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

M. Nascimento
{"title":"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","authors":"M. Nascimento","doi":"10.17921/2447-8938.2020V22N1P100-105","DOIUrl":null,"url":null,"abstract":"Abstract \nElderly 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. \nKeywords: Accidental Falls. Aged. Physical Fitness. \nResumo \nQuedas 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. \nPalavras-chave: Acidentes por Quedas. Idoso. Aptidao Fisica.","PeriodicalId":15873,"journal":{"name":"Journal of Health Science","volume":"20 1","pages":"100-105"},"PeriodicalIF":0.0000,"publicationDate":"2020-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Time up and Go Classic, Manual and Cognitive: prediction analysis of the risk of falling physically active elderly\",\"authors\":\"M. Nascimento\",\"doi\":\"10.17921/2447-8938.2020V22N1P100-105\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract \\nElderly 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. \\nKeywords: Accidental Falls. Aged. Physical Fitness. \\nResumo \\nQuedas 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. \\nPalavras-chave: Acidentes por Quedas. Idoso. Aptidao Fisica.\",\"PeriodicalId\":15873,\"journal\":{\"name\":\"Journal of Health Science\",\"volume\":\"20 1\",\"pages\":\"100-105\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-05-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Health Science\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17921/2447-8938.2020V22N1P100-105\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health Science","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17921/2447-8938.2020V22N1P100-105","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

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。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Time up and Go Classic, Manual and Cognitive: prediction analysis of the risk of falling physically active elderly
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.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of Health Science
Journal of Health Science 医学-毒理学
自引率
0.00%
发文量
0
期刊最新文献
Analyzing the Environmental Risks from Electronic Waste Dumping in the West African Region The effect of physical therapy in daily life and work activities for people with chronic cervical pain syndrome Vestibular bone thickness of the mandible in relation to the mandibular canal in a population from Bosnia and Herzegovina A comparison of erect weight-bearing and non-weight-bearing radiography of the cervical spine in non-trauma patients Subhepatic Appendicitis: A diagnostic conundrum
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1