The Timed Up and Go Test for Use on an Inpatient Orthopaedic Rehabilitation Ward

Abstract

There is a need for valid measures to monitor changes in the functional mobility of inpatients of orthopaedic rehabilitation wards. The timed up and go (TUG) test is often used to measure functional mobility 13,24 but it has not been specifically validated for use with the type of complex musculoskeletal conditions seen on an inpatient orthopaedic rehabilitation service.tation because it is simple and easy to administer in a clinical setting. The test consists of measuring the time it takes for an individual to get up from a chair, walk to a 3-m mark, turn around, come back, and sit down.Previous studies have demonstrated that the TUG test is reliable for community-dwelling individuals. 19,21,22,25,30,31,34 The intraclass correlation coefficients (ICCs) have ranged from 0.75 in individuals with osteoarthritis awaiting knee/ hip arthroplasty 19 to 0.95 22 and 0.97 34 in community-dwelling older adults.However, persons living in the community may be quite different from hospitalized patients who are frequently dependent in activities of daily living (ADL) and restricted in weight-bearing activities. Although Nordin et al 26 have sampled subjects residing in supportedliving facilities and dependent in ADL; their subjects were different from inpatients of orthopaedic rehabilitation wards in that they had cognitive impairments and only 18% of them had orthopaedicrelated diagnoses. Furthermore, previous reliability studies did not specifically include subjects with restricted weightbearing status. 19,21,22,25,30,31,34 The TUG test has been validated for use with orthopaedic conditions and in Single-group repeatedmeasures study.To examine the test-retest reliability of the timed up and go (TUG) test and its validity for measuring change and predicting length of stay (LOS) on an inpatient orthopaedic rehabilitation ward.The TUG test is used to measure functional mobility of persons with musculoskeletal conditions but has not been thoroughly tested for use in an inpatient orthopaedic rehabilitation ward.The TUG test was administered to 142 patients on admission to an orthopaedic rehabilitation ward 7 to 10 days after admission and on discharge. To test reliability, 24 subjects had these tests repeated 1 day after admission, and the intraclass correlation coefficient (ICC) and standard error of measurement (SEM) were calculated. Change scores of the TUG test were evaluated against change scores in pain and function, and the rating of improvement of the patient and therapist. The standardized response mean (SRM) was also calculated. A regression analysis was performed to determine whether the admission TUG test score could predict LOS.The ICC of the TUG test was 0.80, and the SEM was 10.2 seconds. The change in TUG test scores correlated with the changes in pain (r = 0.21, P .01) and function (r = -0.23, P .01), and resulted in an SRM of 0.89 for subjects rated as improved. The admission TUG test scores accounted for only 3.4% of the variance in inpatient LOS.The TUG test is reliable and valid to assess group change of inp...

Reliability, Validity, and Responsiveness of the Lower Extremity Functional Scale for Inpatients of an Orthopaedic Rehabilitation Ward

“…28,31,33 The test-retest reliability of the TUG test on inpatients with orthopaedic conditions was found to be 0.80 (ICC 2,2 ). 54 The TUG test has been validated for use with orthopaedic conditions and in a rehabilitation setting. 5,11,22,30,54 For the TUG test, subjects were asked to stand up from a chair, walk with their assistive devices at a comfortable pace to a 3-m marked line, return to the chair, and sit down.…”

Segurança E Reprodutibilidade Do Teste Timed Up and Go Em Idosos Hospitalizados

“…Para avaliação da presença de comorbidades foi utilizado o índice de Charlson que foi coletado nas primeiras 24 horas 14 . Para realização do cálculo amostral foram utilizados dois estudos prévios como referência, sendo estimado uma correlação de 90% 15,16 , um nível de significância de 5% e uma precisão 10 pontos percentuais, totalizando um tamanho amostral de no mínimo 35 pacientes.…”

209 Quantitative Analysis of the Timed Up and Go in Elderly Patients Post Hip Fracture in a Sub-Acute Rehabilitation Setting

“…Brooks et al (2006) reported that the TUG showed large responsiveness to a rehabilitation program that occurred between admission and discharge in a geriatric rehabilitation setting and has moderate to strong correlations with functional ability. Yeung et al (2008) demonstrated that the TUG is a reliable and valid test to assess group change in inpatients on an orthopaedic ward. The TUG has also been shown to be a useful assessment tool as it does not suffer from ceiling or floor effects (Herman et al, 2011).…”

“…Good to strong reliability has also been shown for the individual components of QTUG (McGrath et al, 2011;Greene et al, 2015 andSmith et al, 2015). The standard TUG was also assessed in a group of 142 patients admitted to an orthopaedic rehabilitation unit and was found to be both a reliable and valid outcome measure for use in patients post hip fracture (Yeung et al, 2008). The TUG has also been shown to be a useful assessment tool as it does not suffer from ceiling or floor effects and is sensitive to change (Herman et al, 2011).…”

“…Timed Up and Go (TUG) is one outcome measure which has been shown to be reliable and valid to assess change in orthopaedic patients (Yeung et al, 2008). The TUG is a measure of functional mobility which assesses the basic activities of daily living of standing up from a chair, walking and turning (Podsiadlo and Richardson, 1991).…”