scholarly journals Evaluación de la fiabilidad en instrumentos de valoración funcional en pacientes en hemodiálisis

2018 ◽  
Vol 21 (3) ◽  
pp. 231-239
Author(s):  
Anna Junqué Jiménez ◽  
Esther Tomás Bernabeu ◽  
Yolanda Fernández Parra ◽  
Dolores Andreu-Periz ◽  
Eva Segura Ortí
Keyword(s):  
Physical Performance ◽  
Short Physical Performance Battery ◽  
Timed Up And Go ◽  
Sit To Stand

Introducción: Cada vez es más frecuente promocionar programas de ejercicio físico en pacientes en hemodiálisis. Se puede valorar la condición física de estos pacientes y el resultado de dichos programas con diferentes pruebas funcionales. Objetivo: Valorar la fiabilidad en términos de concordancia interobservador de las mediciones de capacidad funcional y fuerza muscular en pacientes en hemodiálisis. Material y Método: 30 pacientes en hemodiálisis realizaron una batería de pruebas funcionales en dos fases: Short Physical Performance Battery, equilibrio estático monopodal, Timed Up and Go, Test Sit-to-stand-To-Sit-5, Sit-to-stand-To-Sit-10, Sit-to-stand-To-Sit-60, fuerza de tríceps sural, 6 minutos marcha y dinamometría de la mano. Resultados: El índice de correlación intraclase para la fiabilidad interobservador fue para el test Sit-to-stand-To-Sit-5: 0,779; velocidad en 4 metros: 0,820; puntuación total Short Physical Performance Battery: 0,807; Sit-to-stand-To-Sit-10: 0,908; Sit-to-stand-To-Sit-60: 0,865; 6 minutos marcha: 0,897; Equilibrio monopodal: 0,925; Timed Up and Go: 0,918; Fuerza de tríceps sural derecho: 0,702; Fuerza de tríceps sural izquierdo: 0,995; dinamometría mano derecha con apoyo: 0,952; dinamometría mano izquierda con apoyo: 0,897; dinamometría mano derecha sin apoyo: 0,973; dinamometría mano izquierda con apoyo: 0,964. Conclusiones: La fiabilidad interobservador en la mayoría de las pruebas es alta, por lo que se puede aceptar que la valoración del estado funcional del paciente y de los resultados de los programas destinados a promocionar el ejercicio lo lleven a cabo diferentes observadores experimentados, lo que facilitaría el seguimiento de los pacientes.

scholarly journals Comparación de un programa de ejercicio intradiálisis frente a ejercicio domiciliario sobre capacidad física funcional y nivel de actividad física

2016 ◽  
Vol 19 (1) ◽  
pp. 45-54
Author(s):  
Lucía Ortega Pérez de Villar ◽  
Sara Antolí García ◽  
Mª Jesús Lidón Pérez ◽  
Juan José Amer Cuenca ◽  
Vicent Benavent Caballer ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Performance ◽  
Human Activity ◽  
Short Physical Performance Battery ◽  
Activity Profile ◽  
Timed Up And Go ◽  
Sit To Stand ◽  
Activity Scale ◽  
Physical Activity Scale

Introducción: El ejercicio durante la hemodiálisis es beneficioso, aunque son pocas las unidades de hemodiálisis que ofrecen un programa de ejercicio adaptado a estos pacientes. Por ello es necesario encontrar alternativas más económicas para realizar ejercicio. El objetivo es comparar los efectos de un programa de ejercicio intradiálisis frente a ejercicio domiciliario, sobre la adherencia al programa, la capacidad física funcional y el nivel de actividad física. Métodos: 17 pacientes en hemodiálisis de un centro de Valencia fueron aleatorizados dividiéndoles en un grupo de ejercicio intradiálisis (n=9) y un grupo domiciliario (n=8). Ambos programas incluían ejercicio aeróbico y de fuerza durante 4 meses. Se valoró una amplia batería de pruebas funcionales (Short Physical Performance Battery, equilibrio monopodal, Timed Up and Go, Sit To Stand to sit test 10 y 60, dinamometría de mano, fuerza de tríceps, 6 minutos marcha) y dos cuestionarios de nivel de actividad física (Human Activity Profile y Physical Activity Scale for Elderly). Resultados: 2 pacientes del grupo intradiálisis y 5 pacientes de ejercicio domiciliario finalizaron el programa y fueron analizados. Se observó un efecto significativo del factor tiempo en el caso del Human Activity Profile (P

Optimal frequency of whole body vibration training for improving balance and physical performance in the older people with chronic stroke: A randomized controlled trial

2021 ◽  
pp. 026921552110505
Author(s):  
Ning Wei ◽  
Mengying Cai
Keyword(s):  
Older People ◽  
Physical Performance ◽  
High Frequency ◽  
Low Frequency ◽  
Chronic Stroke ◽  
Whole Body ◽  
Timed Up And Go ◽  
Stand Test ◽  
Sit To Stand ◽  
Frequency Group

Objective To explore the optimal frequency of whole-body vibration training for improving the balance and physical performance in older people with chronic stroke. Design a single-blind randomized controlled trial. Setting Two rehabilitation units in the Wuhan Brain Hospital in China. Participants A total of 78 seniors with chronic stroke. Interventions Low-frequency group (13 Hz), high-frequency group (26 Hz), and zero-frequency group (Standing on the vibration platform with 0 Hz) for 10 sessions of side-alternating WBV training. Main measures The timed-up-and-go test, five-repetition sit-to-stand test, 10-metre walking test, and Berg balance scale were assessed pre- and post-intervention. Results Significant time × group interaction effects in five-repetition sit-to-stand test (p = 0.014) and timed-up-and-go test at self-preferred speed (p = 0.028) were observed. The high-frequency group outperformed the zero-frequency group in both five-repetition sit-to-stand test (p = 0.039) and timed-up-and-go test at self-preferred speed (p = 0.024) after 10-sessions training. The low-frequency group displayed only a significant improvement in five-repetition sit-to-stand test after training (p = 0.028). No significant within- or between-group changes were observed in the Berg balance scale and walking speed (p > 0.05). No significant group-difference were found between low-frequency and high-frequency groups. No adverse events were reported during study. Conclusions Compared with 13 Hz, 26 Hz had no more benefits on balance and physical performance in older people with chronic stroke.

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

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.

scholarly journals Test-retest reliability and minimal detectable change scores for the short physical performance battery, one-legged standing test and timed up and go test in patients undergoing hemodialysis

PLoS ONE ◽  
2018 ◽  
Vol 13 (8) ◽  
pp. e0201035 ◽  
Author(s):  
Lucía Ortega-Pérez de Villar ◽  
Francisco José Martínez-Olmos ◽  
Anna Junqué-Jiménez ◽  
Juan José Amer-Cuenca ◽  
Javier Martínez-Gramage ◽  
...  
Keyword(s):  
Physical Performance ◽  
Short Physical Performance Battery ◽  
Minimal Detectable Change ◽  
Detectable Change ◽  
Timed Up And Go ◽  
Retest Reliability ◽  
Change Scores ◽  
Standing Test ◽  
Test Retest Reliability

scholarly journals Intra-rater Reproducibility in Physical Function Testing Among Haemodialysis Patients: The Impact of Measurement Timing

2021 ◽  
Author(s):  
Anna Junqué ◽  
Ester Tomás ◽  
Lola Andreu ◽  
Eva Segura
Keyword(s):  
Physical Function ◽  
Physical Performance ◽  
Gait Speed ◽  
Correlation Coefficients ◽  
Short Physical Performance Battery ◽  
Systematic Bias ◽  
Walking Test ◽  
Stand Test ◽  
Sit To Stand ◽  
The Impact

Abstract Background. Accurate evaluation of physical function in patients undergoing haemodialysis is crucial in the analysis of the impact of exercise programs in this population. Objective. To evaluate the reproducibility of several physical functional tests, depending on the timing of their implementation (before the HD session versus non-HD days). Design. Prospective, non-experimental, descriptive study.Methods. Thirty patients in haemodialysis were evaluated twice, one week apart. The test session was performed before the haemodialysis session started and a retest was performed in non-dialysis day. The testing battery included the Short Physical Performance Battery, sit-to-stand-to-sit tests, six-minute walking test, one-leg stand test, timed up and go, and handgrip strength with and without forearm support. The intra- rater reproducibility was determined by the intraclass correlation coefficients and the agreement was assessed by Bland–Altman analysis.Results. The interclass correlation coefficients values ranged from 0.86 to 0.96, so that all tests showed good to very good relative reliability. The mean differences between trials of sit to stand to sit 10 and 60, Time up and go and all the handgrip tests were close to zero, indicating no systematic differences between trials. Large range of values between trials was observed for the Six minutes walking test, gait speed, One-leg stand test and Short physical performance battery, indicating a systematic bias for these four tests.Conclusion. The Sit to stand to sit 10 and 60, time up and go and handgrip tests had good to excellent test-retest reliability in measuring physical function in different dialysis days of patients undertaking haemodialysis. The Minimal detectable change values are provided for this population. Bias were found for the Six minutes walking test, gait speed, Short physical performance battery or one-leg stand test when the testing day changed.

scholarly journals AB1285-HPR ACCELEROMETRIC ASSESSMENT OF PHYSICAL PERFORMANCE DURING THE SIT-TO-STAND TEST IN PATIENTS WITH KNEE OSTEOARTHRITIS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1933.2-1933
Author(s):  
S. Fellous ◽  
H. Rkain ◽  
S. Afilal ◽  
J. Moulay Berkchi ◽  
T. Fatima Zahrae ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Physical Performance ◽  
Muscle Power ◽  
Functional Limitation ◽  
Lower Limbs ◽  
Public Health Issue ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Stand Test ◽  
Sit To Stand

Background:Knee osteoarthritis is a major public health issue that causes chronic pain and functional limitation.Objectives:This study aims to evaluate physical performance in knee osteoarthritis by clinical tests and accelerometer measurements, and investigate the relationship between physical perfomance alteration and clinical parameters.Methods:This is a cross-sectional study, included 40 patients with knee osteoarthritis (100% female, average age 57.6 ± 5.2 years, median evolution time was 36 [24, 69] months, overweight in 82.5% of patients). Clinical evaluation performed with the visual analog scale (VAS), Western Ontario and McMaster Osteoarthritis Index (WOMAC), Lequesne score, Get up and Go (GUG) and Timed up and Go (TUG) tests. The percentage of fat mass was measured using impedencemetry.All subjects were instructed to perform sit-to-stand transfers during 30 secondes. We measured the speed, strength and muscular power of the lower limbs during this test using the Myotest PRO® accelerometer.A correlation analysis was performed in search of factors associated with physical performance alteration.Results:The median speed during the sit-to-stand test was 4.3 [3.1-6.2] cm / sec. The median muscular strength and power during this test were 15.2 [13.6-17.7] Nm / kg and 14.5 [9.9-21.7] W / kg respectively.Body mass index (BMI) correlated negatively with the 3 parameters of physivcal performance mesured by the Myotest PRO® accelerometer (speed, strength and muscle power) during the sit-to-stand test (p<0,05). There was no correlation between those measured parameters of physical performance, pain and functional indices of knee osteoarthritis.Conclusion:Our pilot study assessed the physical performance of the lower limbs in knee osteoarthritis patients, by measuring the speed, strength and muscle power during the the sit-to-stand test. It suggests an association between obesity and physical performance alteration in knee osteoarthritis patients.Disclosure of Interests:None declared

scholarly journals Correlação entre instrumentos de avaliação da funcionalidade e equilíbrio em pacientes com artrite reumatoide

2015 ◽  
Vol 29 (3) ◽  
pp. 345-353 ◽  
Author(s):  
Mariana de Almeida LOURENÇO ◽  
Izabela ROMA ◽  
Marcos Renato de ASSIS
Keyword(s):  
Physical Performance ◽  
Short Physical Performance Battery ◽  
Timed Up And Go ◽  
Artrite Reumatoide ◽  
Kolmogorov Smirnov

ResumoA artrite reumatoide (AR) é uma doença autoimune inflamatória sistêmica, crônica e progressiva, que pode causar diminuição da mobilidade, força e atividade física, levando a alterações de propriocepção, equilíbrio postural e marcha, que aumentam o risco de queda nesses pacientes. O presente estudo teve como objetivo verificar se existe correlação entre testes de funcionalidade e equilíbrio em pacientes com AR. Para isso foi feito um corte transversal com a amostra composta por 99 pacientes com diagnóstico de AR de ambos os sexos. Os instrumentos de avaliação do risco de queda usados foram: Escala de Equilíbrio de Berg (Berg), Teste "Timed Up and Go" (TUG), Teste de Caminhada de 6 Minutos e Short Physical Performance Battery (SPPB) ou Bateria de Testes de Guralnik. Feito teste de Kolmogorov-Smirnov para normalidade de distribuição e correlação de Spearman, com nível de significância de p < 0,05. Os pacientes eram 88,9% do sexo feminino e com idade média de 56,15 anos (± 11,64). A idade apresentou correlação fraca, porém significativa de modo que quanto mais velho, pior o desempenho nos testes. O desempenho médio nos instrumentos não colocou esses pacientes com AR como alto risco de queda, porém não há valores de corte específicos para essa população. Os instrumentos mostraram correlação de moderada a forte entre si (p < 0,01). Conclui-se, portanto, que os testes físicos realizados são correlacionados e representam bem a capacidade física desses pacientes com AR,principalmente entre pessoas a partir dos 41 anos e homens.

scholarly journals EFEITOS DA ATIVIDADE FÍSICA INESPECÍFICA SOBRE O EQUILÍBRIO CORPORAL EM IDOSOS

Life Style ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. 73-82
Author(s):  
Elias Porto ◽  
Thais De Oliveira Pimentel ◽  
Fabiano A Bernardes ◽  
Ana Carla Camargo ◽  
Claudia Kumpel
Keyword(s):  
Physical Performance ◽  
Short Physical Performance Battery ◽  
Timed Up And Go

Introdução - Um dos principais fatores que limitam as atividades do cotidiano do indivíduo idoso é a alteração do equilíbrio corporal, pois ocasiona medo de quedas, inatividade e perdas funcionais importantes. Objetivo - avaliar retrospectivamente, durante 36 meses, o equilíbrio corporal de indivíduos idosos praticantes de atividades física. Métodos - A pesquisa foi realizada através de consulta a prontuários de pacientes idosos, com idade mínima de 60 anos, que se submeteram a avaliação do equilíbrio corporal nos últimos três anos no Centro de Especialidades João da Luz, no município de São Lourenço da Serra desde 2011 e que participaram do programa de exercício físico do mesmo centro. Os pacientes realizaram, anualmente, uma avaliação completa do equilíbrio corporal por meio dos seguintes testes: Escala de BERG, Teste Timed UP and GO (TUG), Desempenho Orientado de Poma, Teste de Lawton e Short Physical Performance Battery. Resultado - Nos 82 pacientes avaliados o equilíbrio foi significantemente melhor na avaliação após 36 meses em relação à avaliação basal para o grupo de idosos que realizava caminhada; entre os pacientes com hipertensão e diabetes não foi encontrada diferença real nos testes de equilíbrio ao longo do acompanhamento. Além disso, o equilíbrio de idosos que não praticaram atividade física diminuiu ao longo dos três anos. Conclusão - A inatividade física deteriora o equilíbrio dos idosos. Além disso, pode-se afirmar que doenças como hipertensão e diabetes não alteraram o equilíbrio dos indivíduos ao longo do acompanhamento.

scholarly journals Uso da bandagem infrapatelar no desempenho físico e mobilidade funcional de idosas com história de quedas

2015 ◽  
Vol 18 (1) ◽  
pp. 119-127 ◽  
Author(s):  
Isabela Feitosa de Carvalho ◽  
Tiago Buso Bortolotto ◽  
Ligia Cristiane Santos Fonseca ◽  
Marcos Eduardo Scheicher
Keyword(s):  
Physical Performance ◽  
Short Physical Performance Battery ◽  
Timed Up And Go ◽  
Contrôle Postural

INTRODUÇÃO: Algumas alterações ocorrem durante o processo do envelhecimento, dentre as quais se destaca o déficit de equilíbrio postural. Informações sensoriais e ações motoras são importantes no desenvolvimento do controle postural, sendo que idosos podem apresentar alterações sensório-motoras interferindo no equilíbrio postural e aumentando o risco de quedas. Foi demonstrado que a manipulação da informação sensorial no controle postural utilizando a estratégia do toque suave em uma superfície rígida e estacionária reduziu a oscilação corporal comparado com a situação sem toque. OBJETIVOS: Investigar o efeito da adição da informação sensorial bandagem infrapatelar no controle postural e no desempenho físico em idosas caidoras e não caidoras. MÉTODOS: Foram avaliadas 40 idosas, divididas em dois grupos: o Grupo 1, composto de 20 idosas sem histórico de quedas, e o Grupo 2, com 20 idosas com histórico de quedas. A mobilidade e o desempenho físico foram avaliados por meio dos testes Timed Up and Go TUG e Short Physical Performance Battery SPPB, respectivamente, com e sem a bandagem infrapatelar. Após verificação da normalidade dos dados, as comparações foram feitas com o teste t pareado e não pareado, teste de Wilcoxon e teste de Mann-Whitney, com p≤0,05. RESULTADOS: Houve diferença significativa p=0,001 na comparação do TUG em idosas caidoras com a utilização da bandagem infrapatelar. Não houve diferença significativa no uso da adição sensorial no SPPB. CONCLUSÃO: A adição de informação sensorial por meio do uso da bandagem infrapatelar melhora a mobilidade de idosas caidoras, porém não o desempenho físico.

Sign in / Sign up

Export Citation Format

Share Document