Resumo

A avaliação da capacidade funcional (CF) dos idosos pode detectar possível risco de dependência futura, estabelecer níveis de morbidade de mortalidade, além de poder balizar intervenções direcionadas aos idosos. Dessa forma, o objetivo desse estudo foi, através de uma pesquisa bibliográfica, identificar os testes mais utilizados e o potencial de cada prova para identificação do nível de CF do idoso. O exame da literatura mostrou que CF tem sido determinada em abordagens gerais, que objetivam traçar o perfil funcional através de um único teste, como as propostas dos testes caminhada e de mobilidade. Por outro lado, pode-se determinar a CF mediante a avaliação de componentes específicos como os testes de equilíbrio, força e marcha. Geralmente, as propostas descritas seguem a idéia de que uma ação funcional, realizada de maneira mais rápida, remete ao potencial funcional do idoso. No entanto, mediante as limitações das quantificações apontadas pelos estudos, observou-se a tendência da avaliação funcional em utilizar analises qualitativas, que objetivam determinar o padrão de movimento, como uma outra via da compreensão da CF do idoso. Além disso, notou-se que a avaliação da CF tem sido indicada e desenvolvida também para aqueles que não apresentam comprometimento funcional aparente e não somente para os idosos evidentemente mais frágeis.

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REFERÊNCIAS

Shubert TE, Schrodt LA, Mercer VS, Busby-Whitehead J, Giuliani CA. Are scores on balance screening tests associated with mobility in older adults? J Geriatr Phys Ther. 2006;29(1):33-9.

Spirduso WW. Dimensões físicas do envelhecimento. Barueri: Manole; 2005.

Okuma, S.S. O significado da atividade física para o idoso: um estudo fenomenológico [tese]. São Paulo: Universidade de São Paulo; 1997.

Rogers ME, Rogers NL, Takeshima N, Islam MM. Methods to assess and improve the physical parameters associated with fall risk in older adults. Prev Med. 2003;36(3):255-64.

Enright PL, McBurnie MA, Bittner V, Tracy RP, McNamara R, Arnold A, et al. The 6-min walk test: a quick measure of functional status in elderly adults. Chest. 2003;123(2):387-98.

Solway S, Brooks D, Lacasse Y, Thomas S. A qualitative systematic overview of the measurement properties of functional walk tests used in the cardiorespiratory domain. Chest. 2001;119(1):256-70.

American Thoracic Society (ATS). ATS Statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002;166:111-117.

Steffen TM, Hacker TA, Mollinger L. Age-and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther. 2002;82(2):128-37.

Bean JF, Kiely DK, Leveille SG, Herman S, Huynh C, Fielding R, et al. The 6-minute walk test in mobility-limited elders: what is being measured? J Gerontol A Biol Sci Med Sci. 2002;57(11):M751-6.

Kell RT, Bell G, Quinney A. Musculoskeletal fitness, health outcomes and quality of life. Sports Med. 2001:31(12),863-73.

Zago AS, Gobbi, S. Valores normativos de aptidão funcional de mulheres de 60 a 70 anos. Rev Bras Ci Mov. 2003;11(2):77-86.

Andreotti RA, Okuma SS. Validação de uma bateria de testes de atividades da vida diária para idosos fisicamente independentes. Rev Paul Educ Fís. 1999;13(1):46-66.

Hageman PA, Thomas VS. Gait performance in dementia: the effects of a 6-week resistance training program in an adult day-care setting. Int J Geriatr Psychiatry. 2002;17:329-334.

Kimura T, Kobayashi H, Nakayama E, Hanaoka M. Effects of aging on gait patterns in the healthy elderly. Anthropol Sci. 115(2007;115(1):67-72

Purser JL, Weinberger M, Cohen HJ, Pieper CF, Morrey MC, et al. Walking speed predicts health status and hospital costs for frail elderly male veterans. J Rehabil Res Dev. 2005;42(4):535-46.

Ringsberg K, Gerdhen P, Johansson J, Obrant KJ. Is there a relationship between balance, gait performance and muscular strength in 75-year-old women? Age Ageing. 1999;28(3):289-93.

Lopopolo RB, Greco M, Sullivan D, Craik RL, Mangione KK. Effect of therapeutic exercise on gait speed in community-dwelling elderly people: a meta-analysis. Phys Ther. 2006;86(4):520-40.

Noonan V, Dean E. Submaximal exercise testing: clinical application and interpretation. Phys Ther. 2000;80(8):782-807.

Wall JC, Bell C, Cambell S, Davis J. The timed get-up-and-go test revisited: measurement of component tasks. J Rehabil Res Dev. 2000;37(1):109-14.

Bohannon RW, Schaubert K. Long-term reliability of the timed up-and-go test among community-dwelling elders. J Phys Ther Sci. 2005;17(2):93-6.

Thrane G, Joakimsen RM, Thornquist E. The association between timed up and go test and history of falls: the Tromso study. BMC Geriatr. 2007;7(1):1-7.

Shigematsu R, Chang M, Yabushita N, Sakai T, Nakagaichi M, Nho H, et al. Dancebased aerobic exercise may improve indices of falling risk in older women. Age Ageing. 2002;31(4):261-6.

Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the Timed "Up & Go" test in people with Parkinson disease. Phys Ther. 2001;81(2):810-8.

Lamoureux E, Sparrow WA, Murphy A, Newton RU. The effects of improved strength on obstacle negotiation in community-living older adults. Gait Posture. 2003;17(3):273-83.

Ikezoe T, Tsutou A, Asakawa Y, Tsuboyama T. Low Intensity Training for Frail Elderly Women: Long-term Effects on Motor Function and Mobility. J Phys Ther Sci. 2005;17(1):43-9.

Nnodim JO, Alexander NB. Assessing falls in older adults. A comprehensive fall evaluation to reduce fall risk in older adults. Geriatrics. 2005;60(10):24-9.

Orr R, Tsang T, Lam P, Comino E, Singh MF. Mobility impairment in type 2 diabetes. Association eith mucscle power and effect of Tai Chi intervention. Diabetes Care. 2006;29(9):2120-2.

Hausdorff JM, Nelson ME, Kaliton D, Layne JE, Bernstein MJ, Nuernberger A, et al. Etiology and modification of gait instability in older adults: a randomized controlled trial of exercise. J Appl Physiol. 2001;90(6):2117-29.

Smith PS, Hembree JA, Thompson ME. Berg Balance Scale and Functional Reach: determining the best clinical tool for individuals post acute stroke. Clin Rehabil. 2004;18(7):811-8.

Rooks DS, Kiel DP, Parsons C, Hayes WH. Self-Paced Resistance training and walking exercise in community-dwelling older adults: effects on neuromotor performance. J Gerontol A Biol Sci Med Sci. 1997;52(3):161-8.

Thigpen MT, Light KE, Creel GL, Flynn SM. Turning difficulty characteristics of adults aged 65 years and older. Phys Ther. 2000;80(12):1174-87.

McCarthy EK, Horvat MA, Holtsberg PA, Wisenbaker JM. Repeated Chair Stands as a Measure of Lower Limb Strength in Sexagenarian Women. J Gerontol A Biol Sci Med Sci. 2004;59(11):1207-12.

Lusardi MM, Pellecchia GL, Schulman M. Functional Perfomance in community living older adults. J Geriatr Phys Ther. 2003;26(3):14-22.

Yamauchi T, Islam MM, Koizumi D, Rogers ME, Rogers NL, Takeshima N. Effect of home-based well-rounded exercise in community-dwelling older adults. J Sports Sci Med. 2005;4:563-571.

Toraman NF. Short term and long term detraining: is there any difference between young-old and old people? Br J Sports Med. 2005;39(8):561-4.

Marzilli TS, Schuler PB, Willhoit KF, Stepp MF. Effect of a Community-Based Strength and Flexibility Program on Performance-Based Measures of Physical Fitness in Older African-American Adults. Californian J Health Promot. 2004;2(3):92-8.

Rikli RE, Jones CJ. Functional fitness normative scores for community-residing older adults, age 60-94. J Aging Phys Act. 1999;7:162-81.

Alexander NB, Galecki AT, Grenier ML, Nyquist LV, Hofmeyer MR, Grunawalt JC, et al. Task-specific resistance training to improve the ability of activities of daily living-impaired older adults to rise from a bed and from a chair. J Am Geriatr Soc. 2001;49(11):1418-27.

Brandon LJ, Boyette LW, Gaasch DA, Lloyd A. Effects of lower extremity strength training on functional mobility in older adults. J Aging Phys Act. 2000;8(3):214-27.

Weiss A, Suzuki T, Bean J, Fielding RA. High intensity strength training improves strength and functional performance after stroke. Am J Phys Med Rehabil. 2000;79(4):369-76.

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