Use of an obstacle course to assess balance and mobility in the elderly. A validation study.

Abstract:

:An obstacle course, consisting of a series of 12 simulated functional tasks, has been developed to aid in the evaluation of rehabilitation interventions for elderly individuals with balance and mobility dysfunction. The validity of the obstacle course as a measure of balance and functional mobility was tested by comparing obstacle course performance scores of a sample of 237 community-dwelling veterans, aged 67 to 93 yr, with clinical indicators of balance and mobility including age, history of falls, symptoms of balance dysfunction, medication use, orthostatic blood pressure changes, neurologic examination abnormalities, muscle strength, joint range of motion, self-reported activity level, and functional status. Significant correlations were found between obstacle course scores and all clinical indicators except blood pressure changes and age. Multiple regression analysis of selected variables showed that activity level and neurologic abnormalities best determined both qualitative and quantitative obstacle course performance. Non-fallers performed significantly better on the obstacle course than fallers. These results suggest that the obstacle course is valid and has potential as a useful tool in the evaluation of older persons with balance and mobility impairment.

journal_name

Am J Phys Med Rehabil

authors

Means KM,Rodell DE,O'Sullivan PS

doi

10.1097/00002060-199603000-00003

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

88-95

issue

2

eissn

0894-9115

issn

1537-7385

journal_volume

75

pub_type

杂志文章
  • Word finding difficulty as a post-polio sequelae.

    abstract:OBJECTIVE:Seventy-nine percent of respondents to the 1990 National Post-Polio Survey reported difficulty "thinking of words I want to say," with 37% reporting frequent, moderate-to-severe word finding difficulty. This study was undertaken to objectively document polio survivors' word finding difficulty and to identify ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-200007000-00005

    authors: Bruno RL,Zimmerman JR

    更新日期:2000-07-01 00:00:00

  • Thoracic outlet syndrome with involvement of the cervical sympathetics because of idiopathic tumoral calcinosis.

    abstract::A 38-yr-old woman reported intermittent pain, paresthesia, and weakness in the right upper limb and sweating on the right side of her face and ipsilateral upper limb during the last 4 yrs. Eventually, she was diagnosed with thoracic outlet syndrome, whereby sympathetic nervous system involvement was thought to ensue b...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e31820f96fe

    authors: Emlakcioğlu E,Kara M,Ozcan HN,Eroğlu M,Kaymak B,Ozçakar L

    更新日期:2011-09-01 00:00:00

  • The Emergence of the Rehabilitative Strategy: The Driving Forces in the United States.

    abstract::The aim of this essay was to show the impact that driving forces have had on the emergence of rehabilitation as a health strategy in the United States. Specifically, this essay (1) identifies the driving forces that have addressed the development of rehabilitation, (2) examines how the rehabilitative strategy has been...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000864

    authors: Caracheo A,Bickenbach J,Stucki G

    更新日期:2018-03-01 00:00:00

  • Effects of regular exercise training on skeletal muscle contractile function.

    abstract::Skeletal muscle function is critical to movement and one's ability to perform daily tasks, such as eating and walking. One objective of this article is to review the contractile properties of fast and slow skeletal muscle and single fibers, with particular emphasis on the cellular events that control or rate limit the...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/01.PHM.0000059336.40487.9C

    authors: Fitts RH

    更新日期:2003-04-01 00:00:00

  • Stroke impairment predictors of discharge function, length of stay, and discharge destination in stroke rehabilitation.

    abstract:OBJECTIVES:This article presents analytic results from a prospective study of 313 stroke rehabilitation patients, looking at the relative contributions of different stroke impairments toward prediction of discharge function, rehabilitation length of stay, and discharge destination after inpatient rehabilitation. The re...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.phm.0000171005.08744.ab

    authors: Wee JY,Hopman WM

    更新日期:2005-08-01 00:00:00

  • Nerve Stimulation Enhances Task-Oriented Training for Moderate-to-Severe Hemiparesis 3-12 Months After Stroke: A Randomized Trial.

    abstract:OBJECTIVE:The aim of the study was to determine whether somatosensory stimulation affects outcomes of motor training for moderate-to-severe upper limb hemiparesis less than 12 mos before stroke. DESIGN:Fifty-five adults participated in 18 intervention sessions pairing 2 hours of active (n = 33) or sham (n = 22) somato...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PHM.0000000000000971

    authors: Carrico C,Westgate PM,Salmon Powell E,Chelette KC,Nichols L,Pettigrew LC,Sawaki L

    更新日期:2018-11-01 00:00:00

  • Not Always as It Seems: A Case of Ascending Paralysis.

    abstract::Although generally presenting as a chronic, progressive peripheral neuropathy, we present a case of acute alcoholic neuropathy initially mistaken for acute Guillain-Barré syndrome. Electrodiagnostic evaluation of alcoholic neuropathy reveals an axonal neuropathy and may be complicated by demyelination if comorbid nutr...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001244

    authors: Staszel JP,Miknevich M

    更新日期:2020-03-01 00:00:00

  • Does postural stability affect the performance of eye-hand coordination in stroke survivors?

    abstract:OBJECTIVE:The aim of this study was to investigate eye-hand coordination in stroke survivors while sitting and standing and its relationship with sensorimotor performance. DESIGN:This was a cross-sectional study conducted at university-based rehabilitation center. Fifteen stroke survivors performed a fast finger-point...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3182876adb

    authors: Tsang WW,Ng SS,Lee MW,Tse SP,Yip EW,Yuen JK

    更新日期:2013-09-01 00:00:00

  • Paucity of Clinical Practice Guidelines for the Rehabilitation of Burn Survivors.

    abstract::Clinical practice guidelines (CPGs) provide an efficient route from research to practice because they follow a prescribed, vetted process for evidence collection. CPGs offer underserved fields, such as burn rehabilitation, an accessible approach to reliable treatment. A literature search was performed using the terms ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001442

    authors: Gerber LH,Deshpande R,Prabhakar S,Cai C,Garfinkel S,Pomeroy JML,Esselman P,Schneider J

    更新日期:2020-08-01 00:00:00

  • Neuromuscular adaptations to electrostimulation resistance training.

    abstract::A combination of in vivo and in vitro analyses was performed to investigate muscular and neural adaptations of the weaker (nondominant) quadriceps femoris muscle of one healthy individual to short-term electrostimulation resistance training. The increase in maximal voluntary strength (+12%) was accompanied by neural (...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.phm.0000197570.03343.18

    authors: Maffiuletti NA,Zory R,Miotti D,Pellegrino MA,Jubeau M,Bottinelli R

    更新日期:2006-02-01 00:00:00

  • Placement of a plate under the forefoot in stance: decreasing the excitability of the soleus motoneuron pool.

    abstract:OBJECTIVE:To investigate the effect of the placement of a plate under the sole of the forefoot on the excitability of the soleus motoneuron pool in stance. DESIGN:While eight neurologically intact subjects remained in stance, a square plate (30 x 30 mm), either 3 mm or 6 mm in thickness, was placed under the left medi...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.PHM.0000087454.19029.7E

    authors: Hiraoka K

    更新日期:2003-11-01 00:00:00

  • Rehabilitation, aging and chronic renal disease.

    abstract::Restorative management of the disabled elderly requires knowledge about realistic functional expectations, in addition to knowledge about a patient's particular disease. Health outlook, especially sense of control, should also be assessed because rehabilitation depends on the patient's active participation. A comparis...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199204000-00007

    authors: Kutner NG,Cardenas DD,Bower JD

    更新日期:1992-04-01 00:00:00

  • The uniform data system for medical rehabilitation: report of patients with stroke discharged from comprehensive medical programs in 2000-2007.

    abstract:OBJECTIVE:To provide benchmarking information for a large national sample of patients receiving inpatient rehabilitation after a stroke. DESIGN:Analysis of secondary data from 893 medical rehabilitation facilities located in the United States and contributing information to the Uniform Data System for Medical Rehabili...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0b013e3181c1ec38

    authors: Granger CV,Markello SJ,Graham JE,Deutsch A,Ottenbacher KJ

    更新日期:2009-12-01 00:00:00

  • Motor Unit Number Index in Evaluating Patients with Lumbar Spinal Stenosis.

    abstract:OBJECTIVE:Motor Unit Number Index (MUNIX) is a quantitative electrophysiological measure that provides an index of the number of motor neurons supplying a muscle. The aim of this exploratory study is to assess the utility of MUNIX in the evaluation of patients with lumbar spinal stenosis (LSS). DESIGN:Participants wer...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001681

    authors: Cai H,Kroll M,Annaswamy T

    更新日期:2021-01-08 00:00:00

  • Effects of acute joint effusion on balance in patients with knee osteoarthritis.

    abstract:OBJECTIVES:The purpose of this study was to assess the effects of acute joint effusion on balance in patients with knee osteoarthritis. DESIGN:Forty-four female subjects with painful knee osteoarthritis participated in this single-blind, randomized, controlled clinical trial. All subjects were randomly assigned to eit...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/PHM.0b013e318269d78f

    authors: Hong BY,Lim SH,Im SA,Lee JI

    更新日期:2013-01-01 00:00:00

  • Sleep disturbance in patients with chronic low back pain.

    abstract:OBJECTIVE:To document the relationship between sleep disturbance and chronic low back pain in patients referred to a physical medicine and rehabilitation clinic. DESIGN:This is a prospective cross-sectional survey of 268 patients 18 yrs or older being evaluated for low back pain of greater than 6 months at a tertiary ...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.phm.0000214259.06380.79

    authors: Marin R,Cyhan T,Miklos W

    更新日期:2006-05-01 00:00:00

  • Research agenda for geriatric rehabilitation.

    abstract::The Research Agenda Setting Process is a joint endeavor by the American Geriatrics Society and the Hartford Foundation to increase geriatric expertise in the surgical and related specialties. This article provides the results of the Research Agenda Setting Process project on research needs in geriatric rehabilitation,...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/01.phm.0000143435.79146.9f

    authors: Hoenig H,Siebens H

    更新日期:2004-11-01 00:00:00

  • Balance, mobility, and falls among elderly African American women.

    abstract:OBJECTIVE:To compare balance, mobility, recent falls, and injuries among elderly African American and white women. DESIGN:This was a nonexperimental study. Participants, who were older than 65 yr of age, able to walk at least 30 ft, not residing in a nursing home, and with no acute medical problems, were recruited fro...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-200001000-00008

    authors: Means KM,O'Sullivan PS,Rodell DE

    更新日期:2000-01-01 00:00:00

  • Conservative Management and Rehabilitation in the Older Runner With Knee Osteoarthritis: An Evidence-Based Review.

    abstract::Osteoarthritis is an age-related condition that commonly affects the middle-aged and elderly population including individuals who continue to pursue an active and athletic lifestyle. Running is an easily accessible activity with many health benefits; thus, it is becoming a popular form of exercise, even in older indiv...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,评审

    doi:10.1097/PHM.0000000000001082

    authors: Castillo B,Sepúlveda F,Micheo W

    更新日期:2019-05-01 00:00:00

  • Functional outcome from traumatic brain injury: unidimensional or multidimensional?

    abstract::This study compared multidimensional and unidimensional measures of functional outcome from traumatic brain injury in a referred sample of 67 persons with moderate to severe traumatic brain injury who resided in the community or in a nonhospital facility. Four outcome indicators (independence in self-care, independenc...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-199603000-00005

    authors: Boake C,High WM Jr

    更新日期:1996-03-01 00:00:00

  • Clinical tests of ankle plantarflexor strength do not predict ankle power generation during walking.

    abstract:OBJECTIVE:The aim of this study was to investigate the relationship between a clinical test of ankle plantarflexor strength and ankle power generation (APG) at push-off during walking. DESIGN:This is a prospective cross-sectional study of 102 patients with traumatic brain injury. OUTCOME MEASURES:Handheld dynamometry...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000000196

    authors: Kahn M,Williams G

    更新日期:2015-02-01 00:00:00

  • The "value" of functional independence measure scores.

    abstract::Functional independence measure (FIM) scores are frequently used as if the various sections are of equal importance and as if the interval between each score is equal. We tested this hypothesis by using marketing research techniques to assess the value to rehabilitation nurses and therapists of four of the six section...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:

    authors: Bunch WH,Dvonch VM

    更新日期:1994-02-01 00:00:00

  • Functional status and health-related quality of life during inpatient stroke rehabilitation.

    abstract:OBJECTIVE:To examine changes in functional status and health-related quality of life (HRQOL) during inpatient stroke rehabilitation to examine the associations between changes in the two measures. DESIGN:Two independently collected databases were combined for a retrospective analysis. One contained the objectively ass...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/01.phm.0000240666.24142.f7

    authors: Madden S,Hopman WM,Bagg S,Verner J,O'Callaghan CJ

    更新日期:2006-10-01 00:00:00

  • Short-Term Effects of Normocapnic Hyperpnea and Exercise Training in Patients With Chronic Obstructive Pulmonary Disease: A Pilot Study.

    abstract:OBJECTIVE:The aim of the study was to evaluate the short-term physiologic effects of respiratory muscle training with normocapnic hyperpnea added to standard exercise training on respiratory muscle endurance/strength and exercise tolerance in patients with chronic obstructive pulmonary disease. DESIGN:The study used a...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/PHM.0000000000000988

    authors: Paneroni M,Simonelli C,Saleri M,Trainini D,Fokom G,Speltoni I,Piaggi G,Ambrosino N,Vitacca M

    更新日期:2018-12-01 00:00:00

  • A Stimulus-Response Framework to Investigate the Influence of Continuous Versus Interval Walking Exercise on Select Serum Biomarkers in Knee Osteoarthritis.

    abstract:OBJECTIVE:The aim of the study was to compare changes in the concentration of serum biomarkers in response to continuous versus interval walking exercise in participants with knee osteoarthritis. DESIGN:This study used a two-phase sequential design. Twenty-seven participants with unilateral knee osteoarthritis complet...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1097/PHM.0000000000001068

    authors: Jayabalan P,Gustafson J,Sowa GA,Piva SR,Farrokhi S

    更新日期:2019-04-01 00:00:00

  • Complications Associated With Electromyography: A Systematic Review.

    abstract:OBJECTIVES:The aims of the study were to systematically review the available literature concerning complications due to electromyography and to review those associated with nerve conduction studies. DESIGN:A systematic review was undertaken of Medline and Cochrane Central Register of Controlled Trials. Any complicatio...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001304

    authors: Cushman DM,Strenn Q,Elmer A,Yang AJ,Onofrei L

    更新日期:2020-02-01 00:00:00

  • Anterior hypopituitarism with unusual delayed onset of diabetes insipidus after penetrating head injury.

    abstract::Neuroendocrine dysfunctions are among the various complications that occur after traumatic brain injury. We report a case of onset of diabetes insipidus during acute rehabilitation of a 20-yr-old patient with a traumatic brain injury caused by a gunshot wound. Our case is the latest onset of diabetes insipidus after t...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-200210000-00013

    authors: Alaca R,Yilmaz B,Gunduz S

    更新日期:2002-10-01 00:00:00

  • Electrocardiographic findings in patients with chronic spinal cord injury.

    abstract:OBJECTIVE:To demonstrate the prevalence and prognostic value of electrocardiographic abnormalities in patients with chronic spinal cord injury. METHODS:All electrocardiographs obtained in the Palo Alto Veterans Affairs Medical Center since 1987 have been digitally recorded and stored in a computerized database. For th...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/00002060-200208000-00008

    authors: Prakash M,Raxwal V,Froelicher VF,Kalisetti D,Vieira A,O'Mara G,Marcus R,Myers J,Kiratli J,Perkash I

    更新日期:2002-08-01 00:00:00

  • The Prevalence and Impact of Back and Neck Pain in Veterans with Upper Limb Amputation.

    abstract:OBJECTIVE:1) Describe frequency of back pain only, neck pain only, and co-occurring pain in Veterans with upper limb amputation (ULA); 2) examine changes in pain over one year; and 3) quantify the association of pain and health-related quality of life (HRQoL) and disability. DESIGN:Observational cohort study with a su...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 杂志文章

    doi:10.1097/PHM.0000000000001694

    authors: Resnik L,Borgia M,Clark MA

    更新日期:2021-01-11 00:00:00

  • Activation of the quadriceps muscle during semisquatting with different hip and knee positions in patients with anterior knee pain.

    abstract:OBJECTIVE:We measured the surface electromyographic activities of vastus medialis obliquus and vastus lateralis in 16 subjects with patellofemoral joint pain syndrome. DESIGN:Each subject performed bilateral static knee extension exercises at 60% of his or her maximal voluntary effort under different combinations of h...

    journal_title:American journal of physical medicine & rehabilitation

    pub_type: 临床试验,杂志文章

    doi:10.1097/00002060-200111000-00003

    authors: Lam PL,Ng GY

    更新日期:2001-11-01 00:00:00