PMID- 35341435
OWN - NLM
STAT- MEDLINE
DCOM- 20230228
LR  - 20230323
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
VI  - 45
IP  - 6
DP  - 2023 Mar
TI  - Minimal clinically important difference of the short physical performance battery 
      and comfortable walking speed in old-old adults with acute cardiovascular 
      disease: a multicenter, prospective, observational study.
PG  - 1079-1086
LID - 10.1080/09638288.2022.2052978 [doi]
AB  - PURPOSE: The physical function of older adults age >/= 75 years hospitalized for 
      cardiovascular disease (CVD) often decrease. The Minimal Clinically Important 
      Difference (MCID) is the smallest clinically meaningful difference due to 
      therapy. The Short Physical Performance Battery (SPPB) and Comfortable Walking 
      Speed (CWS) are physical function evaluations commonly used in people with CVD. 
      This study aims to clarify the MCIDs of the SPPB and CWS in old-old adult with 
      CVD. MATERIALS AND METHODS: This was a multicenter, prospective study of 58 
      old-old adults with acute CVD and rehabilitation. The MCID was estimated using 
      the participants' and physical therapists' (PT) Global Rating of Change (GRC) 
      scales as anchors for changes in the SPPB and CWS. The area under the curve (AUC) 
      was used to measure the discrimination accuracy. RESULTS: The MCID of SPPB was 3 
      points when the GRC from PT was used as an anchor (AUC = 0.70). The MCID of CWS 
      was 0.10 m/s when the GRC from participants and PT were used as anchors (AUC = 
      0.70 and 0.73, respectively). CONCLUSIONS: The MCID of 3 SPPB points and 0.10 m/s 
      CWS in old-old adults with acute CVD may help determine the effectiveness of 
      therapy and improve prognosis.Implications for rehabilitationFor people with 
      cardiovascular disease (CVD), the Short Physical Performance Battery (SPPB) and 
      comfortable walking speed (CWS) are often used to measure physical function.The 
      MCID of SPPB and CWS was estimated to be 3 points and 0.10 m/s, respectively, in 
      older adults with CVD aged >/=75 years.This finding is useful for clinicians to 
      evaluate the efficacy of cardiac rehabilitation.
FAU - Tamura, Shuntaro
AU  - Tamura S
AD  - Department of Rehabilitation, Fujioka General Hospital, Fujioka, Japan.
FAU - Miyata, Kazuhiro
AU  - Miyata K
AD  - Department of Physical Therapy, Ibaraki Prefectural University of Health 
      Sciences, Ibaraki, Japan.
FAU - Igarashi, Tatsuya
AU  - Igarashi T
AD  - Department of basic rehabilitation, Gunma University Graduate School of Health 
      Sciences, Maebashi, Japan.
AD  - Numata Neurosurgery & Heart Disease Hospital, Numata, Japan.
FAU - Iizuka, Takamitsu
AU  - Iizuka T
AD  - Home-visit Nursing Station COCO-LO Maebashi, Maebashi, Japan.
FAU - Otani, Tomohiro
AU  - Otani T
AD  - Department of Physical Therapy, Ota college of medical technology, Ota, Japan.
FAU - Usuda, Shigeru
AU  - Usuda S
AD  - Gunma University Graduate School of Health Sciences, Maebashi, Japan.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20220326
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
MH  - Humans
MH  - Aged
MH  - *Walking Speed
MH  - Prospective Studies
MH  - Minimal Clinically Important Difference
MH  - *Cardiovascular Diseases
MH  - Physical Functional Performance
MH  - Walking
OTO - NOTNLM
OT  - Comfortable Walking Speed
OT  - Minimal clinically important difference
OT  - Short Physical Performance Battery
OT  - acute phase
OT  - cardiovascular disease
OT  - older adults
EDAT- 2022/03/29 06:00
MHDA- 2023/03/03 06:00
CRDT- 2022/03/28 05:25
PHST- 2022/03/29 06:00 [pubmed]
PHST- 2023/03/03 06:00 [medline]
PHST- 2022/03/28 05:25 [entrez]
AID - 10.1080/09638288.2022.2052978 [doi]
PST - ppublish
SO  - Disabil Rehabil. 2023 Mar;45(6):1079-1086. doi: 10.1080/09638288.2022.2052978. 
      Epub 2022 Mar 26.