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Objective : To determine whether or not the time difference index of the Timed Up and Go test (TUG) and the imagined TUG (iTUG), which reflects motor imagery capacity, has utility in predicting falls in patients with stroke. Method : A follow-up study of falls occurring over the 6-month period after discharge was performed in 47 patients with stroke. Baseline values were evaluated at discharge for subject age, sex, disease name, paralysis side, disease duration, fall history, whether a gait assistive device was used, mini-mental state examination (MMSE), TUG, and the time difference (delta time) between TUG and iTUG. A logistic regression analysis was performed using the number of falls and evaluation results, and the predictive factors for falls were extracted. Results : Thirty-three patients were followed for the entire 6-month period, and the fall rate was 48.5%. According to the results of the analysis, only delta time was a significant fall factor (p<0.01), and the cutoff value for fall prediction was 0.88%. Conclusion : Our results show that delta time could be used to identify the likelihood of a fall occurrence over the 6-month period after discharge in patients with stroke. ( Jpn J Rehabil Med 2015;52:352.357 ) 要 旨 目的:脳卒中患者における Timed Up and Go test(以下 TUG)と運動イメージ能 力を反映した imagined TUG(以下 iTUG)の時間差の指標が転倒予測に有用か否かを明らか にすること.方法:脳卒中患者 47名の自宅退院後 6カ月間の転倒発生を追跡調査した.ベー スラインとして対象者の年齢,性別,疾患名,麻痺側,罹病期間,転倒歴,歩行補助具の有 無,MMSE,TUG,TUGと iTUGの時間差(delta time)を退院時に評価した.転倒および評 価結果からロジスティック回帰分析を実施し,転倒予測因子を抽出した.結果:追跡可能で あった対象者は 33名であり,転倒率は 48.5%であった.解析の結果,delta timeのみが有意 な因子であり(p<0.01),転倒予測のためのカットオフ値は 0.88%であった.結論:脳卒中者 における自宅退院後 6カ月間の転倒発生は delta timeにより識別可能であった.

Using the Imagined Timed Up and Go Test to Identify Fall Risk over the 6-Month Period after Discharge in Patients with Stroke