Paquet Nicole, Desrosiers Johanne, Demers Louise, Robichaud Line
School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Disabil Rehabil. 2009;31(15):1267-74. doi: 10.1080/09638280802621374.
To determine the evolution of daily mobility skills from the timed up-and-go (TUG) upto 6 months after home return in older adults with stroke discharged from acute care or rehabilitation; and to identify the best predictive factors of the TUG at 6 months post-discharge.
In this longitudinal prospective study, people with stroke aged 65 years or more and discharged home from an acute care hospital (n = 82) or a rehabilitation service (n = 109) were included. The TUG was measured at discharge (T1), and at 3 and 6 months post-discharge (T2 and T3). Correlations between the TUG at T3 and sociodemographic and clinical variables, as well as physical, cognitive, perceptual and psychological measures at T1, were used in a multiple regression model to identify the best predictors of TUG at T3.
TUG did not change between T1, T2 and T3 in the two groups of participants. The best predictors of TUG at T3 in participants from acute care were the use of a walking aid in daily life, age, deficits in oral expression and the presence of depressive symptoms. In participants from rehabilitation, predictors were the stage of motor recovery of the foot, the use of a walking aid in daily life, number of schooling years and memory impairments.
Daily mobility skills, as assessed with the TUG, did not deteriorate upto 6 months after home return in older adults with stroke. The best predictor of the TUG at T3 is the use of a walking aid during daily life in participants from acute care, and motor recovery of the foot in participants from rehabilitation.
确定从急性护理或康复机构出院的老年中风患者回家后长达6个月内定时起立行走测试（TUG）中日常活动技能的变化情况；并确定出院后6个月时TUG的最佳预测因素。
在这项纵向前瞻性研究中，纳入了65岁及以上且从急性护理医院（n = 82）或康复机构（n = 109）出院回家的中风患者。在出院时（T1）、出院后3个月和6个月（T2和T3）测量TUG。在多元回归模型中，使用T3时的TUG与社会人口统计学和临床变量以及T1时的身体、认知、感知和心理测量指标之间的相关性，以确定T3时TUG的最佳预测因素。
两组参与者的TUG在T1、T2和T3之间没有变化。急性护理组参与者T3时TUG的最佳预测因素是日常生活中使用助行器、年龄、口语表达缺陷和抑郁症状的存在。康复组参与者的预测因素是足部运动恢复阶段、日常生活中使用助行器、受教育年限和记忆障碍。
用TUG评估的日常活动技能在老年中风患者回家后长达6个月内没有恶化。急性护理组参与者T3时TUG的最佳预测因素是日常生活中使用助行器，康复组参与者是足部运动恢复情况。
