Performance of timed "up & go" test in female elderly patients with hip fracture

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Performance of timed "up & go" test in female elderly patients with hip fracture

 

Author: Chow, Siu-ling
Title: Performance of timed "up & go" test in female elderly patients with hip fracture
Degree: M.Sc.
Year: 1997
Subject: Hip joint -- Fractures
Women patients
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Pages: xi, 103 leaves : ill. ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1410557
URI: http://theses.lib.polyu.edu.hk/handle/200/3412
Abstract: Hip fracture is common in the female elderly population. Elderly patients with hip fracture are managed with surgical intervention with immediate mobilization and walking training. Physiotherapy rehabilitation aims to improve the mobility and balance performance of these patients after the operation. During rehabilitation, the Timed "Up & Go" test, Berg balance scale and Functional reach have been used as the outcome measures to assess the fractured hip patients. The objective of this study was to examine if any difference existed in the time score of the Timed "Up & Go" test with turning to the dominant and non-dominant leg in normal elderly. It also studied the difference in the time score of the Timed "Up & Go" test with turning to the fractured and non-fractured leg in female elderly fractured hip subjects. Besides, this study was designed to establish the relationship and relative responsiveness of the Timed "Up & Go" test, the Berg balance scale and Functional reach in female fractured hip subjects. Twenty normal elderly female subjects and twenty female fractured hip subjects were recruited for this study. The normal elderly were assessed on the Timed "Up & Go" test for one time. The fractured hip subjects attended three testing sessions at the end of third, fourth and filth week after the operation and were assessed with the Timed "Up & Go" test, Berg balance scale and Functional reach. The results showed that there was no significant difference in the Timed "Up & Go" score between turning to the dominant and non-dominant leg in normal elderly. However, a significantly longer time score for the Timed "Up & Go" test was obtained in fractured hip patients for turning to the fractured leg than to the non-fractured leg, for all testing sessions. A significant decrease in the Timed "Up & Go" score and an increase in the scores of the Berg balance scale and Functional reach were found during the rehabilitation period. There were strong significant inverse correlations between the Timed "Up & Go" test and Berg balance scale (r = -0.72 to -0.89) and significant moderate correlations between the Berg balance scale and Functional reach (r = 0.60 to 0.66). The correlation between the Timed "Up & Go" test and Functional reach (r = -0.42 to -0.47) was not significant at 0.01 level of significance. The mean percentage change between the end of third week and end of fifth week after operation were 40%, 35% and 29% respectively for Functional reach, Timed "Up & Go" test and Berg balance scale. However, no significant difference was found in their relative responsiveness among these measures. The results indicates that it is necessary to standardize the direction of turning during the Timed "Up & Go" test in fractured hip patients. The high correlation between the Timed "Up & Go" test and the Berg balance scale suggested a strong relationship between the mobility and balance performance in this patient group during rehabilitation. The moderate and weak correlations between the Berg balance scale and Functional reach, the Timed "Up & Go" test and Functional react demonstrate that different tasks were probably assessed by these measures. The results showed no difference in the responsiveness of the three measures. Further study on a larger population may be needed.

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