Yıl: 2022 Cilt: 28 Sayı: 1 Sayfa Aralığı: 6 - 9 Metin Dili: İngilizce DOI: 10.4274/tnd.2021.84553 İndeks Tarihi: 22-05-2023

Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases

Öz:
Objective: Balance problems and falls due to a progressive loss of muscle strength in neuromuscular diseases (NMD) negatively affect the activities of daily living and functional independence of patients. The timed up and go (TUG) test is an easy-to-apply and objective measure of balance. This study aimed to determine the cut-off value of the TUG test in adult individuals with NMD. Materials and Methods: This retrospective study included 102 patients. The receiver operating characteristic analysis was performed and cut-off, sensitivity, and specificity values were calculated in NMD to determine the diagnostic validity of the TUG test. Results: The mean ages of 55 patients with a fall history and 47 patients without a fall history were 34.40±10.41 and 31.87±10.11 years, respectively. The mean values of the TUG scores of these individuals were calculated as 11.79±4.30 and 7.33±1.51 s, respectively. The cut-off value of the TUG test in adult individuals with the NMD was determined as 8.9 s. Conclusion: The present study revealed that individuals with NMD who complete the TUG test over 8.9 s have a high risk of falling. Determining the risk of falling in NMD, which is one of the neurological patient groups where falling complaints are most common, is extremely important for patient safety and the effectiveness of rehabilitation.
Anahtar Kelime:

Nöromusküler Hastalıklarda Zamanlı Kalk ve Yürü Testinin Kesme Noktasının Belirlenmesi

Öz:
Amaç: Nöromusküler hastalıklarda (NMH) ilerleyici kas kuvvet kaybına bağlı olarak denge problemleri ve düşmeler, hastaların günlük yaşam aktivitelerini ve fonksiyonel bağımsızlığını olumsuz bir şekilde etkilemektedir. Zamanlı kalk ve yürü testi (ZKYT), uygulaması kolay ve objektif bir denge değerlendirmesidir. Bu çalışmanın amacı, NMH olan yetişkin bireylerde ZKYT testinin kesme değerini belirlemektir. Gereç ve Yöntem: Retrospektif çalışmaya 102 katılımcı dahil edildi. ZKYT testinin diagnostik geçerliliğini belirlemek için alıcı işlem karakteristikleri analizi yapılarak NMH’de kesme, duyarlılık ve özgüllük değerleri hesaplandı. Bulgular: Düşme öyküsü olan 55 hastanın ve düşme öyküsü olmayan 47 hastanın ortalama yaşları sırasıyla 34,40±10,41 ve 31,87±10,11’dir. Bu bireylerin ZKYT puanlarının ortalama değerleri sırasıyla 11,79±4,30 ve 7,33±1,51 saniye olarak hesaplanmıştır. NMH olan yetişkin bireylerde ZKYT testinin kesme değeri 8,9 saniye olarak belirlendi. Sonuç: Mevcut çalışmanın sonuçları, ZKYT testini 8,9 saniyenin üzerinde tamamlayan NMH olan bireylerin düşme riskinin yüksek olduğunu göstermektedir. Düşme şikayetlerinin en sık görüldüğü nörolojik hasta gruplarından biri olan NMH’de düşme riskinin belirlenmesi hastaların güvenliği ve rehabilitasyonun etkinliği açısından son derece önemlidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Mary P, Servais L, Vialle R. Neuromuscular diseases: Diagnosis and management. Orthop Traumatol Surg Res 2018(Suppl 1);104:89-95.
  • 2. İyigün G, Yildirim SA, Atay S, Kilinc M, Tan E. Factors negatively affecting falling in patients with neuromuscular diseases: a prospective study. Turk J Physiother Rehabil 2008;19:97-103.
  • 3. Pieterse A, Luttikhold T, de Laat K, et al. Falls in patients with neuromuscular disorders. J Neurol Sci 2006;251:87-90.
  • 4. Podsiadlo D, Richardson S. The timed “up & go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991;39:142-148.
  • 5. Montes J, Cheng B, Diamond B, et al. The timed up and go test: predicting falls in ALS. Amyotroph Lateral Scler 2007;8:292-295.
  • 6. Dunaway S, Montes J, Garber CE, et al. Performance of the timed “up & go” test in spinal muscular atrophy. Muscle Nerve 2014;50:273-277.
  • 7. Ries JD, Echternach JL, Nof L, Gagnon Blodgett M. Test-retest reliability and minimal detectable change scores for the timed “up & go” test, the sixminute walk test, and gait speed in people with Alzheimer disease. Phys Ther 2009;89:569-579.
  • 8. Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the timed “up & go” test in people with Parkinson disease. Phys Ther 2001;81:810-818.
  • 9. Aras B, Aras O, Karaduman A. Reliability of balance tests in children with Duchenne muscular dystrophy. Sci Res Essays 2011;6:4428-4431.
  • 10. Dhote SN, Khatri PA, Ganvir SS. Reliability of “modified timed up and go” test in children with cerebral palsy. J Pediatr Neurosci 2012;7:96-100.
  • 11. Bohannon RW. Reference values for the timed up and go test: a descriptive meta-analysis. J Geriatr Phys Ther 2006;29:64-68.
  • 12. Schoene D, Wu SMS, Mikolaizak AS, et al. Discriminative ability and predictive validity of the timed Up and Go test in identifying older people who fall: systematic review and meta-analysis. J Am Geriatr Soc 2013;61:202- 208.
  • 13. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the timed up & go test. Phys Ther 2000;80:896-903.
  • 14. Steffen TM, Hacker TA, Mollinger L. Age-and gender-related test performance in community-dwelling elderly people: six-minute walk test, Berg balance scale, timed up & go test, and gait speeds. Phys Ther 2002;82:128-137.
  • 15. Huisinga J, Bruetsch A, Mccalley A, et al. An instrumented timed up and go in facioscapulohumeral muscular dystrophy. Muscle Nerve 2018;57:503-506.
  • 16. Decavel P, Moulin T, Sagawa Y Jr. Gait tests in multiple sclerosis: reliability and cut-off values. Gait Posture 2019;67:37-42.
  • 17. van Iersel MB, Munneke M, Esselink RA, Benraad CE, Olde Rikkert MGO. Gait velocity and the timed-up-and-go test were sensitive to changes in mobility in frail elderly patients. J Clin Epidemiol 2008;61:186-191.
  • 18. Donoghue OA, Savva GM, Cronin H, Kenny RA, Horgan NF. Using timed up and go and usual gait speed to predict incident disability in daily activities among community-dwelling adults aged 65 and older. Arch Phys Med Rehabil 2014;95:1954-1961.
  • 19. Makizako H, Shimada H, Doi T, et al. Predictive cutoff values of the five-times sit-to-stand test and the timed “up & go” test for disability incidence in older people dwelling in the community. Phys Ther 2017;97:417-424.
  • 20. Tang PF, Yang HJ, Peng YC, Chen HY. Motor dual-task timed up & go test better identifies prefrailty individuals than single-task timed up & go test. Geriatr Gerontol Int 2015;15:204-210.
  • 21. Bischoff HA, Stähelin HB, Monsch AU, et al. Identifying a cut-off point for normal mobility: a comparison of the timed ‘up and go’test in commuitydwelling and institutionalised elderly women. Age Ageing 2003;32:315-320.
  • 22. Eichinger K, Heatwole C, Iyadurai S, et al. Facioscapulohumeral muscular dystrophy functional composite outcome measure. Muscle Nerve.2018;58:72-78.
  • 23. Filli L, Schwegler S, Meyer C, et al. Characterizing cognitive-motor impairments in patients with myotonic dystrophy type 1. Neuromuscul Disord 2020;30:510-520.
  • 24. Caronni A, Picardi M, Aristidou E, et al. How do patients improve their timed up and go test? Responsiveness to rehabilitation of the TUG test in elderly neurological patients. Gait Posture 2019;70:33-38.
  • 25. Leavy B, Joseph C, Löfgren N, et al. Outcome evaluation of highly challenging balance training for people with Parkinson disease: a multicenter effectivenessimplementation study. J Neurol Phys Ther 2020;44:15-22.
  • 26. Hammarén E, Ohlsson JA, Lindberg C, Kjellby-Wendt G. Reliability of static and dynamic balance tests in subjects with myotonic dystrophy type 1. Adv Physiother 2012;14:48-54.
  • 27. Hammarén E, Kjellby-Wendt G, Kowalski J, Lindberg C. Factors of importance for dynamic balance impairment and frequency of falls in individuals with myotonic dystrophy type 1-A cross-sectional study-including reference values of timed up & go, 10m walk and step test. Neuromuscul Disord 2014;24:207-215.
APA Savcun Demirci C, Sütçü G, AYVAT F, ONURSAL KILINÇ Ö, DOGAN M, AYVAT E, Bekircan-Kurt C, Erdem-Özdamar S, Aksu Yıldırım S, Kılınç M, Tan E (2022). Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases. , 6 - 9. 10.4274/tnd.2021.84553
Chicago Savcun Demirci Cevher,Sütçü Gülşah,AYVAT FATMA,ONURSAL KILINÇ ÖZGE,DOGAN MERT,AYVAT ENDER,Bekircan-Kurt Can Ebru,Erdem-Özdamar Sevim,Aksu Yıldırım Sibel,Kılınç Muhammed,Tan Ersin Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases. (2022): 6 - 9. 10.4274/tnd.2021.84553
MLA Savcun Demirci Cevher,Sütçü Gülşah,AYVAT FATMA,ONURSAL KILINÇ ÖZGE,DOGAN MERT,AYVAT ENDER,Bekircan-Kurt Can Ebru,Erdem-Özdamar Sevim,Aksu Yıldırım Sibel,Kılınç Muhammed,Tan Ersin Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases. , 2022, ss.6 - 9. 10.4274/tnd.2021.84553
AMA Savcun Demirci C,Sütçü G,AYVAT F,ONURSAL KILINÇ Ö,DOGAN M,AYVAT E,Bekircan-Kurt C,Erdem-Özdamar S,Aksu Yıldırım S,Kılınç M,Tan E Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases. . 2022; 6 - 9. 10.4274/tnd.2021.84553
Vancouver Savcun Demirci C,Sütçü G,AYVAT F,ONURSAL KILINÇ Ö,DOGAN M,AYVAT E,Bekircan-Kurt C,Erdem-Özdamar S,Aksu Yıldırım S,Kılınç M,Tan E Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases. . 2022; 6 - 9. 10.4274/tnd.2021.84553
IEEE Savcun Demirci C,Sütçü G,AYVAT F,ONURSAL KILINÇ Ö,DOGAN M,AYVAT E,Bekircan-Kurt C,Erdem-Özdamar S,Aksu Yıldırım S,Kılınç M,Tan E "Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases." , ss.6 - 9, 2022. 10.4274/tnd.2021.84553
ISNAD Savcun Demirci, Cevher vd. "Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases". (2022), 6-9. https://doi.org/10.4274/tnd.2021.84553
APA Savcun Demirci C, Sütçü G, AYVAT F, ONURSAL KILINÇ Ö, DOGAN M, AYVAT E, Bekircan-Kurt C, Erdem-Özdamar S, Aksu Yıldırım S, Kılınç M, Tan E (2022). Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases. Türk Nöroloji Dergisi, 28(1), 6 - 9. 10.4274/tnd.2021.84553
Chicago Savcun Demirci Cevher,Sütçü Gülşah,AYVAT FATMA,ONURSAL KILINÇ ÖZGE,DOGAN MERT,AYVAT ENDER,Bekircan-Kurt Can Ebru,Erdem-Özdamar Sevim,Aksu Yıldırım Sibel,Kılınç Muhammed,Tan Ersin Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases. Türk Nöroloji Dergisi 28, no.1 (2022): 6 - 9. 10.4274/tnd.2021.84553
MLA Savcun Demirci Cevher,Sütçü Gülşah,AYVAT FATMA,ONURSAL KILINÇ ÖZGE,DOGAN MERT,AYVAT ENDER,Bekircan-Kurt Can Ebru,Erdem-Özdamar Sevim,Aksu Yıldırım Sibel,Kılınç Muhammed,Tan Ersin Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases. Türk Nöroloji Dergisi, vol.28, no.1, 2022, ss.6 - 9. 10.4274/tnd.2021.84553
AMA Savcun Demirci C,Sütçü G,AYVAT F,ONURSAL KILINÇ Ö,DOGAN M,AYVAT E,Bekircan-Kurt C,Erdem-Özdamar S,Aksu Yıldırım S,Kılınç M,Tan E Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases. Türk Nöroloji Dergisi. 2022; 28(1): 6 - 9. 10.4274/tnd.2021.84553
Vancouver Savcun Demirci C,Sütçü G,AYVAT F,ONURSAL KILINÇ Ö,DOGAN M,AYVAT E,Bekircan-Kurt C,Erdem-Özdamar S,Aksu Yıldırım S,Kılınç M,Tan E Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases. Türk Nöroloji Dergisi. 2022; 28(1): 6 - 9. 10.4274/tnd.2021.84553
IEEE Savcun Demirci C,Sütçü G,AYVAT F,ONURSAL KILINÇ Ö,DOGAN M,AYVAT E,Bekircan-Kurt C,Erdem-Özdamar S,Aksu Yıldırım S,Kılınç M,Tan E "Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases." Türk Nöroloji Dergisi, 28, ss.6 - 9, 2022. 10.4274/tnd.2021.84553
ISNAD Savcun Demirci, Cevher vd. "Identifying a Cut-off Point for Timed Up and Go Test in Neuromuscular Diseases". Türk Nöroloji Dergisi 28/1 (2022), 6-9. https://doi.org/10.4274/tnd.2021.84553