Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Age and Gender- Related Test Performance in Community Dwelling Elderly Population: Six-Minute Step Test and Four Square Step Test


Affiliations
1 MPT Neurology, Teerthanker Mahaveer University, Moradabad, India
     

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Background and purpose: Aging is associated with a decrease in the efficiency of several functions, among which are posture control and functional capacity, even in the absence of diseases. There is little data available in literature describing variation in test performance for older adults who are functioning independently. The available data are less and often difficult for clinicians to use as a basis of comparison in documentation because they are not presented in terms of age and gender groupings. The purpose of this study is to investigate aging related changes in balance and functional capacity performance in community dwelling elderly people.

Method: Total 60 subjects were included and divided into 3 groups according to age groups. Group 1 (60- 69), Group 2 (70-79), Group 3 (80-89) in each group 20 subjects with 10 males and 10 females. The informed consent was taken. Six Minute Step Test (6MST) and Four Square Step Test (FSST) were performed on them. The number of steps taken by the subjects in 6 minutes were recorded in 6MST and the time taken by the subjects to complete the FSST were recorded using stopwatch. The data obtained was analyzed using independent t- test and one way ANOVA.

Result: 6MST and FSST scores were significantly different in all 3 age groups. The results showed that there is a progressive decrease in the 6MST and progressive increase in the time taken to complete FSST with increasing age. However, there was no significant difference between males and females performance in 6MST and FSST.

Conclusion: From the results it can be concluded that there is a progressive decrease in the test performance (6MST & FSST) with age in community dwelling elderly people.


Keywords

Six Minute Step Test, Four Square Step Test, Community Dwelling Elderly.
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  • Manckoundia P, Thomas F. Impact of clinical, psychological, and social factors on decrease Tinetti score in community-living elderly subjects: A prospective study with two –year follow –up. Med Sci Monit 2008:14 (16):Cr 316-322.

  • Cynthia L. Arfken, Milller JP: The prevalence and corelates of fear of falling in Elderly persons living in the community ; April 1994 vol 84 no.4.

  • Szucs TD. Future disease burden in the elderly: Rationale for economic planning. Cardiovascular Drugs Ther 2001; 15:359–61.

  • Hafez G, Bagchi K, Mahaini R. Caring for the elderly: a report on the status of care for the elderly in the Eastern Mediterranean Region. EMHJ 2000; 6 (4):636-43.

  • World Population Prospects: The 2002 Revision, Highlights. New York: United Nations Population Division; 2003.(ESA/P/WP. 180).

  • Wayne Dite, Bappsci, GradDip. A Clinical Test of Stepping and Change of Direction to Identify Multiple Falling Older Adults. Arch Phys Med Rehab 2001;83.

  • Jm Van Velzen Heliomare, Wajik Aan Zee, Wijk Aan Zee, Lhv Van Der Woude. Physical capacity and walking ability after lower limb Amputation: A systemic review. Clinical Rehabilitation 2006;20: 991016.

  • Marcell Taylor J.: Review Article: Sarcopenia: Causes, Consequences, and Preventions. J Gerontal A Biol Sci Med Sci 2003; 58: M 911-916.

  • Hortobagyi T, Mizelle C, Beam S, DeVita P. Old adults perform activities of daily living near their maximal capabilities. J Gerontol A Biol Sci Med Sci 2003;58: M453-60.

  • Casas A, Vilaro J, Rabinovich R, Mayer A, Barbera JA, Rodriguez-Roisin R. Encouraged 6-min walking test indicates maximum sustainable exercise in COPD patients. Chest 2005; 128(1):55-61.

  • Leung AS, Chan KK, Sykes K, Chan KS. Reliability, validity, and responsiveness of a 2-min walk test to assess exercise capacity of COPD patients. Chest 2006; 130(1):119-125.

  • Cataneo DC, Cataneo AJ. Accuracy of the stair climbing test using maximal oxygen uptake as the gold standard. J Bras Pneumol 2007;33(2):128-133.

  • Dal Corso S, Duarte SR, Neder JA, Malaguti C, de Fuccio MB, de Castro Pereira CA. A step test to assess exercise-related oxygen desaturation in interstitial lung disease. Eur Respir J 2007;29(2):330-336.

  • Neder JA, Nery LE. Fisiologia Clinica do Exercicio. Sao Paulo: Artes Medicas;2003.

  • Nevitt MC, Cummings SR, Hudes ES. Risk factors for injurious falls: a prospective study. J Gerontol 1991;46:M164-70.

  • Marrata KT, Marino DM . Responsiveness of the six- minute step test to a physical training program in patients with COPD. J Bras pneumol. 2012 Sep-Oct;38(5):579-87.

  • Teresa M Steffen, Timothy A Hacker. Age- and Gender- Related Test Performance in Community-Dwelling Elderly People: Six-Minute Walk Test, Berg Balance Scale, Timed UP & Go Test, and Gait Speeds. Physical Therapy 2002;82:2.

  • Mollinger LA, Steffen TM. Age and gender related test performance in a community dwelling. Journal of Neurological Physical Therapy 2005;29(4):181-188.

  • M.P Janardhan, Hetal M: Effect of Age on test performance in community dwelling elderly people: 6 Minute Walk Test and Ten Steps Test. Int J Med Res Health Sci.2014;3(2):228-232.

  • Chen HC: Ashton-Miller JA, Alexander NB, Schtultz AB. Effects of age and available response time on ability to step over and obstacle. J Gerontol. 1994;49(5):M227-M233.

  • Maciel ACC, Guerra RO. Prevalece and factors associated with balance deficit in the elderly. Rev Bras Cien e Mov 2005;13(1):37-44.

  • Siqueira FV, Facchini LA, Piccini RX,Tomasi E, Thumé E, Silveira DS, et al. Physical activity in adults and elderly in areas of comprehensiveness of united basic health of municipalities of the south and northeast brazil regions. Cad public health 2008; 2(1):39-54.

  • Daly RM, Rosengren BE, Alwis G, Ahlborg HG, Sernbo I, Karlsson MK. Gender specific agerelated changes in bone density, muscle strength and functional performance in the elderly: a-10 year prospective population-based study. BMC Geriatrics 2013;71(13):1-9.

  • Stevens KN, Lang IA, Guralnik JM, Melzer D. Epidemiology of balance and dizziness in a national population: findings from the English Longitudinal Study of Ageing. Age and Ageing 2008;37:300-5.

  • Carvalho J, Soares JMC. Aging and muscle strength: a brief review. Rev Port Ciên Desp 2004; 4 (3): 79-93.

  • Sacoo ICN, Bacarin TA, Watari R. Aging, physical activity, body mass and longitudinal plantar arch influence the functional balance in the elderly? Rev Bras Educ Fís Sports 2008; 22 (3): 183-91.


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  • Age and Gender- Related Test Performance in Community Dwelling Elderly Population: Six-Minute Step Test and Four Square Step Test

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Authors

Ruchi Choudhary
MPT Neurology, Teerthanker Mahaveer University, Moradabad, India

Abstract


Background and purpose: Aging is associated with a decrease in the efficiency of several functions, among which are posture control and functional capacity, even in the absence of diseases. There is little data available in literature describing variation in test performance for older adults who are functioning independently. The available data are less and often difficult for clinicians to use as a basis of comparison in documentation because they are not presented in terms of age and gender groupings. The purpose of this study is to investigate aging related changes in balance and functional capacity performance in community dwelling elderly people.

Method: Total 60 subjects were included and divided into 3 groups according to age groups. Group 1 (60- 69), Group 2 (70-79), Group 3 (80-89) in each group 20 subjects with 10 males and 10 females. The informed consent was taken. Six Minute Step Test (6MST) and Four Square Step Test (FSST) were performed on them. The number of steps taken by the subjects in 6 minutes were recorded in 6MST and the time taken by the subjects to complete the FSST were recorded using stopwatch. The data obtained was analyzed using independent t- test and one way ANOVA.

Result: 6MST and FSST scores were significantly different in all 3 age groups. The results showed that there is a progressive decrease in the 6MST and progressive increase in the time taken to complete FSST with increasing age. However, there was no significant difference between males and females performance in 6MST and FSST.

Conclusion: From the results it can be concluded that there is a progressive decrease in the test performance (6MST & FSST) with age in community dwelling elderly people.


Keywords


Six Minute Step Test, Four Square Step Test, Community Dwelling Elderly.

References