Evidence map›Paper›PMID 37037292›Full record

Observational studyArchives of physical medicine and rehabilitation2023

Referent Values for Commonly Used Clinical Mobility Tests in Black and White Adults Aged 50-95 Years.

Shamekia Winding, Dong Gun Denny Shin, Casey J Rogers, Liang Ni, Allison Bay, Camille Vaughan, Theodore Johnson, J Lucas McKay, Madeleine E Hackney

Abstract readObservational Study
In one paragraph

Observational study in Archives of physical medicine and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Shamekia WindingDepartment of Medicine, Division of Geriatrics and Gerontology, Emory University School of Medicine, Atlanta, GA.
Dong Gun Denny ShinDepartment of Medicine, Division of Geriatrics and Gerontology, Emory University School of Medicine, Atlanta, GA.
Casey J RogersBirmingham/Atlanta VA Geriatric Research Education and Clinical Center, Birmingham, AL.
Liang NiDepartment of Medicine, Division of Geriatrics and Gerontology, Emory University School of Medicine, Atlanta, GA.
Allison BayDepartment of Medicine, Division of Geriatrics and Gerontology, Emory University School of Medicine, Atlanta, GA.
Camille VaughanDepartment of Medicine, Division of Geriatrics and Gerontology, Emory University School of Medicine, Atlanta, GA; Birmingham/Atlanta VA Geriatric Research Education and Clinical Center, Birmingham, AL; Atlanta VA Center for Visual & Neurocognitive Rehabilitation, Decatur, GA.
Theodore JohnsonBirmingham/Atlanta VA Geriatric Research Education and Clinical Center, Birmingham, AL; Department of Family and Preventative Medicine, Emory University School of Medicine, Atlanta, GA; Department of Medicine, Division of General Internal Medicine, Emory University School of Medicine, Atlanta, GA.
J Lucas McKayDepartment of Biomedical Informatics, Emory University School of Medicine, Atlanta, GA; Department of Neurology, Emory University School of Medicine, Atlanta, GA; Wallace H. Coulter Department of Biomedical Engineering, Emory University and Georgia Tech, Atlanta, GA.
Madeleine E HackneyDepartment of Medicine, Division of Geriatrics and Gerontology, Emory University School of Medicine, Atlanta, GA; Birmingham/Atlanta VA Geriatric Research Education and Clinical Center, Birmingham, AL; Atlanta VA Center for Visual & Neurocognitive Rehabilitation, Decatur, GA; Emory School of Nursing, Atlanta, GA; Department of Rehabilitation Medicine, Division of Physical Therapy, Emory University School of Medicine, Atlanta, GA. Electronic address: mehackn@emory.edu.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Neural mechanisms of balance deficits, falls, and freezing of gait in Parkinson's diseaseK25HD086276 · NICHD · EMORY UNIVERSITY · PI MCKAY, JOHNATHAN LUCAS · 2016 to 2019
$509k
Optimizing motor training in Parkinson disease through neural mechanismsIK2RX000870 · VA · VETERANS HEALTH ADMINISTRATION · PI HACKNEY, MADELEINE EVE · 2015 to 2018
–
NCATS NIH HHS UL1 TR000454NCATS NIH HHS UL1 TR002378NCRR NIH HHS UL1 RR025008NICHD NIH HHS K25 HD086276RRD VA IK2 RX000870
6 · The paper itself

Abstract

objectiveTo estimate referent values for performance on clinical mobility tests conducted amongst racially diverse adults aged 50-95 years in the Southeast US.

designThis is an observational study of community-dwelling older adults from diverse racial groups who participated in observational and rehabilitative studies conducted from 2011-2019.

settingRehabilitation clinics around the greater metropolitan Atlanta, Georgia, region.

participantsA total of 314 adults (N=314; 222 women). Individuals were predominantly Black (n=121) or White (n=164), with some participants from other racial groups (n=29).

interventionsClinical and demographic data were collected at individual visits for each participant.

main outcome measuresFour Square Step Test (FSST), timed Up and Go (TUG) test, dual TUG test, 6-minute walk test (6MWT), 30-second chair stand, and gait speed were all used as assessments in each cohort.

resultsPerformance slowly declines with increasing age, with a sharp drop in the ninth decade for preferred forward, backward, and fast gait speed; backward gait cadence; 6MWT, TUG test, dual-task TUG-Cognitive, and the 360° turn test. Declines were also seen in the eighth and ninth decades in the FSST. Among White participants, there were significant overall differences across age groups except in the assessment variable, preferred gait cadence. For Black individuals, there were significant overall differences across age groups for backward gait speed, fast gait speed, TUG-Cognitive, dual task, 6MWT, FSST, and 30-second chair stand.

conclusionsThese data enrich current referent values for brief, commonly used clinical tests in a diverse, older Southeast US cohort. These data include representatives of the oldest old cohort. This study will support race- and age-specific fall prevention and mobility-enhancing therapeutic application among older patients in clinical practice.

Indexed as

WalkingWhiteAgedAged, 80 and overFemaleGaitHumansIndependent LivingWalking SpeedMovement disordersRehabilitationWalking speedWalk test

Identifiers

PMID37037292
PMCPMC10524633

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.