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Geriatr Psychol Neuropsychiatr Vieil ; 10(2): 165-73, 2012 Jun.
Artigo em Francês | MEDLINE | ID: mdl-22713845

RESUMO

Major features of the psychomotor disadaptation syndrome (SDPM) include motor skill dysfunctions with alteration of postural capabilities, walking abilities and psychomotric automatisms. Mini motor test (TMM) is the gold standard used by skilled physiotherapists in order to assess the syndrome. The aim of this article is to present the elaboration process of a new SDPM screening tool, called the Get-up early test. The test was firstly elaborated through consensus of nine experts in the geriatric field. This first 5-items version had poor inter-rater reproducibility and was therefore modified in a new 4-item version. This new version had substantial inter-rater concordance. Compared to the TMM as gold standard, in two different settings (acute ward and nursing home), with a cut-off value≥1/4, diagnostic performance was good (sensibility: 0.73 and specificity 0.88; area under curve: 0.823). The last step was to implement the screening tool in three Mobile geriatric units and we report here their experience. The Get-up early test may be suggested as a new screening tool in order to detect SDPM before more in-depth comprehensive geriatric assessment, and to early adapt the care plan.


Assuntos
Idoso Fragilizado , Avaliação Geriátrica/métodos , Programas de Rastreamento/métodos , Transtornos Psicomotores/diagnóstico , Acidentes por Quedas/prevenção & controle , Idoso , Idoso de 80 Anos ou mais , Bélgica , Comportamento Cooperativo , Avaliação da Deficiência , Geriatria , Departamentos Hospitalares , Humanos , Comunicação Interdisciplinar , Modalidades de Fisioterapia , Equilíbrio Postural , Valor Preditivo dos Testes , Transtornos Psicomotores/reabilitação , Síndrome
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