Using the Timed Up & Go test in a clinical setting to predict falling in Parkinson's disease.
Arch Phys Med Rehabil
; 94(7): 1300-5, 2013 Jul.
Article
em En
| MEDLINE
| ID: mdl-23473700
ABSTRACT
OBJECTIVE:
To investigate the ability of the Timed Up & Go test to identify patients with Parkinson's disease at risk for a fall.DESIGN:
Cross-sectional cohort study.SETTING:
Sixteen participating National Parkinson's Foundation Centers of Excellence.PARTICIPANTS:
A query yielded a total of 2985 records (1828 men and 1157 women). From these, 884 were excluded because of a lack of crucial information (age, diagnosis, presence of deep brain stimulation, disease duration, inability of performing the Timed Up & Go test without assistance) at the time of testing, leaving 2097 patients included in the analysis.INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
The primary outcome measure for this study was falls. The chief independent variable was the Timed Up & Go test.RESULTS:
The initial model examined the prediction of falls from the Timed Up & Go test, adjusting for all study covariates. The estimated models in the imputed data sets represented a significant improvement above chance (χ(2) range [df=17], 531.29-542.39, P<.001), suggesting that 74% of participants were accurately classified as a faller or nonfaller. The secondary model in which the question of whether the effect of Timed Up & Go test was invariant across disease severity demonstrated 75% of participants were accurately classified as a faller or nonfaller. Additional analysis revealed a proposed cut score of 11.5 seconds for discrimination of those who did or did not fall.CONCLUSIONS:
The findings suggest that the Timed Up & Go test may be an accurate assessment tool to identify those at risk for falls.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença de Parkinson
/
Acidentes por Quedas
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Modalidades de Fisioterapia
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Avaliação da Deficiência
Tipo de estudo:
Etiology_studies
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Observational_studies
/
Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Arch Phys Med Rehabil
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Estados Unidos