TIMED-UP-AND-GO (TUG) TEST The Calgary Zone Fall Prevention Initiative recommends the Timed Up & Go (TUG) test as a screen to identify falls risk, and for identification of gait and balance abnormalities. We recommend a cut-off score of ≥ 15 seconds as predictive of falls risk (referenced from the Canadian Fall Prevention Curriculum, 2007). It is recommended that this score and/or any noted abnormalities in gait, balance or difficulty rising from the chair requires further assessment of falls risk factors, with appropriate facilitation of intervention(s) and referral(s). Time to Complete: 1-2 minutes Equipment Required: Armchair – approximate seat height = 43-46 cm and approximate arm height = 65 cm Measuring tape to measure 3 meter distance referred to below Line on the floor 3 meters away from chair Walking aid, if required Stopwatch Client Start Position: Wears regular footwear Seated in arm chair Back against the chair, arms resting on chair arms Uses customary walking aid Test: Client: From start position, client stands, walks a distance of 3 meters (there must not be any obstructions), turns, walks back to the chair, and sits down Assessor: Start timer on the word “go”; Stop timer when the client sits down i.e. client’s buttocks contact the chair Practice: One practice walk is allowed - Record test result on 2nd trial Instructions: ‘On the word “go”, get up, walk at a comfortable, safe pace to the line on the floor, turn, return to the chair and sit down’ Record: Note difficulties in getting out of the chair, walking, turning and/or sitting down * A score of >15 seconds indicates client has increased falls risk Date Time in Seconds to Complete (TUG) Test Gait Aid Used Cane Two canes 4-Wheeled walker 2-Wheeled walker Solid walker No mobility aid Reference: J Am Geriatr Soc 1991, 39:142-48; Phys Ther 2000, 80:896-903 Calgary Zone Fall Prevention Initiative - August 2009 Difficulties Identified
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