The purposes of this study were to evaluate community-dwelling elderly adults with different levels of perceived mobility with 5 physical-performance tests, determine the cutoff values of the 5 tests, and identify the best tests for classifying mobility status. The community-mobility statuses of 203 community-dwelling elders were classified as able, decreased, or disabled based on their self-reported ability to walk several blocks and climb stairs. They also performed the functional reach, timed 50-ft walk, timed 5-step, timed floor transfer, and 5-min-walk endurance tests. We found in all tests that the “able” outperformed the “decreased” and that the “decreased” outperformed the “disabled,” except on the floor-transfer task. The optimum cutoff values of the 5 performance tests were also reported. The 5-min walk and timed 5-step test could best separate the “able” from the “decreased,” whereas the 50-ft-walk-test could best differentiate the “decreased” from the “disabled.” The results suggest that community-mobility function of older adults can be captured by performance tests and that the cutoff values of the 5-min-walk, 5-step, and 50-ft-walk tests can be used in guiding intervention or prevention programs.
Ching-Yi Wang, Sharon L. Olson and Elizabeth J. Protas
Stamatis Agiovlasitis, Joonkoo Yun, Jooyeon Jin, Jeffrey A. McCubbin and Robert W. Motl
and PA promotion. The older traditional approach considers disability a form of morbidity—a health outcome to prevent. This approach is consistent with the medical model of disability and it is reflected in the development of methods for primary prevention of disability ( Drum et al., 2009 ). The
Michael P. Corcoran, Miriam E. Nelson, Jennifer M. Sacheck, Kieran F. Reid, Dylan Kirn, Roger A. Fielding, Kenneth K.H. Chui and Sara C. Folta
Experimental Research, 15 ( 3 ), 205 – 211 . PubMed doi: 10.1007/BF03324501 Luukinen , H. , Lehtola , S. , Jokelainen , J. , Vaananen-Sainio , R. , Lotvonen , S. , & Koistinen , P. ( 2006 ). Prevention of disability by exercise among the elderly: a population-based, randomized, controlled
Cheryl Der Ananian, Renae Smith-Ray, Brad Meacham, Amy Shah and Susan Hughes
.1002/1529-0131(200010)13:5<291::AID-ANR8>3.0.CO;2-X 10.1002/1529-0131(200010)13:5<291::AID-ANR8>3.0.CO;2-X Penninx , B.W. , Messier , S.P. , Rejeski , W.J. , Williamson , J.D. , DiBari , M. , Cavazzini , C. , … Pahor , M. ( 2001 ). Physical exercise and the prevention of disability in activities of daily living in