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get up & go test (timed up & go, TUG)

A performance-based measure of physical function. Multifunction, multilevel test with aggregate score. Portable & suitable for clinical use. Indications: - functional assessment - the get-up & go test* can be use to assess multiple skills including lower-extremity strength, balance & to a lesser extent walking speed [4,8,9] * may be preferred functional assessment tool in patients with Parkinson's disease [4,8,9] Clinical significance: The test estimates risk of falls & can identify specific neuromuscular deficits that can be targeted by rehabilitation or safety training. Patients who require more than 10 seconds have limited mobility, may be at risk for falls & may require assistance from others for many mobility tasks, including basic transfers. Procedure: 1) rise from chair 2) walk to line on the floor 10 feet 3) turn 4) return to chair 5) sit down Normal time to complete test: 7-10 seconds. Further evaluation is required if test not performed in 12-20 seconds. [3,4] The 5-times sit-to-stand test (5xSST) is a useful followup test. Assessing ability to get down & up from the floor is useful Use a standard arm chair. Place the line 3 meters (10 feet) from the chair. A variation of the test requires a patient walk around a cone on the floor. [2] The score is the time taken in seconds to complete the task. The patient should wear regular footwear & use his/her customary walking aid. No physical assistance is given. Have the patient walk through the test once before being timed.

Related

5-times sit-to-stand test (5xSST) Tinetti gait & balance evaluation

General

gait evaluation balance evaluation

References

  1. Gerety M. Health Status and Physical Capacity, In: Comprehensive Geriatric Assessment, Osterweil et al (eds), McGraw-Hill, New York, pg 52
  2. Steve Castle MD, VA Medical Center West LA, personal communication
  3. Medical Knowledge Self Assessment Program (MKSAP) 16, American College of Physicians, Philadelphia 2012 - Medical Knowledge Self Assessment Program (MKSAP) 19 Board Basics. An Enhancement to MKSAP19. American College of Physicians, Philadelphia 2022 - Nordin E, Lindelof N, Rosendahl E et al 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 Ageing. 2008 Jul;37(4):442-8. PMID: 18515291
  4. Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013 - Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
  5. Huang SL, Hsieh CL, Wu RM, Tai CH, Lin CH, Lu WS. Minimal detectable change of the timed "up & go" test and the dynamic gait index in people with Parkinson disease. Phys Ther. 2011 Jan;91(1):114-21 PMID: 20947672
  6. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. PMID: 1991946
  7. Viccaro LJ1, Perera S, Studenski SA Is timed up and go better than gait speed in predicting health, function, and falls in older adults? J Am Geriatr Soc. 2011 May;59(5):887-92 PMID: 21410448
  8. da Silva BA, Faria CDCM, Santos MP et al. Assessing Timed Up and Go in Parkinson's disease: reliability and validity of Timed Up and Go Assessment of biomechanical strategies. J Rehabil Med. 2017;49(9):723-731 PMID: 28951938 Free Article https://www.medicaljournals.se/jrm/content/abstract/10.2340/16501977-2254
  9. Huang SL, Hsieh CL, Wu RM et al. Minimal detectable change of the timed "Up & Go" test and the dynamic gait index in people with Parkinson's disease. Phys Ther. 2010;91(1):114-121 PMID: 20947672 https://academic.oup.com/ptj/article/91/1/114/2735121