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| '''Objective''' | | <div class="editorbox"> |
| | '''Original Editor '''- Your name will be added here if you created the original content for this page. |
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| To determine fall risk and measure progress of balance, sit to stand, and walking.
| | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] |
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| | == Objective<br> == |
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| '''Intended Population'''
| | == Intended Population<br> == |
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| 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 == |
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| '''Method of Use'''
| | == Reference<br> == |
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| 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.
| | == Evidence == |
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| ''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
| | === Reliability === |
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| participants. By using regression analysis Shumway-Cook used 14 seconds as the cut-off. Thus, if a subject took 14
| | === Validity === |
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| seconds or longer he or she was classified as high-risk for falling.<sup>1</sup><br>
| | === Responsiveness === |
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| ''Materials Needed'': one chair with armrest, stopwatch, tape (to mark 3 meters).
| | === Miscellaneous<span style="font-size: 20px; font-weight: normal;" class="Apple-style-span"></span><br> === |
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| '''Evidence'''
| | == Links == |
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| ''Reliability:''
| | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == |
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| | == References == |
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| Intratester and intertester reliability have been reported as high in elderly populations, from .92-.99.<sup>2</sup> However, reliability in community-dwelling populations has been found to be moderate (.56).<sup>2</sup> In people with Alzheimers disease reliability is high (ICC = .985-.988).<sup>3 </sup> A study by Huang et al<sup>4 </sup>reported an ICC of 0.80.
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| ''Validity:''
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| 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).<sup>2</sup>
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| ''Sensitivity and Specificity:''
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| The sensitivity and specificity have been reported to be 87% each in a study by Shumway-Cook et al in 2000.<sup>1</sup>
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| ''Minimally Detectable Change:''
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| The MDC was 4.09 seconds in patients with Alzheimers.<sup>3 </sup>In patients with Parkinson's the MDC was 3.5 seconds.<sup>4</sup>
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| '''Links'''
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| '''References'''
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| <span id="1320012004994S" style="display: none"> </span>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.
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| 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.
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| 3. 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.
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| 4. 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.
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