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Introduction <p>Pelvic ring injuries are rare injuries that frequently are associated with prolonged recovery and low return-to-work rates. Since radiological outcome not always correlates with overall patient-reported outcome, the assessement of functional outcome has become a focus of follow up. The Timed-Up and Go test (TUG) would be a simple way to quantify patient mobility, but has not yet been adequately validated in a non-geriatric patient population.</p> Methods <p>Consecutive patients younger than 70 years who underwent functional outcome testing as routine <!--Query ID="Q1" Text="As keywords are mandatory for this journal, please provide 3-6 keywords." Resolved="yes"-->follow-up at 6 weeks, 12 weeks, or 6 months after pelvic ring injuries between 11/2017 and 10/2018 were included in this study. In addition to a TUG test, all patients completed a specific functional outcome score for pelvic ring injuries (Majeed-Score) and a general health score (Eq.&#xa0;5D-3&#xa0;L).</p> Results <p>Forty patients (mean age 40 years, range 18 to 68 years, 24 female), ) of which 28 were treated operatively were included in the study. The mean Majeed-Score was 75.0 (SD 23.3, range 20 to 100) and the mean Eq.&#xa0;5D-3&#xa0;L-VAS was 69.9 (SD 22.5, range 5 to 100). The mean time for TUG was 7.8&#xa0;s. (SD 4.1, range 2 to 22.). <!--Query ID="Q2" Text="Please check and confirm that the authors and their respective affiliations have been correctly identified and amend if necessary." Resolved="yes"-->TUG time strongly correlated with the Majeed-Score (<i>r</i>= − 0.633, <i>p</i> = 0.0001) and with the mobility portion of the Majeed-Score (<i>r</i>= − 0.524, <i>p</i> = 0.001). For a threshold value of 10&#xa0;s in the TUG test, the ROC analysis revealed a sensitivity of 91% and a specificity of 82% in predicting an impaired Majeed score of below 60 (AUC 0.935).</p> Conclusion <p>The TUG correlated strongly with the Majeed score and the mobility part of the Majeed-Score indicating that achieved values reflect the subjective accounts provided by patients. The TUG can be used as a quick screening in non-geriatric patients with pelvic ring injuries to quantify mobility. A TUG longer than 10&#xa0;s indicates an impaired Majeed score. For academic purposes, however, it should be accompanied by the Majeed-Score.</p>

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Using the Timed Up and Go test to measure mobility in non-geriatric patients after pelvic ring injury

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月18日

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  • Simon Tiziani,
  • Julian Scherer,
  • Patrick Saurenmann,
  • Sasha Halvachizadeh,
  • Roman Pfeifer,
  • Kai Sprengel,
  • Hans-Christoph Pape,
  • Georg Osterhoff

摘要

Introduction

Pelvic ring injuries are rare injuries that frequently are associated with prolonged recovery and low return-to-work rates. Since radiological outcome not always correlates with overall patient-reported outcome, the assessement of functional outcome has become a focus of follow up. The Timed-Up and Go test (TUG) would be a simple way to quantify patient mobility, but has not yet been adequately validated in a non-geriatric patient population.

Methods

Consecutive patients younger than 70 years who underwent functional outcome testing as routine follow-up at 6 weeks, 12 weeks, or 6 months after pelvic ring injuries between 11/2017 and 10/2018 were included in this study. In addition to a TUG test, all patients completed a specific functional outcome score for pelvic ring injuries (Majeed-Score) and a general health score (Eq. 5D-3 L).

Results

Forty patients (mean age 40 years, range 18 to 68 years, 24 female), ) of which 28 were treated operatively were included in the study. The mean Majeed-Score was 75.0 (SD 23.3, range 20 to 100) and the mean Eq. 5D-3 L-VAS was 69.9 (SD 22.5, range 5 to 100). The mean time for TUG was 7.8 s. (SD 4.1, range 2 to 22.). TUG time strongly correlated with the Majeed-Score (r= − 0.633, p = 0.0001) and with the mobility portion of the Majeed-Score (r= − 0.524, p = 0.001). For a threshold value of 10 s in the TUG test, the ROC analysis revealed a sensitivity of 91% and a specificity of 82% in predicting an impaired Majeed score of below 60 (AUC 0.935).

Conclusion

The TUG correlated strongly with the Majeed score and the mobility part of the Majeed-Score indicating that achieved values reflect the subjective accounts provided by patients. The TUG can be used as a quick screening in non-geriatric patients with pelvic ring injuries to quantify mobility. A TUG longer than 10 s indicates an impaired Majeed score. For academic purposes, however, it should be accompanied by the Majeed-Score.