Annals of Rehabilitation Medicine

"Timed Up and Go test"

Original Articles

Brain disorders

Lower Limb Muscle Fatigue Alters Spatiotemporal Gait Parameters and Turning Difficulty Characteristics in Parkinson’s Disease: Halimatul Abd Ghani, Alia A. Alghwiri, Hafifi Hisham, Haidzir Manaf; Ann Rehabil Med 2023;47(4):282-290. Published online August 9, 2023; DOI: https://doi.org/10.5535/arm.23067

Objective
To determine the effects of lower limb muscle fatigue on spatiotemporal gait parameters and turning difficulty characteristics during the extended Timed Up and Go (extended TUG) test in individuals with different severity stages of Parkinson’s disease (PD).
Methods
Forty individuals with PD, classified as Hoehn and Yahr (H&Y) stages 2 and 3 participated in this pre- and post-experimental study design. The participants performed a continuous sit-to-stand task from a chair based on 30 cycles/min set-up to induce lower limb muscle fatigue. They performed extended TUG test immediately before and after completing the fatigue protocol. Spatiotemporal gait parameters and turning difficulty characteristics were recorded using two GoPro® Hero 4 Silver cameras. Data were subjected to a repeated-measure ANOVA.
Results
Individuals with PD experience significant changes in spatiotemporal gait parameters, specifically stride velocity and length, under conditions of lower limb muscle fatigue (p=0.001). These changes were more pronounced in individuals with PD in the H&Y stage 3 group. Additionally, both PD groups exhibited difficulty with turning, requiring more than five steps to complete a 180° turn and taking more than 3 seconds to accomplish it.
Conclusion
These findings highlight the impact of muscle fatigue on gait performance in PD and suggest that individuals in later stages of the disease may be particularly affected. Further research is needed to explore interventions that can mitigate these gait impairments and improve mobility in individuals with PD.

Citations

Citations to this article as recorded by

Comparison of stimulation sites enhancing dual-task performance using transcranial direct current stimulation in Parkinson’s disease
Seo Jung Yun, Sung Eun Hyun, Woo Hyung Lee, Byung-Mo Oh, Han Gil Seo
npj Parkinson's Disease.2025;[Epub] CrossRef
Better Understanding Rehabilitation of Motor Symptoms: Insights from the Use of Wearables
Yunus Celik, Conor Wall, Jason Moore, Alan Godfrey
Pragmatic and Observational Research.2025; Volume 16: 67. CrossRef

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The Association Between Fall History and Physical Performance Tests in the Community-Dwelling Elderly: A Cross-Sectional Analysis: Jin Chul Kim, Jinmann Chon, Hee Sang Kim, Jong Ha Lee, Seung Don Yoo, Dong Hwan Kim, Seung Ah Lee, Yoo Jin Han, Hyun Seok Lee, Bae Youl Lee, Yun Soo Soh, Chang Won Won; Ann Rehabil Med 2017;41(2):239-247. Published online April 27, 2017; DOI: https://doi.org/10.5535/arm.2017.41.2.239

Abstract
PDF

Objective

To evaluate the association between baseline characteristics, three physical performance tests and fall history in a sample of the elderly from Korean population.

Methods

A total of 307 participants (mean age, 76.70±4.85 years) were categorized into one of two groups, i.e., fallers and non-fallers. Fifty-two participants who had reported falling unexpectedly at least once in the previous 12 months were assigned to the fallers group. Physical performance tests included Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS), Timed Up and Go test. The differences between the two study groups were compared and we analyzed the correlations between fall histories and physical performance tests.

Results

SPPB demonstrated a significant association with fall history. Although the BBS total scores did not show statistical significance, two dynamic balance test items of BBS (B12 and B13) showed a significant association among fallers.

Conclusion

This study suggests that SPPB and two dynamic balance test items of the BBS can be used in screening for risk of falls in an ambulatory elderly population.

Citations

Citations to this article as recorded by

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