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Titre : | Which Neuromuscular Attributes Are Most Associated With Mobility Among Older Primary Care Patients? (2013) |
Auteurs : | Jonathan F. Bean ; Nancy K. Latham ; Nicole Holt ; et al. |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2013/12, 2013) |
Article en page(s) : | pp. 2381-2388 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Mobilité réduite ; Rééducation et réadaptation ; Soins de santé primaires ; Sujet âgé |
Mots-clés: | Aged ; Mobility limitation ; Primary health care |
Résumé : |
Objective To identify the neuromuscular attributes that are associated with self-reported mobility status among older primary care patients. Design Cohort study. Setting Metropolitan-based health care system. Participants Community-dwelling primary care patients aged ≥65 years (N=430), with self-reported modification of mobility tasks resulting from underlying health conditions. Interventions Not applicable. Main Outcome Measures Basic and Advanced Lower Extremity Function as measured by the Late Life Function and Disability Instrument. Results We constructed multivariable linear regression models evaluating both outcomes. For Basic Lower Extremity Function, leg strength, leg velocity, trunk extensor muscle endurance, and ankle range of motion (ROM) were statistically significant predictors (P<.001 r2=".21)." for advanced lower extremity function leg strength asymmetry velocity trunk extensor muscle endurance and knee flexion rom were statistically significant predictors sensitivity analyses conducted using multiple imputations to account missing data confirmed these findings.> Conclusions This analysis highlights the relevance and importance of 5 categories of neuromuscular attributes: strength, speed of movement, ROM, asymmetry, and trunk stability. It identifies novel attributes (leg velocity and trunk extensor muscle endurance) relevant to mobility and highlights that impairment profiles vary by the level of mobility assessed. These findings will inform the design of more thorough and potentially more effective disability prevention strategies. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |