Evidence map›Paper›PMID 40679533›Full record

ArticleArchives of orthopaedic and trauma surgery2025

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

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

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Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

8 authors.

Simon TizianiUniversity Hospital of Zurich, Zurich, Switzerland.
Julian SchererUniversity Hospital of Zurich, Zurich, Switzerland.
Patrick SaurenmannUniversity Hospital of Zurich, Zurich, Switzerland.
Sasha HalvachizadehUniversity Hospital of Zurich, Zurich, Switzerland.
Roman PfeiferUniversity Hospital of Zurich, Zurich, Switzerland.
Kai SprengelUniversity Hospital of Zurich, Zurich, Switzerland.
Hans-Christoph PapeUniversity Hospital of Zurich, Zurich, Switzerland.
Georg OsterhoffDepartment of Trauma Surgery and Orthopaedics, BG Klinikum Unfallkrankenhaus Berlin, Berlin, Germany. georg.osterhoff@ukb.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPelvic 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.

methodsConsecutive 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).

resultsForty 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).

conclusionThe 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.

Indexed as

Fractures, BonePelvic BonesAdolescentAdultAgedFemaleHumansMaleMiddle AgedRecovery of FunctionYoung Adultpelvis fracture; outcome; Timed-Up and Go test; validation.

Identifiers

PMID40679533
PMCPMC12274259

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