Evaluation of the instrumented Timed Up and Go test as a tool to measure exercise intervention effects in nursing home residents: results from a PROCARE substudy

Abstract

Background and objectives. To achieve independence in activities of daily living, a certain level of functional ability is necessary. The instrumented Timed Up and Go (iTUG) test provides guidance for appropriate interventions, for example, when considering the subphases within the TUG. Therefore, we evaluated the iTUG as a tool to measure the effects of a multicomponent exercise intervention on the iTUG subphases in nursing home residents. Methods. Fifty long-term nursing home residents (34 women, 82.7± 6.46 [65–91] years; 16 men, 78.6± 7.0 [62–90] years) performed the iTUG test before and after a 16-week intervention period (2× 45–60 min/week). According to the attendance rates, participants were divided into three groups. Results. The total iTUG duration decreased from baseline to posttest, F(2,46)= 3.50, p= 0.038, η2 p= 0.132.We observed significant correlations between the attendance rates and the total iTUG duration (r(50)= 0.328, p= 0.010). However, we did not observe significant group× time interaction effects in the subphases. The Barthel Index moderated the effect between attendance rate and the total duration of the iTUG test, ΔR2= 8.34%, F(1,44)= 4.69, p= 0.036, 95% CI [0.001, 0.027]. Conclusions.We confirmed the effectiveness of the iTUG as a tool to measure exercise intervention effects in nursing home residents, especially when participants exhibit high attendance rates. That said, mobility needs to be considered in a more differentiated way, taking into account parameters in the subphases to detect changesmore sensitively and to derive recommendations in a more individualized way.