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Timed Up and Go Test Guide

The Timed Up and Go (TUG) test measures the time it takes for an individual to stand up from a standard arm chair, walk 3 meters, turn, walk back to the chair, and sit down. It is used to assess functional mobility and fall risk. Normal healthy elderly complete the TUG in 10 seconds or less, while frail elderly may take 2 minutes. Cut-off times of greater than 14 seconds indicate high fall risk for community-dwelling older adults, and greater than 24 seconds predicts falls in post-op hip fracture patients. The TUG correlates with gait speed, balance, and ability to perform daily living activities.

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0% found this document useful (0 votes)
150 views2 pages

Timed Up and Go Test Guide

The Timed Up and Go (TUG) test measures the time it takes for an individual to stand up from a standard arm chair, walk 3 meters, turn, walk back to the chair, and sit down. It is used to assess functional mobility and fall risk. Normal healthy elderly complete the TUG in 10 seconds or less, while frail elderly may take 2 minutes. Cut-off times of greater than 14 seconds indicate high fall risk for community-dwelling older adults, and greater than 24 seconds predicts falls in post-op hip fracture patients. The TUG correlates with gait speed, balance, and ability to perform daily living activities.

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Wen
Copyright
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We take content rights seriously. If you suspect this is your content, claim it here.
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Timed Up and Go (TUG) Test

Name:___________________________ MR: ______________________ Date:________

1. Equipment: arm chair, tape measure, tape, stop watch.

2. Begin the test with the subject sitting correctly (hips all of the way to the back of the seat) in a chair
with arm rests. The chair should be stable and positioned such that it will not move when the
subject moves from sit to stand. The subject is allowed to use the arm rests during the sit stand
and stand sit movements.

3. Place a piece of tape or other marker on the floor 3 meters away from the chair so that it is easily
seen by the subject.

4. Instructions: On the word GO you will stand up, walk to the line on the floor, turn around and walk
back to the chair and sit down. Walk at your regular pace.

5. Start timing on the word GO and stop timing when the subject is seated again correctly in the
chair with their back resting on the back of the chair.

6. The subject wears their regular footwear, may use any gait aid that they normally use during
ambulation, but may not be assisted by another person. There is no time limit. They may stop and
rest (but not sit down) if they need to.

7. Normal healthy elderly usually complete the task in ten seconds or less. Very frail or weak elderly
with poor mobility may take 2 minutes or more.

8. The subject should be given a practice trial that is not timed before testing.

9. Results correlate with gait speed, balance, functional level, the ability to go out, and can follow
change over time.

Normative Reference Values by Age


1
Age Group Time in Seconds (95% Confidence Interval)
60 69 years 8.1 (7.1 9.0)
70 79 years 9.2 (8.2 10.2)
80 99 years 11.3 (10.0 12.7)

Cut-off Values Predictive of Falls by


Group Time in Seconds
Community Dwelling Frail Older Adults > 14 associated with high fall risk
2
Post-op hip fracture patients at time of > 24 predictive of falls within 6 months after hip
discharge3 fracture
Frail older adults > 30 predictive of requiring assistive device for
ambulation and being dependent in ADLs

Date Time Date Time Date Time Date Time


References

1. Bohannon RW. Reference values for the Timed Up and Go Test: A Descriptive Meta-Analysis. Journal
of Geriatric Physical Therapy, 2006;29(2):64-8.
2. 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;80:896-903.
3. Kristensen MT, Foss NB, Kehlet H. Timed "Up and Go" Test as a predictor of falls within 6 months
after hip fracture surgery. Phys Ther. 2007.87(1):24-30.

Additional References

Bischoff HA, Stahelin HB, et al. Identifying a cut-off point for normal mobility: A comparison study of the
timed "up and go" test in community-dwelling and institutionalized elderly women. Age and
Ageing. 2003;32:315-320.
Boulgarides LK, McGinty SM, et al. Use of clinical and impairment-based tests to predict falls by
community-dwelling older adults. Phys Ther. 2003;83:328-339.
Podsiadlo D, Richardson S. The timed up & go": A test of basic functional mobility for frail elderly
persons. JAGS. 1991;39:142-148.

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