Article

OBJECTIVES: To assess and compare the ability of the Timed Up & Go (TUG) and
subscales of the Functional Autonomy Measurement System (SMAF) to detect change
in people undergoing geriatric rehabilitation in inpatient geriatric
rehabilitation units (GRUs) and day hospitals. DESIGN: Longitudinal design with
repeated measures obtained at admission and discharge from rehabilitation and at
2 follow-up interviews. SETTING: Inpatient and outpatient hospital-based
settings. PARTICIPANTS: Subjects (N=237, age 80+/-7 y) had data at admission and
discharge from rehabilitation (changing time frame), and of these, 160 had data
at 2 subsequent follow-ups (stable time frame). INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: The TUG was used to estimate basic mobility, and subscales
of the SMAF were used to estimate general mobility (SMAF-mobility), basic
activities of daily living (SMAF-ADL), and instrumental activities of daily
living (SMAF-IADL). Professionals' perception of change was used as a criterion.
RESULTS: The TUG generated large values for the standardized response mean (SRM)
and Guyatt's responsiveness index in GRUs (.98 and 1.12) and day hospitals (.89
and 1.85). Professionals' perception of change in mobility was explained by a
perceptible change in the TUG in day hospitals (15%) but not in GRUs. The
SMAF-mobility, SMAF-ADL, and SMAF-IADL were associated with large values of SRM
and Guyatt's responsiveness index in GRUs (.97-2.17) and with small to moderate
values in day hospitals (.29-.54). Moderate to large portions in the
professionals' perceptions of change for mobility (20%, 17%), basic ADLs (10% and
14%), and IADLs (23% and 19%) were associated with the respective change scores
of the subscales of the SMAF in both GRUs and day hospitals. CONCLUSIONS:
Progress of older adults in the areas of mobility, basic ADLs, and IADLs can be
captured using the TUG, SMAF-mobility, SMAF-ADL, and SMAF-IADL in both GRUs and
day hospitals. The results support their use in settings of high- and
low-intensity rehabilitation, thus suggesting their adequacy for use in these 2
settings.
CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS