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Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
Year : 2019, Volume : 13, Issue : 3
First page : ( 31) Last page : ( 34)
Print ISSN : 0973-5666. Online ISSN : 0973-5674.
Article DOI : 10.5958/0973-5674.2019.00087.X

Predictive Cutoff Values of Five Times Sit to Stand Test in Community Dwelling Elderly Individuals of India

Ahire Ashwini1, Kulkarni Nupoor2

1BPT Student, Community Physiotherapy, Dr. A.P.J. Abdul Kalam College of Physiotherapy, PIMS(DU), Loni

2Assistant Professor, Community Physiotherapy, Dr. A.P.J. Abdul Kalam College of Physiotherapy, PIMS(DU), Loni

Online published on 11 July, 2019.

Abstract

Introduction

Lower extremity functioning is important for maintaining activity in community dwelling elderly individuals of India. Degenerative changes occur in many joints and this is combined with the loss of muscle mass, inhibits elderly people locomotion. Chronic conditions such as arthritis, orthopedic impairments, cardiac disorders, and reduced sensitivity of sensory organs are associated with varying degrees of disability. The assessment of physical mobility is an essential component of elderly individuals as the aging is necessarily accompanied with affected movements and loss of balance. Conventional physical examination includes the Five-Times-Sit-to-Stand Test and the Timed “Up & Go” Test. These tests are reliable and valid clinical tools, and performing them requires limited space in community settings. Predictive cut off points for standard measurements of lower extremity functioning would help identify elderly people who are not disabled but have a high risk of developing disability.

Objective

To define the standard performance of elderly people without gait disturbances in the Five-Times-Sit-To-Stand test and investigate its determinants.

Method

All the participants were collected from the Community Dwelling elderly people residing in Loni, Ahmednagar Rahata. They were screened according to the inclusion and exclusion criteria. Participants were briefed about the study and an informed written consent was obtained from the participants. Assessment was done by BMI, Five-Times-Sit-TO-Stand-Test. Assessment was done once to observe the Predictive risk of falls in community dwelling elderly individuals. A population-based sample of 100 community dwelling elderly individuals, 60 to 80 years of age, were studied using a clinical, neurological, and cognitive standardized protocol which included the Five-Times-Sit-To-Stand test.

Result

The sample included 100 individuals where 43 were males and 57 were females with a mean age of 68.17 ± 5.200 respectively (age range 60 to 80 years). The mean time score for the whole sample in the Five-Times-Sit-To-Stand Test was 16.2748 ± 3.3044 seconds with a range of 5 to 25 seconds. This assumption was tested using the method Kolmogorov and Smirnov (KS) in which the p value was > 0.9999, considered not significant. The Five-Times-Sit-To-Stand Test for males (16.118 ± 3.008 sec & 16.144 ± 2.526 sec) for females (16.123 ± 3.75 & 16.148 ± 2.60 sec). The ANOVA revealed that, the interaction between age and gender was not significant (p = >0.9999).

Conclusion

It was concluded that the Five-Times-Sit-TO-Stand-Test performance of elderly people over 60–80 years of age without apparent gait disturbances depends on age and other variables such as weight, height, BMI. Assessments of lower extremity functioning with Five-Times-Sit-to-Stand-Test, especially poor performance on the test, were good predictors of future disability in community dwelling elderly individuals of India.

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Keywords

Elderly people, Five-Times-Sit-To-Stand-Test, Gait assessment, Risk of Fall, Screening.

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