Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability
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 clinic...
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| Format: | Article |
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Frontiers Media S.A.
2020-06-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2020.00543/full |
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| author | Andrés Soto-Varela Andrés Soto-Varela Marcos Rossi-Izquierdo María del-Río-Valeiras Ana Faraldo-García Isabel Vaamonde-Sánchez-Andrade Antonio Lirola-Delgado Sofía Santos-Pérez Sofía Santos-Pérez |
| author_facet | Andrés Soto-Varela Andrés Soto-Varela Marcos Rossi-Izquierdo María del-Río-Valeiras Ana Faraldo-García Isabel Vaamonde-Sánchez-Andrade Antonio Lirola-Delgado Sofía Santos-Pérez Sofía Santos-Pérez |
| author_sort | Andrés Soto-Varela |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-11T17:53:35Z |
| format | Article |
| id | doaj.art-484c86a5bee348c6acf1e731ee360d22 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-11T17:53:35Z |
| publishDate | 2020-06-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Neurology |
| spelling | doaj.art-484c86a5bee348c6acf1e731ee360d222022-12-22T00:56:08ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-06-011110.3389/fneur.2020.00543537543Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait InstabilityAndrés Soto-Varela0Andrés Soto-Varela1Marcos Rossi-Izquierdo2María del-Río-Valeiras3Ana Faraldo-García4Isabel Vaamonde-Sánchez-Andrade5Antonio Lirola-Delgado6Sofía Santos-Pérez7Sofía Santos-Pérez8Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, SpainDepartment of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, SpainDepartment of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo, SpainDepartment of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, SpainDepartment of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, SpainDepartment of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, SpainDepartment of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, SpainDivision of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, SpainDepartment of Surgery and Medical-Surgical Specialities, University of Santiago de Compostela, Santiago de Compostela, SpainObjective: 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.https://www.frontiersin.org/article/10.3389/fneur.2020.00543/fullTimed Up and Gofalls in elderlycomputerized dynamic posturographymobile posturographyDizziness Handicap Inventoryshort FES-I |
| spellingShingle | Andrés Soto-Varela Andrés Soto-Varela Marcos Rossi-Izquierdo María del-Río-Valeiras Ana Faraldo-García Isabel Vaamonde-Sánchez-Andrade Antonio Lirola-Delgado Sofía Santos-Pérez Sofía Santos-Pérez Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability Frontiers in Neurology Timed Up and Go falls in elderly computerized dynamic posturography mobile posturography Dizziness Handicap Inventory short FES-I |
| title | Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability |
| title_full | Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability |
| title_fullStr | Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability |
| title_full_unstemmed | Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability |
| title_short | Modified Timed Up and Go Test for Tendency to Fall and Balance Assessment in Elderly Patients With Gait Instability |
| title_sort | modified timed up and go test for tendency to fall and balance assessment in elderly patients with gait instability |
| topic | Timed Up and Go falls in elderly computerized dynamic posturography mobile posturography Dizziness Handicap Inventory short FES-I |
| url | https://www.frontiersin.org/article/10.3389/fneur.2020.00543/full |
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