Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Correlation between Parallel Walk Test and Timed Up and Go Test for Assessment of Dynamic Balance in Elderly


Affiliations
1 Amity Institute of Physiotherapy, Amity University Uttar Pradesh, India
     

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Objective: To correlate between parallel walk test (PWT) and Timed Up and Go Test (TUGT) and to determine the better tool out of PWT30.5 and PWT25 to distinguish between fallers and non fallers.

Methodology: In this study 60 older adults, both male and female were taken. 31 elderly fallers and 29 non fallers were recruited on the basis of MMSE, Barthel Index scores, parallel stance and tandem stance tests. Subjects were timed and scored as they walked for TUGT and PWT at 2 different widths (30.5, 25cm) .

Results: PWT time was found to be correlated with TUGT at p < 0.05. Significant difference was present between fallers and non fallers for time and score of PWT at width 30.5cm(PWT 30.5) and at 25cm(PWT 25) .PWT score was not correlated with TUGT. Variation observed between time taken and score could be attributed to varying gait characteristics.

Conclusion: PWT is a simple tool for assessing dynamic balance in elderly. PWT 30.5cm may be a better tool for assessing dynamic balance.


Keywords

Parallel Walk Test, TUGT, Balance, Correlation
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  • S Gates, , S E Lamb, D Fisher et al. Multifactorial assessment and targeted intervention for preventing falls and injuries among Older people in community and emergency care settings: systematic review and meta-analysis 2007 bmj.39412.52

  • Vianda S. Stel, Jan H. Smit et al Balance and mobility performance as treatable risk factors for recurrent falling in older persons Journal of Clinical Epidemiology 56 (2003) 659–668

  • Lois K Boulgarides, Susan M McGinty, et al.Use of Clinical and Impairment-Based Tests to Predict Falls by Community-Dwelling Older Adults. Physical Therapy. Volume 83. Number 4. April 2003 Research Report

  • Sally D. Lark, Sowjanya Pasupuleti Validity of a Functional Dynamic Walking Test for the Elderly Arch Phys Med Rehabil 2009;90:470-4

  • Julie C.Whitney, Stephen R Lord, et al Streamlining assessment and intervention in a falls clinic using the Timed Up and Go Test and Physiological Profile Assessments. Age and Ageing 2005; 34: 567–571.

  • Morten T Kristensen, Nicolai B Foss et al . Timed “Up & Go” Test as a Predictor of Falls Within 6 Months After Hip Fracture Surgery. Physical Therapy Vol 87 No. 1.

  • Maki BE. Gait changes in older adults: predictors of falls or indicators of fear? J Am Geriatr Soc 1997;45:313-20.

  • Moe-Nilssen R, Helbostad JL. Interstride trunk acceleration variability but not step width variability can differentiate between fit and frail older adults. Gait Posture 2005;21:164-70.

  • Kim Delbaere ,Daina L. Sturnieks et al .Concern About Falls Elicits Changes in Gait Parameters in Conditions of Postural Threat in Older People Journal of Gerontology: MEDICAL SCIENCES cite journal as: J Gerontol A Biol Sci Med Sci 2009. Vol. 64A, No. 2, 237–242.

  • A. J Davies, R A Kenny . Falls Presenting to the Accident and Emergency Department: Types of Presentation and Risk Factor Profile. Age and Ageing 1996:25:362-366.

  • Matthew A. Schrager, Valerie E. Kelly et al .The Effects of Age on Medio-lateral Stability during Normal and Narrow Base Walking Gait Posture. 2008 October ; 28(3): 466–471.

  • David A Winter Aftab E Patla James S Frank Sharon E Walt Biomechanical Walking Pattern Changes in the Fit and Healthy Elderly Physical Therapy Volume 70, Number 6/June 1990.

  • Michele L Callisaya, Leigh Blizzard, Michael D Schmidt et al. A population-based study of sensorimotor factors affecting gait in older people Age and Ageing 2009; 38: 290–295.

  • Jennifer S. Brach, Stephanie A. Studenski, et al.Gait Variability and the risk of incident mobility in community dwelling older adults. J Gerontol A Biol Sci Med Sci. 2007 September ; 62(9): 983–988.

  • H. John Yack and Roseanne C. Berger . Dynamic Stability in the Elderly: Identifying a Possible Measure . Journal of Gerontology: MEDICAL SCIENCES 1993, Vol. 48, No. 5, M225-M230.

  • Stephen R. Lord, David G. Lloyd, Sek Keungli. Sensori-motor Function, Gait Patterns and Falls in Community-dwelling Women Age and Ageing 1996:25:292-299

  • Jennifer S. Brach, , Stephanie Studenski, et al. . Stance Time and Step Width Variability Have Unique Contributing Impairments in Older Persons. Gait Posture. 2008 April ; 27(3): 431–439.

  • Levangie K Pamela, Norkin C Cynthia Joint Structure and Function: A Comprehensive Analysis 4th Edition Page No.-523


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  • Correlation between Parallel Walk Test and Timed Up and Go Test for Assessment of Dynamic Balance in Elderly

Abstract Views: 531  |  PDF Views: 2

Authors

Kavita Behal
Amity Institute of Physiotherapy, Amity University Uttar Pradesh, India
Anu Bansal
Amity Institute of Physiotherapy, Amity University Uttar Pradesh, India

Abstract


Objective: To correlate between parallel walk test (PWT) and Timed Up and Go Test (TUGT) and to determine the better tool out of PWT30.5 and PWT25 to distinguish between fallers and non fallers.

Methodology: In this study 60 older adults, both male and female were taken. 31 elderly fallers and 29 non fallers were recruited on the basis of MMSE, Barthel Index scores, parallel stance and tandem stance tests. Subjects were timed and scored as they walked for TUGT and PWT at 2 different widths (30.5, 25cm) .

Results: PWT time was found to be correlated with TUGT at p < 0.05. Significant difference was present between fallers and non fallers for time and score of PWT at width 30.5cm(PWT 30.5) and at 25cm(PWT 25) .PWT score was not correlated with TUGT. Variation observed between time taken and score could be attributed to varying gait characteristics.

Conclusion: PWT is a simple tool for assessing dynamic balance in elderly. PWT 30.5cm may be a better tool for assessing dynamic balance.


Keywords


Parallel Walk Test, TUGT, Balance, Correlation

References