Impact of Environmental Factors on Independent Community Mobility

移动性，定义为移动的能力 从一个点独立到另一个点，从 个体与环境的相互作用。移动性 当个人不能满足需求时，就会产生残疾 从而将他或她的行动限制在较小的 和较小的地理范围(即，紧邻，然后 他们的家，然后是他们家的一个房间)。以前的研究 检查老年人的行动能力障碍主要集中在 关于个体内部的因素，如虚弱，痛苦，失去 运动，以及导致行动不便的共病。一点儿 已经进行了研究，以探索外部因素的作用，如 作为环境特征，我国的行动不便急症 上了年纪的人。这项研究将开发一种工具来量化影响 特定环境因素对独立能力的影响 老年人的社区流动性。它将涉及到发展 以及对评估协议的试点评估，该评估协议检查 老年人在其社区中的活动并评估实际情况 在社区中进行的活动。该协议将用于 未来的研究：(A)确定关键的环境因素， 导致老年人行动不便(例如 限制个人留在家中的因素)，(B)描述有效 以及老年人用来满足需求的无效策略 和(C)发展机动性 临床医生可以使用的诺模图来评估个人的 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.