the future of functional mobility assessment
TRANSCRIPT
The Future of Functional Mobility Assessment
Linda MichalekInservice Presentation
Mobility
Mobility
Sit to Stand Transfers
Bed Mobility
Ascending & Descending Stairs
Ambulation
Gait Speed- 6th Vital Sign
Speed >1.0 m/s - better survival rate in community dwelling older adults
< 0.8 m/s – associated with limited capacity for community ambulation
< 0.4 m/s – identifies those with an inability to meet basic ADLs
Gait Speed
For Long Term Care Residents:
predicts mortality
predicts further functional or cognitive decline
Gait Speed As Measure of Physical Performance
Inexpensive
Feasible
Objective
Current Measures Used to Test Level of Function
6 m Walk Test
Timed Up & Go Test (TUG)
Clinical Outcome Scales
Skilled Observation
& more
Are These Sufficient?
6 m Walk Test
TUG
Clinical Outcome Scales
Skilled Observation
Accelerometer
Accelerometer
How does it do that?
Someday there will be one in every home...
Lab Gait Analysis
Acceleration-Based Gait Analysis (AGA)
Gait Pattern Deviations
Sit to Stand
Higher Expectations
Posture Change Detection
Accelerometer Size
Possible Uses of Accelerometers
Gait Analysis/ Assessment
Balance Evaluation
Falls Risk Assessment
Mobility Monitoring
Accelerometers
Potential Clinical Applications?
You bet!