Impact of Environmental Factors on Independent Community Mobility

流动性，定义为移动的能力 独立地从一个点到另一个点， 个人与环境的互动。移动性 当个人无法满足需求时， 环境的影响，从而限制了他或她的移动性， 和较小的地理范围（即，紧邻，然后 他们的家，然后在他们家的一个房间）。以前的研究 研究老年人的行动障碍主要集中在 个体内部的因素，如虚弱，疼痛， 运动，以及导致行动不便的合并症。小 研究已经完成，以探讨外部因素的作用，如 作为环境特征， 老年人本研究将开发一种工具来量化影响 特定环境因素对独立生产能力的影响 老年人的社区流动性。这将涉及到发展 和试点评估一项评估议定书，审查 老年人在其社区的活动，并评估实际的 在社区开展的活动。该协议将用于 未来的研究，以（a）确定关键的环境因素， 导致老年人行动不便（例如， （B）描述有效的 以及老年人为满足需求而采取的无效策略 （c）发展流动性 列线图，可用于临床医生评估个人的 行动不便。

Mobility, defined as the ability to move independently from one point to another, emerges from the interaction of the individual with the environment. Mobility disability results when the individual is unable to meet the demands of the environment and thus restricts his or her mobility to smaller and smaller geographic ranges (i.e. immediate neighborhood, then their home, then one room in their home). Previous research examining mobility disability in older adults has focused primarily on factors within the individual such as weakness, pain, loss of motion, and co-morbidities that result in mobility disability. Little research has been done to explore the role of external factors, such as environmental features, ont he emergency of mobility disability in older adults. This study will develop a tool to quantify the influence of specific environmental factors ont he capacity for independent community mobility in older adults. It will involve the development and pilot evaluation of an assessment protocol that examines the activities of older persons in their communities and evaluates actual activities done in the community. This protocol will be used in future research to (a) identify critical environmental factors which contribute to mobility disability in older adults (for example which factors restrict individuals to their homes), (b) describe effective and ineffective strategies used by older adults to meet the demands of their community environment, and (c) develop mobility nomograms that can be used by clinicians to assess individual's mobility disability.