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Predicting falls with the cognitive timed up-and-go dual task in frail older patients / Charlotte Cardon-Verbecq in Annals of physical and rehabilitation medicine, Vol. 60 n° 2 (April 2017)
[article] Predicting falls with the cognitive timed up-and-go dual task in frail older patients [texte imprimé] / Charlotte Cardon-Verbecq, Auteur ; Marine Loustau, Auteur ; Emilie Guitard, Auteur . - 2017 . - p. 83-86.
Langues : Anglais (eng) Français (fre)
in Annals of physical and rehabilitation medicine > Vol. 60 n° 2 (April 2017) . - p. 83-86
Catégories : PRATIQUE MÉDICALE
Test
SANTÉ PHYSIQUE
Chute
PSYCHOLOGIE
Fonction cognitive
DÉMOGRAPHIE
Personne âgée
PATHOLOGIE
MalnutritionTags : TUG Dual task TUG Falls Older age Malnutrition Handgrip strength Frailty Résumé : Background: The cognitive timed up-and-go dual task (CogTUG) has been proposed to improve the performance of the timed up-and-go (TUG) test for predicting falls in older patients and as a screening tool for early detection of frailty. We aimed to determine whether the CogTUG score is associated with a history of falls in frail older outpatients with gait disorders.
Methods: This retrospective study involved outpatients >75 years old with or without previous falls who were admitted from 2012 to 2014 to a geriatric day hospital for gait disorders. Patients took the TUG and CogTUG tests on the day of comprehensive geriatric assessment.
Results: Among the 161 patients included (157 analyzed; mean age 84.4±6.2 years; 72% women), 84 (53.5%) had fallen in the previous year: 105 (66.9%) were considered pre-frail and 52 (33.1%) frail. As compared with non-fallers, fallers had lower Tinetti balance scores (P= 0.0004) and handgrip strength (P= 0.03), more lost weight (P= 0.04), and they took longer to perform the TUG test (P= 0.04). Fallers and non-fallers did not differ in time taken to perform the CogTUG test (30.7±11.2 vs. 28.5±10.2s, P= 0.20). History of falls was associated with only weight loss (odds ratio 3.43; 95% CI 1.13–11.30, P= 0.03) and handgrip strength (0.88; 0.78–0.97, P= 0.02) on multivariate analysis.
Conclusion: Unlike TUG scores, the CogTUG score was not associated a history of falls in frail older outpatients with gait disorders. Our results underline that weight loss and low muscle strength are related to falls.En ligne : http://www.em-consulte.com/produit/rehab Permalink : https://ifm3r.centredoc.fr/index.php?lvl=notice_display&id=14810 [article]