Effect of foot placements during sit to stand transition on timed up and go test in stroke subjects: A cross sectional study

OBJECTIVE: To evaluate if the capacity to perform functional mobility activities change within the first year post-stroke using the Timed “Up and Go” Assessment of Biomechanical Strategies (TUG-ABS). METHODS: A cross-sectional study was conducted with thirty-eight stroke individuals. A motion analysis system was used during the Timed “Up and Go” (TUG) test to evaluate the following activities: sit-to-stand, gait, turn, and stand-to-sit. Kinematic variables related to each activity were obtained in addition to TUG-ABS scores. The ability to perform the activities was compared between subacute (up to 3 months post-stroke, n = 21) and chronic participants (4 to 12 months post-stroke, n = 17) using Mann-Whitney U tests (α= 5%). RESULTS: Results were expressed as median difference (MD) and 95% confidence intervals (95% CI). TUG-ABS scores: Sit-to-stand (MD = 0, 95% CI = 0.0 to 1), gait (MD = 0, 95% CI = 0.0 to 1), stand-to-sit (MD = 0, 95% CI = 0.0 to 1), and total score (MD = 2.0, 95% CI = 0.0 to 6) were not different between groups. Subacute participants presented significant better scores during turn activity (MD = 2.0, 95% CI 0.0 to 2.0). All kinematic variables were not different between participants. CONCLUSIONS: Capacity to perform functional activities was not different within the first year post-stroke, suggesting that biomechanical strategies are developed within the first three months following stroke.

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50 Sociodemographic, Physical Performance and Fear of Falls Profile of Older Adult Fallers and Non Fallers: A Preliminary Study

Age and Ageing ◽

10.1093/ageing/afz164.50 ◽

2019 ◽

Vol 48 (Supplement_4) ◽

pp. iv13-iv17

Author(s):

Azianah Ibrahim ◽

Nur Aimuni Abu Hassan ◽

Halizahanim Hassan

Keyword(s):

Older Adults ◽

Older Adult ◽

Physical Performance ◽

Cross Sectional Study ◽

Falls Prevention ◽

Timed Up And Go ◽

Cross Sectional ◽

Sit To Stand ◽

Management Plans ◽

Fear Of Falls

Abstract Introduction It is important to identify older adult fallers in order to implement early prevention management also prevent recurrent falls. This study aimed to explore the profiles of older adult fallers and non-fallers in regards to socio-demographic, physical performance, fear of falls that includes the activities that were feared in regard to falls. Analysis Descriptive and mean comparison test. Methodology Participants for this study were recruited among individuals aged 60 years and above, able to walk 3m, able to stand independently for longer than 1min and able to comprehend and follow instructions. Exclusion criteria include recent vertebral or lower limb fracture (less than 6months), unstable angina, unable to follow command and severe hearing and vision impairment. Design: Cross-sectional study. Results A number of 27 older adults were screened for falls. Based on Timed Up and Go test (cut off 11.18s), 8 (29.6%) of them were identified as fallers. Fallers were majority females (10, 37%), had visual impairment (4,14.8%), older (77.4±2.9years versus 68.4±5.7years) and had slightly higher in fear of falls score (13.2±5.5 versus 12.0±7.0). In view of physical performance, fallers were slower in Timed Up and Go test (13.6±2.4 versus 9.1±1.4), weaker in hand grip strength (14.3±2.5kg versus 21.5±19.3kg) and weaker in sit-to-stand performance (13.3±2.7s versus 10.7±2.7s). Age (p<0.05) and sit-to-stand performance (p<0.05) significantly differed between fallers and non-fallers. Among seven activities assessed using short Falls Efficacy Scale-International, non-fallers were found to have more fear during various activities compared to fallers. Implication Exploration of falls risk profiles in older adults will hopefully allow better understanding and further improvement in developing falls prevention management plans.

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Knee extension strength and handgrip strength are important predictors of Timed Up and Go test performance among community-dwelling elderly women: a cross-sectional study

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2020.0182.r1.30102020 ◽

2021 ◽

Vol 139 (1) ◽

pp. 77-80

Author(s):

Diogo Carvalho Felício ◽

José Elias Filho ◽

Bárbara Zille de Queiroz ◽

Juliano Bergamaschine Mata Diz ◽

Daniele Sirineu Pereira ◽

...

Keyword(s):

Test Performance ◽

Elderly Women ◽

Handgrip Strength ◽

Knee Extension ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Timed Up And Go ◽

Cross Sectional ◽

Knee Extension Strength

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Timed Up and Go (TUG) Reference Values and Predictive Cutoffs for Fall Risk and Disability in Singaporean Community-Dwelling Adults: Yishun Cross-Sectional Study and Singapore Longitudinal Aging Study

Journal of the American Medical Directors Association ◽

10.1016/j.jamda.2021.03.002 ◽

2021 ◽

Author(s):

Pei Ling Choo ◽

Nien Xiang Tou ◽

Benedict Wei Jun Pang ◽

Lay Khoon Lau ◽

Khalid Abdul Jabbar ◽

...

Keyword(s):

Reference Values ◽

Fall Risk ◽

Cross Sectional Study ◽

Community Dwelling ◽

Sectional Study ◽

Timed Up And Go ◽

Cross Sectional ◽

Aging Study ◽

Longitudinal Aging Study

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Motor activity across delirium motor subtypes in geriatric patients assessed using body-worn sensors: a Norwegian cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-026401 ◽

2019 ◽

Vol 9 (2) ◽

pp. e026401 ◽

Cited By ~ 1

Author(s):

Sigurd Evensen ◽

Alan Kevin Bourke ◽

Stian Lydersen ◽

Olav Sletvold ◽

Ingvild Saltvedt ◽

...

Keyword(s):

Motor Activity ◽

Geriatric Patients ◽

Cross Sectional Study ◽

University Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Sit To Stand ◽

Gait Function ◽

Mixed Groups ◽

Different Levels

ObjectivesIt remains unclear if geriatric patients with different delirium motor subtypes express different levels of motor activity. Thus, we used two accelerometer-based devices to simultaneously measure upright activity and wrist activity across delirium motor subtypes in geriatric patients.DesignCross-sectional study.SettingsGeriatric ward in a university hospital in Norway.ParticipantsSixty acutely admitted patients, ≥75 years, with DSM-5-delirium.Outcome measuresUpright activity measured as upright time (minutes) and sit-to-stand transitions (numbers), total wrist activity (counts) and wrist activity in a sedentary position (WAS, per cent of the sedentary time) during 24 hours ongoing Delirium Motor Subtype Scalesubtyped delirium.ResultsMean age was 86.7 years. 15 had hyperactive, 20 hypoactive, 17 mixed and 8 had no-subtype delirium. We found more upright time in the no-subtype group than in the hypoactive group (119.3 vs 37.8 min, p=0.042), but no differences between the hyperactive, the hypoactive and the mixed groups (79.1 vs 37.8 vs 50.1 min, all p>0.28). The no-subtype group had a higher number of transitions than the hypoactive (54.3 vs 17.4, p=0.005) and the mixed groups (54.3 vs 17.5, p=0.013). The hyperactive group had more total wrist activity than the hypoactive group (1.238×104vs 586×104counts, p=0.009). The hyperactive and the mixed groups had more WAS than the hypoactive group (20% vs 11%, p=0.032 and 19% vs 11%, p=0.049).ConclusionsGeriatric patients with delirium demonstrated a low level of upright activity, with no differences between the hyperactive, hypoactive and mixed groups, possibly due to poor gait function. The hyperactive and mixed groups had more WAS than the hypoactive group, indicating true differences in motor activity across delirium motor subtypes, also in geriatric patients. Wrist activity appears more suitable than an upright activity for both diagnostic purposes and activity monitoring in geriatric delirium.

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