The long-term objective of this research is to improve the physical functional status of impaired older adults, by developing and testing an integrated system of functional assessment ad targeted modular exercise. The proposed research is divided into two parts: The first part will develop ad validate a new physical functional performance measure, referred to as """"""""PEP"""""""". The second study will use the PFP to assess physical function status in a group of older adults, and prescribe modular exercise programs to correct deficits identified by the PFP.
Specific Aims : Study 1 1. To develop a reliable observational measure of functional status, referred to as """"""""PFP"""""""" (Physical Functional Performance), that is based upon the kinesiology of normal daily activities. Though the PFP will have an overall score, the goal of this proposal is for the subscales (1) aerobic fitness, 2) flexibility, 3)strength, and 4) coordination to identify the source of the impairment in order to better understand how global limitation may be produced by one or more specific basis impairments. 2. To assess the validity of the PFP by correlating its overall score and subscale scores with present standards, such as: 1) questionnaire measures of functional status; 2) judges' ratings of functional status; 3) isolated physiologic measurements of aerobic fitness, flexibility, strength, and coordination; and 4) living status (independent community dweller, independent congregate care facility residents and dependent residents).
Specific Aims : Study 2 3 To show that the results of functional assessment using the PFP can be used to design modular exercise which target specific basic impairments identified by the PFP. 4 Repeated measures analysis of variance will be assessed to determine the sensitivity of the PFP to changes in physical function over time and to validate the usefulness of the PFP in assessing change over time.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
First Independent Research Support & Transition (FIRST) Awards (R29)
Project #
5R29AG010267-03
Application #
2051529
Study Section
Epidemiology and Disease Control Subcommittee 2 (EDC)
Project Start
1992-05-15
Project End
1997-04-30
Budget Start
1994-05-12
Budget End
1995-04-30
Support Year
3
Fiscal Year
1994
Total Cost
Indirect Cost
Name
University of Washington
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
135646524
City
Seattle
State
WA
Country
United States
Zip Code
98195
Cress, M Elaine; Petrella, John K; Moore, Trudy L et al. (2005) Continuous-scale physical functional performance test: validity, reliability, and sensitivity of data for the short version. Phys Ther 85:323-35
Cress, M Elaine; Meyer, Mary (2003) Maximal voluntary and functional performance levels needed for independence in adults aged 65 to 97 years. Phys Ther 83:37-48
Cress, M Elaine; Kinne, Susan; Patrick, Donald L et al. (2002) Physical functional performance in persons using a manual wheelchair. J Orthop Sports Phys Ther 32:104-13
Cress, M E; Buchner, D M; Questad, K A et al. (1999) Exercise: effects on physical functional performance in independent older adults. J Gerontol A Biol Sci Med Sci 54:M242-8
Cress, M E (1997) Quantifying physical functional performance in older adults. Muscle Nerve Suppl 5:S17-20
Cress, M E; Conley, K E; Balding, S L et al. (1996) Functional training: muscle structure, function, and performance in older women. J Orthop Sports Phys Ther 24:4-10
Cress, M E; Buchner, D M; Questad, K A et al. (1996) Continuous-scale physical functional performance in healthy older adults: a validation study. Arch Phys Med Rehabil 77:1243-50
Conley, K E; Cress, M E; Jubrias, S A et al. (1995) From muscle properties to human performance, using magnetic resonance. J Gerontol A Biol Sci Med Sci 50 Spec No:35-40