Physical Performance Copy

Gait Speed GAIT SPEED & Clinical Importance:
Slow gait speed predicts:
  • Future health status; Functional decline
  • Hospitalization; Potential for rehabilitation
  • Falls and fear of falling; Mortality
  • It has been reported to be the single best predictor of functional decline & disability
  • Gait Speed Research Values: A difference of 0.1m/s is considered a meaningful change in gait speed in hip fracture patients. (Palombaro, KM, 2006) <1.8 ft./sec (0.55m/sec)= risk for recurrent falls: Sensitivity 72%, Specificity 74% (Van Swearingon, JM, 1998)  
    Floor Transfer Test (Bergland, 2005) Assesses the person’s ability to transfer themselves from standing to lying supine on the floor without assistance. Interpretation: The inability to get up from the floor could be an indication of failing health and predicts serious fall-related injuries: 30% of women who could not get off the floor would experience a serious fall-related injury in the next year.10

    About Floor Transfer Test

    Encourage your client to do the transfer in a spine sparing way by lying down sideways and rolling like a log onto their back. We will talk about this more in the live webinar.

    Normative Values

    Gait Speed: Comfortable

    Gait Speed: Fast

    This value is what your client would be expected to do, based on their age and sex. If they are unable to achieve this gait speed, then power may be an issue for them and something you might want to work into their exercise routine.

    Bergland A, Laake K. Concurrent and predictive validity of &quot;getting up from lying on the floor. Aging Clin Exp Res. 2005;17(3):181-185. Accessed August 11, 2018.

    Palombaro KM, Craik RL, Mangione KK, Tomlinson JD. Determining meaningful changes in gait speed after hip fracture. Phys Ther. 2006 Jun;86(6):809-16. PMID: 16737406.

    VanSwearingen, J. M., Paschal, K. A., Bonino, P., & Chen, T. W. (1998). Assessing recurrent fall risk of community-dwelling, frail older veterans using specific tests of mobility and the physical performance test of function. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 53(6), M457-M464.