Functional Performance

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Lis Adamsen - One of the best experts on this subject based on the ideXlab platform.

  • a randomized trial on the effect of a multimodal intervention on physical capacity Functional Performance and quality of life in adult patients undergoing allogeneic sct
    Bone Marrow Transplantation, 2009
    Co-Authors: Mary Jarden, M T Baadsgaard, D Hovgaard, E Boesen, Lis Adamsen
    Abstract:

    A randomized trial on the effect of a multimodal intervention on physical capacity, Functional Performance and quality of life in adult patients undergoing allogeneic SCT

  • a randomized trial on the effect of a multimodal intervention on physical capacity Functional Performance and quality of life in adult patients undergoing allogeneic sct
    Bone Marrow Transplantation, 2009
    Co-Authors: Mary Jarden, M T Baadsgaard, D Hovgaard, E Boesen, Lis Adamsen
    Abstract:

    The aim of this randomized controlled trial was to investigate the effect of a 4- to 6-week multimodal program of exercise, relaxation and psychoeducation on physical capacity, Functional Performance and quality of life (QOL) in allogeneic hematopoietic cell transplantation (allo-HSCT) adult recipients. In all, 42 patients were randomized to a supervised multimodal intervention or to a control group receiving usual care. The primary end point was on aerobic capacity measured in VO(2) max. Secondary end points were muscle strength, Functional Performance, physical activity level, QOL, fatigue, psychological well-being and clinical outcomes. The multimodal intervention had a significant effect on physical capacity: VO(2) max (P<0.0001) and muscle strength: chest press (P<0.0001), leg extension (P=0.0003), right elbow flexor (P=0.0009), right knee extensor (P<0.0001) and Functional Performance (stair test) (0.0008). Moreover, the intervention group showed significantly better results for the severity of diarrhea (P=0.014) and fewer days of total parenteral nutrition (P=0.019). Longitudinal changes in QOL, fatigue and psychological well-being favored the intervention group, but did not reach statistical significance. Assignment of a multimodal intervention during allo-HSCT did not cause untoward events, sustained aerobic capacity and muscle strength and reduced loss of Functional Performance during hospitalization.

Mary Jarden - One of the best experts on this subject based on the ideXlab platform.

  • a randomized trial on the effect of a multimodal intervention on physical capacity Functional Performance and quality of life in adult patients undergoing allogeneic sct
    Bone Marrow Transplantation, 2009
    Co-Authors: Mary Jarden, M T Baadsgaard, D Hovgaard, E Boesen, Lis Adamsen
    Abstract:

    A randomized trial on the effect of a multimodal intervention on physical capacity, Functional Performance and quality of life in adult patients undergoing allogeneic SCT

  • a randomized trial on the effect of a multimodal intervention on physical capacity Functional Performance and quality of life in adult patients undergoing allogeneic sct
    Bone Marrow Transplantation, 2009
    Co-Authors: Mary Jarden, M T Baadsgaard, D Hovgaard, E Boesen, Lis Adamsen
    Abstract:

    The aim of this randomized controlled trial was to investigate the effect of a 4- to 6-week multimodal program of exercise, relaxation and psychoeducation on physical capacity, Functional Performance and quality of life (QOL) in allogeneic hematopoietic cell transplantation (allo-HSCT) adult recipients. In all, 42 patients were randomized to a supervised multimodal intervention or to a control group receiving usual care. The primary end point was on aerobic capacity measured in VO(2) max. Secondary end points were muscle strength, Functional Performance, physical activity level, QOL, fatigue, psychological well-being and clinical outcomes. The multimodal intervention had a significant effect on physical capacity: VO(2) max (P<0.0001) and muscle strength: chest press (P<0.0001), leg extension (P=0.0003), right elbow flexor (P=0.0009), right knee extensor (P<0.0001) and Functional Performance (stair test) (0.0008). Moreover, the intervention group showed significantly better results for the severity of diarrhea (P=0.014) and fewer days of total parenteral nutrition (P=0.019). Longitudinal changes in QOL, fatigue and psychological well-being favored the intervention group, but did not reach statistical significance. Assignment of a multimodal intervention during allo-HSCT did not cause untoward events, sustained aerobic capacity and muscle strength and reduced loss of Functional Performance during hospitalization.

Elaine M Cress - One of the best experts on this subject based on the ideXlab platform.

  • validity of the german version of the continuous scale physical Functional Performance 10 test
    Journal of Aging Research, 2017
    Co-Authors: Irene Hardi, Stephanie A Bridenbaugh, Elaine M Cress, Reto W Kressig
    Abstract:

    Background. The Continuous-Scale Physical Functional Performance 10 Test (CS-PFP 10) quantitatively assesses physical Functional Performance in older adults who have a broad range of physical Functional ability. This study assessed the validity and reliability of the CS-PFP 10 German version. Methods. Forward-translations and backtranslations as well as cultural adaptions of the test were conducted. Participants were German-speaking Swiss community-dwelling adults aged 64 and older. Concurrent validity was assessed using Pearson correlation coefficients between CS-PFP 10 and gait velocity, Timed Up and Go Test, hand grip strength, SF-36 physical function domain, and Freiburger Physical Activity Questionnaire. Internal consistency was calculated by Cronbach’s alpha. Results. Backtranslation and cultural adaptions were accepted by the CS-PFP 10 developer. CS-PFP 10 total score and subscores (upper body strength, upper body flexibility, lower body strength, balance and coordination, and endurance) correlated significantly with all measures of physical function tested. Internal consistency was high (Cronbach’s alpha 0.95–0.98). Conclusion. The CS-PFP 10 German version is valid and reliable for measuring physical Functional Performance in German-speaking Swiss community-dwelling older adults. Quantifying physical function is essential for clinical practice and research and provides meaningful insight into physical Functional Performance of older adults. This trial is registered with ClinicalTrials.gov NCT01539200 .

  • use of the continuous scale physical Functional Performance test in stroke survivors
    Archives of Physical Medicine and Rehabilitation, 2009
    Co-Authors: Patricia J Manns, Elaine M Cress, Corey R Tomczak, Anwar Jelani, Robert G Haennel
    Abstract:

    Abstract Manns PJ, Tomczak CR, Jelani A, Cress ME, Haennel R. Use of the continuous scale physical Functional Performance test in stroke survivors. Objective To (1) determine the feasibility of the continuous scale physical Functional Performance 10-item test (CS-PFP10) for the measurement of physical function in stroke survivors, (2) characterize physical Functional Performance of stroke survivors and their matched controls, and (3) explore the associations among physical Functional Performance, ambulatory activity, and peak oxygen uptake (Vo 2 peak). Design Case control. Setting University research setting. Participants Ten participants with stroke and 10 healthy controls matched for age, sex, and physical activity. Interventions Not applicable. Main Outcome Measures The CS-PFP10 test was used to measure Functional ability. The test requires Performance of 10 serial tasks that range from low to high difficulty. The step activity monitor was used to measure absolute ambulatory activity and was reported as the average number of steps a day over a 4-day period. Vo 2 peak was determined using a metabolic cart and a recumbent cycle ergometer. Results Stroke survivors scored lower than healthy controls on all individual tasks, domains, and the total score on the CS-PFP10. Higher Vo 2 peak was associated with higher total scores on the CS-PFP10 in both stroke survivors and controls. In stroke survivors, lower levels of impairment (as indicated by the Chedoke-McMaster stroke assessment) were associated with higher total CS-PFP10 scores. Conclusions The CS-PFP10 is a measure of physical Performance that is feasible to use with ambulatory participants with stroke. Future investigations with people with stroke should explore the ability of the CS-PFP10 to provide meaningful information about change in CS-PFP10 subscales with interventions that target items on the subscales, such as balance or upper extremity strength.

  • continuous scale physical Functional Performance test appropriateness for middle aged adults with and without parkinson s disease
    Journal of Neurologic Physical Therapy, 2007
    Co-Authors: Thomas M Hearty, Margaret Schenkman, Wendy M Kohrt, Elaine M Cress
    Abstract:

    Purpose Functional measures are needed that are applicable to middle-aged adults with neurological disorders who are on the threshold of disability. One potential measure is the Continuous Scale Physical Functional Performance Test (CS-PFP), which has been normalized and validated to older adults but Performance is unknown for adults younger than the age of 65 years with and without neurological disorders. The purposes of this investigation were (1) to compare scores on the CS-PFP of nondisabled adults in three age groups from 35 to 64 years with two groups of individuals older than the age of 65; (2) to determine whether there is a ceiling effect for nondisabled middle-aged adults; and (3) to determine whether Performance of individuals in early stages of Parkinson's disease (PD) age 45 to 64 years differ significantly from Performance of similarly aged nondisabled adults. Methods Data were obtained from three samples: (1) 37 adults with PD (45-54 and 55-64 years; 57% female), (2) 70 nondisabled adults (35-44, 45-54, and 55-64 years; 69% female); (3) 72 nondisabled older adults (65-74 and 75-85 years; 79% female). The CS-PFP was administered in a single test session for each subject. Analysis of variance was performed for group differences with adjustment of sex as a covariate followed by a Student-Newman-Keuls post hoc analysis. Results For nondisabled individuals, the CS-PFP total and domain scores were significantly lower in the oldest group (75-85 years) compared to all other age groups and significantly higher in the younger two groups (35-44 and 45-54 years) compared to the older groups. There was no ceiling effect for any domain score or total score for the adults younger than 65 years. For individuals with PD, both age groups had significantly lower scores on the CS-PFP than did the nondisabled counterparts. Conclusions Results from the nondisabled middle-aged individuals provide comparison data to be used clinically or in investigations of middle-aged adults with neurological dysfunction. Comparison of middle-aged individuals with PD to middle-aged nondisabled adults illustrates the true extent of Functional difficulty experienced by individuals with PD and demonstrates the importance of using age appropriate comparison data. The CS-PFP is particularly applicable to middle-aged adults with compromised Functional Performance for their age but is too high to be effectively quantified with other assessment measures.

  • continuous scale physical Functional Performance test validity reliability and sensitivity of data for the short version
    Physical Therapy, 2005
    Co-Authors: Elaine M Cress, John K Petrella, Trudy L Moore, Margaret Schenkman
    Abstract:

    Background and Purpose. The Continuous-Scale Physical Functional Performance Test (CS-PFP) can be used to obtain valid, reliable, and sensitive measurements of physical Functional capacity. This test requires a fixed laboratory space and approximately 1 hour to administer. This study was carried out in 4 steps, or substudies, to develop and validate a short, community-based version (PFP-10) that requires less space and equipment than the CS-PFP. Subjects and Methods. Retrospective data (n=228) and prospective data (n=91) on men and women performing the CS-PFP or the PFP-10 are reported. A 12-week exercise program was used to examine sensitivity to change. Data analyses were done using paired t -test, Pearson correlation, intraclass correlation coefficient (ICC), and delta index (DI) procedures. Results. The PFP-10 total score and 4 of the 5 domain scores were statistically similar (within 3%) to those of the CS-PFP. The PFP-10 upper-body strength domain score was 17% lower, but was highly correlated (ICC=.97). Community and established laboratory PFP-10 scores were similar (ICC=.85–.97). The PFP-10 also is sensitive to change (DI=.21–.54). Discussion and Conclusion. The PFP-10 yields valid, reliable, and sensitive measurements and can be confidently substituted for the CS-PFP.

  • exercise effects on physical Functional Performance in independent older adults
    Journals of Gerontology Series A-biological Sciences and Medical Sciences, 1999
    Co-Authors: Elaine M Cress, David M Buchner, Kent A Questad, Peter C Esselman, B J Delateur, Robert S Schwartz
    Abstract:

    Background.Age-related loss in physiologic capacities contributes to the decline in physical function in the elderly popula­ tion. Despite the beneficial effects of exercise interventions on maximal physiologic capacity measures, the Functional benefits have not been shown in independently living older adults. The objective of this study was to evaluate exercise in independent older adults for significant and meaningful improvements in physical function, not detected by commonly used measures of physical function. Methods. In a randomized controlled study, 49 independently living men and women were assigned to either a nonexercise control group (Control; n =26) or an exercise training group (Exercise; n =23). Participants (age =76 ± 4) in goodgeneral health were recruited from retirement communities or apartments. The combined endurance and strength training was performed at 75% to 80% intensity; the groups met 3 times/week for 6 months of supervised sessions. Outcome measures included physical capacity, health status, and physical function using a newly developed Performance test-the Continuous Scale-Physical Functional Performance test (CS-PFP). Results. Compared to the Control group, the Exercise group showed significant increases in maximal oxygen consumption (11 %) and muscle strength (33%). No significant differences were found between groups for changes in the Sickness Impact Profile, SF-36 scales, or the 6-minute walk. However, the CS-PFP score improved significantly in the Exercise group (14%, ef­ fect size 0.80).

Ewa M Roos - One of the best experts on this subject based on the ideXlab platform.

  • effect of exercise therapy compared with arthroscopic surgery on knee muscle strength and Functional Performance in middle aged patients with degenerative meniscus tears a 3 mo follow up of a randomized controlled trial
    American Journal of Physical Medicine & Rehabilitation, 2015
    Co-Authors: Silje Stensrud, May Arna Risberg, Ewa M Roos
    Abstract:

    ABSTRACTObjectiveThe aim of this study was to compare the effect of a 12-wk exercise therapy program and arthroscopic partial meniscectomy on knee strength and Functional Performance in middle-aged patients with degenerative meniscus tears.DesignA total of 82 patients (mean age, 49 yrs; 35% women) w

  • muscle strength and Functional Performance in patients with anterior cruciate ligament injury treated with training and surgical reconstruction or training only a two to five year followup
    Arthritis & Rheumatism, 2008
    Co-Authors: Eva Ageberg, Roland Thomee, Ewa M Roos, Camille Neeter, Karin Gravare Silbernagel
    Abstract:

    OBJECTIVE: To study muscle strength and Functional Performance in patients with anterior cruciate ligament (ACL) injury with or without surgical reconstruction 2 to 5 years after injury. Good muscle function is important in preventing early-onset osteoarthritis (OA), but the role of reconstructive surgery in restoring muscle function is unclear. METHODS: Of 121 patients with ACL injury included in a randomized controlled trial on training and surgical reconstruction versus training only (the Knee, Anterior cruciate ligament, NON-surgical versus surgical treatment [KANON] study, ISRCTN: 84752559), 54 (mean age at followup 30 years, range 20-39, 28% women) were assessed a mean +/- SD of 3 +/- 0.9 years after injury with reliable, valid, and responsive test batteries for strength (knee extension, knee flexion, leg press) and hop Performance (vertical jump, one-leg hop, side hop). The Limb Symmetry Index (LSI; injured leg divided by uninjured and multiplied by 100) value and absolute values were used for comparisons between groups (analysis of variance). An LSI >/=90% was considered normal. RESULTS: There were no differences between the surgical and nonsurgical treatment groups in muscle strength or Functional Performance. Between 44% and 89% of subjects had normal muscle function in the single tests, and between 44% and 56% had normal function in the test batteries. CONCLUSION: The lack of differences between patients treated with training and surgical reconstruction or training only indicates that reconstructive surgery is not a prerequisite for restoring muscle function. Abnormal muscle function, found in approximately one-third or more of the patients, may be a predictor of future knee OA. (Less)

  • muscle strength Functional Performance and self reported outcomes four years after arthroscopic partial meniscectomy in middle aged patients
    Arthritis & Rheumatism, 2006
    Co-Authors: Ylva Ericsson, Ewa M Roos, Leif Dahlberg
    Abstract:

    Objective. To examine thigh muscle strength, Functional Performance, and self-reported outcome in patients with nontraumatic meniscus tears 4 years after operation, and to study the impact of a strength deficit on self-reported outcome and evaluate the feasibility of 3 Performance tests in this patient group. Methods. The study group comprised 45 patients (36% women, mean age 46.7) who had an arthroscopic partial meniscectomy a mean of 4 years (range 1-6 years) previously. Main outcome measures included isokinetic strength of knee extensors and flexors, Functional Performance (1-leg hop, 1-leg rising, and square-hop tests), and a self-reported questionnaire (Knee Injury and Osteoarthritis Outcome Score). Results. We found lower knee extensor strength and worse 1-leg rising capacity in the operated leg, but no difference between operated and nonoperated leg for knee flexors (P 0.3, respectively). Patients with a stronger quadriceps of the operated leg compared with the nonoperated leg had less pain and better function and quality of life (r = 0.4-0.6, P <= 0.010). We found the 1-leg rising and 1-leg hop tests to be suitable Performance tests in middle-aged meniscectomy patients. Conclusion. Quadriceps strength is reduced in the meniscectomized leg compared with the nonoperated leg 4 years after surgery. This relative quadriceps weakness significantly affects objective and self-reported knee function, pain, and quality of life, indicating the importance of restoring muscle function after meniscectomy in middle-aged patients. (Less)

E Boesen - One of the best experts on this subject based on the ideXlab platform.

  • a randomized trial on the effect of a multimodal intervention on physical capacity Functional Performance and quality of life in adult patients undergoing allogeneic sct
    Bone Marrow Transplantation, 2009
    Co-Authors: Mary Jarden, M T Baadsgaard, D Hovgaard, E Boesen, Lis Adamsen
    Abstract:

    A randomized trial on the effect of a multimodal intervention on physical capacity, Functional Performance and quality of life in adult patients undergoing allogeneic SCT

  • a randomized trial on the effect of a multimodal intervention on physical capacity Functional Performance and quality of life in adult patients undergoing allogeneic sct
    Bone Marrow Transplantation, 2009
    Co-Authors: Mary Jarden, M T Baadsgaard, D Hovgaard, E Boesen, Lis Adamsen
    Abstract:

    The aim of this randomized controlled trial was to investigate the effect of a 4- to 6-week multimodal program of exercise, relaxation and psychoeducation on physical capacity, Functional Performance and quality of life (QOL) in allogeneic hematopoietic cell transplantation (allo-HSCT) adult recipients. In all, 42 patients were randomized to a supervised multimodal intervention or to a control group receiving usual care. The primary end point was on aerobic capacity measured in VO(2) max. Secondary end points were muscle strength, Functional Performance, physical activity level, QOL, fatigue, psychological well-being and clinical outcomes. The multimodal intervention had a significant effect on physical capacity: VO(2) max (P<0.0001) and muscle strength: chest press (P<0.0001), leg extension (P=0.0003), right elbow flexor (P=0.0009), right knee extensor (P<0.0001) and Functional Performance (stair test) (0.0008). Moreover, the intervention group showed significantly better results for the severity of diarrhea (P=0.014) and fewer days of total parenteral nutrition (P=0.019). Longitudinal changes in QOL, fatigue and psychological well-being favored the intervention group, but did not reach statistical significance. Assignment of a multimodal intervention during allo-HSCT did not cause untoward events, sustained aerobic capacity and muscle strength and reduced loss of Functional Performance during hospitalization.