Journal ArticleDOI
The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons
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TLDR
This study evaluated a modified, timed version of the “Get‐Up and Go” Test (Mathias et al, 1986) in 60 patients referred to a Geriatric Day Hospital and suggested that the timed “Up & Go’ test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time.Abstract:
This study evaluated a modified, timed version of the "Get-Up and Go" Test (Mathias et al, 1986) in 60 patients referred to a Geriatric Day Hospital (mean age 79.5 years). The patient is observed and timed while he rises from an arm chair, walks 3 meters, turns, walks back, and sits down again. The results indicate that the time score is (1) reliable (inter-rater and intra-rater); (2) correlates well with log-transformed scores on the Berg Balance Scale (r = -0.81), gait speed (r = -0.61) and Barthel Index of ADL (r = -0.78); and (3) appears to predict the patient's ability to go outside alone safely. These data suggest that the timed "Up & Go" test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time. The test is quick, requires no special equipment or training, and is easily included as part of the routine medical examination.read more
Citations
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A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission.
Jack M. Guralnik,Eleanor M. Simonsick,Luigi Ferrucci,Robert J. Glynn,Lisa F. Berkman,Dan G. Blazer,Paul A. Scherr,Robert B. Wallace +7 more
TL;DR: Evidence is presented that performance measures can validly characterize older persons across a broad spectrum of lower extremity function and that performance and self-report measures may complement each other in providing useful information about functional status.
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Sarcopenia: Revised European consensus on definition and diagnosis
Alfonso J. Cruz-Jentoft,Gulistan Bahat,Jürgen M. Bauer,Yves Boirie,Olivier Bruyère,Tommy Cederholm,Cyrus Cooper,Francesco Landi,Yves Rolland,Avan Aihie Sayer,Stéphane M. Schneider,Cornel C. Sieber,Eva Topinkova,Maurits Vandewoude,Marjolein Visser,Mauro Zamboni +15 more
TL;DR: An emphasis is placed on low muscle strength as a key characteristic of sarcopenia, uses detection of low muscle quantity and quality to confirm the sarc Openia diagnosis, and provides clear cut-off points for measurements of variables that identify and characterise sarc openia.
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Frailty in elderly people
TL;DR: Developing more efficient methods to detect frailty and measure its severity in routine clinical practice would greatly inform the appropriate selection of elderly people for invasive procedures or drug treatments and would be the basis for a shift in the care of frail elderly people towards more appropriate goal-directed care.
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Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test.
TL;DR: The TUG is a sensitive and specific measure for identifying community-dwelling adults who are at risk for falls and the ability to predict falls is not enhanced by adding a secondary task when performing the TUG.
Journal ArticleDOI
Sensitivity and false alarm rate of a fall sensor in long-term fall detection in the elderly
TL;DR: Evaluating the long-term fall detection sensitivity and false alarm rate of a fall detection prototype in real-life use suggests that automatic accelerometric fall detection systems might offer a tool for improving safety among older people.
References
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Journal ArticleDOI
Systematic Biases in Functional Status Assessment of Elderly Adults: Effects of Different Data Sources
TL;DR: It is concluded that data sources for determining patient functional ability are not interchangeable and that patients may overstate their functional abilities, whereas significant others may understate them, relative to judgments of skilled nursing personnel.
Journal ArticleDOI
Falls and Instability in the Elderly
Laurence Z. Rubenstein,Alan S. Robbins,Barbara L. Schulman,Juan Rosado,Dan Osterweil,Karen R. Josephson +5 more
TL;DR: Two elderly individuals with complex, but fairly typical, fall problems are presented and discussions of the epidemiology and common etiologies of falls, recommended diagnostic evaluations for patients following a fall, and more detailed discussion of three of the most important and least well-studied causes of falls are presented.
Journal ArticleDOI
Balance and its measure in the elderly: a review
TL;DR: The dimensions of balance and the properties of good measurement are described to facilitate this review, and there is no one universally acceptable laboratory or clinical method to measure balance.