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定时“起立行走”测试:一项针对体弱老年人基本功能活动能力的测试。

The timed "Up & Go": a test of basic functional mobility for frail elderly persons.

作者信息

Podsiadlo D, Richardson S

机构信息

Division of Geriatrics, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada.

出版信息

J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.

Abstract

This study evaluated a modified, timed version of the "Get-Up and Go" Test (Mathias et al, 1986) in 60 patients referred to a Geriatric Day Hospital (mean age 79.5 years). The patient is observed and timed while he rises from an arm chair, walks 3 meters, turns, walks back, and sits down again. The results indicate that the time score is (1) reliable (inter-rater and intra-rater); (2) correlates well with log-transformed scores on the Berg Balance Scale (r = -0.81), gait speed (r = -0.61) and Barthel Index of ADL (r = -0.78); and (3) appears to predict the patient's ability to go outside alone safely. These data suggest that the timed "Up & Go" test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time. The test is quick, requires no special equipment or training, and is easily included as part of the routine medical examination.

摘要

本研究对60名转诊至老年日间医院的患者(平均年龄79.5岁)进行了改良的、计时版“起立行走”测试(Mathias等人,1986年)。观察患者从扶手椅起身、行走3米、转身、走回并再次坐下的过程并记录时间。结果表明,时间得分具有以下特点:(1)可靠(评分者间和评分者内);(2)与Berg平衡量表的对数转换得分(r = -0.81)、步态速度(r = -0.61)和Barthel日常生活活动指数(r = -0.78)相关性良好;(3)似乎可以预测患者独自安全外出的能力。这些数据表明,计时“起立行走”测试是一种可靠且有效的测试,可用于量化功能活动能力,也可能有助于跟踪随时间推移的临床变化。该测试快速,无需特殊设备或培训,并且很容易纳入常规医学检查之中。

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