GAIT SPEED AND MOBILITY PERFORMANCE AMONG FALLERS AND NON-FALLERS COMMUNITYDWELLING ELDERLY FILIPINOS: A COMPARATIVE CROSS-SECTIONAL STUDY

Vince Geoffrey E. Austria, Elijah Neil R. Tungcab, Genielle Abon, Marie Anne C. Lagartija, Sophia Joy D. Federis, John Matthew D. Zarate, Justine Vincent D. Ramos
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Abstract

Introduction: Southeast Asia is experiencing a significant rise in the population of elderly individuals, particularly in the Philippines. Thus, screening and monitoring mobility restrictions in elderly people are critical in order to provide effective measures as well as prompt and timely interventions. Methods: The study used a quantitative, non-experimental, comparative, and cross-sectional design. Filipino community-dwelling elderly individuals who were aged 60-79 years old, had no significant disability, and residing in a municipality of the National Capital Region (n=152), participated in the study. Researchers measured mobility performance using Timed Up-and-Go Test (TUGT). While, gait speed was measured using iWalkAssess application to administer 10-Meter Walk Test (10MWT). Preliminary reference values for the mobility-specific tests were presented as means, standard deviations, and 95% confidence intervals. Findings were compared between Faller and Non-Faller groups. Results: Fallers demonstrated consistently higher scores compared to their non-Faller counterparts on the TUGT (P-value < 0.05). While there are significantly lower scores in 10MWT among Fallers than in Non-Fallers (P-value < 0.05). Furthermore, the Faller group revealed to have a Timed Up and Go Test mean (SD) score of 13.32 ± 1.41, while there is a reported 0.92 ± 0.15 mean (SD) score in 10-Meter Walk Test. Discussion: The study provides preliminary evidence on the differences in gait speed and mobility performance among community-dwelling elderly individuals who are Fallers and Non-Fallers. Hence, Filipino community-dwelling elderly individuals who are classified as Fallers revealed to have a slower gait speed than Non-Faller community-dwelling older adults. Also, results suggested that Non-Fallers have a better mobility performance than the Faller population.
在社区居住的菲律宾老年人中,跌倒者和非跌倒者的步速和行动能力:一项横断面比较研究
导言:东南亚地区的老年人口正在大幅增加,尤其是在菲律宾。因此,筛查和监测老年人的行动限制至关重要,这样才能提供有效的措施,并迅速及时地进行干预。研究方法本研究采用定量、非实验、比较和横断面设计。参与研究的菲律宾社区老年人年龄在 60-79 岁之间,无明显残疾,居住在菲律宾国家首都地区的一个市镇(人数为 152 人)。研究人员使用定时起立行走测试(TUGT)测量行动能力。步速则通过 iWalkAssess 应用程序进行 10 米步行测试(10MWT)。活动能力特定测试的初步参考值以平均值、标准差和 95% 置信区间的形式呈现。比较了跌倒组和非跌倒组的调查结果。结果:与非跌倒者相比,跌倒者在 TUGT 中的得分一直较高(P 值小于 0.05)。而跌倒者的 10MWT 分数明显低于非跌倒者(P 值 < 0.05)。此外,跌倒者组的定时起立和前进测试平均(标清)得分为 13.32 ± 1.41,而 10 米步行测试平均(标清)得分为 0.92 ± 0.15。讨论本研究提供了初步证据,说明在社区居住的老年人中,跌倒者和非跌倒者在步态速度和移动能力方面存在差异。因此,被归类为 "跌倒者 "的菲律宾社区居住老人的步速比 "非跌倒者 "的社区居住老人要慢。此外,研究结果还表明,非跌倒者的行动能力优于跌倒者。
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