Frailty and mobility

Eeles E. and Low Choy, N. (2015). Frailty and mobility. In Olga Theou and Kenneth Rockwood (Ed.), Frailty in aging: biological, clinical and social implications (pp. 107-120) Basel, Switzerland: Karger. doi:10.1159/000381200


Author Eeles E.
Low Choy, N.
Title of chapter Frailty and mobility
Title of book Frailty in aging: biological, clinical and social implications
Place of Publication Basel, Switzerland
Publisher Karger
Publication Year 2015
Sub-type Research book chapter (original research)
DOI 10.1159/000381200
Series Interdisciplinary Topics in Gerontology and Geriatrics
ISBN 9783318054576
9783318054569
ISSN 2297–3508
2297–3486
Editor Olga Theou
Kenneth Rockwood
Volume number 41
Chapter number 10
Start page 107
End page 120
Total pages 14
Total chapters 16
Language eng
Abstract/Summary Frailty represents a state of heightened vulnerability. Mobility impairment contributes to the construct of frailty and channels adverse events. While mobility disorder is universal at a high burden of frailty, neither mobility nor balance dysfunction is sufficient to fully define frailty. Frailty represents proximity to complex system failure, with higher-order disturbance, such as mobility and balance disturbance, as a consequence. Impairment of mobility and balance is a common manifestation of illness in the frail individual and is therefore a sensitive marker of acute disease, putatively also in delirium. Clinical measurement of mobility and balance should be prioritized. Consequently, assessment tools, such as the de Morton Mobility Index and the Hierarchical Assessment of Balance and Mobility, are being explored, with the sensitivity of the latter illustrated in the acute hospital setting. Walking with speed and under dual/multi-task conditions better differentiates healthier and frail ambulant adults, providing a basis for screening older adults for pre-emptive interventions. Specific mobility and balance interventions reduce falls risk. However, patients with dementia walk too fast for their level of frailty, creating an ethical dimension to rehabilitation and risk. Overall, there is no need for reduced mobility to reinforce the frailty stereotype; both are potentially modifiable and amenable to intervention strategies.
Q-Index Code B1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Book Chapter
Collection: School of Medicine Publications
 
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