Use of the Physical Performance Test to assess preclinical disability in subjects with asymptomatic carotid artery disease.

BACKGROUND AND PURPOSE: The purpose of this study was to determine whether subjects with asymptomatic carotid artery stenosis and occlusion demonstrate deficits in physical performance compared with a comparison group. These deficits may indicate that a person is demonstrating preclinical disability...

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Publicado en:Physical Therapy Vol. 86; no. 4; pp. 541 - 549
Autores principales: Landgraff NC, Whitney SL, Rubinstein EN, Yonas H
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Apr2006
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        10.1093/ptj/86.4.541
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        atl: Use of the Physical Performance Test to assess preclinical disability in subjects with asymptomatic carotid artery disease.
      aug:
        au:
          Landgraff NC
          Whitney SL
          Rubinstein EN
          Yonas H
        affil: Department of Physical Therapy, Youngstown State University, Youngstown, Ohio, USA. nlandgraff@ysu.edu
      sug:
        subj:
          Carotid Stenosis Physiopathology
          Clinical Assessment Tools Evaluation
          Disability Evaluation
          Geriatric Assessment
          Activities of Daily Living
          Clinical Assessment Tools
          Predictive Value of Tests
          Descriptive Statistics
          Interrater Reliability
          Validation Studies
          Analysis of Variance
          Pearson's Correlation Coefficient
          Post Hoc Analysis
          Funding Source
          Human
      ab: BACKGROUND AND PURPOSE: The purpose of this study was to determine whether subjects with asymptomatic carotid artery stenosis and occlusion demonstrate deficits in physical performance compared with a comparison group. These deficits may indicate that a person is demonstrating preclinical disability. SUBJECTS: Seventy-one subjects with no known disease and 39 subjects with asymptomatic carotid artery stenosis of moderate and severe degrees or with occlusion were included. METHODS: Physical performance was assessed with the 9-item and 7-item versions of the Physical Performance Test (PPT). Individual tasks also were timed for the subjects with disease. RESULTS: There were significant differences between the comparison group and the subjects with carotid artery stenosis on the 9-item PPT (P<.00) and on the 7-item PPT (P<.03). Subjects with asymptomatic carotid artery stenosis and occlusion demonstrated less than optimal performance on the PPT (9-item PPT, mean=27 of 36; 7-item PPT, mean=21 of 28). Subjects with moderate stenosis were the slowest in performing the task of simulated eating. DISCUSSION AND CONCLUSION: Subjects with asymptomatic carotid artery stenosis and occlusion exhibited changes in function, as indicated by their performance on the PPT relative to that of a comparison group. This finding may be indicative of preclinical disability, indicating that these people are symptomatic. This indication may affect the medical and surgical options that can be considered for their care.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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