Does chair type influence outcome in the timed “up and go” test in older persons?

Kalula, Sebastiana; Swingler, George; Sayer, Avan A.; Badri, Motasim; Ferreira, Mônica

doi:10.1007/s12603-010-0073-2

Cited by 4 publications

(4 citation statements)

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“…One hundred and eighteen subjects were recruited at a retirement centre and completed the timed Up and Go test on the collapsible chair and a standard chair. A detailed description of the chair and its use has been reported elsewhere 27 .…”

Section: Methodsmentioning

confidence: 99%

Methodological challenges in a study on falls in an older population of Cape Town, South Africa

et al. 2017

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BackgroundFalls are a major cause of disability, morbidity and mortality in older persons, but have been under researched in developing countries.ObjectiveTo describe challenges encountered in a community-based study on falls in a multi-ethnic population aged ≥65 years in a low-income setting.MethodsThe study was conducted in four stages: A pilot study (n=105) to establish a sample size for the survey. An equipment validation study (n=118) to use for fall risk determination. A cross-sectional baseline (n=837) and a 12-month follow-up survey (n=632) to establish prevalence and risk factors for falls.ResultsPrevalence rate of 26.4% (95% CI 23.5–29.5%) and risk factors for recurrent falls: previous falls, self-reported poor mobility and dizziness were established. Adaptations to the gold standard prospective fall research study design were employed: 1) to gain access to the study population in three selected suburbs, 2) to perform assessments in a non-standardised setting, 3) to address subjects' poverty and low literacy levels, and high attrition of subjects and field workers.ConclusionStudies on falls in the older population of low- to middle-income countries have methodological challenges. Adaptive strategies used in the Cape Town study and the research experience reported may be instructive for investigators planning similar studies in such settings.

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Section: Methodsmentioning

confidence: 99%

Methodological challenges in a study on falls in an older population of Cape Town, South Africa

et al. 2017

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“…The study required a portable chair that was easily transportable to use, to test lower limb power and balance of subjects during interviews in the subjects’ dwelling. An equipment validation study was conducted prior to the baseline survey to validate the portable chair that would be used in the study setting [ 11 ].…”

Section: Methodsmentioning

confidence: 99%

Risk factors for falls in older adults in a South African Urban Community

et al. 2016

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BackgroundStudies on falls in older adults have mainly been conducted in high income countries. Scant, if any, information exists on risk factors for falls in the older population of sub-Saharan African countries.MethodsA cross-sectional survey and a 12-month follow-up study were conducted to determine risk factors for falls in a representative multi-ethnic sample of 837 randomly selected ambulant community-dwelling subjects aged ≥65 years in three suburbs of Cape Town, South Africa. Logistic regression models were fitted to determine the association between (1) falls and (2) recurrent falls occurring during follow-up and their potential socio-demographic, self-reported medical conditions and physical assessment predictors.ResultsPrevalence rates of 26.4 % for falls and 11 % for recurrent falls at baseline and 21.9 % for falls and 6.3 % for recurrent falls during follow-up. In both prospective analyses of falls and recurrent falls, history of previous falls, dizziness/vertigo, ethnicity (white or mixed ancestry vs black African) were significant predictors. However, poor cognitive score was a significant predictor in the falls analysis, and marital status (unmarried vs married) and increased time to perform the timed Up and Go test in the recurrent fall analysis but not in both. Other than the timed Up and Go test in recurrent falls analysis, physical assessment test outcomes were not significant predictors of falls.ConclusionOur study provides simple criteria based on demographic characteristics, medical and physical assessments to identify older persons at increased risk of falls. History taking remains an important part of medical practice in the determination of a risk of falls in older patients. Physical assessment using tools validated in developed country populations may not produce results needed to predict a risk of falls in a different setting.

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“…As Bohannon et al 9 ) argue, differences in chairs may not preclude homogeneity. The TUG is performed in a variety of settings, such as in the community 2 ) , in care facilities 16 ) , and in hospitals 14 ) , because of its advantages in terms of the ease of measurement and lack of required specialized equipment. It is therefore plausible that TUG tests are not all performed in the same environment.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, Eekhof et al 15 ) measured TUG performance in older individuals using three different types of chairs with different seat heights and types and found that the effect of the chair type on the measurements was mild. Kalula et al 16 ) also examined whether two types of chairs (standard chair and folding chair) with the same seat height of 46 cm would change the time of the TUG in older individuals. They found no difference between the two chair types and reported that a portable folding chair could replace the standard chair.…”

Section: Introductionmentioning

confidence: 99%

Differences in the Timed Up and Go Test under different measurement conditions in young healthy adults

Ohsugi,

Kurihara,

Anzai

et al. 2023

J Phys Ther Sci

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[Purpose] The purpose of this study was to verify whether Timed Up and Go (TUG) test measurements differed according to the seat height of the chair, presence or absence of armrests, and measurement location in young healthy adults, and to clarify the flexibility of the TUG settings. [Participants and Methods] Fifty-nine young healthy males and females participated in this study. The TUG test was performed under several conditions. Eight measurements were obtained at both the usual walking speed and the individual’s fastest walking speed. [Results] There were no significant differences in TUG test measurements according to variation in seat height, different measurement locations, with and without the use of armrests, or at the usual walking speed or the fastest walking speed. [Conclusion] In young healthy adults, TUG test measurements were unaffected by differences in chair height, use of armrests, or the location of the measurement. If TUG measurements are found to differ according to these variables, it is necessary to consider the influence of the individual’s ability rather than the measurement method.

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Does chair type influence outcome in the timed “up and go” test in older persons?

Abstract: The use of a portable canvas chair with standardised specifications offers an acceptable alternative to the use of a 'standard' chair in assessments of fall risk using the TUG test in field settings where field workers are reliant on public transport.

Cited by 4 publications

References 25 publications

Methodological challenges in a study on falls in an older population of Cape Town, South Africa

Methodological challenges in a study on falls in an older population of Cape Town, South Africa

Risk factors for falls in older adults in a South African Urban Community

Differences in the Timed Up and Go Test under different measurement conditions in young healthy adults

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