González-Ávila Bárbara, Roqueta Cristina, Farriols Cristina, Álvaro Margarita, Roig Alba, Cervera Anton Maria, Miralles Ramón
Unidad de Convalecencia, Servicio de Geriatría, Centro Fórum, Hospital de la Esperanza, Hospital del Mar, Parc de Salut Mar, Barcelona, España.
Unidad de Convalecencia, Servicio de Geriatría, Centro Fórum, Hospital de la Esperanza, Hospital del Mar, Parc de Salut Mar, Barcelona, España; Departamento de Medicina, Facultad de Medicina, Universidad Autónoma de Barcelona, Barcelona, España.
Rev Esp Geriatr Gerontol. 2017 Mar-Apr;52(2):61-64. doi: 10.1016/j.regg.2016.01.008. Epub 2016 Mar 24.
To assess the relationship between the Stop Walking While Talking (SWWT) test and some parameters of the geriatric assessment, as well as other tests of balance and gait.
A prospective, observational and cross-sectional study conducted on 108 patients (62% women), with a mean age of 80.5±8.4 years. Twenty-three of them were living at home, 24 in a nursing home, and 61 in an intermediate care unit. A record was made of the Barthel index, Mini-Mental State Examination of Folstein (MMSE), comorbidity (Charlson index), the presence of previous falls, and fear of falling. Timed Up and Go (TUG), Tinetti test, and Stop Walking While Talking (SWWT) test, were performed on all the patients. Based on the results of the SWWT test patients were divided in two groups: "stoppers" and "non-stoppers". All patients were able to walk (with or without walking aids).
The stoppers group of patients had a mean age 82.2±8.7; Barthel index 64.6±20.7; MMSE 21.6±5.1; Charlson index 1.8±1.7, and the non-stoppers 78.5±7.6 (P=.024), 86.0±18.1 (P<.001), 24.3±4.0 (P=.004), and 1.3±1.6 (P=.130), respectively. Of the 58 stoppers patients, 39 (67.2%) had a previous fall, and 19 (32.8%) had not (P=.002); 43 (74.1%) had fear of falling, and 15 (25.9%) had not (P<0.009). Of the 63 patients with TUG>20seconds, 52 (82.5%) were stoppers and 11 (17.5%) non-stoppers. Of the 31 with TUG between 10-20seconds, 5 (16.1%) were stoppers and 26 (83.9%) non-stoppers. Of the 14 with TUG<10 seconds, 1 (7.1%) were stoppers, and 13 (92.9%) non-stoppers (P<0.0001). The score of Tinetti test in the stoppers group was 15.4±5.2, and in non-stoppers 23.9±4.6 (P<0.001).
Those in the stopper group were significantly older, were more dependent in activities of daily living, had greater cognitive impairment, more previous falls, had greater fear of falling, lower scores on the Tinetti test, and longer times in the TUG.
评估边走边说（SWWT）测试与老年评估的一些参数以及其他平衡和步态测试之间的关系。
对108例患者（62%为女性）进行了一项前瞻性、观察性横断面研究，平均年龄为80.5±8.4岁。其中23人居家生活，24人住在养老院，61人住在中级护理单元。记录了巴氏指数、福尔斯坦简易精神状态检查表（MMSE）、合并症（查尔森指数）、既往跌倒情况以及跌倒恐惧。对所有患者进行了计时起立行走测试（TUG）、Tinetti测试和边走边说测试（SWWT）。根据SWWT测试结果，将患者分为两组：“停止者”和“非停止者”。所有患者均能行走（无论是否使用助行器）。
停止者组患者的平均年龄为82.2±8.7岁；巴氏指数为64.6±20.7；MMSE为21.6±5.1；查尔森指数为1.8±1.7，而非停止者组分别为78.5±7.6（P = 0.024）、86.0±18.1（P < 0.001）、24.3±4.0（P = 0.004）和1.3±1.6（P = 0.130）。在58例停止者患者中，39例（67.2%）有过跌倒史，19例（32.8%）没有（P = 0.002）；43例（74.1%）有跌倒恐惧，15例（25.9%）没有（P < 0.009）。在63例TUG>20秒的患者中，52例（82.5%）是停止者，11例（17.5%）是非停止者。在31例TUG在10 - 20秒之间的患者中，5例（16.1%）是停止者，26例（83.9%）是非停止者。在14例TUG<10秒的患者中，1例（7.1%）是停止者，13例（92.9%）是非停止者（P < 0.0001）。停止者组的Tinetti测试得分是15.4±5.2，非停止者组是23.9±4.6（P < 0.001）。
停止者组患者年龄显著更大，在日常生活活动中更依赖他人，有更严重的认知障碍，有更多的既往跌倒史，有更大的跌倒恐惧，Tinetti测试得分更低，TUG时间更长。
