Psychometric comparisons of the timed up and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people
Psychometric comparisons of the timed up and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people
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DOI：
10.1111/j.1532-5415.2004.52366.x
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发表时间：
2004-08-01
影响因子：
6.3
通讯作者：
Huang, FC
中科院分区：
文献类型：
--
作者：
Lin, MR;Hwang, HF;Huang, FC
目的：比较65岁及以上老年人的计时起身行走（TUG）、单腿站立（OLS）、功能性前伸（FR）和Tinetti平衡（TB）性能测量的实用性、可靠性、有效性和反应性。设计：前瞻性研究。地点：台湾中西部台中县新社乡。参与者：1200名社区居住的老年人。测量：在对参与者住所进行初步评估期间，除了完成四项平衡测试外，还对参与者进行了人口统计学、认知、跌倒史、助行器使用情况和日常生活活动（ADL）的采访。每3个月通过电话确定一次福尔斯，随访1年;在随访年结束时，还重新评估了四项平衡指标和ADL。在四项平衡措施中，OLS的参与率最低，认知障碍者的参与率在前一年有所下降，使用助行器，或有ADL障碍的人比他们的同伴低。完成测试的时间从OLS的58秒到TB的160秒不等。所有四个平衡措施表现出良好的重测信度和判别效度，但下降状态的反应差。TB表现出更好的判别力，收敛性，预测效度和反应ADL的变化比其他三个tests.CONCLUSION：根据心理测量特性，最合适的性能测量评估平衡在社区居住的老年人是TB，其次是TUG。
OBJECTIVES: To compare the practicality, reliability, validity, and responsiveness of the timed up and go (TUG), one-leg stand (OLS), functional reach (FR), and Tinetti balance (TB) performance measures in people aged 65 and older.DESIGN: A prospective study.SETTING: Shin-Sher Township of Taichung County, west-central Taiwan.PARTICIPANTS: Twelve hundred community-dwelling older people.MEASUREMENTS: During an initial assessment at their residences, participants were interviewed for demographics, cognition, fall history, use of a walking aid, and activities of daily living (ADLs), in addition to completing the four balance tests. Falls were ascertained by telephone every 3 months for a 1-year follow-up; the four balance measures and ADLs were also reassessed at the end of the follow-up year.RESULTS: Of the four balance measures, the OLS had the lowest participation rate, and participation of people who were cognitively impaired had fallen in the previous year, used a walking aid, or suffered from an ADL disability was lower than for their counterparts. The time to complete the tests ranged from 58 seconds for OLS, to 160 seconds for the TB. All four balance measures exhibited excellent test-retest reliability and discriminant validity but poor responsiveness to fall status. The TB showed better discriminant, convergent, and predictive validities and responsiveness to ADL changes than the other three tests.CONCLUSION: According to psychometric properties, the most suitable performance measure for evaluating balance in community-dwelling older people was the TB, followed by the TUG.