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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(06): 381-386
DOI: 10.1590/0004-282X20180055
ARTICLE

Performances on the Timed Up and Go Test and subtasks between fallers and non-fallers in older adults with cognitive impairment

Performances no teste Timed Up and Go e subtarefas em idosos com comprometimento cognitivo, caidores e não caidores
Juliana Hotta Ansai
1   Universidade Federal do Mato Grosso do Sul; Departamento de Fisioterapia, Instituto Integrado de Saúde, Campo Grande MS, Brasil;
,
Larissa Pires de Andrade
2   Universidade Federal de São Carlos, Departamento de Fisioterapia, São Carlos SP, Brasil;
,
Theresa Helissa Nakagawa
3   Centro Universitário do Norte, Departamento de Fisioterapia, Manaus AM, Brasil.
,
José Rubens Rebelatto
2   Universidade Federal de São Carlos, Departamento de Fisioterapia, São Carlos SP, Brasil;
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ABSTRACT

This work aimed to compare performances on the Timed Up and Go (TUG) test and its subtasks between faller and non-faller older adults with mild cognitive impairment (MCI) and mild Alzheimer’s disease (AD). A prospective study was conducted, with 38 older adults with MCI and 37 with mild AD. Participants underwent an assessment at baseline (the TUG and its subtasks using the Qualisys ProReflex system) and the monitoring of falls at the six-month follow up. After six months, 52.6% participants with MCI and 51.3% with AD fell. In accordance with specific subtasks, total performance on the TUG distinguished fallers from non-fallers with AD, fallers from non-fallers with MCI and non-fallers with MCI from non-fallers with AD. Although no other difference was found in total performances, non-fallers with MCI and fallers with AD differed on the walking forward, turn and turn-to-sit subtasks; and fallers with MCI and non-fallers with AD differed on the turn-to-sit subtask.

RESUMO

O objetivo deste trabalho foi comparar o desempenho do Timed up and go test (TUG) e suas subtarefas entre idosos caidores e não caidores com comprometimento cognitivo leve (CCL) e doença de Alzheimer (DA) leve. Um estudo prospectivo foi conduzido, com 38 idosos com CCL e 37 com DA leve. Foi realizada uma avaliação inicial (TUG e subtarefas por meio do sistema Qualisys Pro Reflex) e um monitoramento de quedas por 6 meses. Após 6 meses, 52.6% pessoas com CCL e 51.3% com DA caíram. Em concordância com subtarefas específicas, a performance total do TUG distinguiu caidores de não caidores com DA, caidores de não caidores com CCL e não caidores com CCL de não caidores com DA. Embora nenhuma outra diferença foi encontrada na performance total do TUG, não caidores com CCL e caidores com DA apresentaram diferenças nas performances das subtarefas marcha ida, retornar e virar-se para sentar; e caidores com CCL e não caidores com DA diferiram na subtarefa virar-se para sentar.

aged - Alzheimer’s disease - accidental falls - cognitive disfunction
idoso - doença de Alzheimer - acidentes por quedas - disfunção cognitiva

Support

This study was supported by the Coordination for the Improvement of Higher Education Personnel (CAPES). The sponsor had no involvement in the study design, in the collection, analysis and interpretation of data.




Publication History

Received: 23 November 2017

Accepted: 05 March 2018

Article published online:
25 August 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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