de Melo Mariana Luiz, Pelicioni Paulo Henrique Silva, Dias Ana Laura Oliveira, de Morais Daiene, de Sá Mel Silva, Gramani-Say Karina, Ansai Juliana Hotta
Department of Gerontology, Federal University of São Carlos, Rodovia Washington Luiz, km 235, São Carlos, São Paulo, 13565-905, Brazil.
University of New South Wales, New South Wales, SYD, Australia.
Eur Geriatr Med. 2025 Sep 16. doi: 10.1007/s41999-025-01309-6.
To analyze the reliability of the Short Physical Performance Battery (SPPB), Timed Up and Go test (TUG), and TUG with dual task (TUGDT) adapted in a remote format for older adults with a history of falls.
This reliability study was conducted with community-dwelling older adults with a history of at least two falls in the past year. The test was performed remotely and synchronously at the participant's home and after 1 month. The intra-rater reliability was assessed by the same researcher, who watched the recordings and re-evaluated each test performed. The inter-rater reliability was assessed by a second researcher, who also watched the recordings asynchronously and evaluated each test at baseline and after 1 month.
The final sample consisted of 54 volunteers, mostly women (89%), with a mean age of 73 years. The intra-rater evaluation showed excellent reliability in the postural balance tests (score), chair rise (score and seconds), SPPB, TUG, TUGDT, and number of animals spoken in the dual task, and lower reliability in the gait test (score) and when comparing the initial versus final evaluations. The inter-rater evaluation showed excellent reliability in most tests, and good reliability in the gait tests (score), chair rise (score), and TUGDT.
Functional physical performance tests applied remotely can be used in a complementary way to assess older people with a history of falls, in situations such as difficulties in leaving home, social restriction, and fear of falling.
分析简短体能测试电池（SPPB）、计时起立行走测试（TUG）以及双任务计时起立行走测试（TUGDT）以远程形式应用于有跌倒史老年人的可靠性。
这项可靠性研究是针对过去一年中至少有两次跌倒史的社区居住老年人开展的。测试在参与者家中远程同步进行，1个月后再次进行。由同一位研究人员评估评分者内信度，该研究人员观看录像并重新评估每项测试。由另一位研究人员评估评分者间信度，其也异步观看录像，并在基线和1个月后评估每项测试。
最终样本包括54名志愿者，大多数为女性（89%），平均年龄73岁。评分者内评估显示，姿势平衡测试（得分）、从椅子上起身（得分和秒数）、SPPB、TUG、TUGDT以及双任务中说出动物的数量具有出色的信度，而步态测试（得分）以及比较初始评估与最终评估时信度较低。评分者间评估显示，大多数测试具有出色的信度，步态测试（得分）、从椅子上起身（得分）以及TUGDT具有良好的信度。
远程应用的功能性体能测试可以作为一种补充方式，用于评估有跌倒史的老年人，适用于诸如离家困难、社会限制以及害怕跌倒等情况。
