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Titolo:
Validity of the multi-directional reach test: A practical measure for limits of stability in older adults
Autore:
Newton, RA;
Indirizzi:
Temple Univ, Dept Phys Therapy, Philadelphia, PA 19140 USA Temple Univ Philadelphia PA USA 19140 Therapy, Philadelphia, PA 19140 USA
Titolo Testata:
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
fascicolo: 4, volume: 56, anno: 2001,
pagine: M248 - M252
SICI:
1079-5006(200104)56:4<M248:VOTMRT>2.0.ZU;2-5
Fonte:
ISI
Lingua:
ENG
Soggetto:
FUNCTIONAL REACH; ELDERLY PERSONS; RISK-FACTORS; NURSING-HOME; BALANCE; FALL; POPULATION; FRACTURES; COMMUNITY; FEAR;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Life Sciences
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Newton, RA Temple Univ, Dept Phys Therapy, 3307 N Broad St, Philadelphia, PA 19140 USA Temple Univ 3307 N Broad St Philadelphia PA USA 19140 19140 USA
Citazione:
R.A. Newton, "Validity of the multi-directional reach test: A practical measure for limits of stability in older adults", J GERONT A, 56(4), 2001, pp. M248-M252

Abstract

Background. Falls occur not only in the forward direction, but also to theside and backward. The purpose of this study was to develop a portable andvalid tool to measure limits of stability in the anterior-posteriorr and medial-lateral directions. Methods. Two hundred fifty-four community-dwelling older persons were administered the Berg Balance Test (BBT), the Timed Up & Go Test (TUG). and theMulti-Directional Reach Test (MDRT). Por the MDRT, subjects performed maximal reaches with the outstretched arm forward (FR), to the right (RR), to the left (LR). and leaning backward (BR). with felt flat on the floor. Reachwas measured by the subject's total hand excursion along a yardstick affixed to a telescoping tripod. Results. Mean scores on the MDRT were FR = 8.89 +/- 3.4 in., BR = 4.46 0 +/- 3.07 in., RR = 6.15 +/- 2.99 in., and LR = 6.61 +/- 2.88 in. Interclass Correlation (ICC2,1) for the reaches were greater than .92. Reliability analysis (Cronbach's Alpha,.842) demonstrated that directional reaches measuresimilar but unique aspects of the MDRT. The MDRT demonstrated significant correlation with the BET sum and significant inverse relationship with the scores on the TUG. Regression analysis revealed that activity level contributed to scores in the forward, right, and left direction and that fear of falling contributed to scores in the backward direction. Conclusion. The Multi-Directional Reach Test is an inexpensive, reliable, and valid tool for measuring the limits of stability as derived by reach infour directions. Values obtained on relatively healthy community-dwelling older adults serve as norms for screening patient populations.

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Documento generato il 02/04/20 alle ore 00:26:10