Association of Activities of Daily Living With Load During Step Ascent Motion in Nursing Home–Residing Elderly Individuals
| Autor: | Noriaki Ichihashi, Mitsuhiro Masaki, Ken Kusano, Masayo Tanaka, Midori Kamiya, Takehiro Kato, Kiyoshi Kita, Kojiro Araki, Tome Ikezoe, Ryo Isono, Tetsuya Hirono, Syunsuke Sato, Tadao Tsuboyama |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Activities of daily living media_common.quotation_subject Physical Therapy Sports Therapy and Rehabilitation Walking Weight-Bearing Motion 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Activities of Daily Living Task Performance and Analysis Homes for the Aged Humans Medicine Muscle Strength 030212 general & internal medicine Range of Motion Articular Geriatric Assessment Postural Balance media_common Balance (ability) Aged 80 and over business.industry Rehabilitation Regression analysis Functional Independence Measure Independence Nursing Homes Preferred walking speed Lower Extremity Regression Analysis Female Observational study business Range of motion human activities 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 97:715-720 |
| ISSN: | 1537-7385 0894-9115 |
| Popis: | Objective This study aimed to examine the association of independence in activities of daily living with the loads during step ascent motion and other motor functions in 32 nursing home-residing elderly individuals. Design Independence in activities of daily living was assessed by using the Functional Independence Measure. The loads at the upper (i.e., pulling up) and lower (i.e., pushing up) levels during the step ascent task was measured on a step ascent platform. Hip extensor, knee extensor, plantar flexor muscle, and quadriceps setting strengths; lower extremity agility using the stepping test; and hip and knee joint pain severities were measured. One-legged stance and functional reach distance for balance and maximal walking speed, timed up-and-go time, five-chair-stand time, and step ascent time were also measured to assess mobility. Results Stepwise regression analysis revealed that the load at pushing up during step ascent motion and timed up-and-go time were significant and independent determinants of Functional Independence Measure score. Functional Independence Measure score decreased with decreased load at pushing up and increased timed up-and-go time. Conclusions The study results suggest that depending on task specificity, both one step up task's push-up peak load during step ascent motion and timed up-and-go can partially explain activities of daily living's Functional Independence Measure score in nursing home-residing elderly individuals. Lower extremity muscle strength, agility, pain, or balance measures did not add to the prediction. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|