The reliability and validity of the Timed Up and Go test in patients ongoing or following lumbar spine surgery: a systematic review and meta-analysis

Abstract Background No other systematic review examined the measurement properties of the TUG in LSS. The present systematic review and meta-analysis aimed to investigate the measurement properties of the Timed Up and Go (TUG) in patients with Lumbar Spine Surgery (LSS). A literature search yielded...

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Main Author: Fatih Özden
Format: Article
Language:English
Published: SpringerOpen 2024-02-01
Series:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41983-024-00805-z
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author Fatih Özden
author_facet Fatih Özden
author_sort Fatih Özden
collection DOAJ
description Abstract Background No other systematic review examined the measurement properties of the TUG in LSS. The present systematic review and meta-analysis aimed to investigate the measurement properties of the Timed Up and Go (TUG) in patients with Lumbar Spine Surgery (LSS). A literature search yielded 906 studies [PubMed:71, Web of Science (WoS):80, Scopus:214, ScienceDirect:471 and Cochrane Library:70]. Included 10 studies were assessed for risk of bias and quality using the “four-point COSMIN tool” and “COSMIN quality criteria tool”. Criterion validity and responsiveness results were pooled with “correlation coefficient” and “Hedges’ g” based effect size, respectively. Results The correlation coefficient pooling between TUG and VAS back and leg pain was 0.26 (moderate) (95% CI 0.19–0.34) and 0.28 (moderate) (95% CI 0.20–0.36). The pooled coefficient of TUG with ODI and RMDI was 0.33 (moderate) (95% CI 0.27–0.39) and 0.33 (moderate) (95% CI 0.24–0.42), respectively. Besides, TUG has correlated with the quality-of-life PROMs with a coefficient of − 0.22 to − 0.26 (moderate) (EQ5D Index 95% CI − 0.35 to − 0.16), (SF12-PCS 95% CI − 0.33 to − 0.15) and (SF12-MCS 95% CI − 0.32 to − 0.13). The pooled coefficient of TUG with COMI, ZCQ-PF and ZCQ-SS was 0.46 (moderate) (95% CI 0.30–0.59), 0.43 (moderate) (95% CI 0.26–0.56), and 0.38 (moderate) (95% CI 0.21–0.52), respectively. TUG’s 3-day and 6-week responsiveness results were 0.14 (low) (95% CI − 0.02 to 0.29) and 0.74 (moderate to strong) (95% CI 0.60–0.89), respectively. TUG was responsive at the mid-term (6 weeks) follow-up. Conclusion In clinical practice, the TUG can be used as a reliable, valid and responsive tool to assess LSS patients’ general status, especially in mid-term.
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spelling doaj.art-68e0d8b1cd9447c89870f657f38d80e02024-03-05T18:02:00ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292024-02-0160111210.1186/s41983-024-00805-zThe reliability and validity of the Timed Up and Go test in patients ongoing or following lumbar spine surgery: a systematic review and meta-analysisFatih Özden0Health Care Department, Köyceğiz Vocational School of Health Services, Muğla Sıtkı Koçman UniversityAbstract Background No other systematic review examined the measurement properties of the TUG in LSS. The present systematic review and meta-analysis aimed to investigate the measurement properties of the Timed Up and Go (TUG) in patients with Lumbar Spine Surgery (LSS). A literature search yielded 906 studies [PubMed:71, Web of Science (WoS):80, Scopus:214, ScienceDirect:471 and Cochrane Library:70]. Included 10 studies were assessed for risk of bias and quality using the “four-point COSMIN tool” and “COSMIN quality criteria tool”. Criterion validity and responsiveness results were pooled with “correlation coefficient” and “Hedges’ g” based effect size, respectively. Results The correlation coefficient pooling between TUG and VAS back and leg pain was 0.26 (moderate) (95% CI 0.19–0.34) and 0.28 (moderate) (95% CI 0.20–0.36). The pooled coefficient of TUG with ODI and RMDI was 0.33 (moderate) (95% CI 0.27–0.39) and 0.33 (moderate) (95% CI 0.24–0.42), respectively. Besides, TUG has correlated with the quality-of-life PROMs with a coefficient of − 0.22 to − 0.26 (moderate) (EQ5D Index 95% CI − 0.35 to − 0.16), (SF12-PCS 95% CI − 0.33 to − 0.15) and (SF12-MCS 95% CI − 0.32 to − 0.13). The pooled coefficient of TUG with COMI, ZCQ-PF and ZCQ-SS was 0.46 (moderate) (95% CI 0.30–0.59), 0.43 (moderate) (95% CI 0.26–0.56), and 0.38 (moderate) (95% CI 0.21–0.52), respectively. TUG’s 3-day and 6-week responsiveness results were 0.14 (low) (95% CI − 0.02 to 0.29) and 0.74 (moderate to strong) (95% CI 0.60–0.89), respectively. TUG was responsive at the mid-term (6 weeks) follow-up. Conclusion In clinical practice, the TUG can be used as a reliable, valid and responsive tool to assess LSS patients’ general status, especially in mid-term.https://doi.org/10.1186/s41983-024-00805-zDecompression surgeryFusion surgeryPhysical functionPsychometricsTUG
spellingShingle Fatih Özden
The reliability and validity of the Timed Up and Go test in patients ongoing or following lumbar spine surgery: a systematic review and meta-analysis
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Decompression surgery
Fusion surgery
Physical function
Psychometrics
TUG
title The reliability and validity of the Timed Up and Go test in patients ongoing or following lumbar spine surgery: a systematic review and meta-analysis
title_full The reliability and validity of the Timed Up and Go test in patients ongoing or following lumbar spine surgery: a systematic review and meta-analysis
title_fullStr The reliability and validity of the Timed Up and Go test in patients ongoing or following lumbar spine surgery: a systematic review and meta-analysis
title_full_unstemmed The reliability and validity of the Timed Up and Go test in patients ongoing or following lumbar spine surgery: a systematic review and meta-analysis
title_short The reliability and validity of the Timed Up and Go test in patients ongoing or following lumbar spine surgery: a systematic review and meta-analysis
title_sort reliability and validity of the timed up and go test in patients ongoing or following lumbar spine surgery a systematic review and meta analysis
topic Decompression surgery
Fusion surgery
Physical function
Psychometrics
TUG
url https://doi.org/10.1186/s41983-024-00805-z
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