PL EN


Preferences help
enabled [disable] Abstract
Number of results
2012 | 4 | 3 | 147-154
Article title

Proposal to use an obstructed timed “up & go” test to assess the risk of falling in healthy elderly individuals

Content
Title variants
Languages of publication
EN
Abstracts
EN
Background: Obstacles are a common cause of falls. Mobility tests for healthy elderly that involve maneuvering over an obstacle have not been fully developed. We have shown that a small box placed on the walkway of a representative mobility test, the Timed Up & Go (TUG) for the frail elderly, influences the test performances of the healthy female elderly. However, the validity of this obstructed TUG (OTUG) as a fall risk assessment tool has not yet been clarified. This study examined the relationship between the OTUG and the fall risk for the healthy elderly.Material/Methods: 66 healthy community-dwelling elderly and 19 healthy elderly persons living in a nursing home participated in the study. In the TUG, participants stood up from a chair, walked 3 m, turned around, walked back to the chair and sat down. In the OTUG, a box (height 5 cm, depth 10 cm) was placed at the midpoint of the walkway. Participants were instructed to step over it safely. Times required to perform the respective test were recorded. Fall risk scores, the required times (s) for the TUG and OTUG and difference ratios (OTUG/TUG x 100) (%) were analyzed.Results: Correlations between fall risk and other mobility performances were all significant. However, the correlation between fall risk and the OTUG (r = 0.60) was significantly higher than that between fall risk and the TUG (r=0.49) (t=3.733, p<0.001).Conclusions: Compared to the TUG, the OTUG is more valid for assessing the fall risk of community- dwelling healthy elderly
Publisher
Year
Volume
4
Issue
3
Pages
147-154
Physical description
Dates
published
1 - 10 - 2012
received
accepted
online
29 - 10 - 2012
References
  • 1. Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986;34(2):119-126.[PubMed]
  • 2. Takahashi T, Ishida K, Hirose D, et al. Vertical ground reaction force shape is associated with gait parameters, timed up and go, and functional reach in elderly females. J Rehabil Med 2004; 36(1):42-45.[Crossref][PubMed]
  • 3. Podsiadlo D, Richardson S. The timed “Up and Go”. A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142-148.
  • 4. Gokan H. Timed “Up and Go” test (TUG). In: Uchiyama Y, Kobayashi T, Shiomi T, editors. A manual forclinical assessment tools. Tokyo, Kyodo Isho Shuppan; 2006: 108-118.
  • 5. Pavol MJ, Owings TM, Foley KT, Grabiner MD. Mechanisms leading to a fall from an induced trip in healthy older adults. J Gerontol A Biol Sci Med Sci 2001;56(7):428-437.[Crossref]
  • 6. Pavol MJ, Owings TM, Foley KT, Grabiner MD. Gait characteristics as risk factors for falling from trips induced in older adults. J Gerontol A Biol Sci Med Sci 1999;54(11):583-590.[Crossref]
  • 7. Schillings I, Mulder T, Duysens J. Stumbling over obstacles in older adults compared to young adults. J Neurophysiol 2005;94(2):1158-1168.[Crossref][PubMed]
  • 8. Troy KL, Grabiner MD. The presence of an obstacle influences the stepping response during induced trips and surrogate tasks. Exp Brain Res 2005;161:343-350.
  • 9. Demura S, Uchiyama M. Influence of various obstacle height on the Timed “Up & Go” test in young adults. Sport Sci Health 2007;2:23-28.[Crossref]
  • 10. Demura S, Uchiyama M. Proper assessment of the falling risk in the elderly by a physical mobility test with an obstacle. Tohoku J Exp Med 2007;212:13-20.[Crossref][PubMed][WoS]
  • 11. Guerts ACH, Mulder TW, Nienhuis B, Rijken RA. Dual task assessment of reorganization in persons with lower limb amputation. Arch Phys Med Rehabil 1991;72(13):1059-1064.
  • 12. LaJoie Y, Teasdale N, Bard C, Flueury M. Attentional demands for static and dynamic equilibrium. ExpBrain Res 1993; 97(1):139-144.
  • 13. Lundin-Olsson L, Nyberg L, Gustafson Y. “Stops walking when talking” as a predictor of falls in elderly people. Lancet 1997;349(9052):617.
  • 14. Shumway-Cook A, Woollacott M, Kerns KA, Baldwin M. The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. J Gerontol A Biol Sci Med Sci 1997;52(4):M232-240.[Crossref]
  • 15. Suzuki T. Development and its use of a falling risk assessment chart for the elderly population. In: HealthAssessment Committee editors. Health Assessment Manual. Tokyo, Kosei Kagaku Kenkyusyo; 2001: 142-152.
  • 16. Yokoya T, Demura S, Sato S. Relationships between physical activity, ADL capacity and fall risk in community-dwelling Japanese elderly population. Environ Health Prev Med 2007;12:25-32.[Crossref]
  • 17. Yokoya T, Demura S, Sato S. Fall risk characteristics of the elderly in an exercise class. J Physiol Anthropol 2008;27:25-32.[Crossref]
  • 18. Arnadottir SA, Mercer VS. Effects of footwear on measurements of balance and gait in women between the ages of 65 and 93 years. Phys Ther 2000;80(1):17-27.
  • 19. Hughes C, Osman C, Woods AK. Relationship among performance on stair ambulation, Functional Reach, and Timed Up and Go tests in older adults. Issues Aging 1998;21:18-22.
  • 20. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther 2000;80(9):896-903.
  • 21. Murray MP, Drought AB, Kory RC. Walking pattern of normal man. J Bone Joint Surg Am 1964; 46:335-360.
  • 22. Yoshizawa M, Nakata K, Kumamoto N, Okano T. [Changes in gait pattern with aging] [In Japanese] Japanese Journal of Sports Science 1989;8(3):134-141.
  • 23. Nishijima Y, Kato T, Nakagawa H, Yoshizawa M, Miyashita M. Postural and electromyographical analysis of gait in the aged person. Walking Research 2005;9:89-94.
Document Type
Publication order reference
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10131-012-0015-y
Identifiers
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.