The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Identifying Mobility Dysfunctions in Elderly Patients: Standard Neuromuscular Examination or Direct Assessment?
Abstract
The need to assess functions such as mobility in elderly patients is increasingly recognized. Lacking other methods, clinicians may rely on the standard neuromuscular examination to evaluate mobility. Therefore, we checked the sensitivity of the neuromuscular examination for identifying mobility problems by comparing relevant neuromuscular findings with performance during four routine mobility maneuvers: (1) getting up from a chair, (2) sitting down, (3) turning while walking, and (4) raising the feet while walking. The subjects investigated were 336 elderly persons living in the community. Many subjects who performed poorly during mobility maneuvers did not have the corresponding neuromuscular abnormalities. For example, although hip and knee flexion are needed to sit down safely, abnormal hip flexion was found in only 15% and abnormal knee flexion in only 30% of the subjects who had difficulty sitting down. The relationship between neuromuscular findings and functional mobility was not predictable enough to rely on neuromuscular findings for identifying mobility problems. Therefore, a simple assessment that reproduces routine daily mobility maneuvers should be developed for use in the clinical care of elderly patients.
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Cites
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Mahonery, F. I. (1965) · Medical Entomology and Zoology · Cited by 12,762
Progress in Development of the Index of ADL
Katz, S., Downs, T. D., Cash, H. R., & Grotz, R. C. (1970) · The Gerontologist · doi:10.1093/geront/10.1_part_1.20 · Cited by 4,118
Performance‐Oriented Assessment of Mobility Problems in Elderly Patients
Tinetti, M. E. (1986) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1986.tb05480.x · Cited by 3,352
Self-citationFall risk index for elderly patients based on number of chronic disabilities
Tinetti, M. E., Franklin Williams, T., & Mayewski, R. (1986) · The American Journal of Medicine · doi:10.1016/0002-9343(86)90717-5 · Cited by 1,587
Self-citationAn epidemiology of disability among adults in the United States.
Nagi, S. Z. (1976) · The Milbank Memorial Fund Quarterly. Health and Society · doi:10.2307/3349677 · Cited by 1,431
A Guttman Health Scale for the Aged
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Falls in the elderly related to postural imbalance.
Overstall, P. W., Exton-Smith, A. N., Imms, F. J., & Johnson, A. L. (1977) · BMJ · doi:10.1136/bmj.1.6056.261 · Cited by 671
Physical examination of the spine and extremities
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The Periodic Health Examination
(1934) · New England Journal of Medicine · doi:10.1056/nejm193401252100413 · Cited by 483
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Cited by
The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons
Podsiadlo, D., & Richardson, S. (1991) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1991.tb01616.x · Cited by 14,418
Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability
Guralnik, J. M., Ferrucci, L., Simonsick, E. M., Salive, M. E., & Wallace, R. B. (1995) · New England Journal of Medicine · doi:10.1056/nejm199503023320902 · Cited by 4,083
Stuck, A. E., Walthert, J. M., Nikolaus, T., Büla, C. J., Hohmann, C., & Beck, J. C. (1999) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00370-0 · Cited by 1,868
Prevention of Falls among the Elderly
Desforges, J. F., Tinetti, M. E., & Speechley, M. (1989) · New England Journal of Medicine · doi:10.1056/nejm198904203201606 · Cited by 930
Self-citationRisk Factors for Serious Injury During Falls by Older Persons in the Community
Tinetti, M. E., Doucette, J., Claus, E., & Marottoli, R. (1995) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1995.tb07396.x · Cited by 913
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Metadata
- Authors
- Tinetti, M. E.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 1988-02-26
- Volume
- 259
- Issue
- 8
- Pages
- 1190
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2081666152
- Cited by
- 300
- References
- 21
- FWCI
- 31.58
- Type
- journal article
- Language
- en
- Open access
- closed
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