Evaluation of Timed-Up-and-Go test in older adults

Authors

    Agustina María Monzón 1

    1 Universidad Nacional de la Matanza, Departamento de Ciencias de la Salud, San justo, Buenos Aires, Argentina

Abstract

Falls and associated complications are one of the most serious problems faced by older adults. Between 30% and 60% of older adults have at least one fall per year and approximately half of them experience multiple falls. Falls represent 70% of accidental deaths in subjects over 75 years of age. Effective fall prevention has a significant impact on reducing severe injuries, emergency department visits, hospitalizations, nursing home admissions, and functional decline. It has been recommended that any subject with a fall history should be assessed with the Timed-Up-and-Go (TUG) test. The objective of this study is to describe the TUG test used to assess the fall risk in older adults.

References

Tinetti ME. Clinical practice: preventing falls in elderly persons. The New England Journal of Medicine 2003; 348(1):42–9.

Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clin Geriatr Med. 2002; 18(2):141-58.

Berg W, Alessio H, Mills E, Tong C. Circumstances and consequences of falls in independent community-dwelling older adults. Age Ageing 1997; 26:261-268.

Campbell AJ, Borrie MJ, Spears GF, Jackson SL, Brown JS, Fitzgerald JL. Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. Age Ageing 1990;19(0):136-141.

Luukinen H, Koski K, Hiltunen L, Kivela¨ SL. Incidence rate of falls in an aged population in northern Finland. J Clin Epidemiol 1994; 47:843-50.

Nevitt MC, Cummings SR, Kidd S, Black D. Risk factors for recurrent nonsyncopal falls: a prospective study. JAMA 1989; 261:2663-2668.

Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N Engl J Med 1988; 319:1701-1707.

Brown AP. Reducing falls in elderly people: A review of exercise interventions. Physiother Theory Pract 1999; 15:59–68

Rubenstein LZ, Josephson KR, Robbins AS. Falls in the nursing home. Ann Intern Med 1994; 121:442–451.

Tinetti ME. Performance-oriented assessment of mobility problems in elderly patients. J Am Geriatr Soc 1986; 34:119–126.

Greenhouse AH. Falls among the elderly. In: Albert ML, Knoefel JE, eds. Clinical neurology of aging. 2d ed. New York: Oxford University Press, 1994; 611–626.

Weigelt JA. Trauma in: Advanced trauma life support for doctors: ATLS. 6th ed. Chicago: American College of Surgeons, 1997:26.

Tibbits GM. Patients who fall: how to predict and prevent injuries. Geriatrics. 1996; 51:24–831.

Dunn JE, Rudberg MA, Furner SE, Cassel CK. Mortality, disability, and falls in older persons: the role of underlying disease and disability. Am J Public Health. 1992;82:395–400.

Organización Mundial de la Salud. Caídas. Centro de prensa. Notas descriptivas. 2021.

Panel on Prevention of Falls in Older Persons, American Geriatrics Society and British Geriatrics Society. Summary of the updated American Geriatrics Society/British Geriatrics Society clinical practice guideline for prevention of falls in older persons. J Am Geriatr Soc. 2011; 59(1):148-157.

Guideline for the prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons Panel on Falls Prevention. J Am Geriatr Soc. 2001 May;49(5):664-72.

Mathias S, Nayak US, Isaacs B. Balance in elderly patients: the "get-up and go" test. Arch Phys Med Rehabil. 1986 Jun;67(6):387-9.

Podsiadlo D, Richardson S. The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons. JAGS. 1991; 39(2), 142-148.

Dibble LE, Lange M. Predicting falls in individuals with Parkinson disease: a reconsideration of clinical balance measures. J Neurol Phys Ther. 2006 ;30(2):60-7.

Andersson AG, Kamwendo K, Seiger A, Appelros P. How to identify potential fallers in a stroke unit: validity indexes of 4 test methods. J Rehabil Med. 2006; 38(3):186-91.

Dite W, Connor HJ, Curtis HC. Clinical identification of multiple fall risk early after unilateral transtibial amputation. Arch Phys Med Rehabil. 2007; 88(1):109-14.

Arnold CM, Faulkner RA. The history of falls and the association of the timed up and go test to falls and near-falls in older adults with hip osteoarthritis. BMC Geriatr. 2007; 4;7:17.

Whitney SL, Marchetti GF, Schade A, Wrisley DM. The sensitivity and specificity of the Timed "Up & Go" and the Dynamic Gait Index for self-reported falls in persons with vestibular disorders. J Vestib Res. 2004;14(5):397-409.

Verdecchia DH, Monzón AM, Urbina Jaimes V, da Silva Paiva L, Oliveira FR, de Carvalho TD. Correlation between timed up and go, usual gait speed and dizziness handicap inventory in elderly with vestibular disorders: a retrospective and analytical study. Arch Physiother. 2020 Jul 8;10:12.

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(9):896-903.

Hofheinz M, Schusterschitz C. Dual task interference in estimating the risk of falls and measuring change: a comparative, psychometric study of four measurements. Clin Rehabil. 2010; 24(9):831-42.

Lundin-Olsson L, Nyberg L, Gustafson Y. Attention, frailty, and falls: the effect of a manual task on basic mobility. J Am Geriatr Soc. 1998; 46(6):758-61.

Campbell CM, Rowse CM, Shumway-Cook A. The Effect of Cognitive Demand on Timed Up and Go Performance in Older Adults With and Without Parkinson Disease, Neurology Report. 2003; 27(1):2-7.

Moncada LVV, Mire LG. Preventing Falls in Older Persons. Am Fam Physician. 2017 Aug 15;96(4):240-247.

Published

2022-06-30

Downloads

Additional Files

Download data is not yet available.

Keywords

How to Cite

1.
Monzón AM. Evaluation of Timed-Up-and-Go test in older adults. AJRPT. 2022;4(2):55-9. doi: 10.58172/ajrpt.v4i2.225