title: Assessment of the risk of falling with the use of timed up and go test in the elderly with lower extremity osteoarthritis.
abstract: BACKGROUND
  Falling in the elderly results in a significant number of admissions to hospitals and long-term care facilities, especially among patients with lower extremity osteoarthritis (OA).
  
  
  OBJECTIVE
  The aim of the study was to assess the risk of falling in adults older than 60 years with OA using timed up and go (TUG) test.
  
  
  METHODS
  A total of 187 patients (aged >60 years) were enrolled in the study. The assessment included: basic activities of daily living (ADLs), lower extremity strength with the use of the 30-second chair stand test (30 CST), and assessment of the risk of falling (TUG test). Pain intensity was evaluated with the numeric rating scale (NRS).
  
  
  RESULTS
  The TUG test results were significantly better in younger OA patients (aged 60-69 years), as compared with their older peers (aged 70-79 years; P<0.01) and the oldest group (aged >80 years; P<0.001). Also, the 30 CST results were significantly higher in younger OA patients (P<0.05). Subjects older than 80 years had a significantly worse ADL score (P<0.05 and P<0.001). Pain complaints were reported significantly more frequently by women than men (P<0.05). A correlation between age and the TUG test score (r=0.412; P<0.0004) as well as between the TUG test and the 30 CST scores (r=0.7368; P=0.000) was detected. In the group with the TUG test score of <13.5 seconds, the 30 CST (P<0.0001) and ADL (P<0.003) results were significantly better. A comparison of fallers vs nonfallers revealed that the number of falls was significantly higher in the group of subjects who scored ≥13.5 when compared to <13.5 (P=0.003). Fallers significantly more often reported pain (P<0.0001), whereas nonfallers had significantly better 30 CST results (P=0.0003).
  
  
  CONCLUSIONS
  Elderly population with OA is at an elevated risk of falling, which increases with progressing age, pain, and muscle weakness. It seems prudent to identify individuals at a high risk of falling and to propose an adequate treatment for them.
authors: Department of Geriatric Medicine and Gerontology, Karol Marcinkowski University of Medical Sciences, Poznań, Poland.
authors: Ewa
authors: E
authors: Zasadzka
authors: Department of Geriatric Medicine and Gerontology, Karol Marcinkowski University of Medical Sciences, Poznań, Poland.
authors: Adrianna Maria
authors: AM
authors: Borowicz
authors: Department of Computer Science and Statistics, Poznan University of Medical Sciences, Poznań, Poland.
authors: Magdalena
authors: M
authors: Roszak
authors: Department of Geriatric Medicine and Gerontology, Karol Marcinkowski University of Medical Sciences, Poznań, Poland.
authors: Mariola
authors: M
authors: Pawlaczyk
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000203:Activities of Daily Living; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D053580:Muscle Strength; D018482:Muscle, Skeletal; D010003:Osteoarthritis / Q000453:epidemiology*; D010146:Pain / Q000453:epidemiology; D026741:Physical Therapy Modalities; D004856:Postural Balance; D012307:Risk Factors
keywords: elderly; osteoarthritis; risk of falling