![]() It has been estimated that MCI is present in 16 percent of the population over the age of 70 yr, most predominantly in men. A second health concern common in community-dwelling older adults is mild cognitive impairment (MCI). Falls adversely affect function, result in excessive healthcare costs, and are associated with frailty and death. Key words: 8-Foot Up and Go, Activities-Specific Balance Confidence scale, community-dwelling older adults, concurrent validity, fall risk, geriatrics, mild cognitive impairment, Montreal Cognitive Assessment, psychometric research, Timed Up and Go.įalls are a major health concern for community-dwelling older adults, affecting one out of three people over age 65 yr annually. Fall history was found as the only significant predictor of test outcome for the TUG, 8UG, and ABC, indicating that MCI is not a significant determinant of test performance. ![]() For this reason, the 8UG is recommended as a more appropriate outcome measure for identifying fall risk in community-dwelling older adults. The TUG identified fallers at significantly different rates than the 8UG and the ABC ( p < 0.05). Based on frequently cited cutpoints, the sensitivity of the TUG was only 20%, with a specificity of 94.6%, and the sensitivity of the 8UG was 64%, with a specificity of 75.7%. For the 62 participants enrolled, excellent correlations were demonstrated in pairwise comparisons between the outcome measures (on a continuous scale). ![]() The classification of MCI was based on a score of <26 points on the Montreal Cognitive Assessment. VA Software Documentation Library (VDL)ġLouis Stokes Cleveland Department of Veterans Affairs Medical Center, Community Outpatient Services, Akron, OH 2Division of Health Sciences, Physical Therapy Program, Walsh University, North Canton, OHĪbstract - The purpose of this study was to determine whether (1) mild cognitive impairment (MCI) alters the validity of the Timed Up and Go (TUG), the 8-Foot Up and Go (8UG), or the Activities-Specific Balance Confidence (ABC) scale in the identification of fallers and nonfallers and (2) there were differences in the concurrent validity between the TUG and ABC when compared with the 8UG and ABC in those with and without MCI.Clinical Trainees (Academic Affiliations). ![]()
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