[The Get-up early test, elaboration process of a new screening tool for psychomotor disadaptation syndrome].
Major features of the psychomotor disadaptation syndrome (SDPM) include motor skill dysfunctions with alteration of postural capabilities, walking abilities and psychomotric automatisms. Mini motor test (TMM) is the gold standard used by skilled physiotherapists in order to assess the syndrome. The aim of this article is to present the elaboration process of a new SDPM screening tool, called the Get-up early test. The test was firstly elaborated through consensus of nine experts in the geriatric field. This first 5-items version had poor inter-rater reproducibility and was therefore modified in a new 4-item version. This new version had substantial inter-rater concordance. Compared to the TMM as gold standard, in two different settings (acute ward and nursing home), with a cut-off value≥1/4, diagnostic performance was good (sensibility: 0.73 and specificity 0.88; area under curve: 0.823). The last step was to implement the screening tool in three Mobile geriatric units and we report here their experience. The Get-up early test may be suggested as a new screening tool in order to detect SDPM before more in-depth comprehensive geriatric assessment, and to early adapt the care plan.
Service de médecine gériatrique, Centre hospitalier universitaire Mont-Godinne, Belgique.
Gérald
G
Cremer
Didier
D
Schoevaerdts
Marie
M
de Saint-Hubert
Jacques
J
Jamart
Gwenaël
G
Poulain
Étienne
É
Toussaint
Marjorie
M
Iacovelli
Christian
C
Swine
D000058:Accidental Falls / Q000517:prevention & control; D000368:Aged; D000369:Aged, 80 and over; D001530:Belgium; D003299:Cooperative Behavior; D004185:Disability Evaluation; D016330:Frail Elderly; D015577:Geriatric Assessment / Q000379:methods*; D005853:Geriatrics; D006748:Hospital Departments; D006801:Humans; D033183:Interdisciplinary Communication; D008403:Mass Screening / Q000379:methods*; D026741:Physical Therapy Modalities; D004856:Postural Balance; D011237:Predictive Value of Tests; D011596:Psychomotor Disorders / Q000175:diagnosis* / Q000534:rehabilitation; D013577:Syndrome