[Usefulness of functional gait reserve relative to activities of daily living in the elderly people].
OBJECTIVE
The purpose of this study was to develop the index of functional gait reserve relative to gait endurance and gait conformability, and to examine the relationship between functional gait reserve and activities of daily living (ADL) in elderly individuals.


METHODS
Subjects comprised 107 community-dwelling elderly individuals (mean age, 72.5 +/-5.0 years). We evaluated gait function using the timed "Up and Go" test (TUG), 10-m walking time, 6-minute distance (6MD), physiological cost index (PCI) and ratings of perceived exertion (RPE), and investigated Tokyo Metropolitan Institute Gerontology-Index of Competence as an index of ADL. TUGs were performed at a comfortable speed (TUG(com)) and maximum speed (TUG(max)), and TUG Reserve (TUG-R) was derived from the ratio of the difference between TUG(max) and TUG(com) as an index of functional gait reserve.


RESULTS
Intraday reliability of TUG-R was high (intraclass correlation coefficient (1, 2)=0.82), and TUG-R was correlated to 6MD, PCI and RPE, which was reflected in gait endurance and gait conformability. Scores for TUG-R were significantly lower in elderly individuals with ADL dependence than in independent elderly individuals. Multiple logistic regression analysis showed TUG-R as associated with performance of outdoor activities.


CONCLUSIONS
TUG-R offers a reliable and useful index of functional gait reserve related to gait endurance and ADL in elderly individuals.
Hashidate
Hiroyuki
H
Yamanashi Care Academy.
Uchiyama
Yasushi
Y
D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D005684:Gait / Q000502:physiology*; D006801:Humans; D008124:Locomotion; D008297:Male; D010807:Physical Endurance / Q000502:physiology*; D016138:Walking