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Assessment of the Minimum Clinically Important Difference in the Timed Up and Go Test After Surgery for Lumbar Degenerative Disc Disease
Open accessAbstract
BACKGROUND: The Timed Up and Go Test (TUG Test) has previously been described as a reliable tool to evaluate objective functional impairment in patients with degenerative disc disease. OBJECTIVE: The aim of this study was to assess the minimum clinically important difference (MCID) of the TUG Test. METHODS: The TUG Test (measured in seconds) was correlated with validated patient-reported outcome measures (PROs) of pain intensity (Visual Analog Scale for back and leg pain), functional impairment (Oswestry Disability Index, Roland Morris Disability Index), and health-related quality of life measures (Short Form-12 and EuroQol 5D). Three established methods were used to establish anchor-based MCID values using responders of the following PROs (Visual Analog Scale back and leg pain, Oswestry Disability Index, Roland Morris Disability Index, EuroQol 5D index, and Short Form-12 Physical Component Summary) as anchors: (1) average change, (2) minimum detectable change, and (3) change difference approach. RESULTS: One hundred patients with a mean ± SD age of 56.2 ± 16.1 years, 57 (57%) male, 45 patients undergoing microdiscectomy, 35 undergoing lumbar decompression, and 20 undergoing fusion surgery were studied. The 3 MCID computation methods revealed a range of MCID values according to the PRO used from 0.9 s (Oswestry Disability Index based on the change difference approach) to 6.0 s (EuroQol 5D index based on the minimum detectable change approach), with a mean MCID of 3.4 s for all measured PROs. CONCLUSION: The MCID for the TUG Test time is highly variable depending on the computation technique used. The average TUG Test MCID was 3.4 s using all 3 methods and all anchors.
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“for TUG, the minimum clinically important difference is 3.4 seconds [36].”
From Pilot study of a telehealth perioperative physical activity intervention for older adults with cancer and their caregivers (2020) · cites this paper as [36]
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Metadata
- Authors
- Gautschi, O. P., Stienen, M. N., Corniola, M. V., Joswig, H., Schaller, K., Hildebrandt, G., & Smoll, N. R.
- Affiliations
- University Hospital of Geneva (CH)
- Kantonsspital St. Gallen (CH)
- University of Newcastle Australia (AU)
- Corresponding author
- Smoll, Nicolas R.
- ORCID
- Venue
- Neurosurgery
- Published
- 2017-01-13
- Volume
- 80
- Issue
- 3
- Pages
- 380-385
- ISSN
- 0148-396X (ISSN-L)
- 1524-4040
- OpenAlex
- W2466306821
- Cited by
- 143
- References
- 14
- Citations by year
- 2026: 12 · 2025: 25 · 2024: 19 · 2023: 16 · 2022: 12 · 2021: 8 · 2020: 17 · 2019: 10 · 2018: 11 · 2017: 5
- FWCI
- 9.18
- Type
- journal article
- Language
- en
- Open access
- green
- www.zora.uzh.ch
- Licence
- other-oa
- Locations
- Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion)
- Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
- Zurich Open Repository and Archive (University of Zurich)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
- Health Sciences › Medicine › Surgery › Cervical and Thoracic Myelopathy
- Keywords
- Timed Up and Go test, minimal clinically important difference, lumbar degenerative disc disease, postoperative functional recovery, patient-reported outcome measures, anchor-based MCID, microdiscectomy, lumbar decompression, spinal fusion, Oswestry Disability Index, health-related quality of life, gait and balance
- MeSH terms
- Adult, Aged, Disability Evaluation, Female, Persons with Disabilities, Humans, Lumbar Vertebrae, Male, Middle Aged, Pain Measurement, Quality of Life, Treatment Outcome, Diskectomy, Decompression, Surgical, Intervertebral Disc Degeneration, Visual Analog Scale
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