Association between subject functional status, seat height, and movement strategy in sit-to-stand performance.

OBJECTIVES: To explore the association between an individual's functional status, movement task difficulty, and effectiveness of compensatory movement strategies within a sit-to-stand (STS) paradigm. DESIGN: Cross-sectional study. SETTINGS: Rehabilitation unit of the Istituto Nazionale Riposo e Cura...

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Published in:Journal of the American Geriatrics Society Vol. 52; no. 10; pp. 1750 - 1755
Main Authors: Mazzà C, Benvenuti F, Bimbi C, Stanhope SJ
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Oct2004
Online Access:View this record in EBSCOhost
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      dt: Oct2004
      vid: 52
      iid: 10
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        106581318
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        2005036977
        10.1111/j.1532-5415.2004.52472.x
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        106581318
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        atl: Association between subject functional status, seat height, and movement strategy in sit-to-stand performance.
      aug:
        au:
          Mazzà C
          Benvenuti F
          Bimbi C
          Stanhope SJ
        affil: Department of Human Movement and Sport Sciences, Istituto Universitario di Scienze Motorie, Rome, Italy
      sug:
        subj:
          Disability Evaluation In Old Age
          Geriatric Functional Assessment Methods
          Movement Disorders Classification
          Movement Disorders Diagnosis
          Sitting Evaluation
          Standing Evaluation
          Aged
          Aged, 80 and Over
          Clinical Assessment Tools
          Convenience Sample
          Cross Sectional Studies
          Female
          Funding Source
          Italy
          Male
          One-Way Analysis of Variance
          Outpatients
          Rehabilitation Centers Italy
          Adaptive Seating
          Wilcoxon Signed Rank Test
          Human
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: OBJECTIVES: To explore the association between an individual's functional status, movement task difficulty, and effectiveness of compensatory movement strategies within a sit-to-stand (STS) paradigm. DESIGN: Cross-sectional study. SETTINGS: Rehabilitation unit of the Istituto Nazionale Riposo e Cura Anziani Geriatric Hospital of Florence, Italy. PARTICIPANTS: A convenience sample (131 subjects) of the outpatient clinic and day-hospital population. MEASUREMENTS: A performance-based test (repeated chair standing) was used to divide the subjects into five functional groups. Subjects performed a series of single STS tasks across a range of five descending seat heights. They were instructed to stand without using arms or compensatory strategies. If unable, swinging the arms was allowed, and if the inability persisted, subjects could push with their arms during subsequent attempts. The strategy or inability to stand formed the dependent measures. RESULTS: Subjects within the two highest functional groups could complete the single STS task at all seat heights, with a slight increased use of compensatory strategies at the lowest seat height. The effectiveness of the compensatory strategies decreased rapidly as a function of seat height and functional status. One-third (35.5%) of the subjects in the middle functional group swung their arms at the lower seat heights. Across the three least functional groups, 11.8%, 30.6%, and 83.3% of the subjects, respectively, were unable to stand at the lowest seat height. CONCLUSION: The individual's functional status and difficulty of the task influenced the effectiveness of a compensatory strategy to maintain the ability to stand, supporting the idea that disability depends on the interplay between environmental demands and physical ability.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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