Number of Steps and Time to Accomplish Turning During Timed Up and Go Test in Community-Dwelling Elderlies With and Without Idiopathic Parkinson Disease
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Background: Losing balance during locomotive actions becomes an increasing threat to both the community-dwelling elderly and elderly with Parkinson disease (PD). Those with PD may be at a high risk of fall due to particular characteristics during the turn. Turning around during locomotive actions may be one of problematic factors causing losing balance. Objects: This study is part of a larger study, which in part aims to identify turning strategies, to compare the strategies in the elderly with and without idiopathic PD aged 51 years and older and to distinguish whether the turning strategies can predict the elderly at risk of falls. Methods: A total of 22 community-dwelling elderlies (10 elderlies with idiopathic PD and 12 healthy elderlies) were investigated for the turning strategies during the timed up and go test. Results: There were some significant differences between the two groups during turning (p<.05). The idiopathic PD group had a tendency of challenging on taking more number of steps, more time to accomplish and staggering more for the turn relative to the control group. Conclusion: Taking more number of steps and more time to turn may be useful for distinguishing the characteristics of PD from that of the healthy elderly in turning strategy.
Abstract
Background: Losing balance during locomotive actions becomes an increasing threat to both the community-dwelling elderly and elderly with Parkinson disease (PD). Those with PD may be at a high risk of fall due to particular characteristics during the turn. Turning around during locomotive actions may be one of problematic factors causing losing balance. Objects: This study is part of a larger study, which in part aims to identify turning strategies, to compare the strategies in the elderly with and without idiopathic PD aged 51 years and older and to distinguish whether the turning strategies can predict the elderly at risk of falls. Methods: A total of 22 community-dwelling elderlies (10 elderlies with idiopathic PD and 12 healthy elderlies) were investigated for the turning strategies during the timed up and go test. Results: There were some significant differences between the two groups during turning (p<.05). The idiopathic PD group had a tendency of challenging on taking more number of steps, more time to accomplish and staggering more for the turn relative to the control group. Conclusion: Taking more number of steps and more time to turn may be useful for distinguishing the characteristics of PD from that of the healthy elderly in turning strategy.
참고문헌 (28)
- Arnold CM, "The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis", BMC Geriatr, 7, pp.17~ (2007)
- Bagley S, "The effect of visual cues on the gait of independently mobile Parkinson’s disease patients", Physiotherapy, 77(6), pp.415~420 (1991)
- Bond JM, "Goal-directed secondary motor tasks: Their effects on gait in subjects with Parkinson disease", Arch Phys Med Rehabil, 81(1), pp.110~116 (2000)
- Crenna P, "The association between impaired turning and normal straight walking in Parkinson’s disease", Gait Posture, 26(2), pp.172~178 (2007)
- Folstein MF, "“Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician", J Psychiatr Res, 12(3), pp.189~198 (1975)
- Freter SH, "Relationship between timed ‘up and go’ and gait time in an elderly orthopaedic rehabilitation population", Clin Rehabil, 14(1), pp.96~101 (2000)
- Goetz CG, "Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: Status and recommendations", Mov Disord, 19(9), pp.1020~1028 (2004)
- Talia Herman, "Properties of the ‘Timed Up and Go’ Test: More than Meets the Eye", Gerontology, 57(3), pp.203~210 (2011), S. Karger AG[DOI]
- Hoehn MM, "Parkinsonism: Onset, progression and mortality", Neurology, 17(5), pp.427~442 (1967)
- Kristen Leigh Hollands, "Kinematics of Turning 180° During the Timed Up and Go in Stroke Survivors With and Without Falls History", Neurorehabilitation and Neural Repair, 24(4), pp.358~367 (2010), SAGE Publications[DOI]
- Koller WC, "Falls and Parkinson’s disease", Clin Neuropharmacol, 12(2), pp.98~105 (1989)
- Lipsitz LA, "Causes and correlates of recurrent falls in ambulatory frail elderly", J Gerontol, 46(4), pp.M114~M122 (1991)
- Mathias S, "Balance in elderly patients: The “get-up and go” test", Arch Phys Med Rehabil, 67(6), pp.387~389 (1986)
- Morris ME, "Movement disorders in people with Parkinson disease: A model for physical therapy", Phys Ther, 80(6), pp.578~597 (2000)
- Morris ME, "Stride length regulation in Parkinson’s disease. Normalization strategies and underlying mechanisms", Brain, 119(Pt 2), pp.551~568 (1996)
- Morris ME, "Temporal stability of gait in Parkinson’s disease", Phys Ther, 76(7), pp.763~777 (1996)
- Morris S, "Reliability of measurements obtained with the Timed"Up & Go"test in people with Parkinson disease", Phys Ther, 81(2), pp.810~818 (2001)
- Moscovich M, "Shell shock: Psychogenic gait and other movement disorders-A film review", Tremor Other Hyperkinet Mov, 3 (2013)[DOI]
- HJ Norén AM, "Balance assessment in patients with peripheral arthritis:Applicability and reliability of some clinical assessments", Physiother Res Int, 6(4), pp.193~204 (2001)
- Podsiadlo D, "The timed “Up & Go”: A test of basic functional mobility for frail elderly persons", J Am Geriatr Soc, 39(2), pp.142~148 (1991)
- Siggeirsdóttir K, "The timed"Up & Go"is dependent on chair type", Clin Rehabil, 16(6), pp.609~616 (2002)
- Smithson F, "Performance on clinical tests of balance in Parkinson’s disease", Phys Ther, 78(6), pp.577~592 (1998)
- E. Stack, "Dysfunctional turning in Parkinson's disease", Disability and Rehabilitation, 30(16), pp.1222~1229 (2009), Informa UK Limited[DOI]
- Stack E, "Developing methods to evaluate how people with Parkinson’s disease turn 180 degrees: An activity frequently associated with falls", Disabil Rehabil, 26(8), pp.478~484 (2004)
- Dawn M. Tan, "Freezing of Gait and Activity Limitations in People With Parkinson's Disease", Archives of Physical Medicine and Rehabilitation, 92(7), pp.1159~1165 (2011), Elsevier BV[DOI]
- Thigpen MT, "Turning difficulty characteristics of adults aged 65 years or older", Phys Ther, 80(12), pp.1174~1187 (2000)
- van Hedel HJ, "Assessing walking ability in subjects with spinal cord injury:Validity and reliability of 3 walking tests", Arch Phys Med Rehabil, 86(2), pp.190~196 (2005)
- Santosh K. Verma, "Falls and Fall-Related Injuries among Community-Dwelling Adults in the United States", PLOS ONE, 11(3), pp.e0150939~ (2016), Public Library of Science (PLoS)[DOI]