Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases

Objective: Balance problems and falls due to a progressive loss of muscle strength in neuromuscular diseases (NMD) negatively affect the activities of daily living and functional independence of patients. The timed up and go (TUG) test is an easy-to-apply and objective measure of balance. This study...

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Main Authors: Cevher Savcun Demirci, Gülşah Sütçü, Fatma Ayvat, Özge Onursal Kılınç, Mert Doğan, Ender Ayvat, Can Ebru Bekircan-Kurt, Sevim Erdem-Özdamar, Sibel Aksu Yıldırım, Muhammed Kılınç, Ersin Tan
Format: Article
Language:English
Published: Galenos Yayinevi 2022-03-01
Series:Türk Nöroloji Dergisi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-84553
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author Cevher Savcun Demirci
Gülşah Sütçü
Fatma Ayvat
Özge Onursal Kılınç
Mert Doğan
Ender Ayvat
Can Ebru Bekircan-Kurt
Sevim Erdem-Özdamar
Sibel Aksu Yıldırım
Muhammed Kılınç
Ersin Tan
author_facet Cevher Savcun Demirci
Gülşah Sütçü
Fatma Ayvat
Özge Onursal Kılınç
Mert Doğan
Ender Ayvat
Can Ebru Bekircan-Kurt
Sevim Erdem-Özdamar
Sibel Aksu Yıldırım
Muhammed Kılınç
Ersin Tan
author_sort Cevher Savcun Demirci
collection DOAJ
description Objective: Balance problems and falls due to a progressive loss of muscle strength in neuromuscular diseases (NMD) negatively affect the activities of daily living and functional independence of patients. The timed up and go (TUG) test is an easy-to-apply and objective measure of balance. This study aimed to determine the cut-off value of the TUG test in adult individuals with NMD. Materials and Methods: This retrospective study included 102 patients. The receiver operating characteristic analysis was performed and cut-off, sensitivity, and specificity values were calculated in NMD to determine the diagnostic validity of the TUG test. Results: The mean ages of 55 patients with a fall history and 47 patients without a fall history were 34.40+-10.41 and 31.87+-10.11 years, respectively. The mean values of the TUG scores of these individuals were calculated as 11.79+-4.30 and 7.33+-1.51 s, respectively. The cut-off value of the TUG test in adult individuals with the NMD was determined as 8.9 s. Conclusion: The present study revealed that individuals with NMD who complete the TUG test over 8.9 s have a high risk of falling. Determining the risk of falling in NMD, which is one of the neurological patient groups where falling complaints are most common, is extremely important for patient safety and the effectiveness of rehabilitation.
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spelling doaj.art-295687e823fb48b18f5d837a7aff28a62023-02-15T16:14:26ZengGalenos YayineviTürk Nöroloji Dergisi1309-25452022-03-012816910.4274/tnd.2021.84553TJN-84553Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular DiseasesCevher Savcun Demirci0Gülşah Sütçü1Fatma Ayvat2Özge Onursal Kılınç3Mert Doğan4Ender Ayvat5Can Ebru Bekircan-Kurt6Sevim Erdem-Özdamar7Sibel Aksu Yıldırım8Muhammed Kılınç9Ersin Tan10Balikesir University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Balikesir, TurkeyHacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, TurkeyHacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, TurkeyHacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, TurkeyHacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, TurkeyHacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, TurkeyHacettepe University Faculty of Medicine, Department of Neurology, Ankara, TurkeyHacettepe University Faculty of Medicine, Department of Neurology, Ankara, TurkeyHacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, TurkeyHacettepe University Faculty of Physical Therapy and Rehabilitation, Ankara, TurkeyHacettepe University Faculty of Medicine, Department of Neurology, Ankara, TurkeyObjective: Balance problems and falls due to a progressive loss of muscle strength in neuromuscular diseases (NMD) negatively affect the activities of daily living and functional independence of patients. The timed up and go (TUG) test is an easy-to-apply and objective measure of balance. This study aimed to determine the cut-off value of the TUG test in adult individuals with NMD. Materials and Methods: This retrospective study included 102 patients. The receiver operating characteristic analysis was performed and cut-off, sensitivity, and specificity values were calculated in NMD to determine the diagnostic validity of the TUG test. Results: The mean ages of 55 patients with a fall history and 47 patients without a fall history were 34.40+-10.41 and 31.87+-10.11 years, respectively. The mean values of the TUG scores of these individuals were calculated as 11.79+-4.30 and 7.33+-1.51 s, respectively. The cut-off value of the TUG test in adult individuals with the NMD was determined as 8.9 s. Conclusion: The present study revealed that individuals with NMD who complete the TUG test over 8.9 s have a high risk of falling. Determining the risk of falling in NMD, which is one of the neurological patient groups where falling complaints are most common, is extremely important for patient safety and the effectiveness of rehabilitation.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-84553neuromuscular diseasestugcut-off valuefalling
spellingShingle Cevher Savcun Demirci
Gülşah Sütçü
Fatma Ayvat
Özge Onursal Kılınç
Mert Doğan
Ender Ayvat
Can Ebru Bekircan-Kurt
Sevim Erdem-Özdamar
Sibel Aksu Yıldırım
Muhammed Kılınç
Ersin Tan
Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases
Türk Nöroloji Dergisi
neuromuscular diseases
tug
cut-off value
falling
title Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases
title_full Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases
title_fullStr Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases
title_full_unstemmed Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases
title_short Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases
title_sort identifying a cut off point for timed up and go test in neuromuscular diseases
topic neuromuscular diseases
tug
cut-off value
falling
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tjn&un=TJN-84553
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