TIMED UP AND GO PERFORMANCE IN OLDER PEOPLE WITH DIABETES MELLITUS: ASSOCIATIONS WITH SENSORIMOTOR FUNCTION, BALANCE, COGNITION, AND FALLS
Autor: | Asha H Wettasinghe, Dilshani WN Dissanayake, Prasad Katulanda, Stephen R Lord |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: | |
Zdroj: | International Journal of Physiotherapy, Vol 7, Iss 2 (2020) |
Druh dokumentu: | article |
ISSN: | 2349-5987 2348-8336 |
DOI: | 10.15621/ijphy/2020/v7i2/655 |
Popis: | Background: The Timed up and Go Test (TUG) is often used as a mobility measure in older people. However, it is unclear whether the TUG is useful for identifying fall risk in people with diabetes mellitus (DM) and which physical and cognitive/psychological factors influence the performance of this test. Objectives: To investigate whether slow TUG times (standard test and when performed with a secondary cognitive task (c-TUG)) are a risk factor for falls in older people with DM and to determine the relative contributions of a range of sensorimotor, balance and cognitive/psychological factors to TUG performance in this population. Methods: Community-dwelling people (n=103, mean age 61.57, SD=6.3) underwent the TUG and c-TUG tests as well as quantitative tests of vision, peripheral sensation, strength, reaction time, balance, cognition, and fear of falling. Participants were then followed up for falls for six months. Results: Negative binomial regression analyses revealed that each 1s increase in TUG and c-TUG times increased the risk of falling by 29% and 13%, respectively. Multiple regression analyses identified vibration sense (p |
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