Detecting subtle mobility changes among older adults: the Quantitative Timed Up and Go test.

Background: The Quantitative Timed Up and Go (QTUG) test uses wearable sensors, containing a triaxial accelerometer and an add-on triaxial gyroscope, to quantify performance during the TUG test with potential to capture more minor changes in mobility. Aims: To examine the responsiveness, minimum det...

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Published in:Aging Clinical & Experimental Research Vol. 33; no. 8; pp. 2157 - 2165
Main Authors: Smith, Erin, Cunningham, Caitriona, Greene, Barry R., McCarthy Persson, Ulrik, Blake, Catherine
Format: research tables/charts Journal Article
Published: Springer Nature Aug2021
Online Access:View this record in EBSCOhost
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      dt: Aug2021
      vid: 33
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s40520-020-01733-7
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        atl: Detecting subtle mobility changes among older adults: the Quantitative Timed Up and Go test.
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        au:
          Smith, Erin
          Cunningham, Caitriona
          Greene, Barry R.
          McCarthy Persson, Ulrik
          Blake, Catherine
        affil: Health Service Executive, Physiotherapy Department, Louth PCS, Dundalk, Ireland
      sug:
        subj:
          Exercise In Old Age
          Social Participation
          Community Programs
          Geriatric Functional Assessment Methods
          Exercise Physiology
          Task Performance and Analysis
          Human
          Community Health Services
          Descriptive Statistics
          Data Analysis Software
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Nonexperimental Studies
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: The Quantitative Timed Up and Go (QTUG) test uses wearable sensors, containing a triaxial accelerometer and an add-on triaxial gyroscope, to quantify performance during the TUG test with potential to capture more minor changes in mobility. Aims: To examine the responsiveness, minimum detectable change (MDC) and observed effect size of QTUG in a cohort of socially active adults aged 50 years and over participating in a structured community exercise program. Methods: 54 participants (91% females, mean age 63.6 ± 6.5 years) completed repeated QTUG testing under single- and dual-task conditions. Responsiveness of the QTUG was assessed by correlation of change in standard TUG with QTUG change (Pearson's correlation coefficient). MDC and effect sizes (standardized mean difference and Cohen's d) were also calculated for QTUG. Results: There was a strong positive correlation between change in the standard TUG and change in QTUG (single task r = 0.91, p < 0.001). MDC in QTUG was calculated as 0.77 (Sd, 1.39; ICC 0.96) seconds (single task) and 2.33 (Sd 2.18; ICC 0.85) seconds (dual task). Several QTUG parameters showed improvements in mean values with small effect sizes (sit -to-stand transition time d = 0.418; walk time d = 0.398; cadence d = 0.306, swing time d = 0.314; step time d = 0.479; gait velocity d = 0.365; time to reach turn d = 0.322) under single-task conditions and with a moderate effect size (d = 0.549) in time taken to turn under the dual-task condition. Conclusion: Initial evidence of QTUG's responsiveness to change in mobility in active middle to older age adults has been demonstrated with small to moderate effect sizes observed in specific QTUG parameters.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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