Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Number of Steps and Time to Accomplish Turning During Timed Up and Go Test in Community-Dwelling Elderlies With and Without Idiopathic Parkinson Disease

  • Choi, Bong-sam (Dept. of Physical Therapy, College of Health and Welfare, Woosong University) ;
  • Lim, Woo-taek (Dept. of Physical Therapy, College of Health and Welfare, Woosong University)
  • Received : 2016.08.17
  • Accepted : 2016.11.07
  • Published : 2016.11.19
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Abstract

Background: Losing balance during locomotive actions becomes an increasing threat to both the community-dwelling elderly and elderly with Parkinson disease (PD). Those with PD may be at a high risk of fall due to particular characteristics during the turn. Turning around during locomotive actions may be one of problematic factors causing losing balance. Objects: This study is part of a larger study, which in part aims to identify turning strategies, to compare the strategies in the elderly with and without idiopathic PD aged 51 years and older and to distinguish whether the turning strategies can predict the elderly at risk of falls. Methods: A total of 22 community-dwelling elderlies (10 elderlies with idiopathic PD and 12 healthy elderlies) were investigated for the turning strategies during the timed up and go test. Results: There were some significant differences between the two groups during turning (p<.05). The idiopathic PD group had a tendency of challenging on taking more number of steps, more time to accomplish and staggering more for the turn relative to the control group. Conclusion: Taking more number of steps and more time to turn may be useful for distinguishing the characteristics of PD from that of the healthy elderly in turning strategy.

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References

  1. Arnold CM, Faulkner RA. The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis. BMC Geriatr. 2007;7:17. https://doi.org/10.1186/1471-2318-7-17
  2. Bagley S, Kelly B, Tunnicliffe N, et al. The effect of visual cues on the gait of independently mobile Parkinson's disease patients. Physiotherapy. 1991; 77(6):415-420. https://doi.org/10.1016/S0031-9406(10)62035-4
  3. Bond JM, Morris M. Goal-directed secondary motor tasks: Their effects on gait in subjects with Parkinson disease. Arch Phys Med Rehabil. 2000;81(1):110-116. https://doi.org/10.1016/S0003-9993(00)90230-2
  4. Crenna P, Carpinella I, Rabuffetti M, et al. The association between impaired turning and normal straight walking in Parkinson's disease. Gait Posture. 2007;26(2):172-178. https://doi.org/10.1016/j.gaitpost.2007.04.010
  5. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  6. Freter SH, Fruchter N. Relationship between timed 'up and go' and gait time in an elderly orthopaedic rehabilitation population. Clin Rehabil. 2000;14(1):96-101. https://doi.org/10.1191/026921500675545616
  7. Goetz CG, Poewe W, Rascol O, et al. Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: Status and recommendations. Mov Disord. 2004;19(9):1020-1028. https://doi.org/10.1002/mds.20213
  8. Herman T, Giladi N, Hausdorff JM. Properties of the 'timed up and go' test: More than meets the eye. Gerontology. 2011;57(3):203-210. https://doi.org/10.1159/000314963
  9. Hoehn MM, Yahr MD. Parkinsonism: Onset, progression and mortality. Neurology. 1967;17(5): 427-442. https://doi.org/10.1212/WNL.17.5.427
  10. Hollands KL, Hollands MA, Zietz D, et al. Kinematics of turning 180 degrees during the timed up and go in stroke survivors with and without falls history. Neurorehabil Neural Repair. 2010;24(4): 358-367. https://doi.org/10.1177/1545968309348508
  11. Koller WC, Glatt S, Vetere-Overfield B, et al. Falls and Parkinson's disease. Clin Neuropharmacol. 1989;12(2):98-105. https://doi.org/10.1097/00002826-198904000-00003
  12. Lipsitz LA, Jonsson PV, Kelley MM, et al. Causes and correlates of recurrent falls in ambulatory frail elderly. J Gerontol. 1991;46(4):M114-M122. https://doi.org/10.1093/geronj/46.4.M114
  13. Mathias S, Nayak US, Isaacs B. Balance in elderly patients: The "get-up and go" test. Arch Phys Med Rehabil. 1986;67(6):387-389.
  14. Morris ME. Movement disorders in people with Parkinson disease: A model for physical therapy. Phys Ther. 2000;80(6):578-597.
  15. Morris ME, Iansek R, Matyas TA, et al. Stride length regulation in Parkinson's disease. Normalization strategies and underlying mechanisms. Brain. 1996a;119(Pt 2):551-568. https://doi.org/10.1093/brain/119.2.551
  16. Morris ME, Matyas TA, Iansek R, et al. Temporal stability of gait in Parkinson's disease. Phys Ther. 1996b;76(7):763-777. https://doi.org/10.1093/ptj/76.7.763
  17. Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the Timed “Up & Go” test in people with Parkinson disease. Phys Ther. 2001;81(2):810-818. https://doi.org/10.1093/ptj/81.2.810
  18. Moscovich M, Estupinan D, Qureshi M, et al. Shell shock: Psychogenic gait and other movement disorders-A film review. Tremor Other Hyperkinet Mov (N Y). 2013;3. https://doi.org/10.7916/D89023HJ
  19. Noren AM, Bogren U, Bolin J, et al. Balance assessment in patients with peripheral arthritis: Applicability and reliability of some clinical assessments. Physiother Res Int. 2001;6(4): 193-204. https://doi.org/10.1002/pri.228
  20. Podsiadlo D, Richardson S. The timed "Up & Go": A test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  21. Siggeirsdottir K, Jonsson BY, Jonsson H Jr, et al. The timed "Up & Go" is dependent on chair type. Clin Rehabil. 2002;16(6):609-616. https://doi.org/10.1191/0269215502cr529oa
  22. Smithson F, Morris ME, Iansek R. Performance on clinical tests of balance in Parkinson's disease. Phys Ther. 1998;78(6):577-592. https://doi.org/10.1093/ptj/78.6.577
  23. Stack E, Ashburn A. Dysfunctional turning in Parkinson's disease. Disabil Rehabil. 2008;30(16): 1222-1229. https://doi.org/10.1080/09638280701829938
  24. Stack E, Jupp K, Ashburn A. Developing methods to evaluate how people with Parkinson's disease turn 180 degrees: An activity frequently associated with falls. Disabil Rehabil. 2004:26(8): 478-484. https://doi.org/10.1080/09638280410001663085
  25. Tan DM, McGinley JL, Danoudis ME, et al. Freezing of gait and activity limitations in people with Parkinson's disease. Arch Phys Med Rehabil. 2011; 92(7):1159-1165. https://doi.org/10.1016/j.apmr.2011.02.003
  26. Thigpen MT, Light KE, Creel GL, et al. Turning difficulty characteristics of adults aged 65 years or older. Phys Ther. 2000;80(12):1174-1187.
  27. van Hedel HJ, Wirz M, Dietz V. Assessing walking ability in subjects with spinal cord injury: Validity and reliability of 3 walking tests. Arch Phys Med Rehabil. 2005;86(2):190-196. https://doi.org/10.1016/j.apmr.2004.02.010
  28. Verma SK, Willetts JL, Corns HL, et al. Falls and fall-related injuries among community-dwelling adults in the United States. PLoS One. 2016;11(3): e0150939. https://doi.org/10.1371/journal.pone.0150939