Timed Up and Go predicts functional decline in older patients presenting to the emergency department following minor trauma

Eagles, Debra; Perry, Jeffrey J.; Sirois, Marie-Josée; Lang, Eddy; Daoust, Raoul; Lee, Jacques; Griffith, Lauren; Wilding, Laura; Neveu, Xavier; Émond, Marcel

doi:10.1093/ageing/afw184

Cited by 38 publications

(44 citation statements)

References 23 publications

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“…In general, TUG performance is better among men than women [23] and our results were concordant with this fact. In previous studies, longer TUG times have been associated with lower executive function performance, risk of falls, functional declines and frailty [24][25][26]. A Canadian study [24] examining older, community-dwelling people, found that the longer it took to complete the TUG test, the greater was the individual's risk for experiencing a decline in activities of daily living.…”

Section: Discussionmentioning

confidence: 99%

“…In previous studies, longer TUG times have been associated with lower executive function performance, risk of falls, functional declines and frailty [24][25][26]. A Canadian study [24] examining older, community-dwelling people, found that the longer it took to complete the TUG test, the greater was the individual's risk for experiencing a decline in activities of daily living. The three-month risk for a decline in daily functioning rose from 5 to 9-fold when TUG times increased from 20-29 s to ≥ 30 s. In addition, TUG times ≥ 30 s represented nearly a 4-fold risk for frailty compared with TUG times ≤ 10 s. Thus, enhancing mobilty and balance perfomance may decrease these risks.…”

Section: Discussionmentioning

confidence: 99%

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Interprofessional medication assessment among home care patients: Any impact on functioning? Results from a randomised controlled trial

Auvinen¹,

Voutilainen

Jyrkkä

et al. 2020

Preprint

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BackgroundMultimorbidity and polypharmacy are related to the use of potentially inappropriate medicines and negative clinical outcomes including drug-related adverse events and functional declines. Home care clients are a vulnerable patient group often exposed to these risks. The aim of this study was to examine whether an interprofessional medication assessment can influence the functioning of home care patients.MethodsThe FIMA study was a randomised controlled intervention study comparing a general practitioner-led interprofessional medication assessment conducted at the baseline of the study with usual care with a six-month follow-up. We used linear mixed models (LMM) with a random subject effect to detect differences between the usual care and intervention groups in the following outcome measures; Katz index of Activities of Daily Living (ADL), Lawton and Brody scale of Instrumental Activities of Daily Living, Timed up and go-test (TUG), Mini-Mental State Examination, Geriatric Depression Scale and the 3-level version of EQ-5D.ResultsHome care patients (n= 512) had major disease burdens and functional limitations. Regarding TUG times, the LMM detected a one second improvement in the FIMA group and 2.4 seconds worsening in the usual care group. However, the result was not statistically significant. The ADL revealed an interaction across time, treatment and gender (p=0.026). The ADL score decreased in both groups; the decline being the steepest among women in the intervention group.ConclusionsIn general, medication assessments may have limited impact on functioning of older people. Nonetheless, the FIMA intervention may prevent worsening of mobility among older home care patients.Trial registrationThe Interprofessional Medication Assessment for Older Patients, Clinical Trials.gov. NCT02398812. First registration, 26 March 2015. Retrospectively registered. https://www.clinicaltrials.gov/ct2/how/NCT02398812 .

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Interprofessional medication assessment among home care patients: Any impact on functioning? Results from a randomised controlled trial

Auvinen¹,

Voutilainen

Jyrkkä

et al. 2020

Preprint

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“…No primeiro dia os voluntários foram avaliados com a coleta de dados pessoais, anamnese e com a aplicação de testes específicos como Escala de Equilíbrio de Berg 19 , Teste "Timed Up and Go" (TUG) 20 e Teste do Alcance Funcional 21 .…”

Section: Instrumentosunclassified

“…É um teste simples no qual o idoso é solicitado a levantar-se de uma cadeira (a partir da posição encostada), deambular uma distância de três metros, virar-se e retornar no mesmo percurso e assentar-se a cadeira novamente. A realização do teste em até dez segundos é o tem-po considerado normal para adultos saudáveis, independentes e sem risco de quedas; valores entre 11-20 segundos (baixo risco de quedas); acima de 20 segundos (déficit importante da mobilidade física e risco de quedas) 20 .…”

Section: Instrumentosunclassified

Efeito de um programa de gameterapia no equilíbrio de idosos

et al. 2018

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ResumoIntrodução: a gameterapia é uma intervenção que promove a melhora do equilíbrio em idosos. Objetivos: verificar a eficácia da utilização de gameterapia em Nintendo WII® para melhora do equilíbrio de idosos. Métodos: trata-se de um estudo piloto com 10 idosos de ambos os sexos. Foram aplicados testes específicos como Escala de Equilíbrio de Berg, Teste "Timed Up and Go" e Teste do Alcance Funcional e após realizado a gameterapia por meio de jogos de esporte, agilidade e raciocínio do Nintendo WII®. Foi utilizado o teste t de student dependente um nível de significância de p < 0,05. Resultados: ao comparar o efeito do programa de treinamento de Nintendo WII® no equilíbrio dos idosos, verificou-se diferença significativa (p < 0,05) em todos os testes de equilíbrio, evidenciando que o programa de intervenção baseado no Nintendo WII® teve um efeito positivo sobre o equilíbrio dos idosos. Conclusão: a gameterapia por meio do Nintendo WII® proporcionou aos idosos melhora do seu equilíbrio.Descritores: Envelhecimento; Reabilitação; Realidade virtual; Promoção da Saúde. AbstractIntroduction: game therapy is an intervention that promotes the improvement of balance in the elderly. Objectives: to verify the effectiveness of the use of game therapy in Nintendo WII® to improve the balance of the elderly. Methods: it is a pilot study with 10 elderly people of both sexes. Specific tests such as the Berg Balance Scale, the "Timed Up and Go" Test and the Functional Reach Test were applied and after the game therapy was performed through Nintendo WII® sports games, agility and reasoning. Student-dependent t-test was used at a significance level of p <0.05. Results: when comparing the effect of the Nintendo WII® training program on the balance of the elderly, a significant difference (p <0.05) was observed in all balance tests, showing that the intervention program based on the Nintendo WII® a positive effect on the balance of the elderly. Conclusion: game therapy through Nintendo WII® provided the elderly with improved balance.

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“…Assim, no caso de indivíduos jovens, adultos, bem como idosos praticantes regulares de exercícios físicos é possível que algumas dessas ferramentas não sejam sensíveis suficientes para detectar o risco de queda, gerando o efeito teto 11,12. Isso justifica o desenvolvimento de investigações que avaliem e comparem o risco de queda de indivíduos com e sem histórico de queda, igualmente, de diferentes faixas etárias, uma vez que os achados podem ampliar e qualificar os serviços de profissionais da área clínica. Estudos de coorte 13 , revisão sistemática e metanálise 14 sugeriram a aplicação conjunta de testes de marcha e equilíbrio à estimativa do risco de queda.…”

Section: Introductionunclassified

Avaliação da regulação sensorial do equilíbrio corporal e risco de queda de mulheres adultas e idosas fisicamente ativas

Nascimento

Castro

Ramos

2019

PAJAR

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OBJECTIVE: To examine the sensory performance of static and dynamic balance regulation and the risk of falling in physically active adult and elderly women.METHOD: This is a non-probabilistic and intentional cross-sectional study. Thirty four women (51.90±15.84 years) enrolled in a gym attended. The population evaluated was stratified in age groups: 20-59 years (n=18) and 60 69 years (n=16). The gait was evaluated by the Time Up and Go (TUGs), Time Up and Go manual (TUGm), and Time Up and Go cognitive (TUGc), the balance by the Dynamic Gait Index (DGI) and Body Balance Test (TEC). RESULTS: Student’s t-test showed significant differences between age groups for comorbidities: hearing, vision, vertigo, labyrinthitis (p≤0.05). Comparatively, adult women showed better performance indices than older women in physical tests. According to the standards of the tests, there was no risk of falling for any group. However, regardless of age, a detailed examination of the TEC test showed a deficit in the sensory regulation of the visual, vestibular and somatosensory systems of the static and dynamic balance of fallers and non fallers (p≤0.05). The logistic regression analysis indicated the interoceptive regulation of the dynamic balance as a predictor of fall (p≤0.05). CONCLUSION: Deficits in the vestibular and somatosensory systems gradually potentiate the risk of falls in adult and elderly women, even if they remain physically active.

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Timed Up and Go predicts functional decline in older patients presenting to the emergency department following minor trauma

Cited by 38 publications

References 23 publications

Interprofessional medication assessment among home care patients: Any impact on functioning? Results from a randomised controlled trial

Interprofessional medication assessment among home care patients: Any impact on functioning? Results from a randomised controlled trial

Efeito de um programa de gameterapia no equilíbrio de idosos

Avaliação da regulação sensorial do equilíbrio corporal e risco de queda de mulheres adultas e idosas fisicamente ativas

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