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Title: Association of activities of daily living with the load during step ascent motion in nursing home-residing elderly individuals
Authors: Masaki, Mitsuhiro
Ikezoe, Tome  kyouindb  KAKEN_id  orcid (unconfirmed)
Kamiya, Midori
Araki, Kojiro
Isono, Ryo
Kato, Takehiro
Kusano, Ken
Tanaka, Masayo
Sato, Syunsuke
Hirono, Tetsuya
Kita, Kiyoshi
Tsuboyama, Tadao
Ichihashi, Noriaki  kyouindb  KAKEN_id
Author's alias: 池添, 冬芽
磯野, 凌
加藤, 丈博
佐藤, 駿介
廣野, 哲也
市橋, 則明
Keywords: Elderly
Activities of Daily Living
Step Ascent Motion
Issue Date: Oct-2018
Publisher: Ovid Technologies (Wolters Kluwer Health)
Journal title: American journal of physical medicine & rehabilitation
Volume: 97
Issue: 10
Start page: 715
End page: 720
Abstract: Objective: This study aimed to examine the association of independence in activities of daily living with the loads during step ascent motion and other motor functions in 32 nursing home–residing elderly individuals. Design: Independence in activities of daily living was assessed by using the Functional Independence Measure. The loads at the upper (i.e., pulling up) and lower (i.e., pushing up) levels during the step ascent task was measured on a step ascent platform. Hip extensor, knee extensor, plantar flexor muscle, and quadriceps setting strengths; lower extremity agility using the stepping test; and hip and knee joint pain severities were measured. One-legged stance and functional reach distance for balance and maximal walking speed, timed up-and-go time, five-chair-stand time, and step ascent time were also measured to assess mobility. Results: Stepwise regression analysis revealed that the load at pushing up during step ascent motion and timed up-and-go time were significant and independent determinants of Functional Independence Measure score. Functional Independence Measure score decreased with decreased load at pushing up and increased timed up-and-go time. Conclusions: The study results suggest that depending on task specificity, both one step up task's push-up peak load during step ascent motion and timed up-and-go can partially explain activities of daily living's Functional Independence Measure score in nursing home–residing elderly individuals. Lower extremity muscle strength, agility, pain, or balance measures did not add to the prediction.
Rights: © 2018 Wolters Kluwer Health, Inc. All rights reserved. This is a non-final version of an article published in final form in Masaki, Association of Activities of Daily Living With Load During Step Ascent Motion in Nursing Home–Residing Elderly Individuals, Am J Phys Med Rehabil 2018;97:715–720.
This is not the published version. Please cite only the published version. この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。
DOI(Published Version): 10.1097/PHM.0000000000000954
PubMed ID: 29672352
Appears in Collections:Journal Articles

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