A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission.

Journal Article (Journal Article)

BACKGROUND: A short battery of physical performance tests was used to assess lower extremity function in more than 5,000 persons age 71 years and older in three communities. METHODS: Balance, gait, strength, and endurance were evaluated by examining ability to stand with the feet together in the side-by-side, semi-tandem, and tandem positions, time to walk 8 feet, and time to rise from a chair and return to the seated position 5 times. RESULTS: A wide distribution of performance was observed for each test. Each test and a summary performance scale, created by summing categorical rankings of performance on each test, were strongly associated with self-report of disability. Both self-report items and performance tests were independent predictors of short-term mortality and nursing home admission in multivariate analyses. However, evidence is presented that the performance tests provide information not available from self-report items. Of particular importance is the finding that in those at the high end of the functional spectrum, who reported almost no disability, the performance test scores distinguished a gradient of risk for mortality and nursing home admission. Additionally, within subgroups with identical self-report profiles, there were systematic differences in physical performance related to age and sex. CONCLUSION: This study provides evidence that performance measures can validly characterize older persons across a broad spectrum of lower extremity function. Performance and self-report measures may complement each other in providing useful information about functional status.

Full Text

Duke Authors

Cited Authors

  • Guralnik, JM; Simonsick, EM; Ferrucci, L; Glynn, RJ; Berkman, LF; Blazer, DG; Scherr, PA; Wallace, RB

Published Date

  • March 1994

Published In

Volume / Issue

  • 49 / 2

Start / End Page

  • M85 - M94

PubMed ID

  • 8126356

International Standard Serial Number (ISSN)

  • 0022-1422

Digital Object Identifier (DOI)

  • 10.1093/geronj/49.2.m85


  • eng

Conference Location

  • United States