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Assessment of muscle function and physical performance in daily clinical practice: a position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO)

Assessment of muscle function and physical performance in daily clinical practice: a position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO)
Assessment of muscle function and physical performance in daily clinical practice: a position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO)
It is well recognized that poor muscle function and poor physical performance are strong predictors of clinically relevant adverse events in older people. Given the large number of approaches to measure muscle function and physical performance, clinicians often struggle to choose a tool that is appropriate and validated for the population of older people they deal with. In this paper, an overview of different methods available and applicable in clinical settings is proposed. This paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were organized afterwards where the whole group could amend and discuss the recommendations further. Several characteristics should be considered when choosing a tool: (1) purpose of the assessment (intervention, screening, diagnosis); (2) patient characteristics (population, settings, functional ability, etc.); (3) psychometric properties of the tool (test–retest reliability, inter-rater reliability, responsiveness, floor and ceiling effects, etc.); (4) applicability of the tool in clinical settings (overall cost, time required for the examination, level of training, equipment, patient acceptance, etc.); (5) prognostic reliability for relevant clinical outcomes. Based on these criteria and the available evidence, the expert group advises the use of grip strength to measure muscle strength and the use of 4-m gait speed or the Short Physical Performance Battery test to measure physical performance in daily practice. The tools proposed are relevant for the assessment of muscle weakness and physical performance. Subjects with low values should receive additional diagnostic workups to achieve a full diagnosis of the underlying condition responsible (sarcopenia, frailty or other).
0171-967X
1-14
Beaudart, Charlotte
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Rolland, Yves
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Cruz-Jentoft, Alfonso Jose
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Bauer, Jurgen M.
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Sieber, Cornel
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Cooper, Cyrus
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Al-Daghri, Nasser M.
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de Carvalho, Islene
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Kaufman, Jean-Marc
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Landi, Francesco
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Maggi, Stefania
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McCloskey, Eugene
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Petermans, Jean
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Reginster, Jean Yves
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Uebelhart, Daniel
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Rizzoli, Rene
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Fielding, Roger A.
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Beaudart, Charlotte
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Rolland, Yves
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Cooper, Cyrus
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Al-Daghri, Nasser M.
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Kaufman, Jean-Marc
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Landi, Francesco
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Maggi, Stefania
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McCloskey, Eugene
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Petermans, Jean
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Rodriguez Manas, Leocadio
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Reginster, Jean Yves
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Roller-Wirnsberger, Regina
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Schaap, Laura A.
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Uebelhart, Daniel
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Rizzoli, Rene
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Fielding, Roger A.
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Beaudart, Charlotte, Rolland, Yves, Cruz-Jentoft, Alfonso Jose, Bauer, Jurgen M., Sieber, Cornel, Cooper, Cyrus, Al-Daghri, Nasser M., de Carvalho, Islene, Bautmans, Ivan, Bernabei, Roberto, Bruyère, Olivier, Cesari, Matteo, Cherubini, Antonio, Dawson-Hughes, Bess, Kanis, John A., Kaufman, Jean-Marc, Landi, Francesco, Maggi, Stefania, McCloskey, Eugene, Petermans, Jean, Rodriguez Manas, Leocadio, Reginster, Jean Yves, Roller-Wirnsberger, Regina, Schaap, Laura A., Uebelhart, Daniel, Rizzoli, Rene and Fielding, Roger A. (2019) Assessment of muscle function and physical performance in daily clinical practice: a position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO). Calcified Tissue International, 105 (1), 1-14. (doi:10.1007/s00223-019-00545-w).

Record type: Article

Abstract

It is well recognized that poor muscle function and poor physical performance are strong predictors of clinically relevant adverse events in older people. Given the large number of approaches to measure muscle function and physical performance, clinicians often struggle to choose a tool that is appropriate and validated for the population of older people they deal with. In this paper, an overview of different methods available and applicable in clinical settings is proposed. This paper is based on literature reviews performed by members of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO) working group on frailty and sarcopenia. Face-to-face meetings were organized afterwards where the whole group could amend and discuss the recommendations further. Several characteristics should be considered when choosing a tool: (1) purpose of the assessment (intervention, screening, diagnosis); (2) patient characteristics (population, settings, functional ability, etc.); (3) psychometric properties of the tool (test–retest reliability, inter-rater reliability, responsiveness, floor and ceiling effects, etc.); (4) applicability of the tool in clinical settings (overall cost, time required for the examination, level of training, equipment, patient acceptance, etc.); (5) prognostic reliability for relevant clinical outcomes. Based on these criteria and the available evidence, the expert group advises the use of grip strength to measure muscle strength and the use of 4-m gait speed or the Short Physical Performance Battery test to measure physical performance in daily practice. The tools proposed are relevant for the assessment of muscle weakness and physical performance. Subjects with low values should receive additional diagnostic workups to achieve a full diagnosis of the underlying condition responsible (sarcopenia, frailty or other).

Text
Beaudart 2019 Article Assessment Of Muscle Function - Version of Record
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More information

Accepted/In Press date: 29 March 2019
e-pub ahead of print date: 10 April 2019
Published date: July 2019

Identifiers

Local EPrints ID: 430466
URI: http://eprints.soton.ac.uk/id/eprint/430466
ISSN: 0171-967X
PURE UUID: 264e2b46-9a17-4e2d-8256-1f846d13f381
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709

Catalogue record

Date deposited: 01 May 2019 16:30
Last modified: 26 Nov 2021 02:39

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Contributors

Author: Charlotte Beaudart
Author: Yves Rolland
Author: Alfonso Jose Cruz-Jentoft
Author: Jurgen M. Bauer
Author: Cornel Sieber
Author: Cyrus Cooper ORCID iD
Author: Nasser M. Al-Daghri
Author: Islene de Carvalho
Author: Ivan Bautmans
Author: Roberto Bernabei
Author: Olivier Bruyère
Author: Matteo Cesari
Author: Antonio Cherubini
Author: Bess Dawson-Hughes
Author: John A. Kanis
Author: Jean-Marc Kaufman
Author: Francesco Landi
Author: Stefania Maggi
Author: Eugene McCloskey
Author: Jean Petermans
Author: Leocadio Rodriguez Manas
Author: Jean Yves Reginster
Author: Regina Roller-Wirnsberger
Author: Laura A. Schaap
Author: Daniel Uebelhart
Author: Rene Rizzoli
Author: Roger A. Fielding

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