The Boston Rehabilitative Impairment Study of the Elderly: a Description of Methods

Overview

Journal Arch Phys Med Rehabil

Specialty Rehabilitation Medicine

Date 2012 Sep 20

PMID 22989700

Citations 33

Authors

Nicole E Holt

Sanja Percac-Lima

Laura A Kurlinski

Julia C Thomas

Paige M Landry

Braidie Campbell

Nancy Latham

Pengsheng Ni

Alan Jette

Suzanne G Leveille

Jonathan F Bean

Affiliations

Soon will be listed here.

Abstract

Objectives: 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.

Design: Longitudinal cohort study.

Setting: Metropolitan-based health care system.

Participants: Community-dwelling primary care patients aged ≥65 years (N=430), with self-reported modification of mobility tasks because of underlying health conditions.

Interventions: Not applicable.

Main Outcome Measures: Late Life Function and Disability Instrument (LLFDI) (primary outcome); Short Physical Performance Battery and 400-m walk test (secondary outcomes).

Results: 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.

Conclusions: 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.

Citing Articles

Association Between Depression Symptoms and Disability Outcomes in Older Adults at Risk of Mobility Decline.

Bamonti P, Kennedy M, Ward R, Travison T, Bean J Arch Rehabil Res Clin Transl. 2024; 6(2):100342.

PMID: 39006118 PMC: 11240030. DOI: 10.1016/j.arrct.2024.100342.

Defining Clinically Meaningful Cut Points for Leg Power Impairment Using Physical Performance in Older Adults: A Secondary Analysis From Boston RISE.

Rhim H, Ward R, Travison T, Latham N, Bean J Arch Phys Med Rehabil. 2023; 105(4):690-695.

PMID: 37769931 PMC: 10965500. DOI: 10.1016/j.apmr.2023.09.010.

Mild Neurocognitive Disorder, Social Engagement, and Falls Among Older Primary Care Patients.

Quach L, Pedersen M, Ogawa E, Ward R, Gagnon D, Spiro A Arch Phys Med Rehabil. 2022; 104(4):541-546.

PMID: 36513122 PMC: 10073260. DOI: 10.1016/j.apmr.2022.10.008.

The Short Physical Performance Battery (SPPB): A Quick and Useful Tool for Fall Risk Stratification Among Older Primary Care Patients.

Welch S, Ward R, Beauchamp M, Leveille S, Travison T, Bean J J Am Med Dir Assoc. 2020; 22(8):1646-1651.

PMID: 33191134 PMC: 8113335. DOI: 10.1016/j.jamda.2020.09.038.

Burden and Patterns of Multimorbidity: Impact on Disablement in Older Adults.

Jacob M, Ni P, Driver J, Leritz E, Leveille S, Jette A Am J Phys Med Rehabil. 2020; 99(5):359-365.

PMID: 32301768 PMC: 7275931. DOI: 10.1097/PHM.0000000000001388.

References

Folstein M, Folstein S, McHugh P . "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975; 12(3):189-98. DOI: 10.1016/0022-3956(75)90026-6. View

Psaty B, Lee M, Savage P, Rutan G, German P, Lyles M . Assessing the use of medications in the elderly: methods and initial experience in the Cardiovascular Health Study. The Cardiovascular Health Study Collaborative Research Group. J Clin Epidemiol. 1992; 45(6):683-92. DOI: 10.1016/0895-4356(92)90143-b. View

Sayers S, Jette A, Haley S, Heeren T, Guralnik J, Fielding R . Validation of the Late-Life Function and Disability Instrument. J Am Geriatr Soc. 2004; 52(9):1554-9. DOI: 10.1111/j.1532-5415.2004.52422.x. View

Milne J, Williamson J . A longitudinal study of kyphosis in older people. Age Ageing. 1983; 12(3):225-33. DOI: 10.1093/ageing/12.3.225. View

Watkins M, Riddle D, Lamb R, Personius W . Reliability of goniometric measurements and visual estimates of knee range of motion obtained in a clinical setting. Phys Ther. 1991; 71(2):90-6; discussion 96-7. DOI: 10.1093/ptj/71.2.90. View

Chaudhry S, McAvay G, Ning Y, Allore H, Newman A, Gill T . Geriatric impairments and disability: the cardiovascular health study. J Am Geriatr Soc. 2010; 58(9):1686-92. PMC: 2946108. DOI: 10.1111/j.1532-5415.2010.03022.x. View

Puthoff M, Nielsen D . Relationships among impairments in lower-extremity strength and power, functional limitations, and disability in older adults. Phys Ther. 2007; 87(10):1334-47. DOI: 10.2522/ptj.20060176. View

Guralnik J, Simonsick E, Ferrucci L, Glynn R, Berkman L, Blazer D . A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994; 49(2):M85-94. DOI: 10.1093/geronj/49.2.m85. View

Suri P, Kiely D, Leveille S, Frontera W, Bean J . Trunk muscle attributes are associated with balance and mobility in older adults: a pilot study. PM R. 2009; 1(10):916-24. PMC: 2964353. DOI: 10.1016/j.pmrj.2009.09.009. View

10.

Sorlie P, Cooper L, Schreiner P, Rosamond W, Szklo M . Repeatability and validity of the Rose questionnaire for angina pectoris in the Atherosclerosis Risk in Communities Study. J Clin Epidemiol. 1996; 49(7):719-25. DOI: 10.1016/0895-4356(96)00022-4. View

11.

Jette A, Haley S, Coster W, Kooyoomjian J, Levenson S, Heeren T . Late life function and disability instrument: I. Development and evaluation of the disability component. J Gerontol A Biol Sci Med Sci. 2002; 57(4):M209-16. DOI: 10.1093/gerona/57.4.m209. View

12.

Hicks G, Simonsick E, Harris T, Newman A, Weiner D, Nevitt M . Cross-sectional associations between trunk muscle composition, back pain, and physical function in the health, aging and body composition study. J Gerontol A Biol Sci Med Sci. 2005; 60(7):882-7. DOI: 10.1093/gerona/60.7.882. View

13.

Bean J, Kiely D, Herman S, Leveille S, Mizer K, Frontera W . The relationship between leg power and physical performance in mobility-limited older people. J Am Geriatr Soc. 2002; 50(3):461-7. DOI: 10.1046/j.1532-5415.2002.50111.x. View

14.

Sangha O, Stucki G, Liang M, Fossel A, Katz J . The Self-Administered Comorbidity Questionnaire: a new method to assess comorbidity for clinical and health services research. Arthritis Rheum. 2003; 49(2):156-63. DOI: 10.1002/art.10993. View

15.

Chang M, Cohen-Mansfield J, Ferrucci L, Leveille S, Volpato S, de Rekeneire N . Incidence of loss of ability to walk 400 meters in a functionally limited older population. J Am Geriatr Soc. 2004; 52(12):2094-8. DOI: 10.1111/j.1532-5415.2004.52570.x. View

16.

Guralnik J, Ferrucci L, Pieper C, Leveille S, Markides K, Ostir G . Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol A Biol Sci Med Sci. 2000; 55(4):M221-31. DOI: 10.1093/gerona/55.4.m221. View

17.

Shear K, Jackson C, Essock S, Donahue S, Felton C . Screening for complicated grief among Project Liberty service recipients 18 months after September 11, 2001. Psychiatr Serv. 2006; 57(9):1291-7. DOI: 10.1176/ps.2006.57.9.1291. View

18.

Rantanen T, Guralnik J, Sakari-Rantala R, Leveille S, Simonsick E, Ling S . Disability, physical activity, and muscle strength in older women: the Women's Health and Aging Study. Arch Phys Med Rehabil. 1999; 80(2):130-5. DOI: 10.1016/s0003-9993(99)90109-0. View

19.

Bean J, Kiely D, LaRose S, Leveille S . Which impairments are most associated with high mobility performance in older adults? Implications for a rehabilitation prescription. Arch Phys Med Rehabil. 2008; 89(12):2278-84. DOI: 10.1016/j.apmr.2008.04.029. View

20.

Whyte J, Hart T . It's more than a black box; it's a Russian doll: defining rehabilitation treatments. Am J Phys Med Rehabil. 2003; 82(8):639-52. DOI: 10.1097/01.PHM.0000078200.61840.2D. View