The timed up & go test: Its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke

The timed up & go test: Its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke
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DOI:
10.1016/j.apmr.2005.01.011
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发表时间:
2005-08-01
影响因子:
4.3
通讯作者:
Hui-Chan, CW
Hui-Chan, CW
中科院分区:
医学1区
文献类型:
--
作者:
Ng, SS;Hui-Chan, CW

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吴绍中,惠灿CW。计时起搏试验:其可靠性及其与慢性卒中患者的下肢损伤和运动能力的关系。Arch Phys Med Rehabil 2005;86:1641-7.目的:检验计时起搏(TUG)测试的重测信度、区分慢性中风患者和健康老年患者的能力,及其与慢性中风患者踝屈肌痉挛、踝关节肌力、步态表现和6分钟步行距离的关系。设计:横断面研究。地点:中国香港大学康复中心。参与者:10名健康老年人和I组慢性中风患者。干预:不适用。主要观察指标:完成TUG测试所需的时间。分别用综合痉挛度量表和测力仪结合肌电图仪评估屈肌或痉挛状态和踝关节肌力。分别用步态系统(GAITRite 11)和6min步行试验测量步态参数和步行耐力。结果:拖轮试验具有良好的信度(ICC>.95)。与健康老年人相比,慢性卒中患者的足底屈肌痉挛和无力、步行速度较慢和步行耐力较差(均P
Ng SS, Hui-Chan CW. The Timed Up & Go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil 2005;86:1641-7.Objectives: To examine test-retest reliability of the Timed Up & Go (TUG) test, its ability to differentiate subjects with chronic stroke from healthy elderly subjects, and its associations with ankle plantarflexor spasticity, ankle muscle strength, gait performance, and distance walked in 6 minutes in subjects with chronic stroke.Design: Cross-sectional study.Setting: University-based rehabilitation center in Hong Kong, China.Participants: Ten healthy elderly subjects and I I subjects with chronic stroke.Interventions: Not applicable.Main Outcome Measures: Time taken to complete the TUG test was recorded. Plantarflex or spasticity and ankle muscle strength were assessed, respectively, by the Composite Spasticity Scale and a load-cell together with electromyography. Gait parameters and walking endurance were measured respectively by walkway system (GAITRite 11) and 6-minute walk test. Intraclass correlation coefficients (ICCs) were calculated as measures of reliability, and all correlation analyses were conducted using Spearman correlation coefficients.Results: The TUG test showed excellent reliability (ICC >.95). Subjects with chronic stroke had significantly more spastic and weaker plantarflexors, slower walking speeds, and poorer walking endurance when compared with healthy elderly subjects (all P