Journal of Rehabilitation Research and Development最新文献_第9页

Caring for our wounded warriors: A qualitative examination of health-related quality of life in caregivers of individuals with military-related traumatic brain injury. 护理我们受伤的战士:对与军事有关的创伤性脑损伤个人护理人员健康相关的生活质量的定性检查。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.07.0136

Noelle E Carlozzi, Tracey A Brickell, Louis M French, Angelle Sander, Anna L Kratz, David S Tulsky, Nancy D Chiaravalloti, Elizabeth A Hahn, Michael Kallen, Amy M Austin, Jennifer A Miner, Rael T Lange

{"title":"Caring for our wounded warriors: A qualitative examination of health-related quality of life in caregivers of individuals with military-related traumatic brain injury.","authors":"Noelle E Carlozzi, Tracey A Brickell, Louis M French, Angelle Sander, Anna L Kratz, David S Tulsky, Nancy D Chiaravalloti, Elizabeth A Hahn, Michael Kallen, Amy M Austin, Jennifer A Miner, Rael T Lange","doi":"10.1682/JRRD.2015.07.0136","DOIUrl":"10.1682/JRRD.2015.07.0136","url":null,"abstract":"The purpose of this study was to develop a conceptual framework that captures aspects of health-related quality of life (HRQOL) for caregivers of individuals with military-related traumatic brain injury (TBI). We analyzed qualitative data from nine focus groups composed of caregivers of wounded warriors with a medically documented TBI. Focus group participants were recruited through hospital-based and/or community outreach efforts at the Walter Reed National Military Medical Center, the University of Michigan, and Hearts of Valor support groups (Tennessee and Washington). Participants were the caregivers (n = 45) of wounded warriors who had sustained a mild, moderate, severe, or penetrating TBI. Qualitative frequency analysis indicated that caregivers most frequently discussed social health (44% of comments), followed by emotional (40%) and physical health (12%). Areas of discussion that were specific to this population included anger regarding barriers to health services (for caregivers and servicemembers), emotional suppression (putting on a brave face for others even when things are not going well), and hypervigilance (controlling one's behavior/environment to prevent upsetting the servicemember). Caring for wounded warriors with TBI is a complex experience that positively and negatively affects HRQOL. While some aspects of HRQOL can be evaluated with existing measures, evaluation tools for other important components do not exist. The development of military-specific measures would help facilitate better care for these individuals.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6 1","pages":"669-680"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5180206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 45

Psychometric evaluation of self-report outcome measures for prosthetic applications. 假肢应用自我报告结果测量的心理评估。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.12.0228

Brian J Hafner, Sara J Morgan, Robert L Askew, Rana Salem

{"title":"Psychometric evaluation of self-report outcome measures for prosthetic applications.","authors":"Brian J Hafner, Sara J Morgan, Robert L Askew, Rana Salem","doi":"10.1682/JRRD.2015.12.0228","DOIUrl":"10.1682/JRRD.2015.12.0228","url":null,"abstract":"Documentation of clinical outcomes is increasingly expected in delivery of prosthetic services and devices. However, many outcome measures suitable for use in clinical care and research have not been psychometrically tested with prosthesis users. The aim of this study was to determine test-retest reliability, mode-of-administration (MoA) equivalence, standard error of measurement (SEM), and minimal detectable change (MDC) of standardized, self-report instruments that assess constructs of importance to people with lower limb loss. Prosthesis users (n = 201) were randomly assigned to groups based on MoA (i.e., paper, electronic, or mixed-mode). Participants completed two surveys 2 to 3 d apart. Instruments included the Prosthetic Limb Users Survey of Mobility, Prosthesis Evaluation Questionnaire-Mobility Subscale, Activities-Specific Balance Confidence Scale, Quality of Life in Neurological Conditions-Applied Cognition/General Concerns, Patient-Reported Outcomes Measurement Information System Profile, and Socket Comfort Score. Intraclass correlation coefficients indicated all instruments are appropriate for group-level comparisons and select instruments are suitable for individual-level applications. Several instruments showed evidence of possible floor and ceiling effects. All were equivalent across MoAs. SEM and MDC were quantified to facilitate interpretation of outcomes and change scores. These results can enhance clinicians' and researchers' ability to select, apply, and interpret scores from instruments administered to prosthesis users.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"797-812"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5345485/pdf/nihms787296.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34794476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prediction of oxygen uptake during walking in ambulatory persons with multiple sclerosis. 预测多发性硬化症患者行走时的摄氧量。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.12.0307

Stamatis Agiovlasitis, Brian M Sandroff, Robert W Motl

{"title":"Prediction of oxygen uptake during walking in ambulatory persons with multiple sclerosis.","authors":"Stamatis Agiovlasitis, Brian M Sandroff, Robert W Motl","doi":"10.1682/JRRD.2014.12.0307","DOIUrl":"https://doi.org/10.1682/JRRD.2014.12.0307","url":null,"abstract":"People with multiple sclerosis (MS) have an increased rate of gross oxygen uptake (gross-VO2) during treadmill walking, and their gross-VO2 may further vary with walking impairment. This study attempted to develop an equation for predicting gross-VO2 from walking speed and an index of walking impairment in persons with MS and examine its accuracy. Gross-VO2 was measured with open-circuit spirometry in 43 persons with MS (47 +/- 9 yr; 38 women) during five treadmill walking trials, each lasting 6 min, at 2.0, 2.5, 3.0, 3.5, and 4.0 mph (0.89, 1.12, 1.34, 1.56, and 1.79 m/s). The 12-Item Multiple Sclerosis Walking Scale (MSWS-12) and the single-item Patient Determined Disease Steps scale (PDDS) provided indices of walking impairment. Multilevel modeling with random intercepts and slopes showed significant effects of speed and MSWS-12 on gross-VO2 (p </= 0.014; R(2) = 0.70). PDDS was not a significant predictor. Gross-VO2 estimated by the regression equation did not differ from actual gross-VO2 across speeds. Mean absolute prediction error across speeds was 9.1%. The Bland-Altman plot indicated zero mean difference between actual and predicted gross-VO2 with modest 95% confidence intervals. Therefore, speed and MSWS-12 score are jointly highly predictive of gross-VO2 during treadmill walking in persons with MS.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 2","pages":"199-206"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.12.0307","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34521578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Preliminary evaluation of a novel bladder-liner for facilitating residual limb fluid volume recovery without doffing. 一种新型膀胱衬垫的初步评估，以促进残肢液体容量的恢复。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.12.0316

Joan E Sanders, Christian B Redd, John C Cagle, Brian J Hafner, David Gardner, Katheryn J Allyn, Daniel S Harrison, Marcia A Ciol

{"title":"Preliminary evaluation of a novel bladder-liner for facilitating residual limb fluid volume recovery without doffing.","authors":"Joan E Sanders, Christian B Redd, John C Cagle, Brian J Hafner, David Gardner, Katheryn J Allyn, Daniel S Harrison, Marcia A Ciol","doi":"10.1682/JRRD.2014.12.0316","DOIUrl":"https://doi.org/10.1682/JRRD.2014.12.0316","url":null,"abstract":"For people who wear a prosthetic limb, residual-limb fluid volume loss during the day may be problematic and detrimentally affect socket fit. The purpose of this research was to test the capability of a novel liner with adjustable bladders positioned within its wall to mitigate volume loss and facilitate limb fluid volume recovery and retention. Bioimpedance analysis was used to monitor fluid volume changes in the anterior and posterior residual limb of participants with transtibial amputation. Participants underwent six cycles of sitting for 90 s, standing for 90 s, and walking for 5 min with liquid within the bladder-liners. Between the third and fourth cycles, participants sat for 10 min with liquid left within the bladders (Liquid-In) or removed (Liquid-Out). Results showed that participants recovered more fluid volume during the 10 min of sitting with Liquid-Out than Liquid-In (p = 0.09 for anterior and p = 0.04 for posterior). However, those fluid volume recoveries were not well retained in the short term (after the fourth cycle) or the long term (after the sixth cycle). Physiologic differences between sessions, reflected in the rates of fluid volume change at the outset of the session, and excessive stiffness of the bladder-liners may have affected fluid volume retentions.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"1107-1120"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.12.0316","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34864877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Case study: Head orientation and neck electromyography for cursor control in persons with high cervical tetraplegia. 案例研究:头部定位和颈部肌电图用于高颈性四肢瘫痪患者的光标控制。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0244

Matthew R Williams, Robert F Kirsch

{"title":"Case study: Head orientation and neck electromyography for cursor control in persons with high cervical tetraplegia.","authors":"Matthew R Williams, Robert F Kirsch","doi":"10.1682/JRRD.2014.10.0244","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0244","url":null,"abstract":"We evaluated the ability of an individual with a high cervical spinal cord injury (SCI) to control a cursor on a computer screen using two different user interfaces: (1) head movements measured via a head-mounted orientation sensor and (2) electromyography (EMG) signals from four head and neck muscles acquired using a 4-channel implanted upper-limb neuroprosthesis that had been deployed in an earlier study. The subject moved the cursor to a set of targets on the screen in a two-dimensional, center-out, target-acquisition task, and his performance was evaluated with a variety of performance measures to assess both position and velocity control accuracy. The subject's performance with both command sources was also compared with the performance of a group of nondisabled subjects. Head orientation provided more accurate performance but was less responsive than EMG. Both command sources showed some directionally dependent performance, with movement to diagonally located targets being performed by a series of sequential motions rather than via straight paths. Overall, the SCI subject's performance with each command source was similar to that reported for a nondisabled population using the same interfaces and performing the same task.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 4","pages":"519-30"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.10.0244","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34657871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Quantitative assessment of hand motor function in cervical spinal disorder patients using target tracking tests. 用目标跟踪试验定量评估颈椎疾患患者的手部运动功能。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.12.0319

Sunghoon I Lee, Alex Huang, Bobak Mortazavi, Charles Li, Haydn A Hoffman, Jordan Garst, Derek S Lu, Ruth Getachew, Marie Espinal, Mehrdad Razaghy, Nima Ghalehsari, Brian H Paak, Amir A Ghavam, Marwa Afridi, Arsha Ostowari, Hassan Ghasemzadeh, Daniel C Lu, Majid Sarrafzadeh

{"title":"Quantitative assessment of hand motor function in cervical spinal disorder patients using target tracking tests.","authors":"Sunghoon I Lee, Alex Huang, Bobak Mortazavi, Charles Li, Haydn A Hoffman, Jordan Garst, Derek S Lu, Ruth Getachew, Marie Espinal, Mehrdad Razaghy, Nima Ghalehsari, Brian H Paak, Amir A Ghavam, Marwa Afridi, Arsha Ostowari, Hassan Ghasemzadeh, Daniel C Lu, Majid Sarrafzadeh","doi":"10.1682/JRRD.2014.12.0319","DOIUrl":"https://doi.org/10.1682/JRRD.2014.12.0319","url":null,"abstract":"Cervical spondylotic myelopathy (CSM) is a chronic spinal disorder in the neck region. Its prevalence is growing rapidly in developed nations, creating a need for an objective assessment tool. This article introduces a system for quantifying hand motor function using a handgrip device and target tracking test. In those with CSM, hand motor impairment often interferes with essential daily activities. The analytic method applied machine learning techniques to investigate the efficacy of the system in (1) detecting the presence of impairments in hand motor function, (2) estimating the perceived motor deficits of CSM patients using the Oswestry Disability Index (ODI), and (3) detecting changes in physical condition after surgery, all of which were performed while ensuring test-retest reliability. The results based on a pilot data set collected from 30 patients with CSM and 30 nondisabled control subjects produced a c-statistic of 0.89 for the detection of impairments, Pearson r of 0.76 with p < 0.001 for the estimation of ODI, and a c-statistic of 0.82 for responsiveness. These results validate the use of the presented system as a means to provide objective and accurate assessment of the level of impairment and surgical outcomes.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6","pages":"1007-1022"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.12.0319","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34971396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

The effect of caster wheel diameter and mass distribution on drag forces in manual wheelchairs. 脚轮直径和质量分布对手动轮椅拖曳力的影响。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.05.0074

Rene Zepeda, Franco Chan, Bonita Sawatzky

引用次数: 11

Fibromyalgia syndrome care of Iraq- and Afghanistan-deployed Veterans in Veterans Health Administration. 退伍军人健康管理局在伊拉克和阿富汗部署的退伍军人的纤维肌痛综合征护理。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2014.10.0265

April F. Mohanty, D. Helmer, Anusha Muthukutty, L. McAndrew, M. Carter, J. Judd, J. Garvin, M. Samore, A. Gundlapalli

{"title":"Fibromyalgia syndrome care of Iraq- and Afghanistan-deployed Veterans in Veterans Health Administration.","authors":"April F. Mohanty, D. Helmer, Anusha Muthukutty, L. McAndrew, M. Carter, J. Judd, J. Garvin, M. Samore, A. Gundlapalli","doi":"10.1682/JRRD.2014.10.0265","DOIUrl":"https://doi.org/10.1682/JRRD.2014.10.0265","url":null,"abstract":"Little is known regarding fibromyalgia syndrome (FMS) care among Operation Iraqi Freedom/Operation Enduring Freedom/Operation New Dawn (OIF/OEF/OND) Veterans. Current recommendations include interdisciplinary, team-based combined care approaches and limited opioid use. In this study of OIF/OEF/OND Veterans who accessed Veterans Health Administration services between 2002 and 2012, we hypothesized that combined care (defined as at least 4 primary care visits/yr with visits to mental health and/or rheumatology) versus <4 primary care visits/yr only would be associated with lower risk of at least 2 opioid prescriptions 12 mo following an FMS diagnosis. Using generalized linear models with a log-link, the Poisson family, and robust standard errors, we estimated risk ratios (RRs) and 95% confidence intervals (CIs). We found that 1% of Veterans had at least 2 FMS diagnoses (International Classification of Diseases-9th Revision-Clinical Modification code 729.1) or at least 1 FMS diagnosis by rheumatology. Veterans with (vs without) FMS were more likely to be female, older, Hispanic, and never/currently married. Combined primary, mental health, and rheumatology care was associated with at least 2 opioid prescriptions (RR [95% CI] for males 2.2 [1.1-4.4] and females 2.8 [0.4-18.6]). Also, combined care was associated with at least 2 nonopioid pain-related prescriptions, a practice supported by evidence-based clinical practice guidelines. In tandem, these results provide mixed evidence of benefit of combined care for FMS. Future studies of healthcare encounter characteristics, care coordination, and benefits for Veterans with FMS are needed.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 1 1","pages":"45-58"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2014.10.0265","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67551824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Prosthesis management of residual-limb perspiration with subatmospheric vacuum pressure. 亚常压真空修复残肢排汗的处理。

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.06.0121

G. Klute, K. J. Bates, J. S. Berge, Wayne Biggs, Charles King

{"title":"Prosthesis management of residual-limb perspiration with subatmospheric vacuum pressure.","authors":"G. Klute, K. J. Bates, J. S. Berge, Wayne Biggs, Charles King","doi":"10.1682/JRRD.2015.06.0121","DOIUrl":"https://doi.org/10.1682/JRRD.2015.06.0121","url":null,"abstract":"For the ambulatory person with lower-limb amputation, insufficient management of perspiration can result in inadequate prosthesis adherence, reduced mobility, and discomfort. This study compared a dynamic air exchange (DAE) prosthesis designed to expel accumulated perspiration with a total surface bearing suction socket (Suction) that cannot. Five people with unilateral transtibial amputation participated in a randomized, crossover experiment. All subjects were given a 1 wk acclimation to each study prosthesis while we measured their step activity levels. A rest-walk-rest protocol, including a 30 min treadmill walk at a self-selected speed while wearing thermally insulative garments, was then used to observe residual-limb skin temperatures and perspiration. Afterward, subject opinions about the prostheses were assessed with questionnaires. During the week-long acclimation period, no statistical difference in step activity levels were detected between prostheses (p = 0.22), but this may have been due to self-reported behavioral modifications. During the rest-walk-rest protocol, no differences in skin temperatures were observed (p = 0.37). The DAE prosthesis accumulated 1.09 +/- 0.90 g and expelled 0.67 +/- 0.38 g of perspiration, while the Suction prosthesis accumulated 0.97 +/- 0.75 g. The questionnaire results suggest that participants were receptive to both prostheses. The DAE prosthesis was able to expel more than a third of the total perspiration, suggesting it may enable longer uninterrupted periods of perspiration-inducing activity.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 6 1","pages":"721-728"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.06.0121","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67552301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 8

Validity of the 8-Foot Up and Go, Timed Up and Go, and Activities-Specific Balance Confidence Scale in older adults with and without cognitive impairment. 8-Foot Up and Go, Timed Up and Go，以及特定活动平衡信心量表在有和没有认知障碍的老年人中的有效性

Journal of Rehabilitation Research and Development Pub Date : 2016-01-01 DOI: 10.1682/JRRD.2015.03.0042

Elyse Rolenz, Jennifer C Reneker

{"title":"Validity of the 8-Foot Up and Go, Timed Up and Go, and Activities-Specific Balance Confidence Scale in older adults with and without cognitive impairment.","authors":"Elyse Rolenz, Jennifer C Reneker","doi":"10.1682/JRRD.2015.03.0042","DOIUrl":"https://doi.org/10.1682/JRRD.2015.03.0042","url":null,"abstract":"The purpose of this study was to determine whether (1) mild cognitive impairment (MCI) alters the validity of the Timed Up and Go (TUG), the 8-Foot Up and Go (8UG), or the Activities-Specific Balance Confidence (ABC) scale in the identification of fallers and nonfallers and (2) there were differences in the concurrent validity between the TUG and ABC when compared with the 8UG and ABC in those with and without MCI.. The classification of MCI was based on a score of <26 points on the Montreal Cognitive Assessment. For the 62 participants enrolled, excellent correlations were demonstrated in pairwise comparisons between the outcome measures (on a continuous scale). Based on frequently cited cutpoints, the sensitivity of the TUG was only 20% with a specificity of 94.6% and the sensitivity of the 8UG was 64% with a specificity of 75.7%. The TUG identified fallers at significantly different rates than the 8UG and the ABC (p < 0.05). For this reason, the 8UG is recommended as a more appropriate outcome measure for identifying fall risk in community-dwelling older adults. Fall history was found as the only significant predictor of test outcome for the TUG, 8UG, and ABC, indicating that MCI is not a significant determinant of test performance.","PeriodicalId":50065,"journal":{"name":"Journal of Rehabilitation Research and Development","volume":"53 4","pages":"511-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1682/JRRD.2015.03.0042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34314681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 24