SPPB Form and Dictionary
| SPPB | ||
|
Download Dictionary: |
||
| Variable / Field Name | Field Label | Choices, Calculations, OR Slider Labels |
|---|---|---|
| b1_adcid_ext_sppb | Site: 39 ADCID | b1_ptid_ext_sppb | Subject ID: PTID | b1_visitdate_ext_sppb | Form Date: (Y-M-D) | b1_visitnum_ext_sppb | Visit number: 1 (Initial visit), 2 and up (Follow up visit) VISITNUM | b1_initials_ext_sppb | Examiner's initials: INITIALS | sppb_ent_date | Data Entry Date: (Y-M-D) | sppb_ent_by | Data Entry By | sppb_admin_st | Administered Status | 1, 1 Yes | 95, 95 - No, Physical problem | 96, 96 - No, Cognitive/behavior problem | 97, 97 - No, Other problem | 98, 98 - No, Verbal refusal | 99, 99 - Not Administered | items_needed | ITEMS NEEDED:Stopwatch. Record form. Straight-back armless chair, set against the wall. Marked 4 meter course (course distance based on LIFE). DISCONTINUATION RULE: Concern for participant safety. INTRODUCTION I want to test your balance, walking, and leg strength. Let's begin the evaluation by testing balance. I'll ask you to try to move and position your body in different stances. I will first describe and show a stance to you. Then I'd like you to try to do it. If you cannot do a particular movement or stance, or if you feel it would not be safe to try to do it, tell me and we'll move on to the next one. Let me emphasize that I do not want you to try to do any movement that you feel might be unsafe. Do you have any questions before we begin? It is all right for the participant to remove his or her shoes for any of these tests. High heels, for example, may impede performance. However, the participant should not be in stocking feet on an uncarpeted (and potentially slippery) floor. The participant must be able to stand unassisted without a cane or walker. You may help the participant stand up. | sppb_balance_test | 1.a. Balance test, Side-by-Side | sppb_sbs_score | 1.a.1 SBS Score | if ([sppb_balance_test] =10.0, 1, 0) || if ([sppb_balance_test] =10, 1 , 0) | sppb_sbs_score_01 | Held for 10 seconds (NO=0 points*; YES=1 point) *End Balance test if position not held for 10 seconds. Go to the Gait Speed test. Enter scores of 0 and times of 10 seconds for the Semi-Tandem and the Tandem stand tests. | sppb_sts_test | 1.b. Balance test, Semi-Tandem stand score | sppb_sts_score | 1.b.1 Semi-Tandem Score | if ([sppb_sts_test]=10.0, 1, 0) || if ([sppb_sts_test]=10, 1, 0) | sppb_sts_score_00 | Held for 10 seconds (NO=0 points*; YES=1 point) *End Balance test if position not held for 10 seconds. Go to the Gait Speed test. Enter score of 0 and time of 10.0 seconds, if Semi-Tandem stand not done because Side-by-Side stand score = 0 | sppb_ts_test | 1.c. Balance test, Tandem stand score | sppb_ts_score | 1.c.1 Tandem stand score | if ([sppb_ts_test]< 3, 0, if ([sppb_ts_test] >= 3 && [sppb_ts_test]< 9.99 , 1 , 2)) || if ([sppb_ts_test]< 3.0, 0, if ([sppb_ts_test]>= 3.0 && [sppb_ts_test] < 9.99, 1 , 2)) | sppb_ts_score_00 | 2= Held for 10 seconds 1= Held for 3 to 9.99 seconds 0= Held for less than 3 seconds or not attempted Enter time of 10 seconds and a score of 0, if Tandem Stand not done because Semi-Tandem Stand score = 0 | sppb_sls_test_1 | 1d. Single Leg Stance test (First attempt) | sppb_sls_test_score_1 | Foot on the ground | 1, 1 Right foot on the ground | 2, 2 Left foot | sppb_sls_test_2 | 1d. Single Leg Stance test (Second attempt) | sppb_sls_test_score_2 | Foot on the ground | 1, 1 Right foot on the ground | 2, 2 Left foot | sppb_fgs_test | 2.a First walk completed? | 0, 0 NO | 1, 1 YES | sppb_fgs_test_oth | If first walk not completed, specify reason: | sppb_fgs_test_time | First Gait time | sppb_fgs_test_aid | Was an aid used during this test? | 0, 0 NO | 1, 1 YES | sppb_fgs_test_aid_oth | If YES, specify type aid(e.g., cane): | sppb_sgs_test | 2.b Second walk completed? | 0, 0 NO | 1, 1 YES | sppb_sgs_test_oth | If second walk not completed, specify reason: | sppb_sgs_test_time | Second Gait time | sppb_sgs_test_aid | Was an aid used during this test? | 0, 0 NO | 1, 1 YES | sppb_sgs_test_aid_oth | If YES, specify type aid(e.g., cane): | sppb_gs_summary_00 | 2.c. Gait Speed summary score based on the quicker of the two Gait Speed walks (This summary score may be calculated by the data manager) (Variables: gaitcomplete, gaitspeed) 4 points Time < 4.82 seconds 3 points Time is 4.82 to 6.20 seconds 2 points Time is 6.21 to 8.70 seconds 1 point Time > 8.70 seconds 0 points Unable to complete the 4 meter walk on either trial | sppb_gaitcomplete | Was the first gait speed test or the second gait speed test completed? | 0, 0 NEITHER | 1, 1 ONE | 2, 2 BOTH | sppb_gss_score_i | 2.c.1 GSS Score | sppb_gss_score | 2.c.1 GSS Score | if ([sppb_fgs_test_time] < [sppb_sgs_test_time], (if ([sppb_fgs_test_time] > 8.70, 1, (if ([sppb_fgs_test_time] >= 6.21 && [sppb_fgs_test_time]<= 8.70, 2, (if([sppb_fgs_test_time] >= 4.82 && [sppb_fgs_test_time] <= 6.20, 3, (if ([sppb_fgs_test_time] < 4.82, 4, 0)))))))), (if ([sppb_sgs_test_time] > 8.70, 1, (if ([sppb_sgs_test_time] >= 6.21 && [sppb_sgs_test_time]<= 8.70, 2, (if([sppb_sgs_test_time] >= 4.82 && [sppb_sgs_test_time] <= 6.20, 3, (if ([sppb_sgs_test_time] < 4.82, 4, 0))))))))) | sppb_scs_test | 3.a. Single Chair Stand test completed? | 0, 0 NO | 1, 1 YES | sppb_scs_test_oth | 3.a.1 Comments | sppb_rcs | 3 b.0 Repeatchair | 0, 0 unable to complete all 5 stands of the Repeated Chair Stand test within 60 second; | 1, 1 able to complete all 5 stands with 60 seconds | sppb_rcs_test | 3.b. Repeated Chair Stand test time | sppb_rcs_test_score | 3.b.1 Repeated Chair Stand test score | if ([sppb_rcs_test] >= 16.70, 1, (if ([sppb_rcs_test] >= 13.70 && [sppb_rcs_test] <= 16.69, 2, (if ([sppb_rcs_test] >= 11.20 && [sppb_rcs_test] <= 13.69, 3, (if ([sppb_rcs_test] <= 11.19, 4, 0))))))) | sppb_summary_00 | 4. Short Performance Physical Battery summary score | sppb_balance_score | 4.1 Balance score (0-4) | sppb_gs_test_score | 4.2 Gait Speed test score (0-4) | sppb_rcs_score | 4.3 Repeated Chair Stand score (0-4) | sppb_tot_score | Total score (0-12) | [sppb_balance_score]+[sppb_gs_test_score] + [sppb_rcs_score] |