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Performance of Different Timed Up and Go Subtasks in Frailty Syndrome.
J Geriatr Phys Ther. 2019 Oct/Dec; 42(4):287-293.JG

Abstract

BACKGROUND AND PURPOSE

Gait speed, mobility, and postural transitions should be taken into account in older adults with frailty syndrome and can be assessed by the Timed Up and Go (TUG) Test. However, it is unclear which TUG subtasks have greater influence in identifying frail people and whether prefrail individuals present with any reduced subtask performance. The objective of this study was to investigate the differences in performance of TUG subtasks between frail, prefrail, and nonfrail older adults.

METHODS

A cross-sectional study was performed with community-dwelling older adults, including 43 nonfrail, 30 prefrail, and 7 frail individuals. The TUG subtasks (sit-to-stand, walking forward, turning, walking back, and turn-to-sit) were assessed using a Qualisys motion system. Data were captured by Qualisys Track Manager software and processed by Visual 3D software. The Matlab program was used to detect, separate, and analyze the TUG subtasks. Statistical significance was set at α= .05 and SigmaPlot software (11.0) was used.

RESULTS AND DISCUSSION

The total time to complete the TUG was significantly longer among frail participants than among those who were prefrail and nonfrail. Statistically significant differences in temporal parameters in the turning, walking forward, and walking back subtasks between nonfrail/prefrail and frail older people were found. In addition, the transition TUG subtasks (average and peak velocities of the trunk) distinguished the frail group from the other groups, demonstrating altered quality of movement.

CONCLUSIONS

The findings support the value of analyzing the TUG subtasks to improve understanding of mobility deficits in frailty syndrome.

Authors+Show Affiliations

Department of Physiotherapy, Federal University of Mato Grosso do Sul, Brazil.Department of Physiotherapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil.Department of Physiotherapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil.Department of Physiotherapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil.Centro Universitário do Norte, Manaus, Amazonas, Brazil.Department of Physiotherapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

29210935

Citation

Ansai, Juliana Hotta, et al. "Performance of Different Timed Up and Go Subtasks in Frailty Syndrome." Journal of Geriatric Physical Therapy (2001), vol. 42, no. 4, 2019, pp. 287-293.
Ansai JH, Farche ACS, Rossi PG, et al. Performance of Different Timed Up and Go Subtasks in Frailty Syndrome. J Geriatr Phys Ther. 2019;42(4):287-293.
Ansai, J. H., Farche, A. C. S., Rossi, P. G., de Andrade, L. P., Nakagawa, T. H., & Takahashi, A. C. M. (2019). Performance of Different Timed Up and Go Subtasks in Frailty Syndrome. Journal of Geriatric Physical Therapy (2001), 42(4), 287-293. https://doi.org/10.1519/JPT.0000000000000162
Ansai JH, et al. Performance of Different Timed Up and Go Subtasks in Frailty Syndrome. J Geriatr Phys Ther. 2019 Oct/Dec;42(4):287-293. PubMed PMID: 29210935.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Performance of Different Timed Up and Go Subtasks in Frailty Syndrome. AU - Ansai,Juliana Hotta, AU - Farche,Ana Claudia Silva, AU - Rossi,Paulo Giusti, AU - de Andrade,Larissa Pires, AU - Nakagawa,Theresa Helissa, AU - Takahashi,Anielle Cristhine de Medeiros, PY - 2017/12/7/pubmed PY - 2020/7/11/medline PY - 2017/12/7/entrez SP - 287 EP - 293 JF - Journal of geriatric physical therapy (2001) JO - J Geriatr Phys Ther VL - 42 IS - 4 N2 - BACKGROUND AND PURPOSE: Gait speed, mobility, and postural transitions should be taken into account in older adults with frailty syndrome and can be assessed by the Timed Up and Go (TUG) Test. However, it is unclear which TUG subtasks have greater influence in identifying frail people and whether prefrail individuals present with any reduced subtask performance. The objective of this study was to investigate the differences in performance of TUG subtasks between frail, prefrail, and nonfrail older adults. METHODS: A cross-sectional study was performed with community-dwelling older adults, including 43 nonfrail, 30 prefrail, and 7 frail individuals. The TUG subtasks (sit-to-stand, walking forward, turning, walking back, and turn-to-sit) were assessed using a Qualisys motion system. Data were captured by Qualisys Track Manager software and processed by Visual 3D software. The Matlab program was used to detect, separate, and analyze the TUG subtasks. Statistical significance was set at α= .05 and SigmaPlot software (11.0) was used. RESULTS AND DISCUSSION: The total time to complete the TUG was significantly longer among frail participants than among those who were prefrail and nonfrail. Statistically significant differences in temporal parameters in the turning, walking forward, and walking back subtasks between nonfrail/prefrail and frail older people were found. In addition, the transition TUG subtasks (average and peak velocities of the trunk) distinguished the frail group from the other groups, demonstrating altered quality of movement. CONCLUSIONS: The findings support the value of analyzing the TUG subtasks to improve understanding of mobility deficits in frailty syndrome. SN - 2152-0895 UR - https://www.unboundmedicine.com/medline/citation/29210935/Performance_of_Different_Timed_Up_and_Go_Subtasks_in_Frailty_Syndrome_ L2 - https://doi.org/10.1519/JPT.0000000000000162 DB - PRIME DP - Unbound Medicine ER -