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    Timed Up and Go: Lauren Walters SPT, Megan Ralstin, SPT, Marissa Taylor, SPT

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    Megan Ralstin
    The Timed Up and Go (TUG) test is a simple clinical test used to assess mobility and fall risk in older adults. It measures the time taken by a patient to stand up from a standard arm chair, walk 3 meters, turn, walk back to the chair, and sit down. A time of 12 seconds or more indicates a high risk of falls. The TUG has high reliability and validity and can predict functional mobility skills. It is a quick and easy test to administer and score across many clinical populations.

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    Timed Up and Go: Lauren Walters SPT, Megan Ralstin, SPT, Marissa Taylor, SPT

    Uploaded by

    Megan Ralstin
    38 views14 pages
    The Timed Up and Go (TUG) test is a simple clinical test used to assess mobility and fall risk in older adults. It measures the time taken by a patient to stand up from a standard arm chair, walk 3 meters, turn, walk back to the chair, and sit down. A time of 12 seconds or more indicates a high risk of falls. The TUG has high reliability and validity and can predict functional mobility skills. It is a quick and easy test to administer and score across many clinical populations.

    Original Description:

    Quick study presentation on the TUG test

    Original Title

    TUG

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    The Timed Up and Go (TUG) test is a simple clinical test used to assess mobility and fall risk in older adults. It measures the time taken by a patient to stand up from a standard arm chair, walk 3 meters, turn, walk back to the chair, and sit down. A time of 12 seconds or more indicates a high risk of falls. The TUG has high reliability and validity and can predict functional mobility skills. It is a quick and easy test to administer and score across many clinical populations.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    38 views14 pages

    Timed Up and Go: Lauren Walters SPT, Megan Ralstin, SPT, Marissa Taylor, SPT

    Uploaded by

    Megan Ralstin
    The Timed Up and Go (TUG) test is a simple clinical test used to assess mobility and fall risk in older adults. It measures the time taken by a patient to stand up from a standard arm chair, walk 3 meters, turn, walk back to the chair, and sit down. A time of 12 seconds or more indicates a high risk of falls. The TUG has high reliability and validity and can predict functional mobility skills. It is a quick and easy test to administer and score across many clinical populations.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 14

    Timed Up and Go

    Lauren Walters SPT, Megan Ralstin, SPT, Marissa Taylor, SPT


    Introduction1

    • Timed Up and Go (TUG)


    • Purpose:
    – To measure the probability for falls
    among older adults
    – To measure the progress of
    balance, sit to stand and walking
    • Initially designed for elderly
    persons, but is validated for use
    in other populations. vectorshock.com
    Introduction2

    • Original Version:
    – The “Get Up and Go” test was developed by
    Mathias, Nayak, and Issacs in 1986

    • Current Version
    – Adapted in 1991 by Podsiadlo and Richardson to
    address poor inter-rater reliability for intermediate
    scoring patients
    – Subtests have since been developed to look more
    closely at specific patient limitations
    Introduction1

    • ICC has been reported as high in elderly


    populations and those with Alzheimer's or
    Parkinson’s (.92-.99)
    • Construct validity has been shown by
    correlating TUG scores with gait speed,
    postural sway, step length and step frequency.
    • The sensitivity and specificity have been
    reported to be 87%.
    Methods3

    Setup:
    • Measure and mark a 3 meter (9.8 feet) walkway
    • Place a standard height chair with arm rests (seat height
    46cm, arm height 67cm) at the beginning of the walkway
    • The patient wears their regular footwear
    • Any assistive device is placed within reach but not touched
    by the patient

    pmr.org
    Methods3

    Instructions:

    • Instruct the patient to sit on the chair and place their back
    against the chair and rest their arms on the chair’s arms
    • The patient should walk to the line, turn around at the line, walk
    back to the chair, and sit down
    • Instruct the patient to walk at a comfortable and safe walking
    speed
    • When the patient is ready, say “Go”
    • The stopwatch should start when you say go, and should be
    stopped with the patient’s buttocks touch the seat

    *The PT should first demonstrate to the patient, and then


    allow the patient a trial run before performing the timed trial
    Methods1

    Observations:
    • Note any gait abnormalities that may indicate
    an increased risk of fall:
    – Slow tentative pace
    – Loss of balance
    – Short strides
    – Little or no arm swing
    – Steadying self on walls
    – Shuffling
    – En bloc turning
    – Not using assistive device properly
    Demonstration!
    Your turn!

    Choose one of the validated populations and any


    needed AD and have one partner act out the
    scenario and have the second partner grade.

    Population options: Elderly persons or those


    with: Parkinson’s Disease, Multiple Sclerosis, Hip
    fracture, Alzheimer’s, CVA, TKR or THR, or
    Huntington Disease
    Scoring3, 4

    • Score = time required


    to complete (seconds)
    • ≥ 12 seconds indicates
    a high fall risk
    • MDC:
    – Parkinson's: 3.5 sec freepik.com
    – Alzheimers: 4.09 sec
    Threshold Values3

    physiopedia.com
    Interpretation2

    • Reliable and valid


    test for quantifying
    functional mobility
    • Scores used to
    predict functional
    mobility skill
    strokeengine.an
    Discussion

    Advantages Disadvantages
    • Simple and easy set up • Construct validity
    • Fast and easy to score requires it to be coupled
    • Requires few items with other outcomes
    • Validated in wide variety • Patient doesn’t
    of studies demonstrate a wide
    • Can be used to predict variety of skills
    functional mobility skill • Very low ceiling if they
    • Very easy to grade are ambulatory
    References

    1. Timed Up and Go Test (TUG). Physiopedia.


    https://www.physio-
    pedia.com/Timed_Up_and_Go_Test_(TUG). Accessed May
    10, 2021.
    2. Zeltzer AL. Timed Up and Go (TUG). Stroke Engine.
    https://strokengine.ca/en/assessments/timed-up-and-go-tug/.
    Published August 19, 2008. Accessed May 10, 2021.
    3. Timed Up and Go. Shirley Ryan Ability Lab.
    https://www.sralab.org/rehabilitation-measures/timed-and-go.
    Accessed May 10, 2021.
    4. Timed up and Go (TUG). Center for Disease Control and
    Prevention. https://www.cdc.gov/steadi/pdf/TUG_test-
    print.pdf. Accessed May 10, 2021.

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