Do measures of physical capacity and walking self-efficacy relate to frailty in older adults with difficulty walking outdoors? A secondary data analysis.

Autor:	Veley A; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Degen M; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Rimmer L; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Collins L; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Dorocicz I; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Smith J; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Barclay R; Department of Physical Therapy, College of Rehabilitation Sciences, University of Manitoba, Winnipeg, MB, Canada., Scodras S; Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Alsbury-Nealy K; Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Salbach NM; Department of Physical Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.; Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.; The KITE Research Institute, University Health Network, Toronto, ON, Canada.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation [Disabil Rehabil] 2024 Aug; Vol. 46 (17), pp. 3905-3912. Date of Electronic Publication: 2023 Oct 03.
DOI:	10.1080/09638288.2023.2258336
Abstrakt:	Purpose: Measures of physical capacity and self-efficacy may help rehabilitation professionals better understand and detect frailty in older adults. We aimed to characterize frailty, walking self-efficacy, physical capacity, and their inter-relationships in older adults with difficulty walking outdoors. Materials and Methods: A secondary analysis of baseline data from 187 older adults (age ≥ 65 years) with mobility limitations was performed. Frailty was evaluated using the cardiovascular health study frailty index. Physical capacity was measured using the 10-meter walk test (10mWT), 6-min walk test (6MWT), 30-second sit-to-stand test (30STST), mini balance evaluation systems test (mini-BESTest), and hand dynamometry. Self-efficacy was assessed using the ambulatory self-confidence questionnaire (ASCQ). We evaluated associations between scores on physical capacity and walking self-efficacy measures and frailty level using an ANOVA or the Kruskal Wallis H-test. Results: The percentage of participants not frail, pre-frail, and frail was 33.7%, 57.2%, and 9.1%, respectively. Median score on the 10mWT-comfortable pace, 10mWT-fast pace, 6MWT, 30STST, mini-BESTest, grip strength, and ASCQ was 1.06 m/s, 1.42 m/s, 354.0 m, 9.0 repetitions, 22 points, 23.0 kg, and 8.1 points, respectively. Scores on physical capacity and walking self-efficacy measures were associated with frailty level ( p  < 0.01). Conclusions: Findings provide insight into the utility of rehabilitation measures to indicate frailty among older adults with mobility limitations.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu