Timed Up and Go test

The Timed Up and Go test (TUG) is a simple test used to assess a person's mobility and requires both static and dynamic balance.[1]

It uses the time that a person takes to rise from a chair, walk three metres, turn around, walk back to the chair, and sit down. During the test, the person is expected to wear their regular footwear and use any mobility aids that they would normally require.[2] The TUG is used frequently in the elderly population, as it is easy to administer and can generally be completed by most older adults.[3]

One source suggests that scores of ten seconds or less indicate normal mobility, 11 – 20 seconds are within normal limits for frail elderly and disabled patients, and greater than 20 seconds means the person needs assistance outside and indicates further examination and intervention. A score of 30 seconds or more suggests that the person may be prone to falls.[4][5] Alternatively, a recommended practical cut-off value for the TUG to indicate normal versus below normal performance is 12 seconds.[6] A study by Bischoff et al. showed the 10th to 90th percentiles for TUG performance were 6.0 to 11.2 seconds for community-dwelling women between 65 and 85 years of age, and determined that this population should be able to perform the TUG in 12 seconds or less.[6] TUG performance has been found to decrease significantly with mobility impairments. Residential status and physical mobility status have been determined to be significant predictors of TUG performance.[6] The TUG was developed from a more comprehensive test, the Get-Up and Go Test.[7]

Research has shown the Timed up and Go test has excellent interrater (intraclass correlation coefficient [ICC] = .99) and intrarater reliability (ICC = .99).[8] The test score also correlates well with gait speed (r = -55), scores on the Berg Balance Scale (r = -.72), and the Barthel Index (r = -.51).[8] Many studies have shown good test-restest reliability in specific populations such as community-dwelling older adults[9] and people with Parkinson’s disease.[10][11]

See also

References

  1. ↑ "Timed Up and Go (TUG)". Minnesota Falls Prevention. Retrieved 2010-02-16.
  2. ↑ Podsiadlo, D; Richardson, S (1991). "The timed 'Up & Go': A test of basic functional mobility for frail elderly persons". Journal of the American Geriatrics Society 39 (2): 142–8. PMID 1991946.
  3. ↑ Yim-Chiplis, P. K.; Talbot, L. A. (2000). "Defining and Measuring Balance in Adults". Biological Research for Nursing 1 (4): 321–31. doi:10.1177/109980040000100408. PMID 11232210.
  4. ↑ "Timed Up and Go (TUG)". American College of Rheumatology. Retrieved 2010-02-16.
  5. ↑ "Timed-Up-and-Go (TUG) Test". Alberta Health Services. Retrieved 2010-02-16.
  6. ↑ 6.0 6.1 6.2 Bischoff, Heike A.; Stähelin, Hannes B.; Monsch, Andreas U.; Iversen, Maura D.; Weyh, Antje; von Dechend, Margot; Akos, Regula; Conzelmann, Martin et al. (2003). "Identifying a cut-off point for normal mobility: A comparison of the timed 'up and go' test in community-dwelling and institutionalised elderly women". Age and Ageing 32 (3): 315–20. doi:10.1093/ageing/32.3.315. PMID 12720619.
  7. ↑ Nordin, Ellinor; Lindelöf, Nina; Rosendahl, Erik; Jensen, Jane; Lundin-Olsson, Lillemor (2008). "Prognostic validity of the Timed Up-and-Go test, a modified Get-Up-and-Go test, staff's global judgement and fall history in evaluating fall risk in residential care facilities". Age and Ageing 37 (4): 442–8. doi:10.1093/ageing/afn101. PMID 18515291.
  8. ↑ 8.0 8.1 Ng, Shamay S.; Hui-Chan, Christina W. (2005). "The Timed Up & Go Test: Its Reliability and Association with Lower-Limb Impairments and Locomotor Capacities in People with Chronic Stroke". Archives of Physical Medicine and Rehabilitation 86 (8): 1641–7. doi:10.1016/j.apmr.2005.01.011. PMID 16084820.
  9. ↑ Shumway-Cook, A; Brauer, S; Woollacott, M (2000). "Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test". Physical therapy 80 (9): 896–903. PMID 10960937.
  10. ↑ Morris, Susan; Morris, Meg E; Iansek, Robert (2001). "Reliability of Measurements Obtained With the Timed 'Up & Go' Test in People With Parkinson Disease". Physical Therapy 81 (2): 810–8. PMID 11175678.
  11. ↑ Thompson, Mary; Medley, Ann (1998). "Performance of Individuals with Parkinson's Disease on the Timed Up & Go". Journal of Neurologic Physical Therapy 22 (1): 16–21. doi:10.1097/01253086-199822010-00009.