title: The reliability of the quantitative timed up and go test (QTUG) measured over five consecutive days under single and dual-task conditions in community dwelling older adults.
abstract: The timed up and go (TUG) test is a commonly used assessment in older people with variations including the addition of a motor or cognitive dual-task, however in high functioning older adults it is more difficult to assess change. The quantified TUG (QTUG) uses inertial sensors to detect test and gait parameters during the test. If it is to be used in the longitudinal assessment of older adults, it is important that we know which parameters are reliable and under which conditions. This study aims to examine the relative reliability of the QTUG over five consecutive days under single, motor and cognitive dual-task conditions. Twelve community dwelling older adults (10 females, mean age 74.17 (3.88)) performed the QTUG under three conditions for five consecutive days. The relative reliability of each of the gait parameters was assessed using intra-class correlation coefficient (ICC 3,1) and standard error of measurement (SEM). Five of the measures demonstrated excellent reliability (ICC>0.70) under all three conditions (time to complete test, walk time, number of gait cycles, number of steps and return from turn time). Measures of variability and turn derived parameters demonstrated weak reliability under all three conditions (ICC=0.05-0.49). For the most reliable parameters under single-task conditions, the addition of a cognitive task resulted in a reduction in reliability suggesting caution when interpreting results under these conditions. Certain sensor derived parameters during the QTUG test may provide an additional resource in the longitudinal assessment of older people and earlier identification of falls risk.
authors.affiliation: University College Dublin, School of Public Health, Physiotherapy and Sports Science, Dublin, Ireland; Health Service Executive, Physiotherapy Department, Louth PCS, Dundalk, Ireland. Electronic address: erin.smith@hse.ie.
authors.forename: Erin
authors.initials: E
authors.lastname: Smith
authors.affiliation: Casala, Netwell Centre, Dundalk Institute of Technology, Dundalk, Co. Louth, Ireland. Electronic address: lorcan.walsh@casala.ie.
authors.forename: Lorcan
authors.initials: L
authors.lastname: Walsh
authors.affiliation: Casala, Netwell Centre, Dundalk Institute of Technology, Dundalk, Co. Louth, Ireland. Electronic address: julie.doyle@casala.ie.
authors.forename: Julie
authors.initials: J
authors.lastname: Doyle
authors.affiliation: Kinesis Health Technlogies, NexusUCD, Belfield Office Park, Dublin 4, Ireland. Electronic address: barry.greene@kinesis.ie.
authors.forename: Barry
authors.initials: B
authors.lastname: Greene
authors.affiliation: University College Dublin, School of Public Health, Physiotherapy and Sports Science, Dublin, Ireland. Electronic address: c.blake@ucd.ie.
authors.forename: Catherine
authors.initials: C
authors.lastname: Blake
mesh_terms: D000368:Aged; D005260:Female; D005684:Gait / Q000502:physiology*; D006801:Humans; D057187:Independent Living; D008297:Male; D015203:Reproducibility of Results; D013647:Task Performance and Analysis; D016138:Walking / Q000502:physiology*
keywords: Community dwelling older adults; Dual-task; Inertial sensors; Test–retest reliability; Timed up and go