Muscle Force and Range of Motion as Predictors of Function in Older Adults
Musculoskeletal impairments and functional limitations are linked to disability in older adults. The purposes of this study were to identify the extremity musculoskeletal impairments that best predict functional limitations in older adults and to assess the validity of measurements obtained for the...
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| Veröffentlicht in: | Physical therapy 2000-06, Vol.80 (6), p.556-563 |
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| description | Musculoskeletal impairments and functional limitations are linked to disability in older adults. The purposes of this study were to identify the extremity musculoskeletal impairments that best predict functional limitations in older adults and to assess the validity of measurements obtained for the Physical Performance Test (PPT) as a predictor of disability.
Eighty-one older adults residing in independent and dependent care facilities were tested for extremity muscle force, range of motion, and function. Data were analyzed using multiple regression analysis to identify extremity impairments that predicted function scores and logistic regression analysis to determine whether PPT scores predicted subjects' living situation as dependent versus independent.
Subject age, lower-extremity muscle force, and lower-extremity range of motion explained 77% of the variance in function as measured by the PPT. Results differed when analysis was done by subject living situation, with a higher percentage of the variance in function scores explained by musculoskeletal measures for the dependent living group as compared with the independent living group.
Extremity musculoskeletal impairments have a strong relationship to function, especially in older adults living in dependent care settings. The results of this study can be used to design interventions to address the musculoskeletal disorders most related to function in the older population. |
| doi_str_mv | 10.1093/ptj/80.6.556 |
| format | Article |
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Eighty-one older adults residing in independent and dependent care facilities were tested for extremity muscle force, range of motion, and function. Data were analyzed using multiple regression analysis to identify extremity impairments that predicted function scores and logistic regression analysis to determine whether PPT scores predicted subjects' living situation as dependent versus independent.
Subject age, lower-extremity muscle force, and lower-extremity range of motion explained 77% of the variance in function as measured by the PPT. Results differed when analysis was done by subject living situation, with a higher percentage of the variance in function scores explained by musculoskeletal measures for the dependent living group as compared with the independent living group.
Extremity musculoskeletal impairments have a strong relationship to function, especially in older adults living in dependent care settings. The results of this study can be used to design interventions to address the musculoskeletal disorders most related to function in the older population.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.1093/ptj/80.6.556</identifier><identifier>PMID: 10842408</identifier><language>eng</language><publisher>United States: American Physical Therapy Association</publisher><subject>Activities of Daily Living ; Aged ; Aged, 80 and over ; Disability ; Disability Evaluation ; Elderly ; Female ; Functional assessment ; Health aspects ; Health risk assessment ; Humans ; Joints ; Male ; Measurement ; Middle Aged ; Muscle Contraction ; Muscle strength ; Muscular system ; Musculoskeletal Diseases - physiopathology ; Older people ; Physical therapy ; Range of motion ; Range of Motion, Articular ; Regression Analysis</subject><ispartof>Physical therapy, 2000-06, Vol.80 (6), p.556-563</ispartof><rights>COPYRIGHT 2000 Oxford University Press</rights><rights>COPYRIGHT 2000 Oxford University Press</rights><rights>Copyright American Physical Therapy Association Jun 2000</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c566t-e80151cb506d10b37a830bb2cee5ac4d828f2b2fe3bec5cadbcb0a3edaf8cdbb3</citedby><cites>FETCH-LOGICAL-c566t-e80151cb506d10b37a830bb2cee5ac4d828f2b2fe3bec5cadbcb0a3edaf8cdbb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10842408$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beissner, K L</creatorcontrib><creatorcontrib>Collins, J E</creatorcontrib><creatorcontrib>Holmes, H</creatorcontrib><title>Muscle Force and Range of Motion as Predictors of Function in Older Adults</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>Musculoskeletal impairments and functional limitations are linked to disability in older adults. The purposes of this study were to identify the extremity musculoskeletal impairments that best predict functional limitations in older adults and to assess the validity of measurements obtained for the Physical Performance Test (PPT) as a predictor of disability.
Eighty-one older adults residing in independent and dependent care facilities were tested for extremity muscle force, range of motion, and function. Data were analyzed using multiple regression analysis to identify extremity impairments that predicted function scores and logistic regression analysis to determine whether PPT scores predicted subjects' living situation as dependent versus independent.
Subject age, lower-extremity muscle force, and lower-extremity range of motion explained 77% of the variance in function as measured by the PPT. Results differed when analysis was done by subject living situation, with a higher percentage of the variance in function scores explained by musculoskeletal measures for the dependent living group as compared with the independent living group.
Extremity musculoskeletal impairments have a strong relationship to function, especially in older adults living in dependent care settings. The results of this study can be used to design interventions to address the musculoskeletal disorders most related to function in the older population.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Disability</subject><subject>Disability Evaluation</subject><subject>Elderly</subject><subject>Female</subject><subject>Functional assessment</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Joints</subject><subject>Male</subject><subject>Measurement</subject><subject>Middle Aged</subject><subject>Muscle Contraction</subject><subject>Muscle strength</subject><subject>Muscular system</subject><subject>Musculoskeletal Diseases - physiopathology</subject><subject>Older people</subject><subject>Physical therapy</subject><subject>Range of motion</subject><subject>Range of Motion, Articular</subject><subject>Regression Analysis</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpt0c2LEzEYBvAgiltXb55l8OBFp5uPmTRzLMX6wS4V0XPIxzvdlExSkxl0__tNnUVUSg6B5MdD8j4IvSR4SXDHro7j4UrgJV-2LX-EFqRlouYr2jxGC4wZqTtM2QV6lvMBY0xWTfcUXRAsGtpgsUCfb6ZsPFTbmAxUKtjqqwp7qGJf3cTRxVCpXH1JYJ0ZY8qn8-0UzO8bF6qdt5CqtZ38mJ-jJ73yGV487Jfo-_b9t83H-nr34dNmfV2blvOxBoFJS4xuMbcEa7ZSgmGtqQFolWmsoKKnmvbANJjWKKuNxoqBVb0wVmt2id7MuccUf0yQRzm4bMB7FSBOWa4I4VjwrsDX_8FDnFIob5OUsqLKlAp6N6O98iBd6OOYlNlDgKR8DNC7crzmrOk6zkXh9RleloXBmXP-3_hCRvg1mug97EGWwWx257hJMecEvTwmN6h0JwmWp7plqVsKLLksdRf-6uGHkx7A_oXnfgt4O4Nbt7_96RLIPCjvC6enpHkcf-LuAVlptB8</recordid><startdate>20000601</startdate><enddate>20000601</enddate><creator>Beissner, K L</creator><creator>Collins, J E</creator><creator>Holmes, H</creator><general>American Physical Therapy Association</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20000601</creationdate><title>Muscle Force and Range of Motion as Predictors of Function in Older Adults</title><author>Beissner, K L ; Collins, J E ; Holmes, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c566t-e80151cb506d10b37a830bb2cee5ac4d828f2b2fe3bec5cadbcb0a3edaf8cdbb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Disability</topic><topic>Disability Evaluation</topic><topic>Elderly</topic><topic>Female</topic><topic>Functional assessment</topic><topic>Health aspects</topic><topic>Health risk assessment</topic><topic>Humans</topic><topic>Joints</topic><topic>Male</topic><topic>Measurement</topic><topic>Middle Aged</topic><topic>Muscle Contraction</topic><topic>Muscle strength</topic><topic>Muscular system</topic><topic>Musculoskeletal Diseases - physiopathology</topic><topic>Older people</topic><topic>Physical therapy</topic><topic>Range of motion</topic><topic>Range of Motion, Articular</topic><topic>Regression Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beissner, K L</creatorcontrib><creatorcontrib>Collins, J E</creatorcontrib><creatorcontrib>Holmes, H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beissner, K L</au><au>Collins, J E</au><au>Holmes, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Muscle Force and Range of Motion as Predictors of Function in Older Adults</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>2000-06-01</date><risdate>2000</risdate><volume>80</volume><issue>6</issue><spage>556</spage><epage>563</epage><pages>556-563</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>Musculoskeletal impairments and functional limitations are linked to disability in older adults. The purposes of this study were to identify the extremity musculoskeletal impairments that best predict functional limitations in older adults and to assess the validity of measurements obtained for the Physical Performance Test (PPT) as a predictor of disability.
Eighty-one older adults residing in independent and dependent care facilities were tested for extremity muscle force, range of motion, and function. Data were analyzed using multiple regression analysis to identify extremity impairments that predicted function scores and logistic regression analysis to determine whether PPT scores predicted subjects' living situation as dependent versus independent.
Subject age, lower-extremity muscle force, and lower-extremity range of motion explained 77% of the variance in function as measured by the PPT. Results differed when analysis was done by subject living situation, with a higher percentage of the variance in function scores explained by musculoskeletal measures for the dependent living group as compared with the independent living group.
Extremity musculoskeletal impairments have a strong relationship to function, especially in older adults living in dependent care settings. The results of this study can be used to design interventions to address the musculoskeletal disorders most related to function in the older population.</abstract><cop>United States</cop><pub>American Physical Therapy Association</pub><pmid>10842408</pmid><doi>10.1093/ptj/80.6.556</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Physical therapy, 2000-06, Vol.80 (6), p.556-563 |
| issn | 0031-9023 1538-6724 |
| language | eng |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals |
| subjects | Activities of Daily Living Aged Aged, 80 and over Disability Disability Evaluation Elderly Female Functional assessment Health aspects Health risk assessment Humans Joints Male Measurement Middle Aged Muscle Contraction Muscle strength Muscular system Musculoskeletal Diseases - physiopathology Older people Physical therapy Range of motion Range of Motion, Articular Regression Analysis |
| title | Muscle Force and Range of Motion as Predictors of Function in Older Adults |
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