Quantitative Analysis Of The Timed Up And Go In Elderly Patients Post Hip Fracture In A Sub-Acute Rehabilitation Setting

Grace Coakley
2019
Introduction The Timed Up and Go is an outcome measure, which has been shown to be reliable and valid to assess change in patients post hip fracture. Advances in technology have included the use of inertial sensors for the quantitative analysis of the Timed Up and Go (QTUG) and enhance the scope for harnessing information from the test. However no studies have investigated their use in hip fracture patients. Aims and Objectives The aim of this study was to investigate the use of the QTUG in the
more » ... of the QTUG in the assessment of hip fracture patients in a sub-acute geriatric rehabilitation setting. This included investigating which components of the QTUG were sensitive to change pre and post rehab and investigating the use of the QTUG as a measure of falls risk and frailty level. Methods A prospective cohort study design was employed using a sample of convenience. Sixteen participants post hip fracture admitted to an inpatient post-acute rehabilitation unit were assessed on admission and at discharge using the QTUG. Individual components of QTUG (e.g. sit to stand, walk, turn time) were compared between admission and discharge. Falls risk and frailty level were also assessed using QTUG and these were compared to secondary measures of Tinetti Gait and Balance Assessment and Clinical Frailty Scale (CFS). Results There was a significant improvement in the main outcome measure of overall QTUG time between admission and discharge of 9.3 (95% CI 5.6 to 12.9) seconds with a p value <0.001. Each individual time component of the QTUG (sit to stand, walking, turning, stand to sit) also showed statistically significant improvements. There was a significant improvement in both falls risk and frailty level estimates measured using the QTUG and using clinical outcome measures of Tinetti and CFS. There was a strong negative correlation between the QTUG falls risk estimate and Tinetti scores on admission (r=-0.673, p=0.004) and discharge (r=-0.764, p=0.001). There was no relat [...]
doi:10.25419/rcsi.10810451 fatcat:k5cuyzg3cnhz5hhxbfckhwlfdi