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Open AccessArticle

A TUG Value Longer Than 11 s Predicts Fall Risk at 6-Month in Individuals with COPD

1
Service de Médecine du Sport et des Explorations Fonctionnelles, CHU Clermont Ferrand, 63003 Clermont Ferrand, France
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Service de Médecine Physique et Réadaptation, CHU Clermont Ferrand, 63003 Clermont Ferrand, France
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Service de Pneumologie, CHU Clermont Ferrand, 63003 Clermont Ferrand, France
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Clinique Cardio Pneumologique, Durtol, France
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Service de Biostatistiques, CHU Clermont Ferrand, 63003 Clermont Ferrand, France
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Centre de Recherche en Nutrition Humaine Auvergne, 63003 Clermont Ferrand, France
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Université Clermont Auvergne, INRA, UNH, 63000 Clermont Ferrand, France
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(10), 1752; https://doi.org/10.3390/jcm8101752
Received: 3 September 2019 / Revised: 4 October 2019 / Accepted: 14 October 2019 / Published: 22 October 2019
(This article belongs to the Section Pulmonology)
Risk of a fall is increased in individuals with chronic obstructive pulmonary disease (COPD), and is usually evaluated using the Berg Balance Scale (BBS), but this is difficult to perform in everyday clinical practice. We aimed to prospectively predict short-term fall recurrence in COPD patients using a predetermined cut-off value of the Timed Up and Go test (TUG). In stable COPD patients, we collected self-reported records of the number of falls in the previous year, and measured TUG and BBS scores for each individual. Records of fall recurrence were obtained prospectively at 6-months after the initial evaluation. Among the 50 patients recruited, 23 (46%) had at least one fall during the past year. The optimal diagnosis value for the TUG to detect a fall was 10.9 s with a sensitivity of 100% and a specificity of 97%. A cut-off of 11 s predicted fall recurrence with high sensitivity and specificity (93% and 74%, respectively). The TUG as well as the BBS score detected fallers, and a cut-off value of 11 s predicted fall recurrence. TUG could be easily incorporated into the scheduled functional evaluations of COPD patients, could predict the risk of a fall and when appropriate, could guide specific balance training exercises to prevent fall. View Full-Text
Keywords: Chronic obstructive pulmonary disease; Timed Up and Go test; Postural balance; Fall; Risk factor; Hypoxia Chronic obstructive pulmonary disease; Timed Up and Go test; Postural balance; Fall; Risk factor; Hypoxia
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MDPI and ACS Style

Reynaud, V.; Muti, D.; Pereira, B.; Greil, A.; Caillaud, D.; Richard, R.; Coudeyre, E.; Costes, F. A TUG Value Longer Than 11 s Predicts Fall Risk at 6-Month in Individuals with COPD. J. Clin. Med. 2019, 8, 1752.

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