Conclusion : The TUG can be recommended for measuring basic mobility skills after stroke in patients who are able to walk .
Abstract Objective : To systematic ally review and summarize the clinimetric properties , including reliability , validity , and responsiveness , the procedures used , and the meanings of the scores in the Timed Up and Go Test ( TUG ) .
The TUG is a performance test that identifies problems with functional mobility in patients with stroke .
Risk factors for falls in post-stroke patients treated in a neurorehabilitation ward.
BACKGROUND AND PURPOSE Patients with neurological disorders , including post-stroke patients , are at high risk for falls . The purpose of the study was to estimate the number and type of falls and fall-related injuries in patients of a neurological rehabilitation ward and to identify risk factors for falls . MATERIAL AND METHODS 353 consecutive post-stroke patients of the Neurorehabilitation Unit at the Institute of Psychiatry and Neurology in Warsaw were enrolled into the study and observed during the hospital stay . Falls occurring in patients during their hospital stay were registered and an analysis of fall-related data and the routinely obtained medical data was performed . RESULTS In the evaluated group , 35 ( 10 % ) patients suffered 50 falls , which corresponds to an incidence rate of 5.02 [ 95 % confidence interval ( 95 % CI ) : 3.70 - 6.52 ] falls per 1000 patient-days . Most falls occurred in patients ' rooms ( 80 % ) , most of them taking place while transferring from one place to another or while changing position . 2 % of falls caused severe injury . There was a higher percentage of patients with unilateral neglect in the group of fallers ( p=0.0007 ) , who also demonstrated poorer performance in activities of daily living as expressed by the Rankin score ( p < 0.0002 ) and the Barthel Index ( p < 0.0001 ) , and greater neurological deficit in the Sc and inavian Stroke Scale ( SSS ) ( p=0.002 ) at admission as well as at discharge from hospital than non-fallers . The risk of a fall showed greatest association with low Barthel Index at admission ( < 15/20 ; RR=10.3 ; 95 % CI : 2.8 - 50.7 ) , performance in the Rankin score of > 3 ( RR=5.12 ; 95 % CI : 2,41 - 14,8 ) , low SSS score on admission ( 0 - 39 ; RR=3.40 ; 95 % CI : 1.62 - 9.14 ) , and the presence of hemispatial neglect ( RR=3.42 ; 95 % CI : 1.23 - 6.53 ) . The multiple-fallers group did not differ significantly from the group of single-fallers . CONCLUSIONS Among post-stroke patients , falls are a complication especially affecting persons with a large neurological deficit , severe disability and the neglect syndrome
Conclusion : The TUG can be recommended for measuring basic mobility skills after stroke in patients who are able to walk .
Abstract Objective : To systematic ally review and summarize the clinimetric properties , including reliability , validity , and responsiveness , the procedures used , and the meanings of the scores in the Timed Up and Go Test ( TUG ) .
The TUG is a performance test that identifies problems with functional mobility in patients with stroke .