IMPACT OF ENVIRONMENTAL FACTORS ON INDEPENDENT COMMUNITY MOBILITY

移动性，定义为从一个点到另一个点独立移动的能力，出现在个人与环境的相互作用中。当一个人无法满足环境的要求，从而将其行动能力限制在越来越小的地理范围内（即紧邻的社区，然后是他们的家，然后是他们家中的一个房间）时，就会导致行动能力残疾。以前研究老年人行动能力障碍的研究主要集中在个体内部的因素，如虚弱，疼痛，运动丧失和导致行动能力障碍的合并症。目前，外界因素（如环境特征）对老年人行动不便的影响研究较少，本研究将开发一种工具来量化特定环境因素对老年人独立社区行动能力的影响。它将涉及制定和试点评价一项评估议定书，审查老年人在其社区的活动，并评价在社区开展的实际活动。该协议将用于未来的研究，以（a）确定关键的环境因素，有助于老年人的行动能力障碍（例如，哪些因素限制个人到他们的家），（B）描述老年人使用的有效和无效的策略，以满足他们的社区环境的需求，（c）制定移动诺模图，可用于临床医生评估个人的行动能力障碍。- 行动能力残疾，行动能力-人类受试者

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 individuals mobility disability. - mobility disability, mobility - Human Subjects