Proposal for a Battery to Evaluate Functional Capacity in Older Adults with Disabilities

Abstract

The purpose was to design and validate a battery of physical tests, called EFEPD-1.0, adapted to assess functionality in people with disabilities. In addition, we sought to analyze the validity and reliability of this battery both for the total group and differentiated by sex. A total of 43 adults with disabilities (32 women and 11 men) participated (57.11 ± 10.12 years). The battery was composed of five blocks of functionality: neuromuscular, combined actions, acceleration, balance, and cardiovascular. The neuromuscular functionality was measured by the vertical and horizontal jump test using the optical system (Opto Jump Next®, Microgate, Bolzano, Italy) as well as the Hand Grip (HG) test using a (5030J1, Jamar®, Sammons Preston, Inc, Nottinghamshire, UK) hand dynamometer. The combined actions and balance functionality were assessed with the Time Up and Go (TUG) test, the 30 s Chair Stand (30CTS) test, and the One-Leg Stance (OLS) test measured by a manual stopwatch (HS-80TW-1EF, Casio®, Tokyo, Japan). The acceleration functionality was evaluated through 20 m sprints and the 505 change of direction (COD505) test, using the (Microgate, Witty®, Bolzano, Italy) photocell system. The cardiovascular functionality was evaluated with the Six-Minute Walking Test (6MWT), where heart rate was monitored using the (Polar Team Sport System®, Polar Electro Oy, Kempele, Finland), and additional walking mechanics were recorded with Stryd (Stryd Everest 12 Firmware 1.18 Software 3, Stryd Inc., Boulder, CO, USA). The results showed that the intraclass correlation coefficients (ICCs) ranged from moderate to almost perfect (ICC = 0.65–0.98) between test repetitions. Some tests could significantly differentiate (p < 0.05) men and women, highlighting better neuromuscular capacity in men and better balance in women. The correlations between tests showed significant convergent validity. The Evaluation of Functionality in the Disabled Population (EFEPD-1.0) battery not only consistently measures functional capacities in people with disabilities, but it can also discriminate between different subgroups within this population.