Reliability of Measurements Obtained With the Timed “Up &amp; Go” Test in People With Parkinson Disease

Morris, Susan; Morris, Meg E.; Iansek, Robert

doi:10.1093/ptj/81.2.810

Cited by 543 publications

(366 citation statements)

References 23 publications

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“…O pequeno número de sujeitos e o fato dos mesmos não terem sido selecionados de forma randomizada limita a validade externa dos achados. Por outro lado, considerando a quantidade de testes aplicados, a amostragem não foi muito diferente do encontrado em outros estudos com amostras semelhantes (16)(17) . É importante destacar que, com exceção dos estudos de Kamarul e Ashmad (14) , que utilizaram um dinamômetro isocinético para a medida da FPM, e de Giampaoli et al (26) , que não descreveram o protocolo utilizado, todos os demais estudos citados valeram-se de protocolos de medida semelhantes ao do presente estudo.…”

Section: Discussionunclassified

A força de preensão manual é boa preditora do desempenho funcional de idosos frágeis: um estudo correlacional múltiplo

Geraldes

Oliveira

Albuquerque

et al. 2008

Rev Bras Med Esporte

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A força de preensão manual (FPM) associa-se com a funcionalidade de idosos, mas há dúvidas sobre o valor dessa relação em todas as situações. O estudo observou a correlação entre FPM de idosos residentes em instituições de cuidados permanentes (asilos) e o desempenho funcional (DF) em tarefas específicas e inespecíficas para as mãos. Participaram 12 homens (70±6 anos; 64±9 kg; 160±10 cm) e sete mulheres (77±11 anos; 49±10 kg; 147±10 cm). A FPM foi medida com dinamômetro hidráulico. As tarefas motoras propostas foram: caminhar 10 m na velocidade máxima (C10), timed up & go test (TUGT), colocar e retirar chave de fechadura (TCCF) e tirar e recolocar lâmpada em um bocal (TCLB). O teste de Wilcoxon revelou que os homens apresentaram melhores desempenhos que as mulheres em todos as medidas, exceto IMC, TCCF e TCLB (p<0,05). Os coeficientes de Spearman revelaram que três testes apresentaram correlações significativas com a FPM: TRLB (ρ = -0,54; p = 0,018); TUGT (ρ = -0,67; p = 0,002) e C10 (ρ = -0,69; p = 0,001). A correlação múltipla entre a FPM e o conjunto dos testes revelou-se igualmente significativa (R-múltiplo = 0,66; p<0,04). Conclui-se que a FPM pode ser uma boa preditora do desempenho em tarefas motoras em idosos frágeis, investindo-se de potencial para apreciação da funcionalidade como um todo, enquanto variável de exposição epidemiológica.Palavras-chave: envelhecimento, saúde, autonomia, aptidão física, força muscular. ABSTRACTHand-grip strength (HGS) has been used to predict functional limitation in the elderly. However, this relationship in all situations is doubtful. The purpose of the study was to observe the association between HGS and functional performance (FP), in specific and not specific tasks among 19 long-term home elderly residents, 12 men (70±6 yrs; 64±9 kg; 160±10 cm) and 7 women (77±11 yrs; 49±10 kg; 147±10 cm). HGS was measured by a hydraulic hand dynamometer. The FP was measured by the time to perform the following tasks: 1) habitual gait speed (HGS); 2) timed up & go test (TUGT); 3) opening a lock with a key (OLK); 4) to take off and put in a light bulb (TPB). The Wilcoxon test revealed that men were better than women in all measurements except for the IMC, OLK and TPL (p<0.05). The Spearman coefficients showed significant correlation between HGS and three FP tests: TPL (ρ=-.54; p=.018); TUGT (ρ=-.67; p=.002) and HGS (ρ=-.69; p=.001). The multiple correlation showed good correlation between the HGS and all FP tests (R=.66; R²=.44; p<.04). These results suggest that HGS may be a good predictor for FP, especially for fragile and institutionalized elderly subjects, having a good potential as an epidemiologic exposition variable to forecast functional performance. Keywords INTRODUÇãODe forma geral, os idosos que apresentam força de preensão manual (FPM) reduzida são sedentários, possuem déficits de massa corporal, apresentam problemas de saúde e limitações funcionais em atividades que exigem a participação dos membros superiores e inferiores (1) . Isso explica em parte, o fato de, a despeit...

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Section: Discussionunclassified

A força de preensão manual é boa preditora do desempenho funcional de idosos frágeis: um estudo correlacional múltiplo

Geraldes

Oliveira

Albuquerque

et al. 2008

Rev Bras Med Esporte

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“…Demographic and clinical data extracted included gender, race, age at onset, age at diagnosis, disease duration, presence of tremor, motor fluctuations, Hoehn and Yahr stage, co-morbidities, living situation, presence or absence of a regular care partner, exercise, hospital and emergency room visits within the past year, medications, and other treatments (physical therapy, occupational therapy, speech therapy). Data instruments included Timed Up and Go test [8], Parkinson's Disease Quality of Life Questionnaire (PDQ-39) [9], Multiple Caregiver Strain Index (MCSI) [10], and Montreal Cognitive Assessment (MoCA) estimate [11] scores. The PDQ-39 is a validated, health-related, quality of life (QoL) scale that is completed by the subject and measures health status and impact of PD on daily life.…”

Section: Methodsmentioning

confidence: 99%

The Profile of Long-term Parkinson’s Disease Survivors with 20 Years of Disease Duration and Beyond

Hassan

Schmidt

et al. 2015

JPD

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Abstract.Background: Parkinson's disease (PD) patients with 20 years or more survival are not well characterized. Objective: To evaluate PD-20 patient characteristics and identify areas for improvement of their health care. Methods: The international, multicenter National Parkinson's Foundation Quality Improvement Initiative (NPF-QII) study database was queried to identify PD-20 subjects. Demographic and clinical data were analyzed. Results: We identified 187 PD-20 subjects (55% men) representing 4% (187/4,619) of all NPF-QII participants. Subjects were mean age 69.5 years; mean age at PD onset was 44.0 years. The majority (75%) had 20-25 years of PD duration, the longest duration being 49 years. They were median Hoehn and Yahr stage 3, and 75% had motor fluctuations. Half (54%) reported exercising. The majority (89%) were living at home and required a caregiver (88%). They were mildly cognitively impaired for age (Montreal Cognitive Assessment estimate 22.6 ± 3.7), with most deficits in verbal fluency and delayed recall. Quality of life (Parkinson's Disease Quality of Life Questionnaire index 36 ± 15%) was mild to moderately impaired, with most impairment in mobility and activities of daily living. Caregiver strain measured by the Multidimensional Caregiver Strain Index (27 ± 16%), recorded highest subscores in social constraint. PD-20 subjects aged <70 years versus ≥70 only differed significantly by worse cognition (P < 0.0001). Conclusions: PD-20 subjects reflect an elite group of PD survivors with early-onset disease and relatively mild cognitive disability despite long disease duration. Interventions for caregivers, mobility, and activities of daily living are areas that could improve caregiver burden and patient quality of life.

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“…Three tests were chosen: UPDRS motor score, Timed-Up-and-Go [31], and a computerbased, two-dimensional motion analysis system based on the Posturo-Locomotion-Manual (PLM) method [32]. The PLM method consists of seven spherical markers (4 cm diameter) covered with light-reflective tape are placed on standardized locations on the most affected side of the body, the side of the head, shoulder, arm, hip and on both legs.…”

Section: Motor Functionmentioning

confidence: 99%

The Ronnie Gardiner Rhythm and Music Method – a feasibility study in Parkinson’s disease

Pohl

Dizdar

Hallert

2013

Disability and Rehabilitation

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Purpose: The purpose of this study was to examine the feasibility of and effects from the Ronnie Gardiner Rhythm and Music (RGRM™) Method on motor function, cognition and quality of life in persons with Parkinson's disease.Method: Eighteen participants with Parkinson's disease were randomized into intervention group or control group. Over 6 weeks, the intervention group attended 12 one-hour classes with RGRM™. The control group had no activity. Motor function, cognition, and quality of life were evaluated before and after the intervention.

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Reliability of Measurements Obtained With the Timed “Up & Go” Test in People With Parkinson Disease

Abstract: Retest reliability and interrater reliability of the TUG measurements were high, and the measurements reflected changes in performance according to levodopa use. The TUG can also be used to detect differences in performance between people with PD and elderly people without PD.

Cited by 543 publications

References 23 publications

A força de preensão manual é boa preditora do desempenho funcional de idosos frágeis: um estudo correlacional múltiplo

A força de preensão manual é boa preditora do desempenho funcional de idosos frágeis: um estudo correlacional múltiplo

The Profile of Long-term Parkinson’s Disease Survivors with 20 Years of Disease Duration and Beyond

The Ronnie Gardiner Rhythm and Music Method – a feasibility study in Parkinson’s disease

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