TY - JOUR
T1 - Measures of attributes of locomotor capacity in older people
T2 - a systematic literature review following the COSMIN methodology
AU - Honvo, Germain
AU - Sabico, Shaun
AU - Veronese, Nicola
AU - Bruyère, Olivier
AU - Rizzoli, René
AU - Thiyagarajan, Jotheeswaran Amuthavalli
AU - Mikton, Christopher
AU - Diaz, Theresa
AU - Cooper, Cyrus
AU - Reginster, Jean Yves
AU - Nasser, Al Daghri
AU - Sandrine, Andrieu
AU - Cédric, Annweiler
AU - Mylène, Aubertin Leheudre
AU - Ivan, Bautmans
AU - Charlotte, Beaudart
AU - Clemens, Becker
AU - Fanny, Buckinx
AU - Claudia, Campusano
AU - Matteo, Cesari
AU - Manju, Chandran
AU - Antonio, Cherubini
AU - Patricia, Clark
AU - Cyrus, Cooper
AU - Alfonso, Cruz Jentoft
AU - Elaine, Dennison
AU - Alban, Fouasson Chailloux
AU - Nick, Fuggle
AU - Muthoni, Gichu
AU - Evelien, Gielen
AU - Jérôme, Guicheux
AU - Nick, Harvey
AU - Ida, Haugen
AU - Olivier, Lamy
AU - Francesco, Landi
AU - Nancy, Lane
AU - Marise, Lazaretti Castro
AU - Mike, Lewiecki
AU - Radmila, Matijevic
AU - Daniel, Messina Osvaldo
AU - Ouafa, Mkinsi
AU - Ali, Mobasheri
AU - Ngozi, Njeze
AU - Daniel, Pinto
AU - Jean-Yves, Reginster
AU - René, Rizzoli
AU - Yves, Rolland
AU - Yousef, Saleh
AU - WHO Locomotor Capacity Working Group
N1 - 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.
PY - 2023/10/1
Y1 - 2023/10/1
N2 - 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.
AB - 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.
KW - balance
KW - endurance
KW - joint function
KW - locomotor capacity
KW - measurement properties
KW - muscle function
KW - muscle power
KW - muscle strength
KW - older people
KW - screening or assessment tools
KW - systematic review
U2 - 10.1093/ageing/afad139
DO - 10.1093/ageing/afad139
M3 - (Systematic) Review article
SN - 0002-0729
VL - 52
SP - 44
EP - 66
JO - Age and Ageing
JF - Age and Ageing
IS - 4
ER -