Discriminative validity of the timed up and go test for community ambulation in persons with chronic stroke

• 영문명: Discriminative validity of the timed up and go test for community ambulation in persons with chronic stroke
• 발행기관: 물리치료재활과학회
• 저자명: Seung Heon An Dae-Sung Park Ji Young Lim
• 간행물 정보: 『Physical Therapy Rehabilitation Science』제6권 제4호, 176~181쪽, 전체 6쪽
• 주제분류: 의약학 > 재활의학
• 파일형태: PDF
• 발행일자: 2017.12.31

영문 초록

Objective: The timed up and go (TUG) test is method used to determine the functional mobility of persons with stroke. Its reliability, validity, reaction rate, fall prediction, and psychological characteristics concerning ambulation ability have been validated. However, the relationship between TUG performance and community ambulation ability is unclear. The purpose of this study was to investigate whether the TUG performance time could indicate community ambulation levels (CAL) differentially in persons with chronic stroke. Design: Cross-sectional study. Methods: Eighty-seven stroke patients had participated in this study. Based on the self-reporting survey results on the difficulties experienced when walking outdoors, the subjects were divided into the independent community ambulation (ICA) group (n=35) and the dependent community ambulation group (n=52). Based on the area under the curve (AUC), the discrimination validity of the TUG performance time was calculated for classifying CAL. The Binomial Logistic Regression Model was utilized to produce the likelihood ratio of selected TUG cut-off values for the distinguishing of community ambulation ability. Results: The selected TUG cut-off values and the area under the curve were <14.87 seconds (AUC=0.871, 95% confidence interval=0.797-0.945), representing a mid-level accuracy. Concerning the likelihood ratio of the selected TUG cut-off value, it was found that the group with TUG performance times shorter than 14.87 seconds showed a 2.889 times higher probability of ICA than those with a TUG score of 14.87 seconds or longer (p<0.05). Conclusions: The TUG can be viewed as an assessment tool that is capable of classifying CAL.

목차

Introduction

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Discussion

키워드

Community participation Stroke Walking Walking speed