Morten Tange Kristensen1,2, Mette Linding Bloch3,4, Line Rokkedal Jønsson1, Thomas Linding Jakobsen5. 1. Physical Medicine and Rehabilitation Research-Copenhagen (PMR-C), Department of Physical and Occupational Therapy, Copenhagen University Hospital Amager-Hvidovre, Hvidovre, Denmark. 2. Department of Orthopedic Surgery, Copenhagen University Hospital Amager-Hvidovre, Hvidovre, Denmark. 3. Department of Physiotherapy and Occupational Therapy, Faculty of Health and Technology, University College Copenhagen, Copenhagen, Denmark. 4. The Specialized Hospital for Polio and Accident Victims, Rødovre, Denmark. 5. Section for Orthopaedic and Sports Rehabilitation (SOS-R), Health Center Nørrebro, Copenhagen, Denmark.
Abstract
OBJECTIVE: The purpose of this study was to determine the interrater reliability and measurement error of the standardized Timed Up and Go (TUG) Test manual using the fastest of the three timed TUG trials in hospitalized and community-dwelling older individuals. METHODS: Thirty participants (19 from a hospital and 11 from an outpatient geriatric centre: 20 women, 10 men), 65 years or older, all of whom had been referred to physiotherapy due to a functional decline, were included. All participants performed the TUG Test across two sessions (three trials in each) on the same day, separated by a minimum of 30 min. The two raters were blinded to each other's ratings until the end of the study, and the rater order was randomized. RESULTS: Participants from the outpatient centre had a higher prereferral functional level when evaluated with the New Mobility Score and performed the TUG Test significantly faster than the hospital group. Accordingly, reliability estimates are reported for each specific group. Interrater reliability was excellent for both groups (intraclass correlation coefficient2.1 ≥ 0.93), and no systematic between-rater difference for obtained TUG times was found. The measurement error was acceptable both at the group (standard error of measurement [SEM] = 1.7 s and SEM% = 8 [hospital] vs. 0.7 s and 6 [outpatient]) and the individual (minimal detectable change [MDC95 ] = 4.6 s and MDC95 % = 23 [hospital] vs. 1.8 s and 17 [outpatient]) level. CONCLUSION: Findings suggest that using the fastest of the three TUG trials is highly reliable between raters and with acceptable measurement error. We, therefore, suggest that the standardized TUG manual with the fastest of the three timed trials be used for the assessment of functional mobility in hospitalized and community-dwelling older individuals.
OBJECTIVE: The purpose of this study was to determine the interrater reliability and measurement error of the standardized Timed Up and Go (TUG) Test manual using the fastest of the three timed TUG trials in hospitalized and community-dwelling older individuals. METHODS: Thirty participants (19 from a hospital and 11 from an outpatient geriatric centre: 20 women, 10 men), 65 years or older, all of whom had been referred to physiotherapy due to a functional decline, were included. All participants performed the TUG Test across two sessions (three trials in each) on the same day, separated by a minimum of 30 min. The two raters were blinded to each other's ratings until the end of the study, and the rater order was randomized. RESULTS:Participants from the outpatient centre had a higher prereferral functional level when evaluated with the New Mobility Score and performed the TUG Test significantly faster than the hospital group. Accordingly, reliability estimates are reported for each specific group. Interrater reliability was excellent for both groups (intraclass correlation coefficient2.1 ≥ 0.93), and no systematic between-rater difference for obtained TUG times was found. The measurement error was acceptable both at the group (standard error of measurement [SEM] = 1.7 s and SEM% = 8 [hospital] vs. 0.7 s and 6 [outpatient]) and the individual (minimal detectable change [MDC95 ] = 4.6 s and MDC95 % = 23 [hospital] vs. 1.8 s and 17 [outpatient]) level. CONCLUSION: Findings suggest that using the fastest of the three TUG trials is highly reliable between raters and with acceptable measurement error. We, therefore, suggest that the standardized TUG manual with the fastest of the three timed trials be used for the assessment of functional mobility in hospitalized and community-dwelling older individuals.
Authors: Emily James; Paul Oman; Michael Ali; Paul Court; Stuart Goodall; Simon J Nichols; Alasdair F O'Doherty Journal: BMC Public Health Date: 2022-08-01 Impact factor: 4.135
Authors: Disatorn Dejvajara; Ranlaphat Aungkasuraphan; Piyathida Palee; Chanodom Piankusol; Wachiranun Sirikul; Penprapa Siviroj Journal: Int J Environ Res Public Health Date: 2022-08-24 Impact factor: 4.614