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与完整的定时起立行走测试相比,定时起立行走测试的180°转身阶段能更好地预测高龄老人的跌倒史:一项病例对照研究。

The 180° Turn Phase of the Timed Up and Go Test Better Predicts History of Falls in the Oldest-Old When Compared With the Full Test: A Case-Control Study.

作者信息

Brauner Fabiane de Oliveira, Figueiredo Anelise Ineu, Urbanetto Matheus de Souza, Baptista Rafael Reimann, Schiavo Aniuska, Mestriner Régis Gemerasca

机构信息

Biomedical Gerontology Program of the School of Medicine, Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS,Brazil.

Neuroplasticity and Rehabilitation Research Group (NEUROPLAR), Pontifical Catholic University of Rio Grande do Sul (PUCRS), Porto Alegre, RS,Brazil.

出版信息

J Aging Phys Act. 2022 Oct 10;31(2):303-310. doi: 10.1123/japa.2022-0091. Print 2023 Apr 1.

Abstract

The 180° turn phase of the test may better differentiate the oldest-old regarding their history of falls. This is a case-control study designed to detect the ability of the 180° turn timed up and go (TUG) phase to detect a history of falls in the oldest-old. Sixty people aged 85 years and older were assessed in their homes. The single-task and dual-task TUG tests were performed using an inertial sensor (G-Walk). Sociodemographic data, physical activity levels, mental status, depressive symptoms, concern for falls occurrence, number of medicines in use, self-perception of balance, and the functional reach test were also assessed. The logistic regressions revealed the 180° turn phase of both the single-task and dual-task TUG was almost three times better than the full TUG test to detect a history of falls, thus providing insights that can be used to better assess functional mobility in the oldest-old.

摘要

测试中的180°转身阶段可能更有助于区分高龄老人的跌倒史。这是一项病例对照研究,旨在检测180°转身计时起立行走(TUG)阶段检测高龄老人跌倒史的能力。对60名85岁及以上的老人进行了居家评估。使用惯性传感器(G-Walk)进行单任务和双任务TUG测试。还评估了社会人口统计学数据、身体活动水平、精神状态、抑郁症状、对跌倒发生的担忧、正在使用的药物数量、平衡的自我认知以及功能性伸展测试。逻辑回归显示,单任务和双任务TUG的180°转身阶段在检测跌倒史上几乎比完整的TUG测试好三倍,从而提供了可用于更好地评估高龄老人功能移动性的见解。

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