Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability.
Identifieur interne : 000083 ( Main/Exploration ); précédent : 000082; suivant : 000084Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability.
Auteurs : Andrés Soto-Varela [Espagne] ; Marcos Rossi-Izquierdo [Espagne] ; María Del-Río-Valeiras [Espagne] ; Ana Faraldo-García [Espagne] ; Isabel Vaamonde-Sánchez-Andrade [Espagne] ; Antonio Lirola-Delgado [Espagne] ; Sofía Santos-Pérez [Espagne]Source :
- Frontiers in neurology [ 1664-2295 ] ; 2020.
Abstract
Objective: To compare the results from the modified Timed Up and Go Test (TUG) with posturographic variables, the subjective perception of disability due to gait instability, and the number of falls in a sample of the elderly population with imbalance, to confirm that the TUG Test is a useful clinical instrument to assess the tendency to fall in individuals of this age group. Materials and Methods: Cross-sectional study conducted in a tertiary university hospital, in 174 people aged 65 years or older with gait instability. Modified TUG Test was performed; time, step count and the need for support during the test were the analyzed variables. They were compared with the number of falls, Computerized Dynamic Posturography scores, and questionnaires scores (Dizziness Handicap Inventory and a shortened version of the Falls Efficacy Scale-International). Results: The average time to complete the TUG Test was 21.24 ± 8.18 s, and the average step count was 27.36 ± 7.93. One hundred two patients (58.6%) required no support to complete the test, whereas the other 72 (41.4%) used supports. The time taken to complete the Test was significantly related with having or not having fallen in the previous year, with the scores of the questionnaires, and with various parameters of dynamic posturography. A higher percentage of patients who took more than 15 s had fallen in the previous year than those who took up to 15 s to complete the test [P = 0.012; OR = 2.378; 95% CI (1.183, 4.780)]. No significant correlation was found between the step count and the number of falls in the previous year, with falling during the test or not, or with being a single or a frequent faller. No relation was found between the need for supports and the number of falls, with having or not having fallen in the previous year, or with being a single or frequent faller. Conclusion: The modified TUG Test is in relation with the presence or absence of falls. Time is the essential parameter for analyzing the risk of falling and the 15-s threshold is a good value to differentiate elderly patients at high risk of falling. Unique Identifier: NCT03034655, www.clinicaltrials.gov.
DOI: 10.3389/fneur.2020.00543
PubMed: 32595593
PubMed Central: PMC7303325
Affiliations:
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Compostela</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela</wicri:regionArea><orgName type="university">Université de Saint-Jacques-de-Compostelle</orgName><placeName><settlement type="city">Santiago de Compostela</settlement><region nuts="2" type="region">Galice</region></placeName></affiliation></author><author><name sortKey="Rossi Izquierdo, Marcos" sort="Rossi Izquierdo, Marcos" uniqKey="Rossi Izquierdo M" first="Marcos" last="Rossi-Izquierdo">Marcos Rossi-Izquierdo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo</wicri:regionArea><wicri:noRegion>Lugo</wicri:noRegion></affiliation></author><author><name sortKey="Del Rio Valeiras, Maria" sort="Del Rio Valeiras, Maria" uniqKey="Del Rio Valeiras M" first="María" last="Del-Río-Valeiras">María Del-Río-Valeiras</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Faraldo Garcia, Ana" sort="Faraldo Garcia, Ana" uniqKey="Faraldo Garcia A" first="Ana" last="Faraldo-García">Ana Faraldo-García</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Vaamonde Sanchez Andrade, Isabel" sort="Vaamonde Sanchez Andrade, Isabel" uniqKey="Vaamonde Sanchez Andrade I" first="Isabel" last="Vaamonde-Sánchez-Andrade">Isabel Vaamonde-Sánchez-Andrade</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Lirola Delgado, Antonio" sort="Lirola Delgado, Antonio" uniqKey="Lirola Delgado A" first="Antonio" last="Lirola-Delgado">Antonio Lirola-Delgado</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation></author><author><name sortKey="Santos Perez, Sofia" sort="Santos Perez, Sofia" uniqKey="Santos Perez S" first="Sofía" last="Santos-Pérez">Sofía Santos-Pérez</name><affiliation wicri:level="1"><nlm:affiliation>Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela</wicri:regionArea><wicri:noRegion>Santiago de Compostela</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela</wicri:regionArea><orgName type="university">Université de Saint-Jacques-de-Compostelle</orgName><placeName><settlement type="city">Santiago de Compostela</settlement><region nuts="2" type="region">Galice</region></placeName></affiliation></author></analytic><series><title level="j">Frontiers in neurology</title><idno type="ISSN">1664-2295</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><b>Objective:</b> To compare the results from the modified Timed Up and Go Test (TUG) with posturographic variables, the subjective perception of disability due to gait instability, and the number of falls in a sample of the elderly population with imbalance, to confirm that the TUG Test is a useful clinical instrument to assess the tendency to fall in individuals of this age group. <b>Materials and Methods:</b> Cross-sectional study conducted in a tertiary university hospital, in 174 people aged 65 years or older with gait instability. Modified TUG Test was performed; time, step count and the need for support during the test were the analyzed variables. They were compared with the number of falls, Computerized Dynamic Posturography scores, and questionnaires scores (Dizziness Handicap Inventory and a shortened version of the Falls Efficacy Scale-International). <b>Results:</b> The average time to complete the TUG Test was 21.24 ± 8.18 s, and the average step count was 27.36 ± 7.93. One hundred two patients (58.6%) required no support to complete the test, whereas the other 72 (41.4%) used supports. The time taken to complete the Test was significantly related with having or not having fallen in the previous year, with the scores of the questionnaires, and with various parameters of dynamic posturography. A higher percentage of patients who took more than 15 s had fallen in the previous year than those who took up to 15 s to complete the test [<i>P</i> = 0.012; <i>OR</i> = 2.378; 95% CI (1.183, 4.780)]. No significant correlation was found between the step count and the number of falls in the previous year, with falling during the test or not, or with being a single or a frequent faller. No relation was found between the need for supports and the number of falls, with having or not having fallen in the previous year, or with being a single or frequent faller. <b>Conclusion:</b> The modified TUG Test is in relation with the presence or absence of falls. Time is the essential parameter for analyzing the risk of falling and the 15-s threshold is a good value to differentiate elderly patients at high risk of falling. <b>Unique Identifier:</b> NCT03034655, www.clinicaltrials.gov.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32595593</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1664-2295</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>Frontiers in neurology</Title><ISOAbbreviation>Front Neurol</ISOAbbreviation></Journal><ArticleTitle>Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability.</ArticleTitle><Pagination><MedlinePgn>543</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3389/fneur.2020.00543</ELocationID><Abstract><AbstractText><b>Objective:</b> To compare the results from the modified Timed Up and Go Test (TUG) with posturographic variables, the subjective perception of disability due to gait instability, and the number of falls in a sample of the elderly population with imbalance, to confirm that the TUG Test is a useful clinical instrument to assess the tendency to fall in individuals of this age group. <b>Materials and Methods:</b> Cross-sectional study conducted in a tertiary university hospital, in 174 people aged 65 years or older with gait instability. Modified TUG Test was performed; time, step count and the need for support during the test were the analyzed variables. They were compared with the number of falls, Computerized Dynamic Posturography scores, and questionnaires scores (Dizziness Handicap Inventory and a shortened version of the Falls Efficacy Scale-International). <b>Results:</b> The average time to complete the TUG Test was 21.24 ± 8.18 s, and the average step count was 27.36 ± 7.93. One hundred two patients (58.6%) required no support to complete the test, whereas the other 72 (41.4%) used supports. The time taken to complete the Test was significantly related with having or not having fallen in the previous year, with the scores of the questionnaires, and with various parameters of dynamic posturography. A higher percentage of patients who took more than 15 s had fallen in the previous year than those who took up to 15 s to complete the test [<i>P</i> = 0.012; <i>OR</i> = 2.378; 95% CI (1.183, 4.780)]. No significant correlation was found between the step count and the number of falls in the previous year, with falling during the test or not, or with being a single or a frequent faller. No relation was found between the need for supports and the number of falls, with having or not having fallen in the previous year, or with being a single or frequent faller. <b>Conclusion:</b> The modified TUG Test is in relation with the presence or absence of falls. Time is the essential parameter for analyzing the risk of falling and the 15-s threshold is a good value to differentiate elderly patients at high risk of falling. <b>Unique Identifier:</b> NCT03034655, www.clinicaltrials.gov.</AbstractText><CopyrightInformation>Copyright © 2020 Soto-Varela, Rossi-Izquierdo, del-Río-Valeiras, Faraldo-García, Vaamonde-Sánchez-Andrade, Lirola-Delgado and Santos-Pérez.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Soto-Varela</LastName><ForeName>Andrés</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rossi-Izquierdo</LastName><ForeName>Marcos</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Del-Río-Valeiras</LastName><ForeName>María</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Faraldo-García</LastName><ForeName>Ana</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vaamonde-Sánchez-Andrade</LastName><ForeName>Isabel</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lirola-Delgado</LastName><ForeName>Antonio</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Santos-Pérez</LastName><ForeName>Sofía</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList 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Andres" sort="Soto Varela, Andres" uniqKey="Soto Varela A" first="Andrés" last="Soto-Varela">Andrés Soto-Varela</name><name sortKey="Vaamonde Sanchez Andrade, Isabel" sort="Vaamonde Sanchez Andrade, Isabel" uniqKey="Vaamonde Sanchez Andrade I" first="Isabel" last="Vaamonde-Sánchez-Andrade">Isabel Vaamonde-Sánchez-Andrade</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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