The Instrumented Timed "Up & Go" Test Distinguishes Turning Characteristics in Vestibular Hypofunction.
Objective Deficits in vestibular function increase the risk for falls while turning. However, the clinical assessment of turning in patients with vestibular dysfunction is lacking, and evidence is limited that identifies the effectiveness of vestibular physical therapy in improving turning performan...
| Publicado en: | PTJ: Physical Therapy & Rehabilitation Journal Vol. 101; no. 7; pp. 1 - 9 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jul2021
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151797421&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151797421 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15386724 MZW0 jtl: PTJ: Physical Therapy & Rehabilitation Journal issn: 15386724 maglogo: N pubinfo: dt: Jul2021 vid: 101 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 151797421 151797421 151797421 10.1093/ptj/pzab103 151797421 ppf: 1 ppct: 8 formats: tig: atl: The Instrumented Timed "Up & Go" Test Distinguishes Turning Characteristics in Vestibular Hypofunction. aug: au: Kim, Kyoung Jae Gimmon, Yoav Millar, Jennifer Brewer, Kelly Serrador, Jorge Schubert, Michael C affil: Human Physiology , Performance, Protection and Operation (H-3PO) Laboratory, NASA Johnson Space Center/KBR , Houston, Texas, USA sug: subj: Vestibular Diseases Complications Gait Physiology Walking Physiology Task Performance and Analysis Clinical Assessment Tools Wearable Sensors Human Descriptive Statistics Data Analysis Software Confidence Intervals Analysis of Variance Post Hoc Analysis Male Female Adult Middle Age Aged Neuropsychological Tests Rehabilitation Gait Analysis Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective Deficits in vestibular function increase the risk for falls while turning. However, the clinical assessment of turning in patients with vestibular dysfunction is lacking, and evidence is limited that identifies the effectiveness of vestibular physical therapy in improving turning performance. The purpose of this study was to quantify walking and turning performance during the instrumented Timed "Up & Go" (TUG) test using body-worn inertial measurement units (IMUs). Novel instrumented TUG parameters were investigated for ability to distinguish patients with unilateral vestibular deafferentation (UVD) from control groups and discriminate the differences in turning parameters of patients with UVD following vestibular physical therapy. Methods Thirty-eight individuals were recruited following UVD surgery: 26 age-matched veteran controls with reports of dizziness not from a peripheral vestibular origin, and 12 age-matched healthy controls. Participants were donned with IMUs and given verbal instructions to complete the TUG test as fast as safely possible. The IMU-instrumented and automated assessment of the TUG test provided component-based TUG parameters, including the novel walk:turn ratio. Among the participants with UVD, 19 completed an additional instrumented TUG testing after vestibular physical therapy. Results The walk:turn time ratio showed that turning performance in patients with UVD before rehabilitation is significantly more impaired than both the individuals with nonperipheral conditions and healthy controls. Vestibular rehabilitation significantly improved turning performance and "normalized" their walk:turn time ratio compared with healthy controls. The duration of the straight walking component in individuals with UVD before vestibular physical therapy, however, was not significantly different compared with that component in people after vestibular physical therapy and in healthy controls. Conclusion The IMU-instrumented TUG test can be used to distinguish individuals with vestibular deafferentation and to objectively quantify the change in their turning performance after vestibular physical therapy. Impact The IMU-based instrumented TUG parameters have the potential to quantify the efficacy of vestibular physical therapy and be adopted in the clinic. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|