The Time up & Go test to evaluate the change in functional mobility in post-stroke patients
Time Up and Go Test for Change in Functional Mobility
DOI:
https://doi.org/10.54393/pbmj.v5i7.637Keywords:
Time up and Go test, Stroke, Functional MobilityAbstract
Responsiveness depends on properties of statistical analysis, commonly referred to being as, distribution-based responsiveness. Time Up and Go Test (TUG) is a common assessment to evaluate the mobilization in patients with complications pertaining to stroke. Objective: The major emphasis of this study was to analyse the improvement in functional mobility of the patients with symptoms related to stroke. Methods: This study is carried out in Fauji Foundation Hospital and National Institute of Rehabilitation Medicine (NIRM), Islamabad Pakistan. Sample size consisted of 116 patients including both genders, with age ranging between 45-65 years. Clinically, the diagnosis of stoke can be concluded in compliance with reported criteria and standards of World Health Organization (WHO). Out of total 116 sample size 25 were excluded and 91 patients were assessed to detect mobility response by using TUG test, pertaining to four different intervals. The overall procedure implemented for the conclusion of TUG test included the following points; a) patients were advised to stand on toes, b) walk 3 meters, c) turn around and walk back to the chair from which they initially started, and d) asked to sit down quickly. Results: Between the first 7 days and 12 weeks the median of TUG test, time (mobility) was reduced from 17s to 12s. The improvement in mobility is most seen in 1st week to 3rd month. Conclusion: Findings indicate that the TUG test is capable to evaluate the change in functional mobility in patients with stroke. Hence, the outcomes justify the use of TUG in stroke rehabilitation
References
Hollands KL, Hollands MA, Zietz D, Wing AM, Wright C, van Vliet P. Kinematics of turning 180 degrees during the timed up and go in stroke survivors with and without falls history. Neurorehabilitation and Neural Repair. 2010 May; 24(4):358-67. doi: 10.1177/1545968309348508.
Persson CU, Hansson PO, Sunnerhagen KS. Clinical tests performed in acute stroke identify the risk of falling during the first year: postural stroke study in Gothenburg (POSTGOT). Journal of Rehabilitation Medicine. 2011 Mar; 43(4):348-53. doi: 10.2340/16501977-0677.
Buck D, Jacoby A, Massey A, Ford G. Evaluation of measures used to assess quality of life after stroke. Stroke. 2000 Aug; 31(8):2004-10. doi: 10.1161/01.str.31.8.2004.
Ibrahim A, Singh DKA, Shahar S. 'Timed Up and Go' test: Age, gender and cognitive impairment stratified normative values of older adults. PLoS One. 2017 Oct; 12(10):e0185641. doi: 10.1371/journal.pone.0185641.
Schepker CA, Leveille SG, Pedersen MM, Ward RE, Kurlinski LA, Grande L, et al. Effect of Pain and Mild Cognitive Impairment on Mobility. Journal of American Geriatrics Society. 2016 Jan; 64(1):138-43. doi: 10.1111/jgs.13869.
Faria CD, Teixeira-Salmela LF, Neto MG, Rodrigues-de-Paula F. Performance-based tests in subjects with stroke: outcome scores, reliability and measurement errors. Clinical Rehabilitation. 2012 May; 26(5):460-9. doi: 10.1177/0269215511423849.
Batool S, Soomro N, Amjad F, Fauz R. To compare the effectiveness of constraint induced movement therapy versus motor relearning programme to improve motor function of hemiplegic upper extremity after stroke. Pakistan journal of medical sciences. 2015 Sep; 31(5):1167. Doi: 10.12669/pjms.315.7910.
Sahin IE, Guclu-Gunduz A, Yazici G, Ozkul C, Volkan-Yazici M, Nazliel B, et al. The sensitivity and specificity of the balance evaluation systems test-BESTest in determining risk of fall in stroke patients. NeuroRehabilitation. 2019; 44(1):67-77. doi: 10.3233/NRE-182558.
Revicki D, Hays RD, Cella D, Sloan J. Recommended methods for determining responsiveness and minimally important differences for patient-reported outcomes. Journal of Clinical Epidemiology. 2008 Feb; 61(2):102-9. doi: 10.1016/j.jclinepi.2007.03.012.
Terranova TT, Simis M, Santos ACA, Alfieri FM, Imamura M, Fregni F, Battistella LR. Robot-Assisted Therapy and Constraint-Induced Movement Therapy for Motor Recovery in Stroke: Results From a Randomized Clinical Trial. Frontiers in Neurorobotics. 2021 Jul; 15:684019. doi: 10.3389/fnbot.2021.684019.
Craik RL. In Tribute: Janet H. Carr. Physical therapy. 2015; 95(1):6.. doi: 10.2522/ptj.2015.95.1.6.
Singha R. Motor Relearning Program versus Proprioceptive Neuro-Muscular Facilitation Technique for Improving Basic Mobility in Chronic Stroke Patients-A Comparative Study. International Journal of Physiotherapy and Research. 2017; 5(6):2490-500.
Min GU, Si-Wei LI, Bao-Jin LI, Cheng LI, Yun QU. Effect of motor relearning programme on motor function recovery of acute stroke patients with hemiplegia. Chinese Journal of Contemporary Neurology & Neurosurgery. 2017; 17(3):197. doi: 10.3969/j.issn.1672-6731.2017.03.007
Farqalit R, Shahnawaz A. Effect of foot position during sit-to-stand training on balance and upright mobility in patients with chronic stroke. Hong Kong Physiotherapy Journal. 2013 Dec; 31(2):75-80. Doi: 10.1016/j.hkpj.2013.06.001.
Balpande S, Qureshi MI, Iratwar S, Kovela R, Dadgal R, Phansopkar P, et al. Effectiveness of Motor Re-Learning Programme along with Functional Electrical Stimulation on Functional Mobility and Quality of Life in Subjects with Sub-Acute Stroke-An Experimental Study. Research square. 2021 Jun. doi.org/10.21203/rs.3.pex-1538/v1.
Janssen W, Bussmann J, Selles R, Koudstaal P, Ribbers G, Stam H. Recovery of the sit-to-stand movement after stroke: a longitudinal cohort study. Neurorehabilitation Neural Repair. 2010 Oct; 24(8):763-9. doi: 10.1177/1545968310363584.
Viosca E, Lafuente R, Martínez JL, Almagro PL, Gracia A, González C. Walking recovery after an acute stroke: assessment with a new functional classification and the Barthel Index. Archives of Physical Medicine and Rehabilitation. 2005 Jun; 86(6):1239-44. doi: 10.1016/j.apmr.2004.11.015.
Knorr S, Brouwer B, Garland SJ. Validity of the Community Balance and Mobility Scale in community-dwelling persons after stroke. Archives of Physical Medicine and Rehabilitation. 2010 Jun; 91(6):890-6. doi: 10.1016/j.apmr.2010.02.010.
Yashin A, Akushevich I, Ukraintseva S, Akushevich L, Arbeev K, Kulminski A. Trends in survival and recovery from stroke: evidence from the National Long-Term Care Survey/Medicare data. Stroke. 2010 Mar; 41(3):563-5. doi: 10.1161/STROKEAHA.109.572339.
Langhammer B, Stanghelle JK, Lindmark B. An evaluation of two different exercise regimes during the first year following stroke: a randomised controlled trial. Physiotherapy Practice. 2009 Feb; 25(2):55-68. doi: 10.1080/09593980802686938.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Pakistan BioMedical Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments editor@pakistanbmj.com