Oct 1, 2026 · 44 min · 10 segments
How would you know if your mobility was beginning to change—before a fall, before significant difficulty, and before you thought of yourself as having a mobility problem? In this episode, Dr. Nicole…
Michelle CrissGuestNicole DawsonHostAnd it's actually one of the things that I appreciated so much about your presentation in Amsterdam, because you challenged us to think about something that we all take for granted, right? Movement.
And we only think about it after something goes wrong, when we fall or we're not able to get out of the chair.

Well, so I'm part of the APTA Academy on Geriatric Physical Therapy Annual Mobility Assessment Task Force.

And so as we started meeting in 2023 and talking about what are we looking for, we acknowledge that there's great stuff out there.

The study, for instance, is a great process with the CDC of looking at how to think about preventing SARS, but we're like, we would like it to be a step or two earlier than that.

What if we can catch people right as their mobility is starting to decline so that we could then be more in a preventative mode rather than a rehabilitative mode? And what could that do for us down the road? And there's good evidence, longitudinal data, other people have been doing this work for a long time to say we know that people who have this walking speed 10 years down the road are doing better than those that have a lower walking speed.

And so we know certain physical performance metrics that we already do predict disability down the road.

So how do we pick up on mobility limitation, not the disability, but this preclinical mobility limitation, the things that might be starting to indicate disability There are problems down the road.

And so we're asking to try to identify it before our participants, our patients, our clients actually know that there's a problem and to change the conversation a little bit.
Now, I have a feeling that's a relatively new concept for many people listening.
To someone that's out there, whether they're just driving to work, taking a walk, or a clinician that's caring for older adults, what does it look like in everyday life? Because you said that, you know, they come to us when they're having a problem, but what does this preclinical mobility limitation look like to them in everyday life?

Yeah, so the definition as it stands right now, again, not put forth by myself, but by a really accomplished group of researchers that put out a scoping review, 2023, we've been using kind of different terms across the board.

So what this group said is let's call it preclinical mobility limitation because it's before the disability.
And it's actually one of the things that I appreciated so much about your presentation in Amsterdam, because you challenged us to think about something that we all take for granted, right? Movement.
And we only think about it after something goes wrong, when we fall or we're not able to get out of the chair.

Well, so I'm part of the APTA Academy on Geriatric Physical Therapy Annual Mobility Assessment Task Force.

And so as we started meeting in 2023 and talking about what are we looking for, we acknowledge that there's great stuff out there.

The study, for instance, is a great process with the CDC of looking at how to think about preventing SARS, but we're like, we would like it to be a step or two earlier than that.

What if we can catch people right as their mobility is starting to decline so that we could then be more in a preventative mode rather than a rehabilitative mode? And what could that do for us down the road? And there's good evidence, longitudinal data, other people have been doing this work for a long time to say we know that people who have this walking speed 10 years down the road are doing better than those that have a lower walking speed.

And so we know certain physical performance metrics that we already do predict disability down the road.

So how do we pick up on mobility limitation, not the disability, but this preclinical mobility limitation, the things that might be starting to indicate disability There are problems down the road.

And so we're asking to try to identify it before our participants, our patients, our clients actually know that there's a problem and to change the conversation a little bit.
Now, I have a feeling that's a relatively new concept for many people listening.
To someone that's out there, whether they're just driving to work, taking a walk, or a clinician that's caring for older adults, what does it look like in everyday life? Because you said that, you know, they come to us when they're having a problem, but what does this preclinical mobility limitation look like to them in everyday life?

Yeah, so the definition as it stands right now, again, not put forth by myself, but by a really accomplished group of researchers that put out a scoping review, 2023, we've been using kind of different terms across the board.

So what this group said is let's call it preclinical mobility limitation because it's before the disability.
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