〔目的〕虚弱高齢者を対象に，Timed up and go ...test（TUG），歩行速度，下肢機能との関連について検討した。〔対象〕虚弱高齢者134名（男性60名，女性74名）であり，平均年齢は78.4±8.6歳であった。〔方法〕TUG，歩行速度のそれぞれと下肢筋力や下肢荷重力などの下肢機能検査項目との関連を性別にピアソンの相関係数により検討した。〔結果〕TUGと歩行速度は，ともにすべての下肢機能検査項目と有意な相関が認められ，虚弱高齢者の下肢機能を把握する評価尺度としての妥当性が示された。その相関係数から関連の強さを判断すると，すべての項目で歩行速度の方がTUGよりも関連が強かった。〔結語〕TUGより歩行速度の方が，虚弱高齢者の下肢機能をより反映することが示唆された。
We examined whether the preoperative time required for the Timed "Up and Go" (TUG) test could predict the risk for deep venous thrombosis (DVT) in patients with hip osteoarthritis after total hip ...arthroplasty (THA). Eighteen patients with DVT diagnosed by venography were selected, and 18 without DVT of the same age and sex and with the same operated side as the DVT group were selected as a control group. We evaluated the 5 preoperative factors that might affect the occurrence of DVT complications, as follows:disease duration, body mass index, serum total cholesterol, subjective pain evaluated by the visual analog scale, and TUG. The JOA hip score (pain, range of motion, walking ability, and daily life) was also evaluated before surgery. As a postoperative factor, we checked the postoperative day when weight-bearing was initiated. As a result, TUG (DVT, 18.4+/-4.0 sec vs. control, 15.0+/-3.2 sec;p0.01) was only significantly different between the 2 groups. The ROC curve revealed that the cut-off point of 15.3 sec in preoperative time for TUG was sensitive (83.3%) and specific (61.1%) for DVT after THA (odds ratio7.0;95% confidence interval, 1.6-30.8). These results suggested that low preoperative ambulatory ability in patients with hip osteoarthritis might be associated with DVT after THA. An improvement in TUG before surgery might contribute to a decrease in the occurrence of DVT after THA.
膝を押す立ち上がり（膝押し群）と坐面を押す立ち上がり（坐面押し群），および肘掛けを押す立ち上がり（肘掛け押し群）にて，最大努力速度でのTimed“Up and Go”test（TUG）を，平均年齢20.4±0.7歳の健常女性8名を対象に10 ...kgの負荷を課して測定した。それぞれの結果の有意水準は5％でWilcoxonの符号付き順位検定を行った。膝押し群は，坐面押し群と肘掛け押し群の両群に対して有意に遅かった（p<0.01）が，坐面押し群と肘掛け押し群の間には有意差を認めなかった。このことから，これまでのTUGの報告は再度検証する必要があり，TUGの計測には高さの等しい肘掛け椅子を使用する方法に統一する必要があると考えた。また肘掛けのない椅子を用いる場合には，具体的な教示をすることが必要と考えられた。
Aim: To identify elderly patients who are at high risk for falls, we used the timed up-and-go test (TUG) as an assessment tool for gait and balance function in a comprehensive geriatric assessment ...(CGA) initiative named 'Dr. SUPERMAN'. However, this test is difficult to perform in a small area because it requires at least 3 meters of movement space. Therefore, we investigated whether another, newly-developed test, based on the Berg balance test, could be an alternative to the TUG test. Methods: We enrolled a total of 99 eligible subjects out of 105 elderly patients with disorders such as Alzheimer disease, Parkinson disease, cerebral infarction, osteoporosis and vascular risk factors, and administered the TUG test and the newly -developed standing and balance test (SBT). Of these 99, 6 patients could not stand independently. While the time to accomplish TUG was determined, any unsteadiness during TUG was also recorded. The SBT consists of 3 components: standing up independently, standing on a narrow base for 15 seconds without any swaying of the trunk, and a timed one-leg standing test (TOLS) for 15 seconds on both sides. Taking more than 14 seconds to accomplish the TUG or abnormal unsteadiness during the test was defined as positive, and each cut-off point was measured on the TOLS, with or without swaying of the trunk. Results: The time to accomplish TUG significantly increased with age, and positive TUG findings were observed in 43 subjects. The mean TOLS time significantly and suddenly worsened at over 75 years of age, including among those subjects who showed swaying of the trunk and who could only perform the TOLS for less than 1 second. The receiver operating curve indicated that a TOLS cut-off point of less than 3 seconds, together with standing with help or swaying of the trunk during the SBT, most efficiently determined a positive TUG score, with high sensitivity (86%), high specificity (87.5%), and a high positive predictive value (84.1%). Conclusion: In a narrow space, the SBT can adequately determine gait and balance abnormalities among elderly patients, indicating it to be an alternative to the TUG test. Subjects who could stand dependently, who showed swaying of the trunk in SBT, or who had a TOLS cut-off point of less than 3 seconds, were at high risk for falls. Further assessment of similar patients is necessary.
Background & Purposes : WISH-type hip brace has been used for patients with painful hip osteoarthritis. Both Harris and JOA scoring systems have indicated significant improvement of hip function. The ...present study examined the effect of the brace on dynamic balances in those patients. Patients & Methods : We performed dynamic balance measures including Cross test, Timed up and go test (TUG) and Multi-directional reach test (MDRT) in 8 patients with osteoarthritis (OA) of the hip. Results : High intra-class correlation coefficients (ICCs) were obtained in the distances of the amplitudes in both fore-after and lateral directions, which were depicted by cross test, quickly performed TUG, and anterior and lateral multi-directional functional reaches with only non affected-side arm. In contrast, when the brace was not applied, low ICCs were observed in comfortably performed TUG and MDRT with affected-side arm. While application of the brace did not show any significant effect on the dynamic balances performed here, there was a significant negative relationship between HHS and TUG with as well as without WISH-type hip brace. Conclusion : Quickly performed TUG may reflect hip functions in hip OA patients even with the hip brace.
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