Reliability of gait speed with a self-report method and a physical test method in older people from the community
DOI:
https://doi.org/10.47197/retos.v54.100345Keywords:
gait speed, selfreport, gait test, elderly, frailtyAbstract
Background: The literature increasingly emphasizes the relevance of gait speed in assessing frailty in patients aged 60 and above. However, conventional gait speed measurement may be contraindicated in situations such as trauma, in which the patient is temporarily immobile or immobilized with reduced mobility. To overcome this limitation, a numerical scale of walking speed based on The Walking Speed Questionnaire has been adapted. Objective: Assess the reliability of gait speed obtained through two methods: the numeric gait speed scale and the 10-meter walk test. Materials: The sample included 76 individuals aged 60 and above, selected from an outpatient centre in Talcahuano (Chile) through non-probabilistic convenience sampling. Participants provided self-reports of gait speed using a numeric scale proposed by Cong et al. (2016), and subsequently, the same variable was measured through the 10-meter walk test. Results: A mean gait speed of 1.17±0.26 m/s was found in the self-report and 1.15 ± 0.22 m/s in the 10 m physical test. There is a high relationship of gait speed between the self-report and the physical test (r=0.828; p>0.001), with minimal differences between them (t=0.131; p=0.193) and a very good internal consistency between both methods (Cronbach=0,914; CCI=0.818). Conclusion: The self-report of gait speed using a numerical scale with an answer in the international unit of measurement (m/s), is a reliable and effective tool to assess gait speed when the physical test is difficult to perform implement.
Keywords: Gait speed, walking speed, self-report, gait test, elderly, frailty.
References
Abe, T., Kitamura, A., Taniguchi, Y., Amano, H., Seino, S., Yokoyama, Y., Nishi, M., Narita, M., Ikeuchi, T., Fujiwara, Y., & Shinkai, S. (2019). Pathway from gait speed to incidence of disability and mortality in older adults: A mediating role of physical activity. Maturitas, 123, 32–36. https://doi.org/10.1016/j.maturitas.2019.02.002
Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186-3191.
Benraad, C. E. M., Haaksma, M. L., Karlietis, M. H. J., Oude Voshaar, R. C., Spijker, J., Melis, R. J. F., & Olde Rikkert, M. G. M. (2020). Frailty as a predictor of mortality in older adults within 5 years of psychiatric admission. International Journal of Geriatric Psychiatry, 35(6), 617–625. Portico. https://doi.org/10.1002/gps.5278
Binotto, M. A., Lenardt, M. H., & Rodríguez-Martínez, M. del C. (2018). Fragilidade física e velocidade da marcha em idosos da comunidade: uma revisão sistemática. Revista Da Escola de Enfermagem Da USP, 52(0). https://doi.org/10.1590/s1980-220x2017028703392
Bortone, I., Sardone, R., Lampignano, L., Castellana, F., Zupo, R., Lozupone, M., Moretti, B., Giannelli, G., & Pan-za, F. (2021). How gait influences frailty models and health‐related outcomes in clinical‐based and population‐based studies: a systematic review. Journal of Cachexia, Sarcopenia and Muscle, 12(2), 274–297. Portico. https://doi.org/10.1002/jcsm.12667
Cerda, L. (2014). Manejo del trastorno de marcha del adulto mayor. Revista Médica Clínica Las Condes, 25(2), 265–275. https://doi.org/10.1016/s0716-8640(14)70037-9
Concha-Cisternas, Y., Castro-Piñero, J., Vásquez, J., Martorell, M., Cigarroa, I., Petermann-Rocha, F., ... & Celis-Morales, C. (2022). Asociación entre velocidad de marcha y deterioro cognitivo en personas mayores: resultados de la Encuesta Nacional de Salud 2016-2017. Revista Salud Uninorte, 38(3), 819-836.
Cong, G.-T., Cohn, M. R., Villa, J. C., Kerwin, L. J., Rosen, N., Fang, X. Z., Christos, P. J., Evrony, A., Chen, J., Torres, A., & Lane, J. M. (2016). The Walking Speed Questionnaire. Journal of Orthopaedic Trauma, 30(4), e132–e137. https://doi.org/10.1097/bot.0000000000000476
Córdova-León, K., Fernández-Huerta, L., & Careaga-Romero, N. (2020). Autoeficacia para el desempeño de activi-dad física en personas mayores. Revista Andaluza de Medicina Del Deporte, 15(1), 33–37. https://doi.org/10.33155/j.ramd.2020.09.002
De Frutos, X. R., Isla, J. R. S., Leguina, A. S., Guereño, P. L., Sáez Gomez de Cadiñanos, I., & Coca, A. (2022). Va-lores de referencia de la velocidad de la marcha en mayores de 65 años (Reference values for gait speed in elderly over 65 years of age). Retos, 45, 936–942. https://doi.org/10.47197/retos.v45i0.92924
Fernández-Huerta, L., & Córdova-León, K. (2019). Reliability of two gait speed tests of different timed phases and equal non-timed phases in community-dwelling older persons. Medwave, 19(03), e7611–e7611. https://doi.org/10.5867/medwave.2019.03.7611
Flores-Pérez, C. J., Castro-Porras, L. V., López-Rodríguez, G., & Galván, M. (2022). Slow gait speed is associated with dynapenic obesity in Mexican ambulatory older adults. Geriatric Nursing, 45, 125–130. https://doi.org/10.1016/j.gerinurse.2022.03.011
Fritz, S., & Lusardi, M. (2009). White Paper: “Walking Speed: the Sixth Vital Sign.” Journal of Geriatric Physical Therapy, 32(2), 2–5. https://doi.org/10.1519/00139143-200932020-00002
García-Corpas, J. P., Esquivel Prados, E., & Pareja Martínez, E. (2014). Fiabilidad de los cuestionarios utilizados en ciencias de la salud. Revista de la Facultad de Farmacia de la Universidad de Granada, 55(3), 45-8. https://revistaseug.ugr.es/index.php/ars/article/view/4521
Go, J., & An, H. (2021). Combined Effect of Joint Mobilization and Active Stretching on Gait Speed and Ability after Stroke. Journal of International Academy of Physical Therapy Research, 12(2), 2359–2364. https://doi.org/10.20540/jiaptr.2021.12.1.2359
Inzitari, M., Calle, A., Esteve, A., Casas, Á., Torrents, N., & Martínez, N. (2017). ¿Mides la velocidad de la marcha en tu práctica diaria? Una revisión. Revista Española de Geriatría y Gerontología, 52(1), 35–43. https://doi.org/10.1016/j.regg.2015.12.010
Kim, M. J., Yabushita, N., Kim, M. K., Nemoto, M., Seino, S., & Tanaka, K. (2010). Mobility performance tests for discriminating high risk of frailty in community-dwelling older women. Archives of Gerontology and Geriatrics, 51(2), 192–198. https://doi.org/10.1016/j.archger.2009.10.007
Kressig, R. W., Wolf, S. L., Sattin, R. W., O’Grady, M., Greenspan, A., Curns, A., & Kutner, M. (2001). Associa-tions of Demographic, Functional, and Behavioral Characteristics with Activity‐Related Fear of Falling Among Older Adults Transitioning to Frailty. Journal of the American Geriatrics Society, 49(11), 1456–1462. Portico. https://doi.org/10.1046/j.1532-5415.2001.4911237.x
Mehmet, H., Robinson, S. R., & Yang, A. W. H. (2020). Assessment of Gait Speed in Older Adults. Journal of Geriatric Physical Therapy, 43(1), 42–52. https://doi.org/10.1519/jpt.0000000000000224
Middleton, A., Fritz, S. L., & Lusardi, M. (2015). Walking Speed: The Functional Vital Sign. Journal of Aging and Physi-cal Activity, 23(2), 314–322. https://doi.org/10.1123/japa.2013-0236
Montero-Odasso, M., Schapira, M., Soriano, E. R., Varela, M., Kaplan, R., Camera, L. A., & Mayorga, L. M. (2005). Gait Velocity as a Single Predictor of Adverse Events in Healthy Seniors Aged 75 Years and Older. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 60(10), 1304–1309. https://doi.org/10.1093/gerona/60.10.1304
Navalón Alcañiz, R., & Martínez González-Moro, I. (2020). Valoración del grado de deterioro funcional y fragilidad en adultos mayores activos (Assessment of the degree of functional impairment and fragility in active elderly). Re-tos, 38, 576–581. https://doi.org/10.47197/retos.v38i38.78252
Peters, D. M., Fritz, S. L., & Krotish, D. E. (2013). Assessing the Reliability and Validity of a Shorter Walk Test Com-pared With the 10-Meter Walk Test for Measurements of Gait Speed in Healthy, Older Adults. Journal of Geriatric Physical Therapy, 36(1), 24–30. https://doi.org/10.1519/jpt.0b013e318248e20d
Ramada-Rodilla, J. M., Serra-Pujadas, C., & Delclós-Clanchet, G. L. (2013). Adaptación cultural y validación de cuestionarios de salud: revisión y recomendaciones metodológicas. Salud pública de México, 55(1), 57-66.
Río, X., Larrinaga-Undabarrena, A., Coca, A., & Guerra-Balic, M. (2020). Reference Values for Handgrip Strength in the Basque Country Elderly Population. Biology, 9(12), 414. https://doi.org/10.3390/biology9120414
Río, X., Guerra-Balic, M., González-Pérez, A., Larrinaga-Undabarrena, A., & Coca, A. (2021). Valores de referencia del SPPB en personas mayores de 60 años en el País Vasco. Atención Primaria, 53(8), 102075. https://doi.org/10.1016/j.aprim.2021.102075
Ruiz-Cárdenas, J. D., Rodríguez-Juan, J. J., Smart, R. R., Jakobi, J. M., & Jones, G. R. (2018). Validity and reliability of an iPhone App to assess time, velocity and leg power during a sit-to-stand functional performance test. Gait & Posture, 59, 261–266. https://doi.org/10.1016/j.gaitpost.2017.10.029
Sipilä, S., Tirkkonen, A., Hänninen, T., Laukkanen, P., Alen, M., Fielding, R. A., Kivipelto, M., Kokko, K., Kulmala, J., Rantanen, T., Sihvonen, S. E., Sillanpää, E., Stigsdotter-Neely, A., & Törmäkangas, T. (2018). Promoting safe walking among older people: the effects of a physical and cognitive training intervention vs. physical training alone on mobility and falls among older community-dwelling men and women (the PASSWORD study): design and methods of a randomized controlled trial. BMC Geriatrics, 18(1). https://doi.org/10.1186/s12877-018-0906-0
Sustakoski, A., Perera, S., VanSwearingen, J. M., Studenski, S. A., & Brach, J. S. (2015). The impact of testing proto-col on recorded gait speed. Gait & Posture, 41(1), 329–331. https://doi.org/10.1016/j.gaitpost.2014.10.020
Syddall, H. E., Westbury, L. D., Cooper, C., & Sayer, A. A. (2015). Self-Reported Walking Speed: A Useful Marker of Physical Performance Among Community-Dwelling Older People? Journal of the American Medical Directors Asso-ciation, 16(4), 323–328. https://doi.org/10.1016/j.jamda.2014.11.004
Tornero-Quiñones, I., Sáez-Padilla, J., Espina Díaz, A., Abad Robles, M. T., & Sierra Robles, Á. (2020). Functional Ability, Frailty and Risk of Falls in the Elderly: Relations with Autonomy in Daily Living. International Journal of En-vironmental Research and Public Health, 17(3), 1006. https://doi.org/10.3390/ijerph17031006
Vásquez-Gómez, J. A., Beltrán, A. R., Cigarroa-Cuevas, I., Lasserre-Laso, N., Garrido-Méndez, A., Matus-Castillo, C., Álvarez, C., Díaz-Martínez, X., Salas-Bravo, C., Martínez-Sanguinetti, M. A., Leiva-Ordoñez, A. M., Tronco-so-Pantoja, C., Villagrán-Orellana, M., Poblete-Valderrama, F., Petermann-Rocha, F., & Celis-Morales, C. (2020). Auto reporte de la velocidad de marcha y su asociación con marcadores de adiposidad y riesgo cardiovas-cular en Chile. Revista Médica de Chile, 148(4), 459–468. https://doi.org/10.4067/s0034-98872020000400459
Zimmerman, M., Walsh, E., Friedman, M., Boerescu, D. A., & Attiullah, N. (2018). Are self-report scales as effective as clinician rating scales in measuring treatment response in routine clinical practice? Journal of Affective Disorders, 225, 449–452. https://doi.org/10.1016/j.jad.2017.08.024
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