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Can turn duration and step parameters during the timed up and go test with and without a dual-task discriminate between individuals with different cognitive abilities?: an explorative study
School of Health and Welfare, Dalarna University, Falun, Sweden; CIRCLE-Complex Intervention Research in Health and Care, Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden.
School of Health and Welfare, Dalarna University, Falun, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Epistat AB, Dag Hammarskjölds, Uppsala, Sweden.ORCID iD: 0000-0002-0754-2182
School of Health and Welfare, Dalarna University, Falun, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Section of Physiotherapy.ORCID iD: 0000-0001-6955-1706
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2026 (English)In: Assessment, ISSN 1073-1911, E-ISSN 1552-3489Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim of this study was to explore if turn duration and the performance of step parameters during segments of the Timed Up and Go (TUG) test with and without cognitive dual-tasking (TUGdt) can discriminate between individuals with different cognitive ability. Participants were divided into groups (dementia = 57, mild cognitive impairment = 126, subjective cognitive impairment = 71, and controls = 50) and performed TUG and TUGdt (naming animals and reciting months in reverse order, respectively). Turn duration and forward and return walk (step parameters) were compared between adjacent groups for all conditions. Results were analyzed with logistic regression models, presented with standardized odds ratios, and generally showed longer turn duration during TUGdt for groups with lower levels of cognitive ability, whereas a small tendency was observed for step length/body height. While these results need to be confirmed, they may indicate the potential of assessing TUG segments, particularly turn duration, to identify risk of cognitive impairment. Trial registration number: NCT05893524.

Place, publisher, year, edition, pages
Sage Publications, 2026.
Keywords [en]
Dementia, Gait analysis, Mild cognitive impairment, Segmentation, Subjective cognitive impairment
National Category
Geriatrics Physiotherapy
Identifiers
URN: urn:nbn:se:umu:diva-249309DOI: 10.1177/10731911251410337ISI: 001667838000001PubMedID: 41572419Scopus ID: 2-s2.0-105028118110OAI: oai:DiVA.org:umu-249309DiVA, id: diva2:2035281
Funder
Swedish Research Council, 2017-1259Swedish Research Council, 2020-01056Promobilia foundationThe Dementia Association - The National Association for the Rights of the DementedKonung Gustaf V:s och Drottning Victorias FrimurarestiftelseAvailable from: 2026-02-04 Created: 2026-02-04 Last updated: 2026-02-04

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Löfgren, NiklasBerglund, LarsRosendahl, Erik

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