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( Taylor Braden ),( Madison Burtch ),( Samantha Mott ),( Alexandria Pyle ),( Lee Atkins ),( Heather Braden ) 대한신경치료학회 2021 신경치료 Vol.25 No.1
Purpose Assessing functional mobility is an important aspect of determining fall risk in the growing population of assisted living. Little is known about the sit-to-walk (STW) transition, especially what characteristics correlate with the duration it takes to perform a STW. Methods In this cross-sectional, exploratory study, 45 assisted living residents were evaluated for baseline measures: history of falls, assistive device (AD), lower-extremity strength, and balance (Tinetti POMA). The residents were then timed performing a STW, and, from these durations, were stratified into fast and slow groups. Statistical analysis was performed to determine relationships between the two duration groups and the baseline measures. Results Participants who had experienced a fall were significantly more likely to use an assistive device (p = 0.001). The use of an AD had a moderate negative correlation with composite strength (r = -0.428, p = 0.003). Duration of STW had a weak negative correlation with composite strength (r = -0.299, p = 0.046) and a moderate correlation with use of AD (r = 0.419, p = 0.004). Those with a faster duration of STW had significantly better balance (p = 0.027). Conclusion These correlations support the need for healthcare professionals to address the use of adaptive equipment and physical training when evaluating functional mobility in assisted living residents. Providing appropriate equipment and improving overall strength in these individuals can help reduce their risk of falls. Individuals in assisted living facilities can be assessed similar to other geriatric populations, with special consideration on functional tasks and measures.