TUG-ABS Portuguese-Brazil: a clinical instrument to assess mobility of hemiparetic subjects due to stroke

Abstract

original RESUMOObjetivo. Apresentar a versão em Português-Brasil do Timed "Up and Go" Assessment of Biomechanical Strategies (TUG-ABS), instrumento para avaliação clínica da mobilidade funcional de indivíduos com hemiparesia pós Acidente Vascular Cerebral (AVC), e investigar a sua validade de construto considerando a perspectiva de fisioterapeutas brasileiros da área neurofuncional. Método. Onze fisioterapeutas simularam o uso clínico do TUG-ABS com os seus pacientes e responderam a um questionário aberto com questões essenciais para se determinar a validade de construto por métodos contemporâneos. Para análise, foi utilizada metodologia qualitativa. Resultados. Os profissionais foram capazes de apontar informações novas e relevantes ao processo de avaliação e de tomada de decisão clínica ao utilizar o TUG-ABS, de descrever interpretações/julgamentos e ou raciocínios clínicos com base na interpretação dos seus resultados e avaliaram de forma positiva o seu sistema de pontuação. Conclusão. O TUG-ABS demonstrou adequada validade de construto sob a perspectiva de fisioterapeutas brasileiros. O instrumento forneceu medidas que dão suporte aos pressupostos teóricos a partir dos quais foi desenvolvido e informações relevantes ao processo de avaliação clínica da mobilidade de hemiparéticos pós-AVC. Portanto, foi reconhecido o valor clínico do TUG-ABS para a identificação de estratégias biomecânicas relacionadas à mobilidade funcional de indivíduos hemiparéticos pós-AVC.Unitermos. Fisioterapia, Acidente Vascular Encefálico, Avaliação da Deficiência, Atividades Cotidianas, Limitação da Mobilidade Citação. Faria CDCM, Teixeira-Salmela LF, Araújo PA, Polese JC, Nascimento LR, Nadeau S. TUG-ABS Português-Brasil: instrumento para avaliação clínica da mobilidade de hemiparéticos pós-AVC. ABSTRACTObjective. To present the Brazilian version of the Timed "Up and Go" Assessment of Biomechanical Strategies (TUG-ABS-Portuguese-Brazil), a clinical tool to assess functional mobility of subjects with hemiparesis due to stroke during the performance of the Timed "Up and Go" test, and investigate its construct validity considering the perspective of Brazilian physical therapists (PTs). Method. Eleven PTs applied the TUG-ABS within their patients and answered a questionnaire related to the clinical value of the TUG-ABS (construct validity by contemporary methods). Qualitative methodology was applied to data analysis. Results. The PTs were able to point out the relevant information to clinical evaluation and decision making provided by the TUG-ABS, to describe interpretations/judgements and clinical reasoning based upon the interpretation of the results provided by the TUG-ABS and assessed as positive the score system. Conclusion. The TUG-ABS showed adequate construct validity according to the perspective of the Brazilian PTs. Furthermore, it was able to provide measures supported by the theoretical constructs in which it was based up and relevant information to the evaluation of the mobility in stroke subjects. Therefore, the TUG-ABS show...

Assessing Timed Up and Go in Parkinson’s disease: Reliability and validity of Timed Up and Go Assessment of biomechanical strategies

“…All evaluation instruments were applied in the following order: Mini Mental State Examination (MMSE) (19), Hoehn & Yahr stage scale (18), and the motor section of the UPDRS-part III (21). The TUG test (22); section VI of the Balance Evaluation System Test (BESTest) (23) and the TUG-ABS test (11) were applied in sequence.…”

“…The TUG-ABS test is composed of 15 items that allow evaluation of the movement strategies adopted to carry out TUG, subdivided into the test activities: getting up from a seated position, gait, turning round 180º, and sitting down from a standing position. The total score varies from 15 to 45, with higher score indicating better performance by the individual (11)(12)(13).…”

“…Two evaluators were submitted to a 2-week training period to familiarize them with the TUG-ABS instrument, following orientation by the authors (11,12). The inter-examiner, testretest and intra-examiner reliabilities were evaluated.…”

“…Although commonly used and recommended, the outcome provided by TUG is the time of execution, which is of limited value for diagnoses or planning of treatment, since it fails to identify what is compromised in carrying out the task. Thus, Timed Up and Go Assessment of Biomechanical Strategies (TUG-ABS) was developed to be able to identify biomechanical strategies while carrying out TUG, and its measurement properties have been investigated for hemiparetic individuals (11). The outcome provided by TUG-ABS completes the time measure obtained using TUG.…”

“…The outcome provided by TUG-ABS completes the time measure obtained using TUG. With TUG-ABS, in addition to obtaining a predictive measure of falls for the individuals, one can add standardized information about biomechanical strategies adopted by these individuals while carrying out the test (11)(12)(13). This information could improve diagnosis related to mobility limitation, enabling better clinical reasoning and treatment planning.…”