Physical Mobility and Balance Performance Differs in Older Cancer Survivors With Impaired Executive Function.
Background and Purpose: Executive function (EF) is associated with falls and impaired gait in older adults. Performance on a measure of EF, the Trail Making Test Part B (TMT-B), may be able to differentiate between physical mobility and balance in older cancer survivors. The purpose of this study wa...
| Publicado en: | Rehabilitation Oncology Vol. 39; no. 1; pp. 31 - 38 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jan2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=147874679&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 147874679 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21683808 Z0W jtl: Rehabilitation Oncology issn: 21683808 maglogo: N pubinfo: dt: Jan2021 vid: 39 iid: 1 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 147874679 147874679 147874679 10.1097/01.REO.0000000000000248 147874679 ppf: 31 ppct: 7 formats: tig: atl: Physical Mobility and Balance Performance Differs in Older Cancer Survivors With Impaired Executive Function. aug: au: Blackwood, Jennifer Rybicki, Kateri affil: Board-Certified Geriatric Clinical Specialist sug: subj: Cancer Survivors In Old Age Accidental Falls Risk Factors Risk Assessment Methods Cognition Disorders Complications Executive Function Physical Mobility Evaluation Balance, Postural Evaluation Human Male Female Aged Aged, 80 and Over Secondary Analysis Descriptive Statistics Kruskal-Wallis Test Chi Square Test Data Analysis Software Cognition Gait Analysis Self-Efficacy Task Performance and Analysis Functional Status Walking Speed Clinical Assessment Tools Neuropsychological Tests Scales Aged: 65+ years Aged, 80 & over Male Female ab: Background and Purpose: Executive function (EF) is associated with falls and impaired gait in older adults. Performance on a measure of EF, the Trail Making Test Part B (TMT-B), may be able to differentiate between physical mobility and balance in older cancer survivors. The purpose of this study was to describe the demographic, disease-associated, and mobility differences in 2 groups of older cancer survivors based on the ability to complete TMT-B. Methods: Physical mobility and cognition was assessed in 50 older (aged 65+ years) cancer survivors. Group assignment was by TMT-B completion status (completers/noncompleters). Between-groups comparisons were performed on measures of physical mobility, balance, gait, and self-efficacy using nonparametric statistics. Results: Sixteen (32%) older cancer survivors were unable to complete TMT-B. Significant differences were found (P <.05) on all Timed Up and Go (TUG) measures in noncompleters versus completers: TUG (12.10 seconds vs 9.28 seconds), TUG-manual (12.81 seconds vs 10.88 seconds), TUG-cognitive (14.35 seconds vs 10.98 seconds). Noncompleters had significantly worse (P <.05) scores on the Short Physical Performance Battery, Fullerton Advanced Balance Scale, 30-second timed chair rise, balance confidence, falls self-efficacy, and all gait speed (usual, fast, dual-task) measures. Discussion: Older cancer survivors unable to complete TMT-B had worse performance in mobility, balance, strength, and dual-task activities that involve the increased demand of cognitive function. Executive function should be screened as a part of the falls risk management in older cancer survivors. Conclusion: Physical mobility, balance, and function are significantly more impaired in older cancers survivors who are unable to complete the TMT-B cognitive measure. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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