A Scoping Review of the Predictive Qualities of Walking Speed in Older Adults.

IF 1.5 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Journal of Geriatric Physical Therapy Pub Date : 2024-10-01 Epub Date: 2024-09-18 DOI:10.1519/JPT.0000000000000398
Garrett Hainline, Robin D Hainline, Reed Handlery, Stacy Fritz
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引用次数: 0

Abstract

Background and purpose: Walking speed (WS) is an easily assessable and interpretable functional outcome measure with great utility for the physical therapist providing care to older adults. Since WS was proposed as the sixth vital sign, research into its interpretation and use has flourished. The purpose of this scoping review is to identify the current prognostic value of WS for the older adult.

Methods: A scoping review was conducted using PubMed, CINAHL, and SPORTDiscus to find relevant articles highlighting the predictive capabilities of WS for older adults. Titles and abstracts were reviewed to identify relevant articles. Articles were excluded based on the following criteria: sample included both younger and older adults without separate analyses, sample was focused on a particular disease, if the study was published before 2017, or if the study did not report relevant cut points for interpretation of WS. The search returned 1064 results. Following removal of articles not meeting inclusion criteria and critical appraisal, relevant cut points were extracted from 47 original research publications.

Results and discussion: A preliminary review of the included articles showed that WS is a valuable prognostic tool across many health domains, including mental health, mortality, disability, pain, bone and joint health, falls, cognition, physical activity, metabolic health, risk for cardiovascular disease, socialization, and metabolic health. The fastest WS of 1.32 meters per second (m/s) served as a cutoff for decreased risk for incident development of type 2 diabetes, while the slowest WS of less than 0.2 m/s was associated with increased duration of hospitalization. Multiple studies reported on the prognostic value of WS slower than 1.0 m/s.

Conclusion: Although the reported range of predictive WS values was broad, multiple studies found WS of approximately 1.0 m/s to be a useful marker for delineating risk or decline across a variety of health domains. Clinicians may find it useful to use a WS slower than 1.0 m/s as a "yellow flag" to guide evaluation and intervention for their older adult clients.

老年人步行速度预测质量的范围综述。
背景和目的:步行速度(WS)是一种易于评估和解释的功能结果测量方法,对于为老年人提供护理的理疗师来说非常有用。自WS被提出为第六生命体征以来,对其解释和使用的研究蓬勃发展。本范围界定综述的目的是确定WS对老年人的当前预后价值。方法:使用PubMed、CINAHL和SPORTDiscus进行范围界定审查,以找到强调WS对老年人的预测能力的相关文章。对标题和摘要进行了审查,以确定相关文章。基于以下标准排除文章:样本包括年轻人和老年人,没有单独分析,样本集中在特定疾病上,如果研究在2017年之前发表,或者如果研究没有报告WS解释的相关切入点。搜索返回1064个结果。在删除不符合纳入标准和批判性评价的文章后,从47篇原始研究出版物中提取了相关的切入点。结果和讨论:对收录文章的初步审查表明,WS在许多健康领域都是一种有价值的预后工具,包括心理健康、死亡率、残疾、疼痛、骨骼和关节健康、跌倒、认知、体育活动、代谢健康、心血管疾病风险、社会化和代谢健康。1.32米/秒(m/s)的最快WS是降低2型糖尿病发病风险的临界值,而低于0.2米/秒的最慢WS与住院时间增加有关。多项研究报告了慢于1.0 m/s的WS的预后值。结论:尽管预测WS值的报告范围很广,但多项研究发现,约1.0 m/s的WS-是描述各种健康领域风险或下降的有用标志。临床医生可能会发现,使用低于1.0 m/s的WS作为“黄旗”来指导老年客户的评估和干预是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Geriatric Physical Therapy
Journal of Geriatric Physical Therapy GERIATRICS & GERONTOLOGY-REHABILITATION
CiteScore
3.70
自引率
4.20%
发文量
58
审稿时长
>12 weeks
期刊介绍: ​Journal of Geriatric Physical Therapy is the leading source of clinically applicable evidence for achieving optimal health, wellness, mobility, and physical function across the continuum of health status for the aging adult. The mission of the Academy of Geriatric Physical Therapy is building a community that advances the profession of physical therapy to optimize the experience of aging.
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