Assessing physical functioning in otolaryngology: feasibility of the short physical performance battery |
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| Institution: | 1. Johns Hopkins University School of Medicine, Baltimore, MD, USA;2. Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, MD, USA;3. Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA;4. University of Oklahoma College of Medicine, Oklahoma City, OK, USA;5. Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA;1. Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Republic of Korea;2. Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Republic of Korea;3. Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Seoul Hospital, Seoul, Republic of Korea;1. Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA;2. Department of Pathology, Duke University Medical Center, Durham, NC, USA;3. Surgical Service, Section of Otolaryngology–Head and Neck Surgery, Durham VA Medical Center, Durham, NC, USA;1. Department of Otology and Laryngology, Harvard Medical School, Boston, MA, USA;2. Department of Otolaryngology–Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, MA, USA;3. Harvard Interfaculty Initiative in Health Policy, Cambridge, MA, USA;1. ORL Department Hospital Pakar Sultanah Fatimah, Muar, Johor, Malaysia;2. Pathology Department Hospital Pakar Sultanah Fatimah, Muar, Johor, Malaysia;3. ORL Head and Neck Surgery Department, UKM Medical Centre, Cheras, Kuala Lumpur, Malaysia |
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| Abstract: | PurposeObjective measures of physical functioning and mobility are considered to be the strongest indicators of overall health and mortality risk in older adults. These measures are not routinely used in otolaryngology research. We investigated the feasibility of using a validated physical performance battery to assess the functioning of older adults seen in a tertiary care otolaryngology clinic.Materials and methodsThe Short Physical Performance Battery was performed on 22 individuals aged 50 years or older enrolled in the Studying Multiple Outcomes after Aural Rehabilitative Treatment (SMART) study at Johns Hopkins.ResultsWe successfully administered the SPPB to 22 participants, and this testing resulted in minimal participant and provider burden with respect to time, training, and space requirements. The mean time to complete 5 chair stands was 13.0 ± 3.8 seconds. The mean times for the side-by-side, semi-tandem, and tandem stands were 10.0 ± 0.0, 9.5 ± 2.1, and 8.8 ± 3.2 seconds, respectively. Mean walking speed was 1.1 ± 0.3 meters per second, and composite SPPB scores ranged from 6 to 12 (mean = 10.45, S.D. = 1.6).ConclusionsOur results demonstrate the feasibility of implementing a standardized physical performance battery to assess physical functioning in a cohort of older adults seen in a tertiary otolaryngology clinic. We provide detailed instructions, references, and analytic methods for implementing the SPPB in future otolaryngology studies involving older adults. |
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