Clinical Significance of the Timed “Up and Go” Test Relative to Hierarchical Structure of Disorder in the Frail Elderly

  • HASHIDATE Hiroyuki
    School of Physical Therapy, Gumma Paz Gakuen College : Gunma University Graduate School of Medicine, Courses of Health Sciences
  • UCHIYAMA Yasushi
    Gunma University Graduate School of Medicine, Courses of Health Sciences

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Other Title
  • 虚弱高齢者におけるTimed “Up and Go” Testの臨床的意義

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Description

The purpose of this study was to demonstrate the effect of different test conditions (gait distance, gait speed), age, and intellectual function on interpretation of results and reliability for the Timed “Up and Go” Test (TUG), and to identify the clinical significance of this test. Subjects comprised 81 elderly people (mean age: 80.1 ± 8.5), all of whom utilized facilities for the elderly. TUG were performed with distance set at 3m or 5m and gait speed set at comfortable or maximal. Each test condition of the TUG was evaluated twice consecutively in one day in order to investigate reliability and correlation with other indices of hierarchical structure; Functional Balance Scale as a balance performance test, Barthel Index as an ADL evaluation scale, and TMIG-Index of Competence as an evaluation scale for Instrumental ADL. As TUG score varied depending on test conditions, when interpreting documented results of TUG it is suggested that test conditions be determined. The intraday reliability of TUG was generally high; however It was decreased at the condition of 5m distance walked under comfortable speed. Furthermore, TUG was highly correlated with indices of functional limitation, activity limitation, and participation restriction in descending order of degree of correlation. It was strongly suggested that ambulatory ability is affected by physical factors, social factors, and environmental factors.

Journal

  • Physical Therapy Japan

    Physical Therapy Japan 32 (2), 59-65, 2005-04-20

    Japanese Society of Physical Therapy

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