Mobility Limitation: Difficulty in walking from place to place.Social Participation: Involvement in community activities or programs.Muscle Strength: The amount of force generated by MUSCLE CONTRACTION. Muscle strength can be measured during isometric, isotonic, or isokinetic contraction, either manually or using a device such as a MUSCLE STRENGTH DYNAMOMETER.TennesseeWalking: An activity in which the body advances at a slow to moderate pace by moving the feet in a coordinated fashion. This includes recreational walking, walking for fitness, and competitive race-walking.Disabled Persons: Persons with physical or mental disabilities that affect or limit their activities of daily living and that may require special accommodations.Muscle Strength Dynamometer: A device that measures MUSCLE STRENGTH during muscle contraction, such as gripping, pushing, and pulling. It is used to evaluate the health status of muscle in sports medicine or physical therapy.Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Aging: The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Disability Evaluation: Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits.Lower Extremity: The region of the lower limb in animals, extending from the gluteal region to the FOOT, and including the BUTTOCKS; HIP; and LEG.Health: The state of the organism when it functions optimally without evidence of disease.Geriatric Assessment: Evaluation of the level of physical, physiological, or mental functioning in the older population group.Gait: Manner or style of walking.Hand Strength: Force exerted when gripping or grasping.Postural Balance: A POSTURE in which an ideal body mass distribution is achieved. Postural balance provides the body carriage stability and conditions for normal functions in stationary position or in movement, such as sitting, standing, or walking.Motor Activity: The physical activity of a human or an animal as a behavioral phenomenon.PennsylvaniaAge Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Testosterone: A potent androgenic steroid and major product secreted by the LEYDIG CELLS of the TESTIS. Its production is stimulated by LUTEINIZING HORMONE from the PITUITARY GLAND. In turn, testosterone exerts feedback control of the pituitary LH and FSH secretion. Depending on the tissues, testosterone can be further converted to DIHYDROTESTOSTERONE or ESTRADIOL.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Odds Ratio: The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.United StatesProportional Hazards Models: Statistical models used in survival analysis that assert that the effect of the study factors on the hazard rate in the study population is multiplicative and does not change over time.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Obesity: A status with BODY WEIGHT that is grossly above the acceptable or desirable weight, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY).Electrophoretic Mobility Shift Assay: An electrophoretic technique for assaying the binding of one compound to another. Typically one compound is labeled to follow its mobility during electrophoresis. If the labeled compound is bound by the other compound, then the mobility of the labeled compound through the electrophoretic medium will be retarded.Social Mobility: The movement or shifting of membership between or within social classes by individuals or by groups.

*  Low vitamin D status linked to onset of mobility limitation and disability | Vitamin D Council

Physical functions/limitations evaluated in this study included:. 1. Persistent mobility limitations defined as two consecutive ... Low vitamin D status linked to onset of mobility limitation and disability. Posted on June 4, 2012 by Brindusa Vanta, MD(EU) ... The onset of mobility limitation and disability were assessed every 6 months and every year over a 6 year period. ... Another recent study revealed that low 25(OH)D was linked with the occurrence of mobility limitations over a 3 year follow up ...

*  Agnosia, Mobility limitation, Poor short-term memory: 1 Possible Causes

... mobility limitation, poor short-term memory including What Do You Want to Know About Dementia? ...

*  Cognitive representations of disability behaviours in people with mobility limitations : consistency with theoretical...

Dixon, Diane and Johnston, Marie (2008) Cognitive representations of disability behaviours in people with mobility limitations ... Cognitive representations of disability behaviours in people with mobility limitations : consistency with theoretical ... Thirteen people with mobility disabilities completed personal repertory grids (using the method of triads) applied to ... Individuals with activity limitations conceptualise activities in a manner that is compatible with both psychological and ...

*  Mobility of Vulnerable Elders (MOVE): Translating Knowledge to Health Care Aides in Long-term Care Facilities - Full Text View ...

Almost 90 percent of residents living in long-term care facilities have some type of mobility limitation, which worsens quickly ... Mobility of Vulnerable Elders study: effect of the sit-to-stand activity on mobility, function, and quality of life. J Am Med ... Mobility of Vulnerable Elders (MOVE): study protocol to evaluate the implementation and outcomes of a mobility intervention in ... Mobility of Vulnerable Elders (MOVE): Translating Knowledge to Health Care Aides in Long-term Care Facilities (MOVE). This ...

*  Nursing Doctoral/Bachelor/Masters Commencement Info | Samuel Merritt University

SPECIAL ARRANGEMENTS FOR GUESTS IN WHEELCHAIRS OR WITH MOBILITY LIMITATIONS:. If you haven't already, contact Veronica Paniagua ... May 22nd to make arrangements for guests with disabilities/mobility limitations for special seating in the Americans with ...

*  Chapter 1. Abstract - Summary Tape File 3 - Survey Census 1990 - Social Explorer

Mobility limitation status. Occupation. Place of birth. Place of work. Poverty status in 1989. Private vehicle occupancy. Race ... Self-care limitation status. Sex. Travel time to work. Urban and rural population. Veteran/military status. Work disability ...

*  Browsing Nursing - Seattle by Subject

culture; mobility limitation; older adults; sensors; technology acceptance [1]. * * DSpace software copyright © 2002-2015 ...

*  Healthline: Medical information and health advice you can trust.

We're sorry - looks like that page is under the weather ...

*  Meals On Wheels West nonprofit in Santa Monica, CA | Volunteer, Read Reviews, Donate | GreatNonprofits

Target demographics: seniors and those with mobility limitations. Direct beneficiaries per year: over 300 clients. ...

*  External focus improves postural stability in Parkinson's disease patients - Thaindian News

Such injuries may finally lead to hospitalisation, and further mobility limitations.. "Of the major motor signs of Parkinson ... mobility limitations, motor signs, parkinson disease, parkinson s disease, physical therapists, previous research, ... Robot therapy can improve arm, shoulder mobility in stroke patients - Feb 11, 2011 ...

*  Is Bone and Joint Pain a Sign of Cancer? | Medical Issues

At time I feel guilt cuz I can't do much due to my mobility limitation. I very dislike the pain. My limitation robs freedom. ...

*  Public Health News Archive

11/14/11 Depressive Symptoms Linked to Mobility Limitations in Older African Americans ...

*  Exercise sub-cluster 26

Balance impairs with aging and may cause mobility limitations and functional decline. We aimed to evaluate postural balance and ... We aimed to test the performance of treadmill exercise Doppler echocardiography in the prediction of functional limitations in ... We aimed to test the performance of treadmill exercise Doppler echocardiography in the prediction of functional limitations in ... Although pulmonary arterial hypertension (PAH) and chronic heart failure (CHF) lead to exercise limitation, their ...

*  Similar articles for PubMed (Select 19786420) - PubMed - NCBI

The concurrent validity and responsiveness of the high-level mobility assessment tool for measuring the mobility limitations of ... Reliability of the 400-m usual-pace walk test as an assessment of mobility limitation in older adults. ... Is the Rivermead Mobility Index appropriate to measure mobility in lower limb amputees? ... The L test of functional mobility: measurement properties of a modified version of the timed "up & go" test designed for people ...

*  Susan Coote

Level of mobility limitations and falls status in persons with multiple sclerosis. Susan Coote. Department of Clinical ... Level of mobility limitations and falls status in persons with multiple sclerosis. Susan Coote. Department of Clinical ... Energy expenditure during everyday activities--a study comparing people with varying mobility limitations due to multiple ... To investigate whether fall rates are constant across levels of mobility limitations... ...

*  S Goya Wannamethee

Physical Activity and Falls in Older Men: The Critical Role of Mobility Limitations. Barbara J Jefferis. 1UCL Department of ... We have examined predictors of the onset of and recovery from mobility limitation and the association between lifestyle changes ... Associations between fibrin D-dimer, markers of inflammation, incident self-reported mobility limitation, and all-cause ... and fibrinogen and incident mobility limitation and mortality.... *. Commentary: Alcohol and mortality: diminishing returns for ...

*  PM&R Resident Newsletter - February 2015

Within the sport, individuals have varying mobility limitations including amputations, spinal cord injuries, cerebral palsy, ... and activity limitations in one word, although they do accept the English distinctions and differentiation of these words in ...

*  Thomas C Register

Associations of BMI and adipose tissue area and density with incident mobility limitation and poor performance in older adults ... Aging and physical mobility in group-housed Old World monkeys. Carol A Shively. Department of Pathology, Section on Comparative ... Thus, walking speed may be a useful indicator of decline in physical mobility in nonhuman primate models of aging... ...

*  Obesity as a Risk Factor for Musculoskeletal Diseases in the U.S. Air Force: Associations and Implications for Force Readiness ...

... total days on mobility limitation) ...

*  The social science behind 'bossiness' | MSNBC

Invisibility & limitations on mobility. Being one of only a few women at a company can lead to a feeling of "otherness." ...

*  Effect of a Simulation Educational Intervention on Knowledge... : Simulation in Healthcare

... events due to mobility limitations of the Laerdal Tuff Kelly Transfer Mannequin. Improvements in chair-based move success in ... Limitations of the Study. Inability to Track Individual Team Members. As discussed, the authors were constrained by the IRB ... A second limitation to the study was the level of technology expertise required to participate. While 71 nurses or nurse aides ... Because of this limitation, team composition was dynamic and could have ranged from entirely trained to entirely untrained at ...

*  Sex hormones and sarcopenia in older persons.

... recent randomized placebo controlled trials with DHEAS in older men and women and testosterone in men with mobility limitation ...

*  Largest Salon Brand Great Clips Standardizes on Aerohive for Retail Wireless Solution | Business Wire

Our simple, scalable, and secure platform delivers mobility without limitations. For our customers worldwide, every access ...

*  Physical and Leisure Activity in Older Community-Dwelling Canadians Who Use Wheelchairs: A Population Study

C. A. Warms, B. L. Belza, and J. D. Whitney, "Correlates of physical activity in adults with mobility limitations," Family and ... M. Shields, "Use of wheelchairs and other mobility support devices," Health Reports, vol. 15, no. 3, pp. 37-41, 2004. View at ... Sociodemographic, health-related, mobility-related, and physical and leisure activity variables were analysed using logistic ... Also, the pre-defined structure of the questions imposed some uncontrollable limitations to the findings of this study. The ...

*  Global 3D CAD Industry

The Next Frontier of Cloud-CAD II-7 Rising Number of IoT Devices and Impact on CAD II-7 Mobility - A Key Trend in CAD II-8 ... Study Reliability and Reporting Limitations I-1 Disclaimers.............. I-2 Data Interpretation & Reporting Level I-2 ...

Outline of Tennessee: The following outline is provided as an overview of and topical guide to Tennessee:Walking on a Dream (song)Multiple disabilitiesDynamometer car: A dynamometer car is a railroad maintenance of way car used for measuring various aspects of a locomotive's performance. Measurements include tractive effort (pulling force), power, top speed, etc.Bristol Activities of Daily Living Scale: The Bristol Activities of Daily Living Scale (BADLS) is a 20-item questionnaire designed to measure the ability of someone with dementia to carry out daily activities such as dressing, preparing food and using transport.International Disability and Development Consortium: The International Disability and Development Consortium (IDDC) is a global consortium of disability and development related organisations. The aim of IDDC is to promote inclusive development internationally, with a special focus on promoting human rights for all disabled people living in economically poor communities in lower and middle-income countries.Gait (human): Human gait refers to locomotion achieved through the movement of human limbs. Human gait is defined as bipedal, biphasic forward propulsion of center of gravity of the human body, in which there are alternate sinuous movements of different segments of the body with least expenditure of energy.Cable grip: thumbnail|right|[[Detachable chairlift grip. (Chair is on a sidetrack).Berg Balance Scale: The Berg Balance Scale (or BBS) is a widely used clinical test of a person's static and dynamic balance abilities, named after Katherine Berg, one of the developers. For functional balance tests, the BBS is generally considered to be the gold standard.Harmar Township, Allegheny County, Pennsylvania: Harmar Township is a township in Allegheny County, Pennsylvania, United States. The population was 2,921 at the 2010 census.Age adjustment: In epidemiology and demography, age adjustment, also called age standardization, is a technique used to allow populations to be compared when the age profiles of the populations are quite different.Self-rated health: Self-rated health (also called Self-reported health, Self-assessed health, or perceived health) refers to both a single question such as “in general, would you say that you health is excellent, very good, good, fair, or poor?” and a survey questionnaire in which participants assess different dimensions of their own health.Prenatal testosterone transfer: Prenatal Testosterone Transfer (also known as prenatal androgen transfer or prenatal hormone transfer) refers to the phenomenon in which testosterone synthesized by a developing male fetus transfers to one or more developing fetuses within the womb and influences development. This typically results in the partial masculinization of specific aspects of female behavior, cognition, and morphology, though some studies have found that testosterone transfer can cause an exaggerated masculinization in males.QRISK: QRISK2 (the most recent version of QRISK) is a prediction algorithm for cardiovascular disease (CVD) that uses traditional risk factors (age, systolic blood pressure, smoking status and ratio of total serum cholesterol to high-density lipoprotein cholesterol) together with body mass index, ethnicity, measures of deprivation, family history, chronic kidney disease, rheumatoid arthritis, atrial fibrillation, diabetes mellitus, and antihypertensive treatment.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.Classification of obesity: Obesity is a medical condition in which excess body fat has accumulated to the extent that it has an adverse effect on health.WHO 2000 p.The Spirit Level: Why More Equal Societies Almost Always Do Better: The Spirit Level: Why More Equal Societies Almost Always Do BetterUK Hardback edition: The Spirit Level: Why More Equal Societies Almost Always Do Better. London, Allen Lane, 5 March 2009.

(1/593) The relationship between risk factors for falling and the quality of life in older adults.

BACKGROUND: Falls are one of the major health problems that effect the quality of life among older adults. The aim of this study was to explore the relationship between quality of life (Short Form-12) and the risk factors of falls (balance, functional mobility, proprioception, muscle strength, flexibility and fear of falling) in older adults. METHODS: One hundred sixteen people aged 65 or older and living in the T.C. Emekli Sandigi Narlidere nursing home participated in the study. Balance (Berg Balance test), functional mobility (Timed Up and Go), proprioception (joint position sense), muscle strength (back/leg dynamometer), flexibility (sit and reach) and fear of falling (Visual Analogue Scale) were assessed as risk factors for falls. The quality of life was measured by Short Form-12 (SF-12). RESULTS: A strong positive correlation was observed between Physical Health Component Summary of SF-12, General Health Perception and balance, muscle strength. Proprioception and flexibility did not correlated with SF-12 (p > 0.05). There was negative correlation between Physical Health Component Summary of SF-12, General Health Perception and fear of falling, functional mobility (p < 0.05). CONCLUSION: We concluded that the risk factors for falls (balance, functional mobility, muscle strength, fear of falling) in older adults are associated with quality of life while flexibility and proprioception are not.  (+info)

(2/593) A community-based fitness and mobility exercise program for older adults with chronic stroke: a randomized, controlled trial.

OBJECTIVES: To examine the effects of a community-based group exercise program for older individuals with chronic stroke. DESIGN: Prospective, single-blind, randomized, controlled intervention trial. SETTING: Intervention was community-based. Data collection was performed in a research laboratory located in a rehabilitation hospital. PARTICIPANTS: Sixty-three older individuals (aged > or = 50) with chronic stroke (poststroke duration > or = 1 year) who were living in the community. INTERVENTION: Participants were randomized into intervention group (n=32) or control group (n=31). The intervention group underwent a fitness and mobility exercise (FAME) program designed to improve cardiorespiratory fitness, mobility, leg muscle strength, balance, and hip bone mineral density (BMD) (1-hour sessions, three sessions/week, for 19 weeks). The control group underwent a seated upper extremity program. MEASUREMENTS: Cardiorespiratory fitness (maximal oxygen consumption), mobility (6-minute walk test), leg muscle strength (isometric knee extension), balance (Berg Balance Scale), activity and participation (Physical Activity Scale for Individuals with Physical Disabilities), and femoral neck BMD (using dual-energy x-ray absorptiometry). RESULTS: The intervention group had significantly more gains in cardiorespiratory fitness, mobility, and paretic leg muscle strength than controls. Femoral neck BMD of the paretic leg was maintained in the intervention group, whereas a significant decline of the same occurred in controls. There was no significant time-by-group interaction for balance, activity and participation, nonparetic leg muscle strength, or nonparetic femoral neck BMD. CONCLUSION: The FAME program is feasible and beneficial for improving some of the secondary complications resulting from physical inactivity in older adults living with stroke. It may serve as a good model of a community-based fitness program for preventing secondary diseases in older adults living with chronic conditions.  (+info)

(3/593) Weight change and lower body disability in older Mexican Americans.

OBJECTIVES: To examine the association between 2-year weight change and onset of lower body disability over time in older Mexican Americans. DESIGN: Data were from the Hispanic Established Population for the Epidemiological Study of the Elderly (1993-2001). Weight change was examined by comparing baseline weight to weight at 2-year follow-up. Incidence of lower body disability was studied from the end of this period through an additional 5 years. SETTING: Five southwestern states: Texas, New Mexico, Colorado, Arizona, and California. PARTICIPANTS: One thousand seven hundred thirty-seven noninstitutionalized Mexican-American men and women aged 65 and older who reported no limitation in activities of daily living (ADLs) and were able to perform the walk test at 2-year follow-up. MEASUREMENTS: In-home interviews assessed sociodemographic factors, self-reported physician diagnoses of medical conditions (arthritis, diabetes mellitus, heart attack, stroke, hip fracture, and cancer), self-reported ADLs, depressive symptoms, and number of hospitalizations. Cognitive function, handgrip muscle strength, and body mass index (BMI) were obtained. The outcomes were any limitation of lower body ADL (walking across a small room, bathing, transferring from a bed to a chair, and using the toilet) and limitation on the walk test over subsequent 5-year follow-up period. General Estimation Equation (GEE) was used to estimate lower body disability over time. RESULTS: Weight change of 5% or more occurred in 42.3% of the participants; 21.7% lost weight, 20.6% gained weight, and 57.7% had stable weight. Using GEE analysis, with stable weight as the reference, weight loss of 5% or more was associated with greater risk of any lower body ADL limitation (odds ratio (OR)=1.43, 95% confidence interval (CI)=1.06-1.95) and walking limitation (OR=1.35, 95% CI=1.03-1.76) after controlling for sociodemographic variables and BMI at baseline. Weight gain of 5% or more was associated with greater risk of any lower body ADL limitation (OR=1.39, 95% CI=1.02-1.89), after controlling for sociodemographic variables and BMI at baseline. When medical conditions, handgrip muscle strength, high depressive symptomatology, cognitive function, and hospitalization were added to the equation, the relationship between 2-year weight change (>5% loss or >5% gain) and lower body disability decreased. CONCLUSION: Health conditions and muscle strength partially mediate the association between weight loss or gain and future loss of ability to walk and independently perform ADLs.  (+info)

(4/593) Falls and stumbles in myotonic dystrophy.

OBJECTIVE: To investigate falls and risk factors in patients with myotonic dystrophy type 1 (DM1) compared with healthy volunteers. METHODS: 13 sequential patients with DM1 from different kindreds were compared with 12 healthy volunteers. All subjects were evaluated using the Rivermead Mobility Index, Performance Oriented Mobility Assessment, and modified Activities Specific Balance Confidence scale. Measures of lower limb muscle strength, gait speed, and 7-day ambulatory activity monitoring were recorded. Subjects returned a weekly card detailing stumbles and falls. RESULTS: 11 of 13 patients (mean age 46.5 years, seven female) had 127 stumbles and 34 falls over the 13 weeks, compared with 10 of 12 healthy subjects (34.4 years, seven female) who had 26 stumbles and three falls. Patients were less active than healthy subjects but had more falls and stumbles per 5000 right steps taken (mean (SD) events, 0.21 (0.29) v 0.02 (0.02), p = 0.007). Patients who fell (n = 6) had on average a lower Rivermead Mobility score, slower self selected gait speed, and higher depression scores than those who did not. CONCLUSIONS: DM1 patients stumble or fall about 10 times more often than healthy volunteers. Routine inquiry about falls and stumbles is justified. A study of multidisciplinary intervention to reduce the risk of falls seems warranted.  (+info)

(5/593) Mobility limitation among persons aged > or =40 years with and without diagnosed diabetes and lower extremity disease--United States, 1999-2002.

Diabetes increases the risk for mobility limitation, especially among older persons. Lower extremity disease (LED), which includes peripheral arterial disease (PAD) and peripheral neuropathy (PN), also increases the risk for mobility limitation. To assess the prevalence of mobility limitation among persons with diagnosed diabetes, persons with LED, and persons with both or neither condition, CDC analyzed data from the National Health and Nutrition Examination Survey (NHANES) 1999-2002 for adults aged > or =40 years. This report summarizes the preliminary findings, which indicated that the national prevalence of mobility limitation is higher among persons with either diagnosed diabetes or LED than those without the conditions, and that adults with both conditions have a higher prevalence of mobility limitation than those with either condition alone. Monitoring the prevalence of diabetes, LED, and associated risk factors and identifying effective LED prevention strategies will help reduce the burden of mobility limitation in the United States.  (+info)

(6/593) Improving nighttime mobility in persons with night blindness caused by retinitis pigmentosa: A comparison of two low-vision mobility devices.

This study compared the effectiveness of the ITT Night Vision Viewer with the Wide Angle Mobility Lamp (WAML) as low-vision mobility devices for people experiencing night blindness due to retinitis pigmentosa (RP). Both engineering bench testing and functional evaluations were used in the assessments. Engineering evaluations were conducted for (1) consistency of the manufacturer's specifications, (2) ergonomic characteristics, (3) modifications of devices, and (4) pedestrian safety issues. Twenty-seven patients with RP conducted rehabilitation evaluations with each device that included both clinical and functional tests. Both devices improved nighttime travel for people with night blindness as compared with nighttime travel with no device. Overall, the WAML provided better travel efficiency-equivalent to that measured in daytime. Recommendations have been developed on ergonomic factors for both devices. Although some participants preferred the ITT Night Vision Viewer, overall most participants performed better with the WAML.  (+info)

(7/593) Gait disorders are associated with non-cardiovascular falls in elderly people: a preliminary study.

BACKGROUND: The association between unexplained falls and cardiovascular causes is increasingly recognized. Neurally mediated cardiovascular disorders and hypotensive syndromes are found in almost 20 percent of the patients with unexplained falls. However, the approach to these patients remains unclear. Gait assessment might be an interesting approach to these patients as clinical observations suggests that those with cardiovascular or hypotensive causes may not manifest obvious gait alterations. Our primary objective is to analyze the association between gait disorders and a non-cardiovascular cause of falls in patients with unexplained falls. A second objective is to test the sensitivity and specificity of a gait assessment approach for detecting non-cardiovascular causes when compared with intrinsic-extrinsic classification. METHODS: Cross-sectional study performed in a falls clinic at a university hospital in 41 ambulatory elderly participants with unexplained falls. Neurally mediated cardiovascular conditions, neurological diseases, gait and balance problems were assessed. Gait disorder was defined as a gait velocity < 0.8 m/s or Tinetti Gait Score < 9. An attributable etiology of the fall was determined in each participant. Comparisons between the gait assessment approach and the attributable etiology regarding a neurally mediated cardiovascular cause were performed. Fisher exact test was used to test the association hypothesis. Sensitivity and specificity of gait assessment approach and intrinsic-extrinsic classification to detect a non-cardiovascular mediated fall was calculated with 95% confidence intervals (CI95%). RESULTS: A cardiovascular etiology (orthostatic and postprandial hypotension, vasovagal syndrome and carotid sinus hypersensitivity) was identified in 14% of participants (6/41). Of 35 patients with a gait disorder, 34 had a non-cardiovascular etiology of fall; whereas in 5 out of 6 patients without a gait disorder, a cardiovascular diagnosis was identified (p < 0.001). Sensitivity and specificity of the presence of gait disorder for identifying a non-cardiovascular mediated cause was 97.1% (CI95% = 85-99) and 83% (CI95% = 36-99), respectively. CONCLUSION: In community dwelling older persons with unexplained falls, gait disorders were associated with non-cardiovascular diagnosis of falls. Gait assessment was a useful approach for the detection of a non-cardiovascular mediated cause of falls, providing additional value to this assessment.  (+info)

(8/593) Use of the 'STRATIFY' falls risk assessment in patients recovering from acute stroke.

OBJECTIVES: To investigate the predictive validity and reliability of the STRATIFY falls risk assessment tool as applied to patients recovering from acute stroke. DESIGN: Prospective cohort study. SETTING: Six stroke rehabilitation units in the North of England. SUBJECTS: All patients with a diagnosis of acute stroke admitted to the participating stroke units during a 6-month study period. ASSESSMENT: on admission, falls risk (STRATIFY), disability (Barthel index), mobility (Rivermead mobility index), cognitive impairment (abbreviated mental test score) and visual neglect (Albert's test) were assessed. Then, STRATIFY was completed weekly and within 48 h of anticipated discharge. Consenting patients were contacted at 3 months after discharge to determine falls. OUTCOME MEASURES: Occurrence of a fall within 28 days of the baseline STRATIFY (in-patient study), falls in the first 3 months after discharge (post-discharge study) and falls during stroke unit stay (reliability study). RESULTS: From 387 patients admitted to the participating units during the study period, 225 contributed to the 28 day in-patient study, and 234 were followed up at 3 months after discharge. STRATIFY performed poorly in predicting falls in the first 28 days (sensitivity 11.3% and specificity 89.5%) and after discharge (sensitivity 16.3% and specificity 86.4%). Agreement was 'fair' between baseline and discharge scores (kappa = 0.263) and 'good' between the pre-hospital discharge score and that obtained in the week preceding discharge (kappa = 0.639). CONCLUSION: STRATIFY performed poorly as a predictor of falls in a heterogeneous population of stroke patients. There is a need for a disease-specific rather than a generic falls risk assessment tool.  (+info)

older adults

  • Low 25-Hydroxyvitamin D Predicts the Onset of Mobility Limitation and Disability in Community-Dwelling Older Adults: The Health ABC Study. (
  • The investigators found that a 25(OH)D below 30 ng/ml was associated with an approximately 30% increased risk of mobility limitation among older adults and an approximately two times increased risk of disability among those with 25(OH)D levels below 20 ng/ml. (


  • The purpose of this study was to examine disability representations in people with mobility disabilities. (
  • Thirteen people with mobility disabilities completed personal repertory grids (using the method of triads) applied to activities used to measure disabilities. (
  • Participants with mobility disabilities generated 73 personal constructs of disability. (
  • If you haven't already, contact Veronica Paniagua in the Office of Academic Affairs ( ) by Monday, May 22nd to make arrangements for guests with disabilities/mobility limitations for special seating in the Americans with Disabilities (ADA) section of the venue. (


  • The onset of mobility limitation and disability were assessed every 6 months and every year over a 6 year period. (
  • Given these study's findings, elderly may want to monitor their vitamin D status more closely to delay the onset of disability or decreased mobility. (


  • The main objective of this research study was to evaluate the link between vitamin D status and the onset of limitations in physical function in elderly, using data from the Health, Aging, and Body Composition (Health ABC) Study. (


  • Researchers have shown that exercise can help the mobility of even the oldest of adults but elderly residents in long-term care facilities still commonly sit or lie in bed for long periods of time, in many cases for most of their waking hours. (


  • Although pulmonary arterial hypertension (PAH) and chronic heart failure (CHF) lead to exercise limitation, their pathophysiology is different. (
  • This study, namely, "Step it Up" will compare the effect of an exercise plus Social Cognitive Theory (SCT)-based behaviour change intervention with an exercise plus control education intervention on walking mobility among people with MS. (


  • To investigate whether fall rates are constant across levels of mobility limitations. (


  • Such injuries may finally lead to hospitalisation, and further mobility limitations. (


  • Another recent study revealed that low 25(OH)D was linked with the occurrence of mobility limitations over a 3 year follow up among older subjects. (


  • The sit-to-stand action is a functional activity that has been incorporated into a number of mobility measures. (
  • The psychometric properties and clinical utility of measures of walking and mobility in neurological conditions: a systematic review. (
  • Validity and reliability comparison of 4 mobility measures in patients presenting with neurologic impairment. (


  • This study included 2099 subjects who were initially well functioning, without physical limitations. (
  • The purpose of this research is to study the effect of a simple physical activity on the mobility and quality of life of residents in long-term care facilities. (


  • Individuals with activity limitations conceptualise activities in a manner that is compatible with both psychological and medical models. (
  • The MOVE study will demonstrate whether it is possible to delay the loss of mobility in long-term care residents by incorporating the sit-to-stand activity into the regular practice of health care aides. (


  • Almost 90 percent of residents living in long-term care facilities have some type of mobility limitation, which worsens quickly once they move into a long-term care facility. (