This was a retrospective cohort study of people with PD (N=36). The study objective was to investigate whether adding a task (cognitive or manual) to the TUG (TUG-cognitive or TUG-manual, respectively) increases the utility of the test for identifying fall risk in people with PD. The Timed "Up & Go" Test (TUG), a frequently used mobility assessment tool, has moderate sensitivity and specificity for identifying fall risk. Early identification of patients at greatest risk of falling is a key goal of physical therapy assessment. 2009 1:224–227.Falls are a common and disabling feature of Parkinson disease (PD). Analyzing 180 degrees turns using an inertial system reveals early signs of progression of parkinson’s disease.
Brusse KJ, Zimdars S, Zalewski KR, Steffen TM.Streamlining assessment and intervention in a falls clinic using the Timed Up and Go Test and Physiological Profile Assessments. Can an accelerometer enhance the utility of the Timed Up & Go Test when evaluating patients with Parkinson’s disease? Med.Eng Phys. Weiss A, Herman T, Plotnik M, Brozgol M, Maidan I, Giladi N, Gurevich T, Hausdorff JM.Clinical tools for assessing balance disorders. Balance in elderly patients: the “Get-up and go” test.
TIME UP GO TEST TRIAL
Be sure to document the assistive device used.Ī practice trial should be completed before the timed trial References
The subject is allowed to use an assistive device.The time stops when the patient is seated.The patient stands up upon therapist’s command: walks 3 meters, turns around, walks back to the chair and sits down.The patient starts in a seated position.The Timed “Up and Go Test” cut off scores can range from 8 – 11.5 seconds (in populations with Parkinson’s diease looking to identify disability) to 13.5 seconds (older community dwellers) or 15 seconds (if already falling or with dual task). Participants taking longer than 13.5 to complete the Timed “Up and Go Test” (TUG) are at increased risk for falls. total knee replacement or total hip replacementĪ stop-watch is used to measure the duration of functional task performed at a comfortable rate: from sitting in a chair, stand up, walk 3 m, turn around, walk back, and sit down. Following routine orthopaedic surgery i.e.Parkinson’s disease – Timed up and go test is validated for a population with Parkinson’s disease 5.Timed up and go test was initially designed for elderly persons, but is used for people with: However, the timed up and go test suffers from the same limitations as the other functional clinical scales, since it is not possible to separate which balance and gait sub-components are affected 7. The clinical success of the timed up and go test is likely related to sequencing of several important mobility skills, such as turning and sit-to-stand transitions that require balance control, as well as straight-ahead gait 9. A score of 15 seconds on the timed up and go test-cognitive and 14.5 seconds on the timed up and go test-manual is associated with increased risk of falls 8.
TIME UP GO TEST MANUAL
The timed up and go test cognitive consists of completing the timed up and go test while counting backward from a number between 80 and 100 and the timed up and go test manual consists of completing the timed up and go test while carrying a cup of water 8. Recently, the timed up and go test has been modified to add a secondary task. The timed up and go test duration correlates with severity of moderate-to-severe Parkinson’s disease 5, and is sensitive to therapeutic intervention in Parkinson’s disease subjects 6 but is not sensitive to early Parkinson’s disease 7. In addition, the timed up and go test has been shown to predict risk of falls in the elderly 4. The timed up and go test is widely used because of the ease with which it can be performed in the clinic 3. The Timed “Up and Go Test” is the shortest, simplest clinical balance test, and probably the most reliable because it uses agreement in stop-watch durations rather than rating scales 2. Timed “Up and Go Test” (TUG) is used to determine fall risk and measure the progress of balance, sit to stand and walking 1.
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