title: Quick lateral movements of the trunk in a seated position reflect mobility and activities of daily living (ADL) function in frail elderly individuals.
abstract: A novel and safe performance test for measuring mobility is described. The test, which we have named the Seated Side Tapping test (Side Tapping test), requires the subjects to move their bodies laterally to the left and right in turn as quickly as possible whilst remaining in a seated position. We examined the associations between the results of the new test and those of other mobility tests, ADL, and the use of walking aids. The participants were 75 frail elderly people who were receiving rehabilitation services. Gait speed and the timed up and go (TUG) test were employed as mobility tests, and the participants' use of walking aids was recorded. The ADL score was assessed using the Barthel Index. Significant correlations were found between the side tapping test and gait speed (r=-0.59, p<0.01), and TUG (r=0.63, p<0.01). This test also revealed significant relationships with the ADL scores and the use of walking aids. These results indicate that an ability to perform quick lateral trunk movements in a seated position reflects their mobility during standing. Thus, we concluded that since the side tapping test is simple and safe, it is useful for detecting mobility impairments, ADL levels, and the need for walking aids, especially in frail elderly individuals.
authors.affiliation: Department of Physical Therapy, Faculty of Comprehensive Rehabilitation, Osaka Prefecture University, Japan. iwata@rehab.osakafu-u.ac.jp
authors.forename: Akira
authors.initials: A
authors.lastname: Iwata
authors.forename: Yumi
authors.initials: Y
authors.lastname: Higuchi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kimura
authors.forename: Kensuke
authors.initials: K
authors.lastname: Okamoto
authors.forename: Shin
authors.initials: S
authors.lastname: Arai
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iwata
authors.forename: Satoshi
authors.initials: S
authors.lastname: Fuchioka
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D016330:Frail Elderly; D005684:Gait / Q000502:physiology*; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D009068:Movement / Q000502:physiology*; D026741:Physical Therapy Modalities; D011187:Posture / Q000502:physiology*; D016138:Walking / Q000502:physiology*