Timed Up and Go Test (TUG): Difference between revisions
m (Text replace - ''''Lead Editors'''' to ''''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}') |
No edit summary |
||
| Line 2: | Line 2: | ||
'''Original Editor '''- Your name will be added here if you created the original content for this page. | '''Original Editor '''- Your name will be added here if you created the original content for this page. | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
</div> | </div> | ||
== Objective<br> == | == Objective<br> == | ||
To determine fall risk and measure progress of balance, sit to stand, and walking. | To determine fall risk and measure progress of balance, sit to stand, and walking. | ||
== Intended Population<br> == | == Intended Population<br> == | ||
This test was initially designed for elderly persons, but is used for people with Parkinsons, Multiple Sclerosis, hip fracture, Alzheimer, CVA, and others. | This test was initially designed for elderly persons, but is used for people with Parkinsons, Multiple Sclerosis, hip fracture, Alzheimer, CVA, and others. | ||
| Line 18: | Line 18: | ||
''Cut-off time for high risk of falls'': | ''Cut-off time for high risk of falls'': | ||
Cut-off times to classify subjects as high risk for falling vary based on the study and participants. By using regression analysis Shumway-Cook used 14 seconds as the cut-off.<ref name="Shumway-Cook">Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the timed up &amp;amp; go test. Phys Ther. 2000;80(9):896-903.</ref> Thus, if a subject took 14 seconds or longer he or she was classified as high-risk for falling.<ref name="Shumway-Cook" /> | Cut-off times to classify subjects as high risk for falling vary based on the study and participants. By using regression analysis Shumway-Cook used 14 seconds as the cut-off.<ref name="Shumway-Cook">Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the timed up &amp;amp;amp; go test. Phys Ther. 2000;80(9):896-903.</ref> Thus, if a subject took 14 seconds or longer he or she was classified as high-risk for falling.<ref name="Shumway-Cook" /> | ||
''Materials Needed'': one chair with armrest, stopwatch, tape (to mark 3 meters). | ''Materials Needed'': one chair with armrest, stopwatch, tape (to mark 3 meters). | ||
== Reference<br> == | == Reference<br> == | ||
| Line 26: | Line 26: | ||
Example score sheet {{pdf|TUG Score Sheet.pdf|TUG score sheet}} | Example score sheet {{pdf|TUG Score Sheet.pdf|TUG score sheet}} | ||
<br> | |||
Screencast: brief screencast about TUG and how to use it. {{#ev:youtube|mgawa1zXhyg}} | |||
Screencast: brief screencast about TUG and how to use it. {{#ev:youtube|mgawa1zXhyg}} | |||
== Evidence == | == Evidence == | ||
| Line 34: | Line 34: | ||
=== Reliability === | === Reliability === | ||
Intratester and intertester reliability have been reported as high in elderly populations, from .92-.99.<ref name="Steffen">Steffen T, Hacker T, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: six-minute walk test, berg balance scale, timed up &amp;amp;amp;amp;amp; go test, and gait speeds. Phys Ther. 2002;82(2):128-137.</ref> However, reliability in community-dwelling populations has been found to be moderate (.56).<ref name="Steffen" /> In people with Alzheimers disease reliability is high (ICC = .985-.988).<ref name="Ries">Ries J, Echternach J, Nof L, Blodgett M. Test-retest reliability and minimal detectable change scores for the timed "up &amp;amp;amp;amp; go" test, the six-minute walk test, and gait speed in people with alzheimer disease. Phys Ther. 2009;89(6):569-579.</ref> A study by Huang et al<ref name="Huang">Huang S, Hsieh C, Wu R, Tai C, Lin C, Lu W. Minimal detectable change of the timed "up &amp;amp;amp; go" test and the dynamic gait index in people with parkinson disease. Phys Ther. 2011;91(1):114-121.</ref> reported an ICC of 0.80 for subjects with Parkinson's Disease. | Intratester and intertester reliability have been reported as high in elderly populations, from .92-.99.<ref name="Steffen">Steffen T, Hacker T, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: six-minute walk test, berg balance scale, timed up &amp;amp;amp;amp;amp;amp; go test, and gait speeds. Phys Ther. 2002;82(2):128-137.</ref> However, reliability in community-dwelling populations has been found to be moderate (.56).<ref name="Steffen" /> In people with Alzheimers disease reliability is high (ICC = .985-.988).<ref name="Ries">Ries J, Echternach J, Nof L, Blodgett M. Test-retest reliability and minimal detectable change scores for the timed "up &amp;amp;amp;amp;amp; go" test, the six-minute walk test, and gait speed in people with alzheimer disease. Phys Ther. 2009;89(6):569-579.</ref> A study by Huang et al<ref name="Huang">Huang S, Hsieh C, Wu R, Tai C, Lin C, Lu W. Minimal detectable change of the timed "up &amp;amp;amp;amp; go" test and the dynamic gait index in people with parkinson disease. Phys Ther. 2011;91(1):114-121.</ref> reported an ICC of 0.80 for subjects with Parkinson's Disease. | ||
=== Validity === | === Validity === | ||
| Line 44: | Line 44: | ||
The sensitivity and specificity have been reported to be 87% each in a study by Shumway-Cook et al in 2000. | The sensitivity and specificity have been reported to be 87% each in a study by Shumway-Cook et al in 2000. | ||
=== Minimally Detectable Change === | === Minimally Detectable Change === | ||
The MDC was 4.09 seconds in patients with Alzheimers.3 In patients with Parkinson's the MDC was 3.5 seconds. | The MDC was 4.09 seconds in patients with Alzheimers.3 In patients with Parkinson's the MDC was 3.5 seconds. | ||
== Links == | == Links == | ||
Video: youtube video of TUG being performed. [http://www.youtube.com/watch?v=s0nqzvt9JSs http://www.youtube.com/watch?v=s0nqzvt9JSs] | Video: youtube video of TUG being performed. [http://www.youtube.com/watch?v=s0nqzvt9JSs http://www.youtube.com/watch?v=s0nqzvt9JSs] | ||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
<div class="researchbox"> | <div class="researchbox"> | ||
<rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | <rss>Feed goes here!!|charset=UTF-8|short|max=10</rss> | ||
</div> | </div> | ||
== References == | == References == | ||
References will automatically be added here, see [[Adding References|adding references tutorial]]. | References will automatically be added here, see [[Adding References|adding references tutorial]]. | ||
<references /> | <references /> | ||
[[Category:Older_People/Geriatrics|Geriatrics]][[Category:Outcome_Measures]] | |||
Revision as of 19:26, 24 June 2013
Original Editor - Your name will be added here if you created the original content for this page.
Top Contributors - David Csepe, Kim Jackson, Siobhán Cullen, Admin, Lucinda hampton, Tarina van der Stockt, Abbey Wright, Laura Ritchie, Wendy Walker, Scott Buxton, Sheik Abdul Khadir, WikiSysop, Shaimaa Eldib, Lauren Lopez, Stacy Schiurring, Naomi O'Reilly, Kai A. Sigel, Karen Wilson, 127.0.0.1, Vidya Acharya, Tony Lowe and Evan Thomas
Objective
[edit | edit source]
To determine fall risk and measure progress of balance, sit to stand, and walking.
Intended Population
[edit | edit source]
This test was initially designed for elderly persons, but is used for people with Parkinsons, Multiple Sclerosis, hip fracture, Alzheimer, CVA, and others.
Method of Use[edit | edit source]
The patient starts in a seated position, stands up upon therapist’s command, walks 3 meters, turns around, walks back to the chair and sits down. The time stops when the patient is seated. The subject is allowed to use an assistive device, and a practice trial should be completed before the timed trial. Be sure to document the assistive device used.
Cut-off time for high risk of falls:
Cut-off times to classify subjects as high risk for falling vary based on the study and participants. By using regression analysis Shumway-Cook used 14 seconds as the cut-off.[1] Thus, if a subject took 14 seconds or longer he or she was classified as high-risk for falling.[1]
Materials Needed: one chair with armrest, stopwatch, tape (to mark 3 meters).
Reference
[edit | edit source]
Example score sheet TUG score sheet
Screencast: brief screencast about TUG and how to use it.
Evidence[edit | edit source]
Reliability[edit | edit source]
Intratester and intertester reliability have been reported as high in elderly populations, from .92-.99.[2] However, reliability in community-dwelling populations has been found to be moderate (.56).[2] In people with Alzheimers disease reliability is high (ICC = .985-.988).[3] A study by Huang et al[4] reported an ICC of 0.80 for subjects with Parkinson's Disease.
Validity[edit | edit source]
Construct validity has been shown by correlating TUG scores with gait speed (Pearson r = .75), postural sway (Pearson r = -.48), step length (Pearson r = -.74), Barthel Index (Pearson r = -.79), and step frequency (Pearson r = -.59).[2]
Sensitivity and Specificity[edit | edit source]
The sensitivity and specificity have been reported to be 87% each in a study by Shumway-Cook et al in 2000.
Minimally Detectable Change[edit | edit source]
The MDC was 4.09 seconds in patients with Alzheimers.3 In patients with Parkinson's the MDC was 3.5 seconds.
Links [edit | edit source]
Video: youtube video of TUG being performed. http://www.youtube.com/watch?v=s0nqzvt9JSs
Recent Related Research (from Pubmed)[edit | edit source]
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 1.0 1.1 Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the timed up &amp;amp; go test. Phys Ther. 2000;80(9):896-903.
- ↑ 2.0 2.1 2.2 Steffen T, Hacker T, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: six-minute walk test, berg balance scale, timed up &amp;amp;amp;amp;amp; go test, and gait speeds. Phys Ther. 2002;82(2):128-137.
- ↑ Ries J, Echternach J, Nof L, Blodgett M. Test-retest reliability and minimal detectable change scores for the timed "up &amp;amp;amp;amp; go" test, the six-minute walk test, and gait speed in people with alzheimer disease. Phys Ther. 2009;89(6):569-579.
- ↑ Huang S, Hsieh C, Wu R, Tai C, Lin C, Lu W. Minimal detectable change of the timed "up &amp;amp;amp; go" test and the dynamic gait index in people with parkinson disease. Phys Ther. 2011;91(1):114-121.
