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儿童定时起立行走测试:方案选择重要吗?一项系统评价。

The Timed Up and Go Test in Children: Does Protocol Choice Matter? A Systematic Review.

作者信息

Verbecque Evi, Schepens Kirsten, Theré Joke, Schepens Bénédicte, Klingels Katrijn, Hallemans Ann

机构信息

Department of Rehabilitation Sciences and Physiotherapy (Drs Verbecque and Hallemans, Ms Schepens, and Mr Theré) and Multidisciplinary Motor Center Antwerp (Drs Verbecque and Hallemans), Faculty of Medicine and Health Sciences, University of Antwerp, Belgium; Laboratory of Physiology and Biomechanics of Locomotion (Dr Schepens), Institute of Neuroscience, Université catholique de Louvain, Louvain-la-Neuve, Belgium; Rehabilitation Research Center (Dr Klingels), Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium; Department of Rehabilitation Sciences (Dr Klingels), KU Leuven, Leuven, Belgium.

出版信息

Pediatr Phys Ther. 2019 Jan;31(1):22-31. doi: 10.1097/PEP.0000000000000558.

Abstract

PURPOSE

Results on reliability and normative data for the Timed Up and Go test (TUG) in children who are developing typically are systematically reviewed.

SUMMARY OF KEY POINTS

Six different TUG protocols are presented for which normative data are available for ages 3 to 18 years. TUG time is consistent within and between raters and sessions and is influenced by age. The choice of protocol, self-selected versus fastest walking speed, and use of a motivational aspect and of the outcome calculation affect TUG time as well as its consistency within and between sessions.

CONCLUSIONS

A standard protocol for the TUG is lacking and should be developed with attention to reliability.

RECOMMENDATIONS FOR CLINICAL PRACTICE

If the TUG is to be used as a screening tool for dynamic balance control, clinicians need to apply protocols that include fastest walking speed motivation.

摘要

目的

系统回顾发育正常儿童定时起立行走测试(TUG)的可靠性和常模数据。

要点总结

介绍了六种不同的TUG测试方案,3至18岁儿童的常模数据可用于这些方案。TUG测试时间在评分者之间和测试环节之间具有一致性,并且受年龄影响。测试方案的选择、自我选择速度与最快行走速度、激励因素的使用以及结果计算方式都会影响TUG测试时间及其在测试环节之间和内部的一致性。

结论

目前缺乏TUG测试的标准方案,应在关注可靠性的基础上制定该方案。

临床实践建议

如果将TUG测试用作动态平衡控制的筛查工具,临床医生需要采用包含最快行走速度激励因素的测试方案。

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