of acute and long-term health care resources. 2 In addition, loss of muscle mass, impaired balance, and decline in muscle strength and endurance are attributed to the aging process. 3 Comorbidities influence mobility limitations, particularly cardiovascular disease and obesity. 4 Nevertheless
Kimberlee A. Gretebeck, Caroline S. Blaum, Tisha Moore, Roger Brown, Andrzej Galecki, Debra Strasburg, Shu Chen and Neil B. Alexander
Johanna Eronen, Mikaela von Bonsdorff, Merja Rantakokko, Erja Portegijs, Anne Viljanen and Taina Rantanen
Life-space mobility describes the extent of community mobility of older persons. The aim of this cross-sectional study was to examine the relationship between socioeconomic status (SES) and life-space mobility and to investigate whether associations might be explained by SES-related disparities in health and functioning. The participants (n = 848) were community-dwelling adults aged 75–90. Education and occupation were used to indicate SES. Life-space assessment (range 0–120) was used to indicate distance and frequency of moving and assistance needed in moving. People with low education had lower life-space mobility scores than those with intermediate or high education: marginal means 63.5, 64.8, and 70.0 (p = .003), respectively. SES-related health disparities, i.e., higher body mass index, poorer cognitive capacity, and poorer physical performance explained the association, rendering it nonsignificant (marginal means 65.2, 65.3, and 67.5, p = .390). Low SES and restricted life-space mobility often coexist with overweight, reduced cognition, and poorer physical performance.
Bonnie Field, Tom Cochrane, Rachel Davey and Yohannes Kinfu
The aim of this study was to identify determinants of walking and whether walking maintained mobility among women as they transition from their mid-70s to their late 80s. We used 12 years of follow-up data (baseline 1999) from the Australian Longitudinal Study on Women’s Health (n = 10,322). Fifteen determinants of walking were included in the analysis and three indicators of mobility. Longitudinal data analyses techniques were employed. Thirteen of the 15 determinants were significant predictors of walking. Women in their mid-70s who walked up to 1 hr per week were less likely to experience loss of mobility in very old age, including reduced likelihood of using a mobility aid. Hence, older women who do no walking should be encouraged to walk to maintain their mobility and their independence as they age, particularly women in their 70s and 80s who smoke, are overweight, have arthritis, or who have had a recent fall.
Thom T.J. Veeger, Annemarie M.H. de Witte, Monique A.M. Berger, Rienk M.A. van der Slikke, Dirkjan (H.E.J.) Veeger and Marco J.M. Hoozemans
. For the latter, both ball skills and wheelchair handling skills—or “mobility performance”—are essential. Mobility performance in itself is dependent on both physical performance and capacity, and quality of wheelchair handling. Thus, mobility performance is not only dependent on physical athlete
Clément Theurillat, Ilona Punt, Stéphane Armand, Alice Bonnefoy-Mazure and Lara Allet
sprains. 8 , 9 Quantification of ankle kinematics is an important area for clinicians and researchers. In a clinical setting the ROM is mostly measured with a classical goniometer, which allows the assessment of the joint mobility in 1 single plane. The circumduction movement is complex and the center of
Annemarie M.H. de Witte, Monique A.M. Berger, Marco J.M. Hoozemans, Dirkjan H.E.J. Veeger and Lucas H.V. van der Woude
three elements that continuously interact physical performance (athlete capabilities), mobility performance (wheelchair–athlete interaction), and game performance (athlete basketball tactics and skills; de Witte, Hoozemans, Berger, van der Woude, & Veeger, 2016 ). Game performance in wheelchair
Mohammed M. Althomali and Susan J. Leat
Balance or postural control is a complex motor mechanism receiving input from various systems in the body. Balance is the ability to maintain position, undertake activities and retain good mobility (the ability to move safely and efficiently within the environment without falling). The three main
Odessa Addison, Monica C. Serra, Leslie Katzel, Jamie Giffuni, Cathy C. Lee, Steven Castle, Willy M. Valencia, Teresa Kopp, Heather Cammarata, Michelle McDonald, Kris A. Oursler, Chani Jain, Janet Prvu Bettger, Megan Pearson, Kenneth M. Manning, Orna Intrator, Peter Veazie, Richard Sloane, Jiejin Li and Miriam C. Morey
stroke ( Rillamas-Sun et al., 2014 ; van den Bussche et al., 2011 ). Furthermore, obesity is a leading cause of mobility limitations in older adults ( Samper-Ternent & Al Snih, 2012 ; Villareal et al., 2005 ; Villareal, Banks, Siener, Sinacore, & Klein, 2004 ). Obese older adults experience
Aftab E. Patla and Anne Shumway-Cook
Mobility, the ability to move independently, is critical to maintaining independence and quality of life. Among older adults, mobility disability results when an individual cannot meet the demands of the environment. Current approaches to defining mobility rely on distance and time measures, or decompose mobility into subtasks (e.g., climbing, sit to stand), but provide limited understanding of mobility in the elderly. In this paper, a new conceptual framework identifies the critical environmental factors, or dimensions, that operationally define mobility within a given community, such as ambient conditions (light levels, weather conditions) and terrain characteristics (stairs, curbs). Our premise is that the environment and the individual conjointly determine mobility disability. Mobility in the elderly is defined not by the number of tasks a person can or cannot perform, but by the range of environmental contexts in which tasks can be safely carried out: the more disabled, the more restrictive the dimensions.
Debra J. Rose
In recent years, a number of research investigations have been conducted in an effort to determine whether declining balance and mobility among older adults can be reversed or at least slowed. Unfortunately, the results of a number of these studies have not yielded positive outcomes. Three reasons are forwarded to account for these unsuccessful outcomes: the lack of a contemporary theory-based approach to the problem, the failure to use multiple and diverse measures of balance and mobility, and the failure to design multidimensional interventions that target the actual source(s) of the balance or mobility-related impairments. A model fall-risk-reduction program designed to address each of the shortcomings associated with previous research findings is presented. The program is group based and suitable for implementation in community-based and residential care facilities.