ABSTRACT
Background: Early detection of falls risk in the community dwelling elderly helps to take preventive measures to avoid falls and hence decrease morbidity associated with falls. Falls are a serious threat to independent living and self-confidence of the elderly. Using simple tools to determine risk of falls helps in early detection and prevention of falls. Aims and objectives of the study was to establish TUG data among patients attending the geriatric clinic at MGM hospital, Kamothe and to determine risk of falls in these patients with respect to their systemic involvement.Methods: A prospective observational study of 100 geriatric age group patients were studied for their TUG scores and classified based on systems involved. TUG was performed using standard protocol and scores were stratified based on gender, age and diagnosis. Participants were required to perform TUG and were instructed to rise from an armless chair walk 3 meters and turn around at the chalk mark, walk back, and sit. They were instructed to walk at a normal pace without walking aids and shoes. Time was recorded when participants’ buttocks were lifted off the chair to stand and stopped when the buttocks touched the seat when returning to sitting position.Results: The results showed that the average TUG score of this cohort of 100 patients attending our geriatric outpatient clinic was 13 sec. 60 Males and 40 females were analyzed of which 38 patients had less than 12 s as TUG score and 62 patients had more than or equal to 12 sec as TUG score. Maximum number of patients undergoing the TUG test had musculoskeletal complaints. Yet patients with respiratory conditions had the highest mean TUG score of 14 sec and patients with abdominal and CNS conditions had lowest mean TUG scores.Conclusions: This study of TUG score of cohort of 100 patients showed that average TUG score was 13 sec which was higher than 12 second mark which indicates that these patients who did not have any previous fall had a risk of future falls and hence a requirement of an in depth mobility assessment and early intervention.
ABSTRACT
Background: Subjects who are suffering from osteoarthritis of the knee will have problems including progressive loss of function, depending on walking, climbing stairs, and it may affect lower extremity functions. Balance is a major component required for the activities of daily living and functions. The objective of the study was to compare the effectiveness of perturbation training and conventional physiotherapy in improving balance and function in the rehabilitation of knee osteoarthritis. Method: Study design was an experimental study. Thirty subjects (16 males and 14 females) suffering from knee osteoarthritis were randomized into a control group and experimental group. Fifteen subjects in the control group were treated with traditional methods like ultrasound, stretching and strengthening, and fifteen subjects in the experimental group were given perturbation training along with the conventional method. Outcome measures used were Timed get up and go test score (TUG) and Functional reach test score (FRT) scales, pre-assessed on Day 1. Each group received 14 sessions of treatment, after which post-assessment of outcome measures was done. Results: Timed get up and go test score was reduced in both groups after training, which was statistically significant (p<.05). The functional reach test score was increased after training in both groups, which was statistically significant (p<.05). However, comparing between groups, the experimental group showed more reduction in TUG score and improvement in the FRT score, which was statistically significant (p<.05). Conclusion: Perturbation training given with conventional treatment was found to have a significantly better effect in improving the function of the lower extremity in OA knee subjects. However, a well-designed trial, including a larger sample size with repeated measurements, is needed to find out the effectiveness of training with perturbation in the management of knee osteoarthritis and generalize it in a larger population.
ABSTRACT
To evaluate several tests of physical performance for sarcopenia screening and assessment, by investigating physical performance and function in older women. 106 community-dwelling older women from a community in Shanghai were enrolled in this study. Physical function assessed by short physical performance battery (SPPB), timed get-up-and-go (TUG), handgrip strength, and usual gait speed were asked to perform. Total lean mass was determined by Dual energy X-ray absorptiometry, the relative appendicular skeletal muscle mass ( RASM) was defined as appendicular skeletal muscle mass/height2 . 13 individuals were diagnosed as sarcopenia according to a consensus diagnostic criteria for sarcopenia, as developed by the Asian Working Group for Sarcopenia ( AWGS) in 2014. Body mass index and handgrip strength in the sarcopenia group were significantly lower than those in the non-sarcopenia group (P=0. 026, P=0. 004 respectively), and there was no significant differences in the age, SPPB score, TUG, and usual gait speed. Linear regression analysis showed RASM was significantly positively correlated with body mass index (r=0. 842, P<0. 01), time to rise from a chair and return to the seated position five times (r=0. 203, P=0. 036),TUG(r=0. 258, P=0. 008)and grip strength (r=0. 217, P=0. 025), meanwhile, both body mass index and grip strength entered Logistic regression analysis. Low weight and low handgrip strength are independent predictive factors of sarcopenia in older women. Sarcopenia screening for older women with low body-weight and weak handgrip strength is more urgently required
ABSTRACT
As quedas adquirem maior relevância com o aumento da população idosa em termos de saúde pública e de aspectos socioeconômicos. As médias do tempo de realização do Timed Get Up and Go (TGUG) em pacientes idosos ambulatoriais com relato de quedas acidentais e recorrentes foram comparadas neste estudo de corte longitudinal retrospectivo. Observa-se que o tempo de realização do TGUG, em média, foi significativamente maior nos idosos com relato de quedas recorrentes...
Falls obtain more relevance with the rise of the aged population in terms of public health and socioeconomic issues. The averages of the time to perform the Timed Get Up and Go test (TGUG) in ambulatory elderly patients with story of accidental and recurrent falls were compared in this retrospective and longitudinal study. It is noted that the time to perform the TGUG, in average, was significantly higher in the elderly with story of recurrent falls...