) after midlife are associated with mobility issues ( Manini et al., 2007 ), decreased quality of life, higher risk of falls ( Fukagawa, Wolfson, Judge, Whipple, & King, 1995 ), loss of independence ( Abellan Van Kan, 2009 ), and higher morbidity and mortality ( Aagaard, Suetta, Caserotti, Magnusson
Nathan F. Meier, Yang Bai, Chong Wang and Duck-chul Lee
Barry S. Mason, Viola C. Altmann and Victoria L. Goosey-Tolfrey
directly within the current study. Moreover, maneuverability is also a key indicator of mobility performance in WR, 20 yet it is difficult to quantify objectively, especially in a competition environment. Interestingly, trunk impairment contributed to the explained variance observed in a number of
Scott W. Cheatham and Russell Baker
to effectively assess treatment effectiveness and recommend safe application protocols. The stretch force values reported in this investigation provide an initial step toward confirming the optimal band stretch force needed to achieve desired effects, such as increasing myofascial mobility, joint ROM
to evaluate the functional status of individuals and to identify and treat those at risk for mobility problems and frailty. In the periodic and field-based simplified approaches, the handgrip strength measurement has been widely used in clinical practice for the assessment of muscle size or strength
Landon Lempke, Rebecca Wilkinson, Caitlin Murray and Justin Stanek
then, the knee extended until mild discomfort was felt for both interventions. Subjects had baseline hamstring mobility assessed. Participants were randomly assigned following baseline assessment to either 5 min of PNF or SS. Two additional variables were assessed by either 5 min following stretching
Kim T.J. Bongers, Yvonne Schoon, Maartje J. Graauwmans, Marlies E. Hoogsteen-Ossewaarde and Marcel G.M. Olde Rikkert
Self-management of mobility and fall risk might be possible if older adults could use a simple and safe self-test to measure their own mobility, balance, and fall risk at home. The aim of this study was to determine the safety, feasibility, and intraindividual reliability of the maximal step length (MSL), gait speed (GS), and chair test (CT) as potential self-tests for assessing mobility and fall risk. Fifty-six community-dwelling older adults performed MSL, GS, and CT at home once a week during a four-week period, wherein the feasibility, test-retest reliability, coefficients of variation, and linear mixed models with random effects of these three self-tests were determined. Forty-nine subjects (mean age 76.1 years [SD: 4.0], 19 females [42%]) completed the study without adverse effects. Compared with the other self-tests, MSL gave the most often (77.6%) valid measurement results and had the best intraclass correlation coefficients (0.95 [95% confidence interval: 0.91−0.97]). MSL and GS gave no significant training effect, whereas CT did show a significant training effect (p < .01). Community-dwelling older adults can perform MSL safely, correctly, and reliably, and GS safely and reliably. Further research is needed to study the responsiveness and beneficial effects of these self-tests on self-management of mobility and fall risk.
Catrine Tudor-Locke and Stephanie Broyles
The focus of a physically active lifestyle for older adults is to preserve functional mobility and delay losses associated with decrepitude in later years. Since ambulation is of utmost importance to older adults’ mobility, the purpose of this nonexhaustive review is to consider older adults’ walking behaviors objectively captured as steps/day and the factors that shape them. Summarized evidence currently indicates that apparently healthy older adults accumulate between 2,000–9,000 steps/day and that older adults living with disabilities and/or chronic conditions average approximately 1,200–8,800 steps/day. The scientific body of objectively monitored knowledge focused on potential individual, program, and contextual factors that shape older adults’ walking behaviors expressed as steps/day (i.e., their ability to and practice of getting “out and about”) is infantile at this time. We provide a simple research agenda to spark scholarly efforts to address research gaps and opportunities in the collective knowledge base.
Courtney D. Hall, Carolyn K. Clevenger, Rachel A. Wolf, James S. Lin, Theodore M. Johnson II and Steven L. Wolf
The use of low-cost interactive game technology for balance rehabilitation has become more popular recently, with generally good outcomes. Very little research has been undertaken to determine whether this technology is appropriate for balance assessment. The Wii balance board has good reliability and is comparable to a research-grade force plate; however, recent studies examining the relationship between Wii Fit games and measures of balance and mobility demonstrate conflicting findings. This study found that the Wii Fit was feasible for community-dwelling older women to safely use the balance board and quickly learn the Wii Fit games. The Ski Slalom game scores were strongly correlated with several balance and mobility measures, whereas Table Tilt game scores were not. Based on these findings, the Ski Slalom game may have utility in the evaluation of balance problems in community-dwelling older adults.
Yusuke Osawa, Yasumichi Arai, Yuko Oguma, Takumi Hirata, Yukiko Abe, Koichiro Azuma, Michiyo Takayama and Nobuyoshi Hirose
This study investigated the relationships between muscle echo intensity (EI), physical activity (PA), and functional mobility in 108 Japanese (88–92 years). We measured EI and muscle thickness (MT) at the midpoint of the anterior superior iliac spine and patella using B-mode ultrasound. Light and moderate-to-vigorous PA (LPA and MVPA) were assessed with a triaxial accelerometer. The timed up and go (TUG) test was used to measure for functional mobility. EI, but not MT, was significantly associated with both TUG scores (β = 0.17, p = .047) and MVPA (β = –0.31, p = .01) when adjusted by potential confounders. However, association between EI and TUG disappeared after adjusted for MVPA. Meanwhile, MVPA was significantly associated with TUG scores independent of EI (β = –0.35, p < .001). Although EI of anterior thigh muscles might be a weaker predictor of functional morbidity than MVPA, it is a noninvasive and practical approach for assessing muscle quality in the very old.
This paper challenges the popular argument that sport is an effective channel for upward mobility, especially for ethnic minorities. My study of retired professional soccer players in Israel establishes the following findings: First, members of the subordinate ethnic group are disadvantaged in attainment of status not only in schools and labor markets but also in and via sport. Second, a professional career in sport does not intervene between background variables and later occupational attainment. Third, both ethnicity and educational level are the most significant determinants of postretirement occupational attainment; higher education and higher ethnic status improve opportunities for later occupational success. On the basis of these findings it is suggested that the same rules of inequality that push individuals to seek alternative routes of mobility, such as professional sport, continue to operate in and beyond sport.