School of Rehabilitation, Université de Montréal, Montreal, Quebec, Canada.
Arch Phys Med Rehabil. 2010 Feb;91(2):233-40. doi: 10.1016/j.apmr.2009.10.007.
To assess and compare the ability of the Timed Up & Go (TUG) and subscales of the Functional Autonomy Measurement System (SMAF) to detect change in people undergoing geriatric rehabilitation in inpatient geriatric rehabilitation units (GRUs) and day hospitals.
Longitudinal design with repeated measures obtained at admission and discharge from rehabilitation and at 2 follow-up interviews.
Inpatient and outpatient hospital-based settings.
Subjects (N=237, age 80+/-7 y) had data at admission and discharge from rehabilitation (changing time frame), and of these, 160 had data at 2 subsequent follow-ups (stable time frame).
Not applicable.
The TUG was used to estimate basic mobility, and subscales of the SMAF were used to estimate general mobility (SMAF-mobility), basic activities of daily living (SMAF-ADL), and instrumental activities of daily living (SMAF-IADL). Professionals' perception of change was used as a criterion.
The TUG generated large values for the standardized response mean (SRM) and Guyatt's responsiveness index in GRUs (.98 and 1.12) and day hospitals (.89 and 1.85). Professionals' perception of change in mobility was explained by a perceptible change in the TUG in day hospitals (15%) but not in GRUs. The SMAF-mobility, SMAF-ADL, and SMAF-IADL were associated with large values of SRM and Guyatt's responsiveness index in GRUs (.97-2.17) and with small to moderate values in day hospitals (.29-.54). Moderate to large portions in the professionals' perceptions of change for mobility (20%, 17%), basic ADLs (10% and 14%), and IADLs (23% and 19%) were associated with the respective change scores of the subscales of the SMAF in both GRUs and day hospitals.
Progress of older adults in the areas of mobility, basic ADLs, and IADLs can be captured using the TUG, SMAF-mobility, SMAF-ADL, and SMAF-IADL in both GRUs and day hospitals. The results support their use in settings of high- and low-intensity rehabilitation, thus suggesting their adequacy for use in these 2 settings.
评估和比较计时起立行走测试（TUG）和功能自主性测量系统（SMAF）的分量表在住院老年康复病房（GRU）和日间医院接受老年康复的人群中检测变化的能力。
纵向设计，在康复入院和出院时以及 2 次随访时进行重复测量。
住院和门诊医院环境。
受试者（N=237，年龄 80+/-7 岁）在康复入院和出院时（改变时间框架）以及其中 160 人在随后的 2 次随访时（稳定时间框架）具有数据。
不适用。
TUG 用于估计基本活动能力，SMAF 的分量表用于估计一般活动能力（SMAF-移动性）、基本日常生活活动（SMAF-ADL）和工具性日常生活活动（SMAF-IADL）。专业人员对变化的感知被用作标准。
TUG 在 GRU（.98 和 1.12）和日间医院（.89 和 1.85）中产生了大的标准化反应均值（SRM）和 Guyatt 反应性指数值。日间医院中，TUG 可感知的变化可解释移动能力方面专业人员对变化的感知（15%），但在 GRU 中则不能。SMAF-移动性、SMAF-ADL 和 SMAF-IADL 与 GRU 中大的 SRM 和 Guyatt 反应性指数值相关（.97-2.17），与日间医院中小到中等值相关（.29-.54）。在 GRU 和日间医院中，SMAF 分量表的变化分数与专业人员对移动性（20%，17%）、基本 ADL（10%和 14%）和 IADL（23%和 19%）变化的感知中等至较大部分相关。
在 GRU 和日间医院中，TUG、SMAF-移动性、SMAF-ADL 和 SMAF-IADL 可以捕获老年人在移动、基本 ADL 和 IADL 方面的进展。结果支持它们在高和低强度康复环境中的使用，因此表明它们在这两种环境中的适用性。
