Article

OBJECTIVES: To describe the methods of a longitudinal cohort study among older
adults with preclinical disability. The study aims to address the lack of
evidence guiding mobility rehabilitation for older adults by identifying those
impairments and impairment combinations that are most responsible for mobility
decline and disability progression over 2 years of follow-up. DESIGN:
Longitudinal cohort study. SETTING: Metropolitan-based health care system.
PARTICIPANTS: Community-dwelling primary care patients aged >/=65 years (N=430),
with self-reported modification of mobility tasks because of underlying health
conditions. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Late Life
Function and Disability Instrument (LLFDI) (primary outcome); Short Physical
Performance Battery and 400-m walk test (secondary outcomes). RESULTS: Among 7403
primary care patients identified as being potentially eligible for participation,
430 were enrolled. Participants have a mean age of 76.5 years, are 68% women, and
have on average 4.2 chronic conditions. Mean LLFDI scores are 55.5 for Function
and 68.9 and 52.3 for the Disability Limitation and Frequency domains,
respectively. CONCLUSIONS: Completion of our study aims will inform development
of primary care-based rehabilitative strategies to prevent disability.
Additionally, data generated in this investigation can also serve as a vital
resource for ancillary studies addressing important questions in rehabilitative
science relevant to geriatric care.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS