Clinical and Ambulatory Gait Speed in Older Adults: Associations With Several Physical, Mental, and Cognitive Health Outcomes.

Abstract:

BACKGROUND:Although clinical gait speed may indicate health and well-being in older adults, there is a lack of studies comparing clinical tests with ambulatory gait speed with regard to several health outcomes. OBJECTIVE:The objective of this study was to examine the associations of clinical gait speed, measured by the 2.44-m walk test and the ambulatory gait speed with several physical, mental, and cognitive health outcomes in older adults. DESIGN:A cross-sectional design was used. METHODS:The study population comprised 432 high-functioning, community-dwelling older adults (287 women) aged between 65 and 92 years. Clinical and ambulatory gait speeds were measured using the 2.44-m walk test and a portable gait analysis device, respectively. Multiple linear regressions were used to examine the association of clinical and ambulatory gait speeds with several health outcomes (body mass index, waist circumference, systolic and diastolic blood pressure, chronic conditions, self-rated health, exhaustion, upper- and lower-body strength, physical and mental health status, cognitive status, and self-rated cognitive status). RESULTS:The results showed that the average gait speed for clinical and ambulatory measures cannot be directly compared. Clinical gait speed was associated with 7 health outcomes, and the ambulatory gait speed was associated with 6 health outcomes. The significant associations between measures of gait speed and the health outcomes converged in 5 of the 13 health outcomes studied; however, the strength of associations was singly different between measures. LIMITATIONS:The short monitoring time, the inability to distinguish between the ambulatory gait speed inside the home and outdoor gait speed, and the under-representative sample are limitations of the study. CONCLUSION:The results indicated differences in the number and strength of associations between clinical and ambulatory gait speed. Both measures have construct validity because they have been associated with physical and health outcomes; however, they may have different predictive validity. Further research should be conducted to compare their predictive validity in longitudinal designs.

journal_name

Phys Ther

journal_title

Physical therapy

authors

De la Cámara MÁ,Higueras-Fresnillo S,Sadarangani KP,Esteban-Cornejo I,Martinez-Gomez D,Veiga ÓL

doi

10.1093/ptj/pzz186

subject

Has Abstract

pub_date

2020-04-17 00:00:00

pages

718-727

issue

4

eissn

0031-9023

issn

1538-6724

pii

5695651

journal_volume

100

pub_type

杂志文章
  • Physical therapists make accurate and appropriate discharge recommendations for patients who are acutely ill.

    abstract:BACKGROUND:Acute care physical therapists contribute to the complex process of patient discharge planning. As physical therapists are experts at evaluating functional abilities and are able to incorporate various other factors relevant to discharge planning, it was expected that physical therapists' recommendations of ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20090164

    authors: Smith BA,Fields CJ,Fernandez N

    更新日期:2010-05-01 00:00:00

  • Sex differences in career expectations of physical therapist students.

    abstract:BACKGROUND AND PURPOSE:There are some sex differences in the career activities of physical therapists. The purpose of this study was to determine whether these sex differences are reflected in the career expectations of physical therapist students. SUBJECTS:Participants were 919 physical therapist students. METHODS:F...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20060285

    authors: Johanson MA

    更新日期:2007-09-01 00:00:00

  • Development of clinical education sites in an area health education system.

    abstract::In 1974 the University of Kentucky was faced with two problems: 1) overburdening of local clinical facilities by students and 2) a large exodus of graduates from the state. The advent of the Area Health Education System offered the opportunity for the clinical education program to develop nontraditional clinical sites...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/61.6.904

    authors: Clark SL,Schlachter S

    更新日期:1981-06-01 00:00:00

  • Comparison of gait of young women and elderly women.

    abstract::The purpose of our study was to describe and compare free-speed gait patterns of healthy young women with healthy elderly women. The evaluation was completed with high-speed cinematography using synchronized front and side views of 26 healthy volunteers. One group was composed of 13 subjects 20 to 35 years of age, and...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/66.9.1382

    authors: Hageman PA,Blanke DJ

    更新日期:1986-09-01 00:00:00

  • Coordination and Symmetry Patterns During the Drop Vertical Jump in People With Chronic Ankle Instability and Lateral Ankle Sprain Copers.

    abstract:BACKGROUND:The drop vertical jump (DVJ) task has previously been used to identify movement patterns associated with a number of injury types. However, no current research exists evaluating people with chronic ankle instability (CAI) compared with people coping with lateral ankle sprain (LAS) (referred to as "LAS copers...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20150160

    authors: Doherty C,Bleakley C,Hertel J,Caulfield B,Ryan J,Sweeney K,Patterson MR,Delahunt E

    更新日期:2016-08-01 00:00:00

  • Fundamentals of acute burn care and physical therapy management.

    abstract::The purpose of this paper is to discuss general treatment guidelines for treating patients with acute burns and to review pathophysiology of acute burn injuries. I will discuss skin composition briefly, give a review of acute burn pathophysiology and medical treatment, outline the psychological factors physical therap...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/64.8.1217

    authors: Wright PC

    更新日期:1984-08-01 00:00:00

  • Establishing minimal clinically important differences for scores on the pediatric evaluation of disability inventory for inpatient rehabilitation.

    abstract:BACKGROUND AND PURPOSE:Standardized pediatric assessment tools such as the Pediatric Evaluation of Disability Inventory (PEDI) numerically quantify changes during rehabilitation through test scores, but they are unable to provide client-specific information regarding important changes in function. The purpose of this s...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Iyer LV,Haley SM,Watkins MP,Dumas HM

    更新日期:2003-10-01 00:00:00

  • Voluntary upper-extremity movements in patients with unilateral peripheral vestibular hypofunction.

    abstract:BACKGROUND AND PURPOSE:People with peripheral vestibular pathology demonstrate motor impairments when responding and adapting to postural platform perturbations and during performance of sit-to-stand and locomotor tasks. This study investigated the influence of unilateral peripheral vestibular hypofunction on voluntary...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Borello-France DF,Gallagher JD,Furman JM,Redfern MS,Carvell GE

    更新日期:2002-03-01 00:00:00

  • Proposing 6 dimensions within the construct of movement in the movement continuum theory.

    abstract:BACKGROUND AND PURPOSE:The Movement Continuum Theory (MCT) provides a potential basis for movement assessment and intervention, but "movement" lacks specificity. The purposes of this study were to propose and evaluate a subdivision of movement into multiple dimensions. SUBJECTS:A convenience sample of 318 adults compl...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.2522/ptj.20060182

    authors: Allen DD

    更新日期:2007-07-01 00:00:00

  • Electrode placements for transcutaneous electrical nerve stimulation.

    abstract::Even though transcutaneous electrical nerve stimulation is gaining increasing acceptance as a noninvasive method of pain modulation, many professionals have not been adequately instructed in the many techniques involved in electrode placement. Alternative methods are presented that can be used when more commonly used ...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/58.12.1455

    authors: Mannheimer JS

    更新日期:1978-12-01 00:00:00

  • Effects of upper limb immobilization on isometric muscle strength, movement time, and triphasic electromyographic characteristics.

    abstract::The effects of short-term immobilization on isometric muscle strength, movement time, and triphasic integrated electromyographic characteristics were assessed during a simple ballistic elbow flexion and extension movement. The nondominant upper limbs in six subjects (two female, four male) were immobilized in a plaste...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/69.2.119

    authors: Vaughan VG

    更新日期:1989-02-01 00:00:00

  • Teleassessment of Gait and Gait Aids: Validity and Interrater Reliability.

    abstract:BACKGROUND:Gait and mobility aid assessments are important components of rehabilitation. Given the increasing use of telehealth to meet rehabilitation needs, it is important to examine the feasibility of such assessments within the constraints of telerehabilitation. OBJECTIVE:The objective of this study was to examine...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzaa005

    authors: Venkataraman K,Amis K,Landerman LR,Caves K,Koh GC,Hoenig H

    更新日期:2020-04-17 00:00:00

  • Central Nervous System Reorganization and Pain After Spinal Cord Injury: Possible Targets for Physical Therapy-A Systematic Review of Neuroimaging Studies.

    abstract:BACKGROUND:Pain is one of the main symptoms associated with spinal cord injury (SCI) and can be associated with changes to the central nervous system (CNS). PURPOSE:This article provides an overview of the evidence relating to CNS changes (structural and functional) associated with pain in SCIs. DATA SOURCES:A system...

    journal_title:Physical therapy

    pub_type: 杂志文章,meta分析

    doi:10.1093/ptj/pzaa043

    authors: Osinski T,Acapo S,Bensmail D,Bouhassira D,Martinez V

    更新日期:2020-06-23 00:00:00

  • Biomechanics in clinical practice.

    abstract::Evidence from dynamic biomechanical analyses of physical activities has greatly expanded our knowledge about the mechanical bases for human movement function with potential implications for further understanding movement dysfunction. The purpose of this review is to relate these findings to present knowledge about the...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/64.12.1860

    authors: Deusinger RH

    更新日期:1984-12-01 00:00:00

  • Control of lead and trail limbs during obstacle crossing following stroke.

    abstract:BACKGROUND AND PURPOSE:Obstacle crossing is compromised following stroke. The purpose of this study was to quantify modifications during obstacle clearance following stroke. SUBJECTS:Twelve subjects with stroke and 12 subjects without stroke participated in the study. METHODS:Kinematic variables were measured while p...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Said CM,Goldie PA,Culham E,Sparrow WA,Patla AE,Morris ME

    更新日期:2005-05-01 00:00:00

  • Application of 24-hour burst TENS in a back school.

    abstract::The Back School program consists of exercises and education designed to reduce back pain. Sixty-six percent of the patients had too much back pain to participate. The purpose of this clinical report is to describe how 24-hour burst transcutaneous electrical nerve stimulation (TENS) treatment enabled these patients wit...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/65.9.1355

    authors: Brill MM,Whiffen JR

    更新日期:1985-09-01 00:00:00

  • Use of anabolic steroids to attenuate the effects of glucocorticoids on the rat diaphragm.

    abstract:BACKGROUND AND PURPOSE:Administration of glucocorticoids results in atrophy and contractile dysfunction in the rat diaphragm. Anabolic steroids may be useful in preventing atrophy and contractile dysfunction. The purpose of this study was to assess the effects of simultaneous administration of testosterone and glucocor...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:

    authors: Eason JM,Dodd SL,Powers SK

    更新日期:2003-01-01 00:00:00

  • Functional limitations in patients with diabetes and transmetatarsal amputations.

    abstract:BACKGROUND AND PURPOSE:Reports in the surgical and rehabilitation literature suggest that patients with transmetatarsal amputations (TMAs) function well with regular shoes and a toe filler. Functional limitations, however, have not been documented in this population. The purpose of this study was to compare the functio...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/77.9.937

    authors: Mueller MJ,Salsich GB,Strube MJ

    更新日期:1997-09-01 00:00:00

  • A new challenge--robotics in the rehabilitation of the neurologically motor impaired.

    abstract::Rehabilitation robotics is a research area, originating in engineering, that has emerged in the last decade. Its broad aim is to use robot technology to assist people with movement dysfunction. The neurologically impaired population might gain considerably from the provision of robots as "assistants" or "therapy aides...

    journal_title:Physical therapy

    pub_type: 杂志文章,评审

    doi:10.1093/ptj/71.1.39

    authors: van Vliet P,Wing AM

    更新日期:1991-01-01 00:00:00

  • Perspectives on Active Video Gaming as a New Frontier in Accessible Physical Activity for Youth With Physical Disabilities.

    abstract::This perspective article explores the utility of active video gaming as a means of reducing sedentary behavior and increasing physical activity among youth with physical disabilities and limitations in lower extremity function who typically are excluded from mainstream exercise options. Youth with physical disabilitie...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20140258

    authors: Rowland JL,Malone LA,Fidopiastis CM,Padalabalanarayanan S,Thirumalai M,Rimmer JH

    更新日期:2016-04-01 00:00:00

  • Isometric exercises and a simple appliance for temporomandibular joint dysfunction: a case report.

    abstract::This case report presents a treatment approach for a patient with temporomandibular joint (TMJ) dysfunction signs and symptoms. Temporomandibular joint pain, jaw clicking and locking, and postural abnormalities were treated with gentle isometric (static) exercises, coordination exercises, and an easily fitted and read...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/69.6.463

    authors: Santiesteban AJ

    更新日期:1989-06-01 00:00:00

  • Physicians' attitudes toward early intervention.

    abstract::Fourteen pediatricians serving Boston neighborhood health centers and fourteen pediatric neurologists in the greater Boston area were interviewed in order to determine their attitudes toward early intervention for infants with developmental disorders. The two groups differed significantly over the potential of early t...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/58.2.160

    authors: Esposito RR

    更新日期:1978-02-01 00:00:00

  • Physical Therapist Student Readiness for Entrance Into the First Full-Time Clinical Experience: A Delphi Study.

    abstract:Background:To consistently prepare physical therapist students for their first full-time clinical experience, the entry-level curriculum must provide and assess competency in the essential knowledge, skills, attitudes, and professional behaviors. Objective:The purpose of this Delphi study was to develop consensus on a...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/pzy134

    authors: Timmerberg JF,Dole R,Silberman N,Goffar SL,Mathur D,Miller A,Murray L,Pelletier D,Simpson MS,Stolfi A,Thompson A,Utzman R

    更新日期:2019-02-01 00:00:00

  • Functional training in the management of chronic facial paralysis.

    abstract:BACKGROUND AND PURPOSE:Disability in patients with facial paralysis is the result of impairment or loss of complex and multidimensional functions of the face, including expression of emotions, facial identity, and communication. However, the majority of interventions for facial paralysis are unidimensional and impairme...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100404

    authors: Prakash V,Hariohm K,Vijayakumar P,Bindiya DT

    更新日期:2012-04-01 00:00:00

  • Teaching. A skill in clinical practice.

    abstract::I surveyed by questionnaire a random sample of 585 physical therapists and the administrators of all accredited and developing entry-level educational programs on record with the American Physical Therapy Association in March 1981 to determine attitudes toward, involvement in, and preparation for teaching as a skill i...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/63.10.1627

    authors: May BJ

    更新日期:1983-10-01 00:00:00

  • Successful treatment of long-term, poststroke, upper-limb spasticity with onabotulinumtoxinA.

    abstract:BACKGROUND AND PURPOSE:Poststroke spasticity often negatively affects functional activities and daily living and frequently is accompanied by pain, abnormal limb postures, and contractures. The purpose of this case report is to describe the long-term benefit of botulinum toxin A in a patient with poststroke spasticity....

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20100370

    authors: Patel AT

    更新日期:2011-11-01 00:00:00

  • Measurement for curriculum building for multiply handicapped children.

    abstract::Quantitative longitudinal tracking of objectively defined motor behaviors can be used with severely multiply handicapped infants and children to develop treatment curricula and assess the changes occurring as a result of stimulation programs. The frequency or duration of clearly defined motor behaviors can be observed...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/58.4.415

    authors: Whitney PL

    更新日期:1978-04-01 00:00:00

  • Safe patient handling perceptions and practices: a survey of acute care physical therapists.

    abstract:BACKGROUND:Acute care physical therapists are at risk for developing work-related musculoskeletal disorders (WMSDs) due to manual patient handling. Safe patient handling (SPH) reduces WMSDs caused by manual handling. OBJECTIVE:The purpose of this study was to describe the patient handling practices of acute care physi...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.2522/ptj.20120539

    authors: Olkowski BF,Stolfi AM

    更新日期:2014-05-01 00:00:00

  • Reliability of the scores for the finger-to-nose test in adults with traumatic brain injury.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to determine the intrarater and interrater reliability of measurements of three clinical features of coordination based on the performance of the "finger-to-nose" test. SUBJECTS:Thirty-seven persons with traumatic brain injury (26 male, 11 female), aged 17 to 64 yea...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/73.2.71

    authors: Swaine BR,Sullivan SJ

    更新日期:1993-02-01 00:00:00

  • Physical impairments and functional limitations: a comparison of individuals 1 year after total knee arthroplasty with control subjects.

    abstract:BACKGROUND AND PURPOSE:The purpose of this study was to examine the physical impairments and functional limitations of individuals with total knee arthroplasty (TKA), as compared with individuals with no diagnosed knee disease (control subjects). SUBJECTS:Twenty-nine individuals 1 year following TKA (13 women, 16 men)...

    journal_title:Physical therapy

    pub_type: 杂志文章

    doi:10.1093/ptj/78.3.248

    authors: Walsh M,Woodhouse LJ,Thomas SG,Finch E

    更新日期:1998-03-01 00:00:00