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定时“起立行走”测试取决于椅子类型。

The timed 'Up & Go' is dependent on chair type.

作者信息

Siggeirsdóttir K, Jónsson B Y, Jónsson H, Iwarsson S

机构信息

Icelandic Heart Association, Research Institute, KOPAVOGUR.

出版信息

Clin Rehabil. 2002 Sep;16(6):609-16. doi: 10.1191/0269215502cr529oa.

Abstract

INTRODUCTION

The timed 'Up & Go' (TUG) is a performance test identifying problems in functional mobility. More knowledge on how the type of chair used influences test results is needed.

OBJECTIVE

To investigate inter-rater agreement on the time score and to assess if chair type used influenced the performance of the test.

SETTING

(1) Inter-rater agreement investigation on the time score was carried out with elderly individuals living in a retirement home (n = 31). (2) Four types of chairs were tested on elderly individuals in three different health care centres (n = 100).

RESULTS

The two observers were close in timing (mean difference = 0.04 s). From a reference chair the median time for TUG was 15.7 s compared with 16.9 s from a chair with a low seat (p < 0.001). It was significantly more difficult to stand up from a chair without armrests (p < 0.001), and from the lowest chair (p < 0.001), which was also the only chair difficult to sit down on (p = 0.02).

CONCLUSION

The inter-rater agreement of the time scoring of the TUG has been confirmed. Test performance is dependent on chair type; chairs with armrests and a seating height of 44-47 cm should be used. Clinicians must follow standard procedures and equipment when using the test or else risk invalidating test findings.

摘要

引言

定时起立行走测试(TUG)是一种用于识别功能性移动问题的性能测试。我们需要更多关于所使用椅子类型如何影响测试结果的知识。

目的

调查评分者间在时间得分上的一致性,并评估所使用的椅子类型是否会影响测试表现。

设置

(1)对居住在养老院的老年人(n = 31)进行了评分者间时间得分一致性调查。(2)在三个不同的医疗保健中心对老年人(n = 100)测试了四种类型的椅子。

结果

两位观察者在计时上相近(平均差异 = 0.04秒)。从参考椅子进行TUG测试的中位时间为15.7秒,而从低座位椅子进行测试的中位时间为16.9秒(p < 0.001)。从没有扶手的椅子上站起来明显更困难(p < 0.001),从最低的椅子上站起来也明显更困难(p < 0.001),而最低的椅子也是唯一难以坐下的椅子(p = 0.02)。

结论

已证实TUG时间评分的评分者间一致性。测试表现取决于椅子类型;应使用有扶手且座位高度为44 - 47厘米的椅子。临床医生在使用该测试时必须遵循标准程序和设备,否则可能会使测试结果无效。

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