引入第三次定时起立行走测试试验可提高住院和社区居住老年人的表现。
Introducing a Third Timed Up & Go Test Trial Improves Performances of Hospitalized and Community-Dwelling Older Individuals.
作者信息
Bloch Mette L, Jønsson Line R, Kristensen Morten T
机构信息
1Department of Physiotherapy and Occupational Therapy, Metropolitan University College, Copenhagen, Denmark. 2Frederiksberg Rehabilitation and Health Centre, Frederiksberg Municipality, Copenhagen, Denmark. 3Physical Medicine and Rehabilitation Research-Copenhagen (PMR-C), Department of Physical and Occupational Therapy, Copenhagen University Hospital, Hvidovre, Copenhagen, Denmark. 4Department of Orthopedic Surgery, Copenhagen University Hospital, Hvidovre, Copenhagen, Denmark.
出版信息
J Geriatr Phys Ther. 2017 Jul/Sep;40(3):121-126. doi: 10.1519/JPT.0000000000000080.
BACKGROUND AND PURPOSE
Originally, the Timed Up & Go (TUG) test was described as including a practice trial before a timed trial, but recent studies in individuals with hip fracture have reported that performance improved with a third trial and that high intertester reliability was achieved when the fastest of 3 timed trials was used. Thus, the fastest of 3 TUG trials is recommended when testing individuals with hip fracture. To our knowledge, no study has examined the number of trials needed to achieve performance stability on the TUG test (defined as no further improvement on subsequent trials) when performed by older individuals without hip fracture. The aim of the study, therefore, was to examine whether a third TUG trial is faster than either of 2 TUG trials conducted according to standardized TUG instructions and whether the fastest of 3 trials is the most appropriate measure to apply in hospitalized and community-dwelling older individuals.
METHODS
Eighty-two participants (50 from a geriatric hospital unit and 32 from an outpatient geriatric center; 52 women, 30 men) with a mean (SD) age of 83.6 (7.9) years were included in this cross-sectional study. All participants (except one from the hospital unit) performed 3 TUG trials, as fast as safely possible on the same day, and separated by up to 1-minute pauses. A rollator (4-wheeled rolling walker) was used as a standardized walking aid in the geriatric hospital unit, whereas participants used their normal walking aid (if any) in the outpatient geriatric center.
RESULTS AND DISCUSSION
The fastest trial was trial 3 for 47 (57%), trial 2 for 25 (31%), and trial 1 for 10 (12%). Repeated-measures analyses of variance with Bonferroni corrections showed that TUG times improved from trial 1 to trial 3 (P < .04). In addition, the fastest of the 3 timed trials was significantly (P < .001) faster than the other 2 trials.
CONCLUSION
We suggest that the fastest of the 3 TUG trials is recorded instead of the second trial in both hospitalized and community-dwelling older individuals.
背景与目的
最初，计时起立行走（TUG）测试被描述为在计时试验前包括一次练习试验，但最近对髋部骨折患者的研究报告称，第三次试验时表现有所改善，并且当使用三次计时试验中最快的一次时，测试者间的可靠性较高。因此，在测试髋部骨折患者时，建议采用三次TUG试验中最快的一次。据我们所知，尚无研究探讨在无髋部骨折的老年人进行TUG测试时（定义为后续试验中无进一步改善），达到表现稳定所需的试验次数。因此，本研究的目的是检验第三次TUG试验是否比按照标准化TUG说明进行的两次TUG试验中的任何一次都快，以及三次试验中最快的一次是否是应用于住院和社区居住老年人的最合适测量方法。
方法
本横断面研究纳入了82名参与者（50名来自老年医院科室，32名来自门诊老年中心；52名女性，30名男性），平均（标准差）年龄为83.6（7.9）岁。所有参与者（除一名来自医院科室的参与者外）在同一天尽可能安全快速地进行了3次TUG试验，试验间隔最多1分钟。在老年医院科室，使用助行器（四轮滚动助行器）作为标准化步行辅助工具，而在门诊老年中心，参与者使用其正常的步行辅助工具（如有）。
结果与讨论
最快的试验在第3次试验的有47人（57%），第2次试验的有25人（31%），第1次试验的有10人（12%）。采用Bonferroni校正的重复测量方差分析表明，TUG时间从第1次试验到第3次试验有所改善（P <.04）。此外，三次计时试验中最快的一次明显（P <.001）快于其他两次试验。
结论
我们建议，在住院和社区居住的老年人中，记录三次TUG试验中最快的一次，而不是第二次试验。
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