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Previous issue date: 2012-08-31 / INTRODUCTION: The Timed Up &Go (TUG) test has been used in the assessment of the functional mobility and only few studies have tested it in a healthy pediatric population, as well as in patients with Down Syndrome (DS).
OBJECTIVES: To determine normative values for the TUG test in healthy children and adolescents and to validate its use in a sample of patients with DS.
METHODS: A cross-sectional study divided into two phases. Children and adolescents, from 3 to 18 years old, healthy (phase1), or with DS (phase 2), were selected by convenience to be assessed with the TUG test. The assessments were performed in the following order: anthropometric measurements, actual lower limb length, TUG and Gross Motor Functional Measurements (GMFM) this one was only performed in phase 2. The association between the TUG test values and the possible predictive variables was analyzed using a model of multiple linear regression.
RESULTS: In phase 1 (459 participants), the TUG test values were different across the participants age and, because of that, they were stratified in age groups that serve as normative values for both genders. The regression model has demonstrated that the age and the weight (R2=0,25) were the best variables for the TUG test prediction. The intraclass correlation coefficient (ICC) demonstrated excellent within-session and between-session reliability. In phase 2 (40 individuals with DS), the test also showed excellent reproducibility. The performance time was significantly higher in individuals with DS compared with gender, age and weight matched healthy controls. Also, the dimension E of the GMFM was the variable that best correlated with the TUG test.
CONCLUSION: This study provides normative values for the TUG test and shows that its behavior can be explained according to the age and weight in healthy children and adolescents. The TUG test is a reliable and valid assessment of functional mobility in patients with SD and correlates with the gross motor function. / INTRODU??O: O teste Timed Up & Go (TUG) vem sendo utilizado na avalia??o da mobilidade funcional e poucos estudos o avaliaram na popula??o pedi?trica saud?vel e em pacientes com S?ndrome de Down (SD). OBJETIVOS: Determinar valores normativos para o teste TUG em crian?as e adolescentes saud?veis e validar a sua utiliza??o em uma amostra de pacientes com SD. MATERIAL E M?TODOS: Estudo observacional transversal dividido em duas fases. Crian?as e adolescentes, de 3 a 18 anos, saud?veis (fase 1) ou com SD (fase 2),foram selecionadas por conveni?ncia para a avalia??o com o teste TUG. As avalia??es foram realizadas na seguinte ordem: medidas antropom?tricas, comprimento real dos membros inferiores, TUG e Gross Motor Function Measure (GMFM), este ?ltimo realizado apenas na fase 2. A associa??o entre os valores do teste TUG com as potenciais vari?veis preditoras foi analisada utilizando um modelo de regress?o linear m?ltipla. RESULTADOS: Na fase 1 (459 participantes), os valores do teste TUG diferiram no decorrer das idades e por isso foram estratificadas em faixas et?rias que servem como valores normativos para ambos os sexos. O modelo de regress?o demonstrou que a idade e o peso (R2=0,25) foram as melhores vari?veis para a predi??o do TUG. O coeficiente de correla??o intraclasse (ICC) demonstrou excelente confiabilidade intra-sess?o e inter-sess?o. Na fase 2 (40 indiv?duos com SD), o teste tamb?m apresentou excelente reprodutibilidade. O tempo de realiza??o foi significativamente maior nos indiv?duos com SD quando comparados com os saud?veis pareados por sexo, idade e peso. Ainda, a dimens?o E do GMFM foi a vari?vel que melhor se correlacionou com o teste TUG. CONCLUS?O: Este estudo apresenta valores normativos para o teste TUG e demonstra que o seu comportamento pode ser explicado em fun??o da idade e do peso em crian?as e adolescentes saud?veis. O TUG ? confi?vel e v?lido para avalia??o da mobilidade funcional em pacientes com SD e se correlaciona com a fun??o motora grossa.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1398 |
| Date | 31 August 2012 |
| Creators | Nicolini-Panisson, Renata D'Agostini |
| Contributors | Donadio, M?rcio Vin?cius Fagundes |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?a, PUCRS, BR, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 3098206005268432148, 500, 600, 8624664729441623247 |
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