Article

OBJECTIVE: To examine the number of trials needed to achieve performance
stability of the Timed Up & Go (TUG) test using a standardized walking aid in
patients with hip fracture who are allowed full weight bearing (FWB). DESIGN:
Prospective methodologic study. SETTING: An acute 14-bed orthopedic hip fracture
unit. PARTICIPANTS: Patients (N=122; 89 women, 33 men) with hip fracture with a
median age (25%-75%, quartiles) of 80 (67-85) years performed the TUG on hospital
discharge to their own home (n=115) or further inpatient rehabilitation (n=7).
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: After a demonstration by a
physical therapist how to perform the TUG with a standardized walking aid (a
4-wheeled rollator), the patients performed 6 timed TUG trials with up to
1-minute seated rest intervals. The participants were given a few minutes to
familiarize with the rollator before commencing the timed trials.
Repeated-measures analysis of variance (ANOVA) with Bonferroni corrections were
used to examine the number of trials needed to ensure statistically stable TUG
scores. RESULTS: A total of 106 (87%) patients performed all 6 TUG trials, while
120 patients performed a minimum of 3 timed trials. Repeated-measures ANOVAs of
both groups showed that TUG scores improved significantly (P< or =.007) up to and
including the third TUG trial. CONCLUSIONS: These results suggest that the
original TUG manual, described as 1 practice trial followed by 1 timed trial,
needs modification when used in patients with hip fracture who are allowed FWB.
The best (fastest) of 3 timed TUG trials performed with a standardized walking
aid is recommended.
CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS