Upper Extremity (Frailty) Function Assessment

Measuring Function to Predict Older Adult Outcomes Using Upper Extremity Function

There is wide heterogeneity in older adults; it is difficult to predict who will tolerate certain therapies (whether surgical, medication, chemotherapy, radiotherapy, physical therapy), and who will not. Age alone is a poor predictor of therapeutic success, as one elder is not equivalent to another. There is high need to better characterize older adults in need of therapy, so as to better understand what level of treatment they can tolerate. Appropriately targeted treatment can achieve the best possible success, while avoiding adverse events.   

There are many strategies to assess risk, and to risk stratify older adults. However, many are disease specific, imprecise, time consuming, difficult or risky to perform (such as those requiring gait testing).

There is a high need for a quick, easy to perform test of function, which can be used in the community, outpatient and inpatient settings, quickly, precisely, and with little risk. Our Upper Extremity Function test is to change current risk stratification and adverse health outcomes prediction paradigms among older adults, by utilizing novel biomechanical approaches within an objective upper-extremity function (UEF) test. Using this test we are able to quickly within 20 second assess.