Walking Speed: The Functional Vital Sign
TLDR
This scholarly review article provides clinicians with a reference tool regarding this robust measure and recommends on testing procedures for assessing WS, including optimal distance, inclusion of acceleration and deceleration phases, instructions, and instrumentation.Abstract:
Walking speed (WS) is a valid, reliable, and sensitive measure appropriate for assessing and monitoring functional status and overall health in a wide range of populations. These capabilities have led to its designation as the "sixth vital sign". By synthesizing the available evidence on WS, this scholarly review article provides clinicians with a reference tool regarding this robust measure. Recommendations on testing procedures for assessing WS, including optimal distance, inclusion of acceleration and deceleration phases, instructions, and instrumentation are given. After assessing an individual's WS, clinicians need to know what this value represents. Therefore, WS cut-off values and the corresponding predicted outcomes, as well as minimal detectable change values for specific populations and settings are provided.read more
Citations
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Journal ArticleDOI
Age-Related Diseases and Clinical and Public Health Implications for the 85 Years Old and Over Population.
Efraim Jaul,Jeremy Barron +1 more
TL;DR: Comparing healthy behaviors starting in early childhood can optimize quality of life among the oldest-old and judicious prescribing and ordering of tests includes a consideration of life expectancy, lag time to benefit, and patient goals.
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A soft robotic exosuit improves walking in patients after stroke.
Louis N. Awad,Louis N. Awad,Louis N. Awad,Jaehyun Bae,Jaehyun Bae,Kathleen O'donnell,Kathleen O'donnell,Stefano Marco Maria De Rossi,Stefano Marco Maria De Rossi,Kathryn Hendron,Lizeth H. Sloot,Pawel Kudzia,Stephen Allen,Kenneth G. Holt,Terry D. Ellis,Conor J. Walsh,Conor J. Walsh +16 more
TL;DR: Using controlled, treadmill-based biomechanical investigation, it is demonstrated that exosuits can function in synchrony with a wearer’s paretic limb to facilitate an immediate improvement in walking performance observed using the powered exosuit, making this a promising approach for neurorehabilitation.
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Gut microbiome pattern reflects healthy ageing and predicts survival in humans
Tomasz Wilmanski,Christian Diener,Noa Rappaport,Sushmita Patwardhan,Jack Wiedrick,Jodi Lapidus,John C. Earls,Anat Zimmer,Gustavo Glusman,Max Robinson,James T. Yurkovich,Deborah M. Kado,Jane A. Cauley,Joseph M. Zmuda,Nancy E Lane,Andrew T. Magis,Jennifer C. Lovejoy,Leroy Hood,Sean M. Gibbons,Sean M. Gibbons,Eric S. Orwoll,Nathan D. Price +21 more
TL;DR: In this paper, the authors leverage three independent cohorts comprising over 9,000 individuals and find that compositional uniqueness is strongly associated with microbially produced amino acid derivatives circulating in the bloodstream.
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Gut Microbiota, Muscle Mass and Function in Aging: A Focus on Physical Frailty and Sarcopenia.
Andrea Ticinesi,Antonio Nouvenne,Nicoletta Cerundolo,Pamela Catania,Beatrice Prati,Claudio Tana,Tiziana Meschi +6 more
TL;DR: The causal link between microbiota and physical fitness is still uncertain due to the lack of targeted studies and the influence of a large number of covariates, including diet, exercise, multimorbidity, and polypharmacy, on both microbiota composition and physical function in older age.
Journal ArticleDOI
Clinical Practice Guideline to Improve Locomotor Function Following Chronic Stroke, Incomplete Spinal Cord Injury, and Brain Injury.
T. George Hornby,Darcy S. Reisman,Irene G Ward,Patricia L. Scheets,Allison Miller,David Haddad,Emily J. Fox,Nora E. Fritz,Kelly A Hawkins,Christopher E. Henderson,Kathryn L Hendron,Carey L. Holleran,James E Lynskey,Amber Walter +13 more
TL;DR: The present clinical practice guideline suggests that task-specific walking training should be performed to improve walking speed and distance in those with acute-onset CNS injury although only at higher intensities or with augmented feedback.
References
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Journal ArticleDOI
2011 Compendium of Physical Activities: a second update of codes and MET values.
Barbara E. Ainsworth,William L. Haskell,Stephen D. Herrmann,Nathanael Meckes,David R. Bassett,Catrine Tudor-Locke,Jennifer L. Greer,Jesse W. Vezina,Melicia C. Whitt-Glover,Arthur S. Leon +9 more
TL;DR: The 2011 Compendium is an update of a system for quantifying the energy cost of adult human PA and is a living document that is moving in the direction of being 100% evidence based.
Journal ArticleDOI
Gait speed and survival in older adults.
Stephanie A. Studenski,Subashan Perera,Kushang V. Patel,Caterina Rosano,Kimberly A. Faulkner,Marco Inzitari,Jennifer S. Brach,Julie Chandler,Peggy M. Cawthon,Elizabeth Connor,Michael C. Nevitt,Marjolein Visser,Stephen B. Kritchevsky,Stefania Badinelli,Tamara B. Harris,Anne B. Newman,Jane A. Cauley,Luigi Ferrucci,Jack M. Guralnik +18 more
TL;DR: In this pooled analysis of individual data from 9 selected cohorts, gait speed was associated with survival in older adults and predicted survival was as accurate as predicted based on age, sex, use of mobility aids, and self-reported function.
Journal ArticleDOI
Comfortable and maximum walking speed of adults aged 20—79 years: reference values and determinants
TL;DR: Gait speed can be expected to be reduced in individuals of greater age and of lesser height and lower extremity muscle strength and normative values should give clinicians a reference against which patient performance can be compared in a variety of settings.
Journal ArticleDOI
Gait speed at usual pace as a predictor of adverse outcomes in community-dwelling older people an International Academy on Nutrition and Aging (IANA) Task Force
Gabor Abellan van Kan,Yves Rolland,Sandrine Andrieu,Juergen M. Bauer,Olivier Beauchet,Marc Bonnefoy,Matteo Cesari,Lorenzo M. Donini,Sophie Gillette-Guyonnet,Marco Inzitari,Fati Nourhashemi,Graziano Onder,P. Ritz,Antoni Salvà,Marjolein Visser,Bruno Vellas +15 more
TL;DR: Gait speed at usual pace was found to be a consistent risk factor for disability, cognitive impairment, institutionalisation, falls, and/or mortality in older adults as mentioned in this paper, and the use of simple, safe, and easy to perform assessment tool, like gait speed, to evaluate vulnerability to adverse outcomes in community-dwelling older people is appealing.
Journal ArticleDOI
Classification of Walking Handicap in the Stroke Population
TL;DR: The results of this study offer a quantitative method of relating the social disadvantage of stroke patients to the impairment and disability sustained and the measurement of therapeutic outcome in relation to the social advantage for the patient would allow more efficient standardization of treatment and services.
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