Assessment of the limits of stability through the forward Functional Reach Test in older adults

Authors

  • Matheus Augusto Braga Marques Vieira Rosa Universidade Cidade de São Paulo – UNICID
  • Arlete Maria Valente Coimbra Universidade Estadual de Campinas – UNICAMP
  • Adriana Ferreira do Nascimento Universidade Cidade de São Paulo – UNICID
  • Natalia Aquaroni Ricci Universidade Cidade de São Paulo – UNICID https://orcid.org/0000-0002-8651-172X

DOI:

https://doi.org/10.11606/issn.2317-0190.v26i1a163015

Keywords:

Postural Balance, Primary Health Care, Aged

Abstract

The Functional Reach assesses the limits of stability, that is, how far the individual can move without changing the base of support. Objective: To evaluate the Forward Functional Reach Test (FR) in older adults and to verify the factors associated with the test performance. Method: Observational cross-sectional study with secondary analysis of data from a previous study. Sample of community-dwelling older adults (≥ 65 years) from the Family Health Program, both sexes and independent for ambulation. Socio-demographic, anthropometric, clinical and balance control (FR, Time Up and Go-TUG and Berg Balance Scale) information were collected. The FR was measured in a single attempt by the anterior displacement of the subject classified numerically (cm) and categorically according to the Berg Balance Scale. Descriptive and inferential statistical analysis (correlation and association tests) were performed. Results: 96 older adults were evaluated with mean age of 74.8 years, FR of 22.5±7.2 cm and 49% achieved more than 25 cm. There was a correlation between FR and sociodemographic (age), anthropometric (height, weight and foot length), clinical (grip strength and pain) and balance (TUG and Berg Scale) data. Old people with more advanced age, with endocrine disease, low visual acuity, sedentary, with history of falls, with complaints of pain and dizziness presented statistically worse performance in FR. Conclusion: Older adults from the Family Health Program have a slightly reduced in FR compare to normative data from community-dwelling elderly. Some factors are associated with FR performance and should be considered when interpreting their results.

Downloads

Download data is not yet available.

References

Alexander NB. Postural control in older adults. J Am Geriatr Soc. 1994;42(1):93-108.

Silveira KRM, Matas SLA, Perracini MR. Avaliação do desempenho dos testes functional reach e lateral reach em amostra populacional brasileira. Rev Bras Fisioter. 2006;10(4):381-6.

Ku PX, Abu Osman NA, Wan Abas WAB. The limits of stability and muscle activity in middle-aged adults during static and dynamic stance. J Biomech. 2016;49(16):3943-8. DOI: https://doi.org/10.1016/j.jbiomech.2016.11.006

Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):M192-7.

Duncan PW, Studenski S, Chandler J, Prescott B. Functional reach: predictive validity in a sample of elderly male veterans. J Gerontol. 1992;47(3):M93-8.

Langley FA, Mackintosh SF. Functional balance assessment of older community dwelling adults: a systematic review of the literature. IJAHSP. 2007;5(4):1-11.

Uritani D, Fukumoto T, Matsumoto D, Shima M. The relationship between toe grip strength and dynamic balance or functional mobility among community-dwelling japanese older adults: a cross-sectional study. J Aging Phys Act. 2016;24(3):459-64. DOI: https://doi.org/10.1123/japa.2015-0123

Tantisuwat A, Chamonchant D, Boonyong S. Multi-directional reach test: an investigation of the limits of stability of people aged between 20-79 Years. J Phys Ther Sci. 2014;26(6):877-80. DOI: https://doi.org/10.1589/jpts.26.877

Balasubramanian C. Can gait and balance assessments accurately discriminate fallers from nonfallers in high-functioning community-dwelling older adults? Arch Phys Med Rehabil. 2014;95(10):e94-95. DOI: https://doi.org/10.1016/j.apmr.2014.07.316

Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83 Suppl 2:S7-11.

Horak FB, Wrisley DM, Frank J. The Balance Evaluation Systems Test (BESTest) to differentiate balance deficits. Phys Ther. 2009;89(5):484-98. DOI: https://doi.org/10.2522/ptj.20080071

Rosa MV, Perracini MR, Ricci NA. Usefulness, assessment and normative data of the Functional Reach Test in older adults: A systematic review and meta-analysis. Arch Gerontol Geriatr. 2019;81:149-170. DOI: https://doi.org/10.1016/j.archger.2018.11.015

Bohannon RW, Wolfson LI, White WB. Functional reach of older adults: normative reference values based on new and published data. Physiotherapy. 2017;103(4):387-391. DOI: https://doi.org/10.1016/j.physio.2017.03.006

Gabbard C, Cordova A. Association between imagined and actual functional reach (FR): a comparison of young and older adults. Arch Gerontol Geriatr. 2013;56(3):487-91. DOI: https://doi.org/10.1016/j.archger.2012.12.008

Ricci NA, Gonçalves DFF, Coimbra IB, Coimbra AMV. Fatores associados ao histórico de quedas de idosos assistidos pelo Programa de Saúde da Família. Saúde Soc. 2010;19(4):898-909. DOI: http://dx.doi.org/10.1590/S0104-12902010000400016

Coimbra AM, Ricci NA, Coimbra IB, Costallat LT. Falls in the elderly of the Family Health Program. Arch Gerontol Geriatr. 2010;51(3):317-22. DOI: https://doi.org/10.1016/j.archger.2010.01.010

Yusuf HR, Croft JB, Giles WH, Anda RF, Casper ML, Caspersen CJ, et al. Leisure-time physical activity among older adults. United States, 1990. Arch Intern Med. 1996;156(12):1321-6.

WHO. International Classification of Diseases, 9 th Revision (ICD-9). Geneva: WHO; 1977.

Livingstone T BD, Carroll M. Grip Track Commander - user’s manual. Utah: Jtech; 1997.

Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319(26):1701-7.

Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. DOI: https://doi.org/10.1111/j.1532-5415.1991.tb01616.x

Vieira S. Introdução à bioestatística. 4 ed. Rio de Janeiro: Elsevier; 2008.

Almeida ST, Soldera CLC, Carli GA, Gomes I, Resende TL. Análise de fatores extrínsecos e intrínsecos que predispõem a quedas em idosos. Rev Assoc Med Bras. 2012;58(4):427-33. DOI: http://dx.doi.org/10.1590/S0104-42302012000400012

Sakamoto R, Okumiya K, Ishine M, Wada T, Fujisawa M, Imai H, et al. Predictors of difficulty in carrying out basic activities of daily living among the old-old: A 2-year community-based cohort study. Geriatr Gerontol Int. 2016;16(2):214-22. DOI: https://doi.org/10.1111/ggi.12462

de Waroquier-Leroy L, Bleuse S, Serafi R, Watelain E, Pardessus V, et al. The Functional Reach Test: strategies, performance and the influence of age. Ann Phys Rehabil Med. 2014;57(6-7):452-64. DOI: https://doi.org/10.1016/j.rehab.2014.03.003

Rossi AL, Pereira VS, Driusso P, Rebelatto JR, Ricci NA. Profile of the elderly in physical therapy and its relation to functional disability. Braz J Phys Ther. 2013;17(1):77-85. DOI: http://dx.doi.org/10.1590/S1413-35552012005000060

Newton RA. Validity of the multi-directional reach test: a practical measure for limits of stability in older adults. J Gerontol A Biol Sci Med Sci. 2001;56(4):M248-52. DOI: https://doi.org/10.1093/gerona/56.4.M248

Gai J, Gomes L, Nóbrega OT, Rodrigues MP. Fatores associados a quedas em mulheres idosas residentes na comunidade. Rev Assoc Med Bras. 2010;56(3):327-332. DOI: http://dx.doi.org/10.1590/S0104-42302010000300019

Norris B, Medley A. The effect of context and age on functional reach performance in healthy adults aged 21 to 94 years. J Geriatr Phys Ther. 2011;34(2):82-7. DOI: https://doi.org/10.1519/jpt.0b013e31820aac11

Morita M, Takamura N, Kusano Y, Abe Y, Moji K, Takemoto T, et al. Relationship between falls and physical performance measures among community-dwelling elderly women in Japan. Aging Clin Exp Res. 2005;17(3):211-6.

Fujimoto A, Hori H, Tamura T, Hirai T, Umemura T, Iguchi F, et al. Relationships between estimation errors and falls in healthy aged dwellers. Gerontology. 2015;61(2):109-15. DOI: https://doi.org/10.1159/000363571

Billek-Sawhney B, Gay J. The Functional Reach Test are 3 trials necessary? Top Geriatr Rehabil. 2005;21(2):144-8.

Published

2019-03-31

Issue

Section

Original Article

How to Cite

1.
Rosa MABMV, Coimbra AMV, Nascimento AF do, Ricci NA. Assessment of the limits of stability through the forward Functional Reach Test in older adults. Acta Fisiátr. [Internet]. 2019 Mar. 31 [cited 2024 Jul. 18];26(1):37-42. Available from: https://periodicos.usp.br/actafisiatrica/article/view/163015