Frailty and mobility

Book chapter


Eeles, Eammon and Low Choy, Nancy. (2015). Frailty and mobility. In In Theou, Olga and Rockwood, Kenneth (Ed.). Frailty in aging : Biological, clinical and social implications pp. 107-120 S. Karger AG.
AuthorsEeles, Eammon and Low Choy, Nancy
EditorsTheou, Olga and Rockwood, Kenneth
Abstract

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.

Page range107-120
Year2015
Book titleFrailty in aging : Biological, clinical and social implications
PublisherS. Karger AG
Place of publicationBasel, Switzerland
SeriesInterdisciplinary topics in gerontology and geriatrics ; volume 41
ISBN9783318054569
9783318054576
ISSN2297-3508
2297-3486
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Print22 Jul 2015
Online2015
Publication process dates
Deposited15 Aug 2022
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