Measures of attributes of locomotor capacity in older people: a systematic literature review following the COSMIN methodology
Measures of attributes of locomotor capacity in older people: a systematic literature review following the COSMIN methodology
Background: locomotor capacity (LC) is an important domain of intrinsic capacity and key determinant of functional ability and well-being in older age. The United Nations Decade of Healthy Ageing (2021-2030) calls for strengthening data and research on healthy ageing, including the measurement of older persons' LC. To advance the measurement and monitoring of LC, there is pressing need to identify valid and reliable measures.
Objective: to identify all the available tools that were validated for measurement of LC or of its specific attributes in older people and to assess the methodological quality of the studies and measurement properties of the tools.
Design: systematic review.
Setting: anywhere (Community-dwelling; long-term care facility; etc.).
Subjects: older people.
Methods: we used highly sensitive search strategies to search the following databases: Medline, Embase, Scopus, CINAHL and PsycINFO. The study was conducted following the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) methodology for systematic review of outcome measurement instruments.
Results: a total of 125 studies were included, which assessed tools for balance (n = 84), muscle power (n = 12), muscle strength (n = 32, including four studies about tools for balance and muscle power) and endurance (n = 1). No studies on tools for muscle function, joint function, or locomotor capacity overall, were retrieved. We identified 69 clinician-report or objective assessment tools for balance, 30 for muscle strength, 12 for muscle power and 1 endurance assessment tool. The GRADE assessment of quality of evidence showed that only a few tools have high quality evidence for both sufficient validity and reliability: The Balance Evaluation Systems Test (BESTest), the Mini-Balance Evaluation Systems Test (Mini-BESTest), the Berg Balance Scale (BBS) and the Timed Up and Go (TUG) test.
Conclusions: a few tools with high quality evidence for sufficient validity and reliability are currently available for balance assessment in older people that may be recommended for use in clinical and research settings. Further validation studies are required for muscle strength, muscle power and endurance assessment tools.
Activities of Daily Living, Aged, Aged, 80 and over, Consensus, Healthy Aging, Humans, Independent Living, Reproducibility of Results, joint function, locomotor capacity, measurement properties, endurance, systematic review, muscle function, muscle strength, balance, older people, muscle power, screening or assessment tools
iv44-iv66
Honvo, Germain
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Sabico, Shaun
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Veronese, Nicola
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Bruyère, Olivier
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Rizzoli, René
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Amuthavalli Thiyagarajan, Jotheeswaran
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Mikton, Christopher
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Diaz, Theresa
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Cooper, Cyrus
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Reginster, Jean-Yves
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4 October 2023
Honvo, Germain
b028bd1a-b0a7-444f-bde5-32b5b611b9af
Sabico, Shaun
dd062ab8-a57c-4b27-a35c-b2d0d6b6b0f8
Veronese, Nicola
c4539c05-e941-46d2-8683-b7c9dc09b211
Bruyère, Olivier
ba727e54-ca17-4fa8-be3d-4729fb4b8c0d
Rizzoli, René
c1190577-8164-471d-b90f-6959f92bc25e
Amuthavalli Thiyagarajan, Jotheeswaran
51f2734d-f061-40c5-8128-0ccdbf541441
Mikton, Christopher
6db33ebf-9826-4dcc-9a8d-89ed6e0ac062
Diaz, Theresa
7cea25be-d22a-478e-bc61-4e5974b33c5b
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Reginster, Jean-Yves
08b05e27-73dd-4ce9-90e5-d64ec922147a
Honvo, Germain, Sabico, Shaun, Veronese, Nicola, Bruyère, Olivier, Rizzoli, René, Amuthavalli Thiyagarajan, Jotheeswaran, Mikton, Christopher, Diaz, Theresa, Cooper, Cyrus and Reginster, Jean-Yves
(2023)
Measures of attributes of locomotor capacity in older people: a systematic literature review following the COSMIN methodology.
Age and Ageing, 52 (Supplement_4), .
(doi:10.1093/ageing/afad139).
Abstract
Background: locomotor capacity (LC) is an important domain of intrinsic capacity and key determinant of functional ability and well-being in older age. The United Nations Decade of Healthy Ageing (2021-2030) calls for strengthening data and research on healthy ageing, including the measurement of older persons' LC. To advance the measurement and monitoring of LC, there is pressing need to identify valid and reliable measures.
Objective: to identify all the available tools that were validated for measurement of LC or of its specific attributes in older people and to assess the methodological quality of the studies and measurement properties of the tools.
Design: systematic review.
Setting: anywhere (Community-dwelling; long-term care facility; etc.).
Subjects: older people.
Methods: we used highly sensitive search strategies to search the following databases: Medline, Embase, Scopus, CINAHL and PsycINFO. The study was conducted following the COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) methodology for systematic review of outcome measurement instruments.
Results: a total of 125 studies were included, which assessed tools for balance (n = 84), muscle power (n = 12), muscle strength (n = 32, including four studies about tools for balance and muscle power) and endurance (n = 1). No studies on tools for muscle function, joint function, or locomotor capacity overall, were retrieved. We identified 69 clinician-report or objective assessment tools for balance, 30 for muscle strength, 12 for muscle power and 1 endurance assessment tool. The GRADE assessment of quality of evidence showed that only a few tools have high quality evidence for both sufficient validity and reliability: The Balance Evaluation Systems Test (BESTest), the Mini-Balance Evaluation Systems Test (Mini-BESTest), the Berg Balance Scale (BBS) and the Timed Up and Go (TUG) test.
Conclusions: a few tools with high quality evidence for sufficient validity and reliability are currently available for balance assessment in older people that may be recommended for use in clinical and research settings. Further validation studies are required for muscle strength, muscle power and endurance assessment tools.
Text
afad139
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More information
Accepted/In Press date: 13 June 2023
Published date: 4 October 2023
Additional Information:
Funding Information:
This research was funded by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO), through the 2022 ESCEO-Islene Araujo de Carvalho Grant, a Prize granted to Germain Honvo.
Publisher Copyright:
© World Health Organization, 2023. All rights reserved.
Keywords:
Activities of Daily Living, Aged, Aged, 80 and over, Consensus, Healthy Aging, Humans, Independent Living, Reproducibility of Results, joint function, locomotor capacity, measurement properties, endurance, systematic review, muscle function, muscle strength, balance, older people, muscle power, screening or assessment tools
Identifiers
Local EPrints ID: 483787
URI: http://eprints.soton.ac.uk/id/eprint/483787
ISSN: 0002-0729
PURE UUID: d98de3a6-cc34-4e44-9d08-e50fe9a3bc2f
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Date deposited: 06 Nov 2023 17:38
Last modified: 14 Aug 2024 01:35
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Contributors
Author:
Germain Honvo
Author:
Shaun Sabico
Author:
Nicola Veronese
Author:
Olivier Bruyère
Author:
René Rizzoli
Author:
Jotheeswaran Amuthavalli Thiyagarajan
Author:
Christopher Mikton
Author:
Theresa Diaz
Author:
Jean-Yves Reginster
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