Estimativa dos valores de referência para o teste “Timed Up and Go” em pacientes portadores de amputação de membro inferior: uma revisão sistemática com metanálise

Abstract

INTRODUCTION: A meaningful assessment of physical mobility is essential during rehabilitation after lower limb amputation. The Timed Up and Go (TUG) test is a widely used tool in examinations of amputee patients, but definitive normative reference values are lacking. OBJECTIVE: To evaluate the reference values of the TUG in patients with unilateral lower limb amputation. METHODS: The search was carried out without language restrictions, and articles published up to June 2024 were considered. The following databases were used: Ovid, MEDLINE, EMBASE, Scopus, PubMed and Web of Science. The descriptors used were: “Timed up and go Test” OR “Timed up and go” OR TUG OR TUGT) AND amputee*. From the data obtained, random effects models were estimated for the mean values and 95% confidence intervals for the TUG test. RESULTS: Thirty five studies with 1427 participants were included in this systematic review. Of these, 19 studies with 628 participants looked exclusively at transtibial amputations with a mean TUG of 12.3s (9.8s - 14.9s; 95% CI); 11 studies with 283 participants looked exclusively at transfemoral amputations with a mean TUG of 12.2s (10.4s - 14s; 95% CI), and 11 studies with 516 participants looked at transtibial and transfemoral amputations together, with a mean TUG of 12.3s (9.85s - 14.93s; 95% CI). CONCLUSION: This study estimated reference values for the TUG test in people with unilateral lower limb amputation. The reference values can serve as a prognostic and evaluation tool for the rehabilitation process, contributing to the quality of life of these patients.