Life-Space Mobility in the Elderly: Current Perspectives

Jason Johnson,1 Martin A Rodriguez,2 Soham Al Snih1– 3 1Division of Rehabilitation Sciences/School of Health Professions, The University of Texas Medical Branch, Galveston, TX, USA; 2Sealy Center on Aging, The University of Texas Medical Branch, Galveston, TX, USA; 3Division of Geriatrics/...

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Autores principales:	Johnson J, Rodriguez MA, Al Snih S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	life-space mobility lsa lsm mobility older adults Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/89c5d45fcf78436d902d1d73007e125d
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spelling	oai:doaj.org-article:89c5d45fcf78436d902d1d73007e125d2021-12-02T10:48:20ZLife-Space Mobility in the Elderly: Current Perspectives1178-1998https://doaj.org/article/89c5d45fcf78436d902d1d73007e125d2020-09-01T00:00:00Zhttps://www.dovepress.com/life-space-mobility-in-the-elderly-current-perspectives-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Jason Johnson,1 Martin A Rodriguez,2 Soham Al Snih1– 3 1Division of Rehabilitation Sciences/School of Health Professions, The University of Texas Medical Branch, Galveston, TX, USA; 2Sealy Center on Aging, The University of Texas Medical Branch, Galveston, TX, USA; 3Division of Geriatrics/Department of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, USACorrespondence: Soham Al SnihDivision of Rehabilitation Sciences/School of Health Professions, The University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-0170, USATel +1409-266-9691Fax +1409-772-8931Email soalsnih@utmb.eduAbstract: Life-space mobility (LSM) is a concept for assessing patterns of functional mobility over time. LSM is gaining traction in the research of geriatric population health. Several instruments have been developed to measure LSM, such as the University of Alabama at Birmingham Life-Space Assessment (LSA) or the Nursing Home Life-Space Diameter instrument. There has been exponential growth in the use of instruments measuring LSM in studies of older adults since the concept was introduced in 1985. In response to the increased volume of publications with clinical applicability to those working in geriatric health or conducting population-based research in older adults, we conducted a narrative review: a) to provide a summary of the articles that have assessed validation of the University of Alabama at Birmingham LSA instrument, the most widely used instrument to assess LSM in older adults; and b) to provide a summary of the research articles that have examined LSM as independent or outcome variable. Studies for this review were obtained with an organized search format and were included if they were published in the past 20 years, written in English, published in peer-reviewed literature, and included LSM as an independent or outcome variable. Seventy-nine articles were identified: 36 that employed a cross-sectional design and 22 that employed a longitudinal/prospective design to examine LSM as outcome variable; 17 longitudinal/prospective design articles that examined LSM as primary independent variable; 3 review articles; and 1 systematic review. Areas of research included physical function, cognitive function, sensory impairment, mental health, falls, frailty, comorbidities, healthcare use, mortality, and social/environmental factors. These studies showed that LSM instruments can accurately predict morbidity, mortality, and healthcare use.Keywords: life-space mobility, LSA, LSM, mobility, older adultsJohnson JRodriguez MAAl Snih SDove Medical Pressarticlelife-space mobilitylsalsmmobilityolder adultsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1665-1674 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	life-space mobility lsa lsm mobility older adults Geriatrics RC952-954.6
spellingShingle	life-space mobility lsa lsm mobility older adults Geriatrics RC952-954.6 Johnson J Rodriguez MA Al Snih S Life-Space Mobility in the Elderly: Current Perspectives
description	Jason Johnson,1 Martin A Rodriguez,2 Soham Al Snih1– 3 1Division of Rehabilitation Sciences/School of Health Professions, The University of Texas Medical Branch, Galveston, TX, USA; 2Sealy Center on Aging, The University of Texas Medical Branch, Galveston, TX, USA; 3Division of Geriatrics/Department of Internal Medicine, The University of Texas Medical Branch, Galveston, TX, USACorrespondence: Soham Al SnihDivision of Rehabilitation Sciences/School of Health Professions, The University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-0170, USATel +1409-266-9691Fax +1409-772-8931Email soalsnih@utmb.eduAbstract: Life-space mobility (LSM) is a concept for assessing patterns of functional mobility over time. LSM is gaining traction in the research of geriatric population health. Several instruments have been developed to measure LSM, such as the University of Alabama at Birmingham Life-Space Assessment (LSA) or the Nursing Home Life-Space Diameter instrument. There has been exponential growth in the use of instruments measuring LSM in studies of older adults since the concept was introduced in 1985. In response to the increased volume of publications with clinical applicability to those working in geriatric health or conducting population-based research in older adults, we conducted a narrative review: a) to provide a summary of the articles that have assessed validation of the University of Alabama at Birmingham LSA instrument, the most widely used instrument to assess LSM in older adults; and b) to provide a summary of the research articles that have examined LSM as independent or outcome variable. Studies for this review were obtained with an organized search format and were included if they were published in the past 20 years, written in English, published in peer-reviewed literature, and included LSM as an independent or outcome variable. Seventy-nine articles were identified: 36 that employed a cross-sectional design and 22 that employed a longitudinal/prospective design to examine LSM as outcome variable; 17 longitudinal/prospective design articles that examined LSM as primary independent variable; 3 review articles; and 1 systematic review. Areas of research included physical function, cognitive function, sensory impairment, mental health, falls, frailty, comorbidities, healthcare use, mortality, and social/environmental factors. These studies showed that LSM instruments can accurately predict morbidity, mortality, and healthcare use.Keywords: life-space mobility, LSA, LSM, mobility, older adults
format	article
author	Johnson J Rodriguez MA Al Snih S
author_facet	Johnson J Rodriguez MA Al Snih S
author_sort	Johnson J
title	Life-Space Mobility in the Elderly: Current Perspectives
title_short	Life-Space Mobility in the Elderly: Current Perspectives
title_full	Life-Space Mobility in the Elderly: Current Perspectives
title_fullStr	Life-Space Mobility in the Elderly: Current Perspectives
title_full_unstemmed	Life-Space Mobility in the Elderly: Current Perspectives
title_sort	life-space mobility in the elderly: current perspectives
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/89c5d45fcf78436d902d1d73007e125d
work_keys_str_mv	AT johnsonj lifespacemobilityintheelderlycurrentperspectives AT rodriguezma lifespacemobilityintheelderlycurrentperspectives AT alsnihs lifespacemobilityintheelderlycurrentperspectives
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Life-Space Mobility in the Elderly: Current Perspectives

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