without assistive device and then with an assistive device. The time in seconds was noted respectively. The mean of the two trials each was calculated. The data were analyzed using the paired t-test. Results: There was a statistically significant difference in mean agility score on 8 foot up and go test between subjects without an assistive device (12.33 ± 3.21 seconds) and with an assistive device (13.33 ± 3.39 seconds). Subjects when given assistive device took a longer time to complete the 8 foot up and go agility test than they required for completing it without an assistive device. Conclusion: There was a significant decrease in agility in elderly using an assistive device as shown by the increase in time taken to complete the 8 foot up and go agility test. There is a need for cautious clinical prescription practice for mobility aids.

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Use of a Cane for Ambulation: Marker and Mitigator of Impairment in Older People Who Report No Difficulty Walking

Cited by 20 publications

References 19 publications

The Effect of Equipment Usage and Residual Task Difficulty on Use of Personal Assistance, Days in Bed, and Nursing Home Placement

The Effect of Equipment Usage and Residual Task Difficulty on Use of Personal Assistance, Days in Bed, and Nursing Home Placement

Association Between Physical Performance and Sense of Autonomy in Outdoor Activities and Life‐Space Mobility in Community‐Dwelling Older People

Determination of Agility in Elderly using Assistive Device by 8 Foot Up and Go Test

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