The Future of Functional Mobility Assessment

The Future of Functional Mobility Assessment

Linda MichalekInservice Presentation

Mobility

Mobility

Sit to Stand Transfers

Bed Mobility

Ascending & Descending Stairs

Ambulation

Gait Speed- 6th Vital Sign

Speed >1.0 m/s - better survival rate in community dwelling older adults

< 0.8 m/s – associated with limited capacity for community ambulation

< 0.4 m/s – identifies those with an inability to meet basic ADLs

Gait Speed

For Long Term Care Residents:

predicts mortality

predicts further functional or cognitive decline

Gait Speed As Measure of Physical Performance

Inexpensive

Feasible

Objective

Current Measures Used to Test Level of Function

6 m Walk Test

Timed Up & Go Test (TUG)

Clinical Outcome Scales

Skilled Observation

& more

Are These Sufficient?

6 m Walk Test

TUG

Clinical Outcome Scales

Skilled Observation

Accelerometer

Accelerometer

How does it do that?

Someday there will be one in every home...

Lab Gait Analysis

Accelerometers for Sale

Accelerometers in Use

Acceleration-Based Gait Analysis (AGA)

Gait Pattern Deviations

Sit to Stand

Higher Expectations

Posture Change Detection

Accelerometer Size

Possible Uses of Accelerometers

Gait Analysis/ Assessment

Balance Evaluation

Falls Risk Assessment

Mobility Monitoring

Accelerometers

Potential Clinical Applications?

You bet!