Functional mobility limitations and falls in assisted living residents with dementia : Physical performance assessment and quantitative gait analysis

Journal of Geriatric Physical Therapy

Volumn 36, Issue 2, 2013, Pages 78-86

  McGough, Ellen L ^a   Logsdon, Rebecca G ^b   Kelly, Valerie E ^a   Teri, Linda ^b  

^a UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Dementia; Falls; Functional assessment; Mobility limitation; Spatiotemporal gait measures

Indexed keywords

AGED; ARTICLE; ASSISTED LIVING FACILITY; BODY EQUILIBRIUM; CROSS-SECTIONAL STUDY; DEMENTIA; FALLING; FEMALE; GAIT; GERIATRIC ASSESSMENT; HUMAN; MALE; METHODOLOGY; PREVALENCE; PROSPECTIVE STUDY; STATISTICS; VERY ELDERLY; WALKING DIFFICULTY;

ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; ASSISTED LIVING FACILITIES; CROSS-SECTIONAL STUDIES; DEMENTIA; FEMALE; GAIT; GERIATRIC ASSESSMENT; HUMANS; MALE; MOBILITY LIMITATION; POSTURAL BALANCE; PREVALENCE; PROSPECTIVE STUDIES;

EID: 84880253466     PISSN: 15398412     EISSN: 21520895     Source Type: Journal    
DOI: 10.1519/JPT.0b013e318268de7f     Document Type: Article

References (35)

1. Allan LM, Ballard CG, Rowan EN, Kenny RA. Incidence and prediction of falls in dementia: a prospective study in older people. PLoS One. 2009; 4 (5): e5521 .
2. Kenny AM, Bellantonio S, Fortinsky RH, et al. Factors associated with skilled nursing facility transfers in dementia-specific assisted living. Alzheimer Dis Assoc Disord. 2008; 22 (3): 255-260 .
3. O'Keeffe ST, Kazeem H, Philpott RM, Playfer JR, Gosney M, Lye M. Gait disturbance in Alzheimer's disease: a clinical study. Age Ageing. 1996; 25 (4): 313-316 . (Pubitemid 26245282)
4. Beauchet O, Allali G, Berrut G, Hommet C, Dubost V, Assal F. Gait analysis in demented subjects: Interests and perspectives. Neuropsychiatr Dis Treat. 2008; 4 (1): 155-160 . (Pubitemid 351460986)
5. Morris JC, Rubin EH, Morris EJ, Mandel SA. Senile dementia of the Alzheimer's type: an important risk factor for serious falls. J Gerontol 1987; 42 (4): 412-417 . (Pubitemid 17103783)
6. Tinetti ME, Kumar C. The patient who falls: "it's always a trade-off." JAMA. 2010; 303 (3): 258-266 .
7. Tornatore JB, Hedrick SC, Sullivan JH, Gray SL, Sales A, Curtis M. Community residential care: comparison of cognitively impaired and noncognitively impaired residents. Am J Alzheimers Dis Other Demen. 2003; 18 (4): 240-246 . (Pubitemid 37010733)
8. Buchman AS, Boyle PA, Leurgans SE, Barnes LL, Bennett DA. Cognitive function is associated with the development of mobility impairments in community-dwelling elders. Am J Geriatr Psychiatry. 2011; 19 (6): 571-580 .
9. van Iersel MB, Benraad CEM, Olde Rikkert MGM. Validity and reliability of quantitative gait analysis in geriatric patients with and without dementia. J Am Geriatr Soc. 2007; 55 (4): 632-633 .
10. Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrum ent. Can J Public Health. 1992; 83 (suppl 2): S7-S11 . (Pubitemid 23017045)
11. Guralnik JM, Simonsick EM, Ferrucci L, et al. A Short Physical Performance Battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994 ; 49 (2): M85-94 . (Pubitemid 24100267)
12. Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lowerextremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995; 332 (9): 556-561 .
13. Guralnik JM, Ferrucci L, Pieper CF, et al. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the Short Physical Performance Battery. J Gerontol A Biol Sci Med Sci. 2000 ; 55 (4): M221-231 . (Pubitemid 30257618)
14. Beauchet O, Freiberger E, Annweiler C, Kressig RW, Herrmann FR, Allali G. Test-retest reliability of stride time variability while dual tasking in healthy and demented adults with frontotemporal degeneration. J Neuroeng Rehabil. 2011; 8 (1): 37 .
15. Wittwer JE, Webster KE, Andrews PT, Menz HB. Test-retest reliability of spatial and temporal gait parameters of people with Alzheimer's disease. Gait Posture. 2008; 28 (3): 392-396 .
16. Rao AK, Quinn L, Marder KS. Reliability of spatiotemporal gait outcome measures in Huntington's disease. Movement Disord. 2005; 20 (8): 1033- 1037 . (Pubitemid 41419522)
17. Wittwer JE, Webster KE, Menz HB. A longitudinal study of measures of walking in people with Alzheimer's Disease. Gait Posture. 2010; 32 (1): 113-117 .
18. Folstein MF, Folstein SE, McHugh PR. " Mini-mental state." A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12 (3): 189-198 .
19. Steffen TM, Hacker TA, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther. 2002; 82 (2): 128-137 . (Pubitemid 34112999)
20. Conradsson M, Lundin-Olsson L, Lindelof N, et al. Berg Balance Scale: intrarater test-retest reliability among older people dependent in activities of daily living and living in residential care facilities. Phys Ther. 2007; 87 (9): 1155-1163 . (Pubitemid 350194783)
21. Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Redfern MS, Furman JM. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Phys Ther. 2005; 85 (10): 1034-1045 . (Pubitemid 41396003)
22. Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Phys Ther. 1997; 77(8) : 812-819 . (Pubitemid 27332973)
23. Verghese J, Holtzer R, Lipton RB, Wang C. Quantitative gait markers and incident fall risk in older adults. J Gerontol A Biol Sci Med Sci. 2009; 64(8) : 896-901 .
24. Hausdorff JM. Gait variability: methods, modeling and meaning. J Neuroeng Rehabil. 2005; 2 : 19 .
25. Beauchet O, Allali G, Annweiler C, et al. Gait variability among healthy adults: low and high stride-to-stride variability are both a reflection of gait stability. Gerontology. 2009 ; 55(6) : 702-706 .
26. Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in community-living older adults: a 1-year prospective study. Arch Phys Med Rehabil. 2001; 82(8) : 1050-1056 . (Pubitemid 32744331)
27. Portney LG, Watkins MP. Foundations of Clinical Research : Applications to Practice. 3rd ed. Upper Saddle River, NJ : Prentice Hall; 2009 .
28. Camicioli R, Licis L. Motor impairment predicts falls in specialized Alzheimer care units. Alzheimer Dis Assoc Disord. 2004; 18(4) : 214-218 . (Pubitemid 40076151)
29. Verghese J, Robbins M, Holtzer R, et al. Gait dysfunction in mild cognitive impairment syndromes. J Am Geriatr Soc. 2008 ; 56(7) : 1244-1251 .
30. Wennie Huang WN, Perera S, Van Swearingen J, Studenski S. Performance measures predict onset of activity of daily living difficulty in communitydwelling older adults. J Am Geriatr Soc. 2010; 58(5) : 844-852 .
31. Guralnik JM. Assessment of physical performance and disability in older persons. Muscle Nerve Suppl. 1997; 5 : S14-S16 . (Pubitemid 27418695)
32. Sheridan PL, Solomont J, Kowall N, Hausdorff JM. Influence of executive function on locomotor function: divided attention increases gait variability in Alzheimer's disease. J Am Geriatr Soc. 2003; 51(11) : 1633-1637 . (Pubitemid 37409600)
33. Webster KE, Merory JR, Wittwer JE. Gait variability in community dwelling adults with Alzheimer disease. Alzheimer Dis Assoc Disord. 2006; 20(1) : 37-40 . (Pubitemid 44356892)
34. Allali G, Assal F, Kressig RW, Dubost V, Herrmann FR, Beauchet O. Impact of impaired executive function on gait stability. Dement Geriatr Cog Disord. 2008; 26(4) : 364-369 .
35. Ries JD, Echternach JL, Nof L, Gagnon Blodgett M. Test-retest reliability and minimal detectable change scores for the timed "up & go" test, the six-minute walk test, and gait speed in people with Alzheimer disease. Phys Ther. 2009; 89(6) : 569-579 .