Mobility assessment: sensitivity and specificity of measurement sets in older adults.
Identifieur interne : 000C40 ( Main/Exploration ); précédent : 000C39; suivant : 000C41Mobility assessment: sensitivity and specificity of measurement sets in older adults.
Auteurs : Victoria P. Panzer [États-Unis] ; Dorothy B. Wakefield ; Charles B. Hall ; Leslie I. WolfsonSource :
- Archives of physical medicine and rehabilitation [ 1532-821X ] ; 2011.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (MeSH), Analyse et exécution des tâches (MeSH), Chutes accidentelles (MeSH), Femelle (MeSH), Humains (MeSH), Mouvement (MeSH), Mâle (MeSH), Phénomènes biomécaniques (MeSH), Sensibilité et spécificité (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Évaluation gériatrique (MeSH).
- MESH :
English descriptors
- KwdEn :
- MESH :
Abstract
OBJECTIVE
To identify quantitative measurement variables that characterize mobility in older adults, meet reliability and validity criteria, distinguish fall risk, and predict future falls.
DESIGN
Observational study with 1-year weekly falls follow-up.
SETTING
Mobility laboratory.
PARTICIPANTS
Community-dwelling volunteers (N=74; age, 65-94y) categorized at entry as 27 nonfallers or 47 fallers by using Medicare criteria (1 injury fall or >1 noninjury fall in the previous year).
INTERVENTIONS
None.
MAIN OUTCOME MEASURES
Test-retest and within-subject reliability, criterion and concurrent validity; predictive ability indicated by observed sensitivity and specificity to entry fall-risk group (falls status), Tinetti Performance Oriented Mobility Assessment (POMA), computerized dynamic posturography Sensory Organization Test (SOT), and subsequent falls reported weekly.
RESULTS
Measurement variables were selected that met reliability (intraclass coefficient of correlation >.6) and/or discrimination (P<.01) criteria (clinical variables: turn steps and time, gait velocity, step-in-tub time, downstairs time; forceplate variables: quiet standing Romberg ratio sway area, maximal lean anterior-posterior excursion, sit-to-stand medial-lateral excursion, sway area). Sets were created (3 clinical, 2 forceplate) using combinations of variables appropriate for older adults with different functional activity levels, and composite scores were calculated. Scores identified entry falls status and concurred with POMA and SOT scores. The full clinical set (5 measurement variables) produced sensitivity of 80% and specificity of 74% to falls status. Composite scores were more sensitive and specific overall in predicting subsequent injury falls and multiple falls compared with falls status and POMA or SOT score.
CONCLUSIONS
Sets of quantitative measurement variables obtained with this mobility battery provided sensitive prediction of future injury falls and screening for multiple subsequent falls by using tasks that should be appropriate to diverse participants.
DOI: 10.1016/j.apmr.2011.01.004
PubMed: 21621667
PubMed Central: PMC3146767
Affiliations:
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Wakefield</name></author><author><name sortKey="Hall, Charles B" sort="Hall, Charles B" uniqKey="Hall C" first="Charles B" last="Hall">Charles B. Hall</name></author><author><name sortKey="Wolfson, Leslie I" sort="Wolfson, Leslie I" uniqKey="Wolfson L" first="Leslie I" last="Wolfson">Leslie I. 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Panzer</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, University of Connecticut Health Center, Farmington, CT 06030-1840, USA. panzer@nso1.uchc.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, University of Connecticut Health Center, Farmington, CT 06030-1840</wicri:regionArea><placeName><region type="state">Connecticut</region></placeName></affiliation></author><author><name sortKey="Wakefield, Dorothy B" sort="Wakefield, Dorothy B" uniqKey="Wakefield D" first="Dorothy B" last="Wakefield">Dorothy B. Wakefield</name></author><author><name sortKey="Hall, Charles B" sort="Hall, Charles B" uniqKey="Hall C" first="Charles B" last="Hall">Charles B. Hall</name></author><author><name sortKey="Wolfson, Leslie I" sort="Wolfson, Leslie I" uniqKey="Wolfson L" first="Leslie I" last="Wolfson">Leslie I. Wolfson</name></author></analytic><series><title level="j">Archives of physical medicine and rehabilitation</title><idno type="eISSN">1532-821X</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (MeSH)</term><term>Activities of Daily Living (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Biomechanical Phenomena (MeSH)</term><term>Female (MeSH)</term><term>Geriatric Assessment (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Movement (MeSH)</term><term>Sensitivity and Specificity (MeSH)</term><term>Task Performance and Analysis (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (MeSH)</term><term>Analyse et exécution des tâches (MeSH)</term><term>Chutes accidentelles (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Mouvement (MeSH)</term><term>Mâle (MeSH)</term><term>Phénomènes biomécaniques (MeSH)</term><term>Sensibilité et spécificité (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Évaluation gériatrique (MeSH)</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Accidental Falls</term><term>Activities of Daily Living</term><term>Aged</term><term>Aged, 80 and over</term><term>Biomechanical Phenomena</term><term>Female</term><term>Geriatric Assessment</term><term>Humans</term><term>Male</term><term>Movement</term><term>Sensitivity and Specificity</term><term>Task Performance and Analysis</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Analyse et exécution des tâches</term><term>Chutes accidentelles</term><term>Femelle</term><term>Humains</term><term>Mouvement</term><term>Mâle</term><term>Phénomènes biomécaniques</term><term>Sensibilité et spécificité</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Évaluation gériatrique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To identify quantitative measurement variables that characterize mobility in older adults, meet reliability and validity criteria, distinguish fall risk, and predict future falls.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Observational study with 1-year weekly falls follow-up.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Mobility laboratory.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Community-dwelling volunteers (N=74; age, 65-94y) categorized at entry as 27 nonfallers or 47 fallers by using Medicare criteria (1 injury fall or >1 noninjury fall in the previous year).</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>None.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>Test-retest and within-subject reliability, criterion and concurrent validity; predictive ability indicated by observed sensitivity and specificity to entry fall-risk group (falls status), Tinetti Performance Oriented Mobility Assessment (POMA), computerized dynamic posturography Sensory Organization Test (SOT), and subsequent falls reported weekly.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Measurement variables were selected that met reliability (intraclass coefficient of correlation >.6) and/or discrimination (P<.01) criteria (clinical variables: turn steps and time, gait velocity, step-in-tub time, downstairs time; forceplate variables: quiet standing Romberg ratio sway area, maximal lean anterior-posterior excursion, sit-to-stand medial-lateral excursion, sway area). Sets were created (3 clinical, 2 forceplate) using combinations of variables appropriate for older adults with different functional activity levels, and composite scores were calculated. Scores identified entry falls status and concurred with POMA and SOT scores. The full clinical set (5 measurement variables) produced sensitivity of 80% and specificity of 74% to falls status. Composite scores were more sensitive and specific overall in predicting subsequent injury falls and multiple falls compared with falls status and POMA or SOT score.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Sets of quantitative measurement variables obtained with this mobility battery provided sensitive prediction of future injury falls and screening for multiple subsequent falls by using tasks that should be appropriate to diverse participants.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21621667</PMID><DateCompleted><Year>2011</Year><Month>08</Month><Day>11</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1532-821X</ISSN><JournalIssue CitedMedium="Internet"><Volume>92</Volume><Issue>6</Issue><PubDate><Year>2011</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Archives of physical medicine and rehabilitation</Title><ISOAbbreviation>Arch Phys Med Rehabil</ISOAbbreviation></Journal><ArticleTitle>Mobility assessment: sensitivity and specificity of measurement sets in older adults.</ArticleTitle><Pagination><MedlinePgn>905-12</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.apmr.2011.01.004</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To identify quantitative measurement variables that characterize mobility in older adults, meet reliability and validity criteria, distinguish fall risk, and predict future falls.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Observational study with 1-year weekly falls follow-up.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Mobility laboratory.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Community-dwelling volunteers (N=74; age, 65-94y) categorized at entry as 27 nonfallers or 47 fallers by using Medicare criteria (1 injury fall or >1 noninjury fall in the previous year).</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">None.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Test-retest and within-subject reliability, criterion and concurrent validity; predictive ability indicated by observed sensitivity and specificity to entry fall-risk group (falls status), Tinetti Performance Oriented Mobility Assessment (POMA), computerized dynamic posturography Sensory Organization Test (SOT), and subsequent falls reported weekly.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Measurement variables were selected that met reliability (intraclass coefficient of correlation >.6) and/or discrimination (P<.01) criteria (clinical variables: turn steps and time, gait velocity, step-in-tub time, downstairs time; forceplate variables: quiet standing Romberg ratio sway area, maximal lean anterior-posterior excursion, sit-to-stand medial-lateral excursion, sway area). Sets were created (3 clinical, 2 forceplate) using combinations of variables appropriate for older adults with different functional activity levels, and composite scores were calculated. Scores identified entry falls status and concurred with POMA and SOT scores. The full clinical set (5 measurement variables) produced sensitivity of 80% and specificity of 74% to falls status. Composite scores were more sensitive and specific overall in predicting subsequent injury falls and multiple falls compared with falls status and POMA or SOT score.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Sets of quantitative measurement variables obtained with this mobility battery provided sensitive prediction of future injury falls and screening for multiple subsequent falls by using tasks that should be appropriate to diverse participants.</AbstractText><CopyrightInformation>Copyright © 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Panzer</LastName><ForeName>Victoria P</ForeName><Initials>VP</Initials><AffiliationInfo><Affiliation>Department of Neurology, University of Connecticut Health Center, Farmington, CT 06030-1840, USA. panzer@nso1.uchc.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wakefield</LastName><ForeName>Dorothy B</ForeName><Initials>DB</Initials></Author><Author ValidYN="Y"><LastName>Hall</LastName><ForeName>Charles B</ForeName><Initials>CB</Initials></Author><Author ValidYN="Y"><LastName>Wolfson</LastName><ForeName>Leslie I</ForeName><Initials>LI</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R01 AG022092</GrantID><Acronym>AG</Acronym><Agency>NIA NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R44 AG012595-03</GrantID><Acronym>AG</Acronym><Agency>NIA NIH HHS</Agency><Country>United 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Hall</name><name sortKey="Wakefield, Dorothy B" sort="Wakefield, Dorothy B" uniqKey="Wakefield D" first="Dorothy B" last="Wakefield">Dorothy B. Wakefield</name><name sortKey="Wolfson, Leslie I" sort="Wolfson, Leslie I" uniqKey="Wolfson L" first="Leslie I" last="Wolfson">Leslie I. Wolfson</name></noCountry><country name="États-Unis"><region name="Connecticut"><name sortKey="Panzer, Victoria P" sort="Panzer, Victoria P" uniqKey="Panzer V" first="Victoria P" last="Panzer">Victoria P. Panzer</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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