Chan Peggy P, Si Tou Joyce I, Tse Mimi M, Ng Shamay S
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong (SAR).
School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong (SAR).
Arch Phys Med Rehabil. 2017 Nov;98(11):2213-2220. doi: 10.1016/j.apmr.2017.03.008. Epub 2017 Apr 7.
To examine (1) the intra-rater, interrater, and test-retest reliabilities of the timed Up and Go test with a motor task (TUG) in terms of the number of steps taken in the test and completion time in a population with chronic stroke; (2) the relation between stroke-specific impairments and the number of steps taken in the test and the completion time; (3) the minimum detectable change in TUG times; and (4) the cutoff time that best discriminates the performance of people with stroke from that of older adults without stroke.
Cross-sectional study.
University-based rehabilitation center.
A sample (N=65) of chronic stroke survivors (n=33) and healthy older adults (n=32).
Not applicable.
TUG times and number of steps taken; Fugl-Meyer Assessment for the Lower Extremities score; handheld dynamometer measurements of hip abductor, knee flexor and extensor, and ankle dorsiflexor and plantar flexor muscle strength; 5-times sit-to-stand test time, Berg Balance Scale score; conventional timed Up and Go test time, and Activities-specific Balance Confidence scale and Community Integration Measure questionnaire scores.
The TUG completion times and number of steps demonstrated excellent intra-rater, interrater, and test-retest reliabilities. The TUG times correlated significantly with the Fugl-Meyer Assessment for the Lower Extremities and Berg Balance Scale scores, with hip abductor, knee flexor, ankle dorsiflexor and plantar flexor strength on the paretic side, with 5-times sit-to-stand test times, and with times on the conventional timed Up and Go test. The minimum detectable change in TUG time was 3.53 seconds in stroke survivors. A TUG cutoff time of 13.49 seconds was found to best discriminate the performance of stroke survivors from that of older adults without stroke.
The TUG is a reliable, valid, and easy-to-administer clinical tool for assessing advanced functional mobility after a stroke.
研究（1）在慢性卒中患者群体中，带运动任务的定时起立行走测试（TUG）在测试步数和完成时间方面的评分者内信度、评分者间信度和重测信度；（2）卒中特异性损伤与测试步数和完成时间之间的关系；（3）TUG时间的最小可检测变化；（4）能最佳区分卒中患者与无卒中老年人表现的截止时间。
横断面研究。
大学附属康复中心。
慢性卒中幸存者样本（n = 33）和健康老年人样本（n = 32）（N = 65）。
不适用。
TUG时间和步数；下肢Fugl - Meyer评估得分；手持测力计测量髋外展肌、膝屈肌和伸肌以及踝背屈肌和跖屈肌力量；5次坐立试验时间、Berg平衡量表得分；传统定时起立行走测试时间、特定活动平衡信心量表和社区融入测量问卷得分。
TUG完成时间和步数显示出优异的评分者内信度、评分者间信度和重测信度。TUG时间与下肢Fugl - Meyer评估、Berg平衡量表得分、患侧髋外展肌、膝屈肌、踝背屈肌和跖屈肌力量、5次坐立试验时间以及传统定时起立行走测试时间显著相关。卒中幸存者TUG时间的最小可检测变化为3.53秒。发现TUG截止时间为13.49秒能最佳区分卒中幸存者与无卒中老年人的表现。
TUG是一种可靠、有效且易于实施的临床工具，用于评估卒中后的高级功能移动性。
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