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Evaluation of Timed Up and Go Test as a tool to measure postoperative function and prediction of one year walking ability for patients with hip fracture

OBJECTIVE: To evaluate if the Timed Up and Go Test is a useful tool to measure postoperative function and to predict one-year results of rehabilitation in patients operated owing to hip fracture. DESIGN: Prospective cohort study. SETTING: The department of orthopaedic surgery at five hospitals in No...

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Autores principales: Nygard, Heid, Matre, Kjell, Fevang, Jonas Meling
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4838172/
https://www.ncbi.nlm.nih.gov/pubmed/26109590
http://dx.doi.org/10.1177/0269215515591039
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author Nygard, Heid
Matre, Kjell
Fevang, Jonas Meling
author_facet Nygard, Heid
Matre, Kjell
Fevang, Jonas Meling
author_sort Nygard, Heid
collection PubMed
description OBJECTIVE: To evaluate if the Timed Up and Go Test is a useful tool to measure postoperative function and to predict one-year results of rehabilitation in patients operated owing to hip fracture. DESIGN: Prospective cohort study. SETTING: The department of orthopaedic surgery at five hospitals in Norway. Patients were assessed five days postoperatively and after one year. SUBJECTS: A total of 684 patients over 60 years with trochanteric or subtrochanteric hip fractures were included. A total of 171 (25%) patients died within a year and 373 (73% of patients still alive) attended follow-up one year after surgery. MAIN MEASURES: Timed Up and Go Test and walking ability. RESULTS: A total of 258 (38%) patients passed the postoperative Timed Up and Go Test. A total of 217 (56%) patients with a prefracture independent outdoor walking ability, passed the test. The average Timed Up and Go Test score was 71 seconds. A total of 171 (25%) patients could not rise from a chair without assistance; 8% of the patients with cognitive impairment, and 8% of those admitted from nursing homes, were able to pass the postoperative Timed Up and Go Test. The sensitivity and specificity of the Timed Up and Go Test in predicting walking ability one year after the operation were low. At one year follow-up, 38% of the patients not able to perform the postoperative Timed Up and Go Test, passed the test. A total of 81 (21%) patients did not use any walking-aid, 17 of them did not pass the postoperative Timed Up and Go Test. CONCLUSION: The Timed Up and Go Test performed the fifth postoperative day was not a suitable tool to assess functional mobility for the majority of the patients with hip fractures in our study. Neither was the postoperative Timed Up and Go Test a suitable tool to predict the walking ability one year after the operation.
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spelling pubmed-48381722016-04-22 Evaluation of Timed Up and Go Test as a tool to measure postoperative function and prediction of one year walking ability for patients with hip fracture Nygard, Heid Matre, Kjell Fevang, Jonas Meling Clin Rehabil Data Collection Tools OBJECTIVE: To evaluate if the Timed Up and Go Test is a useful tool to measure postoperative function and to predict one-year results of rehabilitation in patients operated owing to hip fracture. DESIGN: Prospective cohort study. SETTING: The department of orthopaedic surgery at five hospitals in Norway. Patients were assessed five days postoperatively and after one year. SUBJECTS: A total of 684 patients over 60 years with trochanteric or subtrochanteric hip fractures were included. A total of 171 (25%) patients died within a year and 373 (73% of patients still alive) attended follow-up one year after surgery. MAIN MEASURES: Timed Up and Go Test and walking ability. RESULTS: A total of 258 (38%) patients passed the postoperative Timed Up and Go Test. A total of 217 (56%) patients with a prefracture independent outdoor walking ability, passed the test. The average Timed Up and Go Test score was 71 seconds. A total of 171 (25%) patients could not rise from a chair without assistance; 8% of the patients with cognitive impairment, and 8% of those admitted from nursing homes, were able to pass the postoperative Timed Up and Go Test. The sensitivity and specificity of the Timed Up and Go Test in predicting walking ability one year after the operation were low. At one year follow-up, 38% of the patients not able to perform the postoperative Timed Up and Go Test, passed the test. A total of 81 (21%) patients did not use any walking-aid, 17 of them did not pass the postoperative Timed Up and Go Test. CONCLUSION: The Timed Up and Go Test performed the fifth postoperative day was not a suitable tool to assess functional mobility for the majority of the patients with hip fractures in our study. Neither was the postoperative Timed Up and Go Test a suitable tool to predict the walking ability one year after the operation. SAGE Publications 2015-06-24 2016-05 /pmc/articles/PMC4838172/ /pubmed/26109590 http://dx.doi.org/10.1177/0269215515591039 Text en © The Author(s) 2015 http://creativecommons.org/licenses/by-nc/3.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (http://www.uk.sagepub.com/aboutus/openaccess.htm).
spellingShingle Data Collection Tools
Nygard, Heid
Matre, Kjell
Fevang, Jonas Meling
Evaluation of Timed Up and Go Test as a tool to measure postoperative function and prediction of one year walking ability for patients with hip fracture
title Evaluation of Timed Up and Go Test as a tool to measure postoperative function and prediction of one year walking ability for patients with hip fracture
title_full Evaluation of Timed Up and Go Test as a tool to measure postoperative function and prediction of one year walking ability for patients with hip fracture
title_fullStr Evaluation of Timed Up and Go Test as a tool to measure postoperative function and prediction of one year walking ability for patients with hip fracture
title_full_unstemmed Evaluation of Timed Up and Go Test as a tool to measure postoperative function and prediction of one year walking ability for patients with hip fracture
title_short Evaluation of Timed Up and Go Test as a tool to measure postoperative function and prediction of one year walking ability for patients with hip fracture
title_sort evaluation of timed up and go test as a tool to measure postoperative function and prediction of one year walking ability for patients with hip fracture
topic Data Collection Tools
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4838172/
https://www.ncbi.nlm.nih.gov/pubmed/26109590
http://dx.doi.org/10.1177/0269215515591039
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