Spaulding Rehabilitation Hospital, Boston, MA, USA.
Arch Phys Med Rehabil. 2013 Feb;94(2):347-55. doi: 10.1016/j.apmr.2012.08.217. Epub 2012 Sep 16.
To describe the methods of a longitudinal cohort study among older adults with preclinical disability. The study aims to address the lack of evidence guiding mobility rehabilitation for older adults by identifying those impairments and impairment combinations that are most responsible for mobility decline and disability progression over 2 years of follow-up.
Longitudinal cohort study.
Metropolitan-based health care system.
Community-dwelling primary care patients aged ≥65 years (N=430), with self-reported modification of mobility tasks because of underlying health conditions.
Not applicable.
Late Life Function and Disability Instrument (LLFDI) (primary outcome); Short Physical Performance Battery and 400-m walk test (secondary outcomes).
Among 7403 primary care patients identified as being potentially eligible for participation, 430 were enrolled. Participants have a mean age of 76.5 years, are 68% women, and have on average 4.2 chronic conditions. Mean LLFDI scores are 55.5 for Function and 68.9 and 52.3 for the Disability Limitation and Frequency domains, respectively.
Completion of our study aims will inform development of primary care-based rehabilitative strategies to prevent disability. Additionally, data generated in this investigation can also serve as a vital resource for ancillary studies addressing important questions in rehabilitative science relevant to geriatric care.
描述一项针对有临床前残疾的老年人的纵向队列研究方法。该研究旨在通过确定在 2 年随访期间最能导致移动能力下降和残疾进展的功能障碍和功能障碍组合，来解决缺乏针对老年人移动康复的循证医学证据的问题。
纵向队列研究。
基于大都市的医疗保健系统。
社区居住的初级保健患者，年龄≥65 岁（N=430），自述因潜在健康状况而改变了移动任务。
不适用。
晚年功能和残疾量表（LLFDI）（主要结局指标）；简易体能测试和 400 米步行测试（次要结局指标）。
在确定的 7403 名潜在符合参与条件的初级保健患者中，有 430 名患者入组。参与者的平均年龄为 76.5 岁，68%为女性，平均患有 4.2 种慢性疾病。LLFDI 功能部分的平均评分为 55.5，残疾限制和频率部分的平均评分为 68.9 和 52.3。
完成我们的研究目标将为预防残疾的初级保健为基础的康复策略的制定提供信息。此外，本研究产生的数据也可以作为辅助研究的重要资源，这些研究涉及与老年护理相关的康复科学中的重要问题。
