Time up and Go Classic, Manual and Cognitive: prediction analysis of the risk of falling physically active elderly

Journal of Health Science Pub Date : 2020-05-12 DOI:10.17921/2447-8938.2020V22N1P100-105

M. Nascimento

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引用次数: 0

Abstract

Abstract Elderly falls affect public health, which justifies the evaluation of their risk. The present study analyzed gait performance of physically active elderly women by means of the test, predicting the risk of falls in this population, as well as determining the levels of sensitivity and specificity of these tests. A quantitative cross-sectional study was carried out with 191 women (67,30±5,13 years), practicing Pilates and water aerobics, divided into fallers and non-fallers groups. The tests applied were the classic Time Up and Go (TUG), its manual version (TUGm) and cognitive (TUGc). A drop rate of 28.8% was found. Participants from both groups did not indicate performance deficits in the evaluation of TUG, TUGm and TUGc (p≥0.05). According to the logistic regression analysis, the TUG, TUGm and TUGc tests did not explain the occurrence of falls (p≥0,05). The ROC curve showed an accuracy of 0.520 for TUG (p=0.673), 0.517 for TUGm (0.711) and 0.526 for TUGc (p=0.570). The cut-off points suggested to determine the risk of falling for TUG, TUGm and TUGc were ≤9,95sec., ≥10,35sec. and ≥11,30 sec., respectively. The TUG, TUGm, and TUGc tests showed predictive capacity and low diagnostic accuracy, thus reduced competence to discriminate fallers from non-fallers among physically active elders. Its application is suggested in association with balance tests, lower limb strength and gerontological scales. Keywords: Accidental Falls. Aged. Physical Fitness. Resumo Quedas de idosos incidem em questao de saude publica, o que justifica a avaliacao do seu risco. O presente estudo analisou o desempenho da marcha de idosas fisicamente ativas por meio do teste, predizendo o risco de queda dessa populacao, alem de determinar os niveis de sensibilidade e especificidade desses testes. Estudo transversal quantitativo desenvolvido com 191 mulheres (67,30±5,13 anos) praticantes do Pilates e hidroginastica, divididas em grupo caidor e nao-caidor. Os testes aplicados foram o Time Up and Go (TUG) classico, sua versao manual (TUGm) e cognitiva (TUGc). Verificou-se taxa de queda de 28,8%. Participantes de ambos os grupos nao indicaram deficits de desempenho na avaliacao do TUG, TUGm e TUGc (p≥0,05). Segundo a analise de regressao logistica, os testes TUG, TUGm e TUGc nao explicaram a ocorrencia de quedas (p≥0,05). A curva ROC apontou acuracia de 0,520 para o TUG (p=0,673), 0,517 para o TUGm (0,711) e 0,526 para o TUGc (p=0,570). Os pontos de corte sugeridos a determinacao do risco de queda para o TUG, TUGm e TUGc foram ≤9,95seg., ≥10,35seg. e ≥11,30 seg., respectivamente. Os testes TUG, TUGm e TUGc mostraram capacidade preditiva e acuracia diagnostica baixa, logo reduzida competencia para discriminar caidores de nao-caidores entre idosas fisicamente ativas. Sugere-se sua aplicacao associada a testes de equilibrio, forca de membros inferiores e escalas gerontologicas. Palavras-chave: Acidentes por Quedas. Idoso. Aptidao Fisica.

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Time up和Go Classic，手动和认知:体力活动老年人跌倒风险的预测分析

老年人跌倒影响公众健康，有必要对其风险进行评估。本研究通过该测试分析了体力活动老年妇女的步态表现，预测了该人群跌倒的风险，并确定了这些测试的敏感性和特异性水平。对191名女性(67,30±5,13岁)进行了定量横断面研究，将她们分为跌倒组和非跌倒组，分别练习普拉提和水中有氧运动。应用的测试是经典的Time Up and Go (TUG)，它的手动版本(TUGm)和认知(TUGc)。下降率为28.8%。两组受试者在对TUG、TUGm和TUGc的评估中均未出现表现缺陷(p≥0.05)。根据logistic回归分析，TUG、TUGm和TUGc检验不能解释跌倒的发生(p≥0.05)。ROC曲线显示，TUG的准确度为0.520 (p=0.673)， TUGm的准确度为0.517 (0.711)，TUGc的准确度为0.526 (p=0.570)。确定TUG、TUGm和TUGc坠落风险的截止点建议≤9.95秒。≥10 35秒。和≥11,30秒。TUG、TUGm和TUGc测试显示出预测能力和较低的诊断准确性，从而降低了在身体活动的老年人中区分跌倒者和非跌倒者的能力。建议将其应用于平衡测试、下肢力量和老年学量表。关键词:意外坠落;岁的。身体健康。个人简历:个人简历:个人简历:个人简历:个人简历:个人简历:个人简历:个人简历:个人简历:个人简历:个人简历:个人简历:个人简历:个人简历:个人简历本研究分析了财政活动对经济发展的影响、经济活动对经济发展的影响、经济活动对经济发展的影响、经济活动对经济发展的影响、经济活动对经济发展的影响、经济活动对经济发展的影响、经济活动对经济发展的影响、经济活动对经济发展的影响、经济活动对经济发展的影响。横向定量分析:191名(67,30±5,13)名普拉提练习者，分为两组，一组，一组，两组。测试的内容包括:Time Up and Go (TUG) classic, sua versao manual (TUGm) and cognitive (TUGc)。确证分类群de queeda de 28.8%。两组受试者均无明显的尿路、尿路、尿路异常(p≥0.05)。其次，对回归logistic分析结果进行分析，结果表明，TUG、TUG、tuc均不具有显着性(p≥0.05)。TUG组为0,520段(p=0,673)， TUG组为0,517段(p= 0,711)， tuc组为0,526段(p=0,570)。2 .在图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2、图2,≥10,35凹陷。E≥11,30节。, respectivamente。Os睾丸拖船,TUGm e TUGc mostraram capacidade preditiva e acuracia diagnostica拜,标志reduzida competencia对位discriminar caidores de nao-caidores之间idosas fisicamente ativas。糖-硒-水的应用，以及对平衡的测试，对成员的压力，以及老年病学的研究。帕拉弗斯:可怜的奎达斯。Idoso。Aptidao运动。

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Journal of Health Science 医学-毒理学

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