Timed Up and Go Test (TUG): Difference between revisions
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== Intended Population<br> == | == Intended Population<br> == | ||
This test was initially designed for elderly persons, but is used for people with [[Parkinsons Disease|Parkinsons]], [[MS Multiple Sclerosis|Multiple Sclerosis]], hip fracture, [[Alzheimer's Disease|Alzheimer]], [[Stroke|CVA]], and others. | This test was initially designed for elderly persons, but is used for people with [[Parkinsons Disease|Parkinsons]], [[MS Multiple Sclerosis|Multiple Sclerosis]], hip fracture, [[Alzheimer's Disease|Alzheimer]], [[Stroke|CVA]], and others. | ||
== Method of Use == | == Method of Use == | ||
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'''<u>Cut-off time for high risk of falls:</u>''' | '''<u>Cut-off time for high risk of falls:</u>''' | ||
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 & | 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 & 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" /> | ||
<br> | <br> | ||
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=== 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 | 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 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 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 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 === | ||
Construct validity has been shown by correlating TUG scores with[[ | Construct validity has been shown by correlating TUG scores with[[Gait Cycle|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).<ref name="Steffen" /> | ||
=== Sensitivity and Specificity === | === Sensitivity and Specificity === | ||
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<references /> | <references /> | ||
[[Category:Older_People/Geriatrics|Geriatrics]] [[Category:Outcome_Measures]] | [[Category:Older_People/Geriatrics|Geriatrics]][[Category:Outcome_Measures]] | ||
Revision as of 20:24, 11 June 2014
Original Editor - David Csepe
Top Contributors - David Csepe, Kim Jackson, Siobhán Cullen, Admin, Lucinda hampton, Tarina van der Stockt, Abbey Wright, Laura Ritchie, Wendy Walker, Sheik Abdul Khadir, WikiSysop, Shaimaa Eldib, Lauren Lopez, Stacy Schiurring, Scott Buxton, Kai A. Sigel, Karen Wilson, 127.0.0.1, Vidya Acharya, Tony Lowe, Evan Thomas and Naomi O'Reilly
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]
Materials Needed: one chair with armrest, stopwatch, tape (to mark 3 meters).
The patient starts in a seated position.
The patient 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. Be sure to document the assistive device used.
NOTE: A practice trial should be completed before the timed trial
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]
Example score sheet TUG score sheet
| video of TUG being performed | 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 withgait 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. In patients with Parkinson's the MDC was 3.5 seconds.
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
- ↑ 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 & 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 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 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 go" test and the dynamic gait index in people with parkinson disease. Phys Ther. 2011;91(1):114-121.
