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The timed "Up & Go": a test of basic functional mobility for frail elderly persons.
1Division of Geriatrics, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada.
Journal of the American Geriatrics Society
|February 1, 1991
Summary
The timed "Up & Go" test reliably measures functional mobility in older adults. This quick assessment correlates with balance and daily activity scores, predicting safe outdoor ambulation.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Clinical Biomechanics
Background:
- Functional mobility is crucial for independence in older adults.
- Assessing mobility accurately aids in fall prevention and intervention planning.
- The original
- Get-Up and Go
- Test provides a qualitative measure of mobility.
Purpose of the Study:
- To evaluate the reliability and validity of a modified, timed
- Get-Up and Go
- Test.
- To determine if the timed test correlates with established measures of balance and function.
- To assess the predictive value of the timed test for safe community ambulation.
Main Methods:
- A modified, timed
- Get-Up and Go
- Test was administered to 60 geriatric patients.
- Participants rose from a chair, walked 3 meters, turned, returned, and sat down, with time recorded.
- Correlations were calculated with the Berg Balance Scale, gait speed, and Barthel Index of ADL.
Main Results:
- The timed
- Up & Go
- Test demonstrated high inter-rater and intra-rater reliability.
- Scores showed strong negative correlations with the Berg Balance Scale (r = -0.81) and Barthel Index (r = -0.78).
- A significant correlation was found with gait speed (r = -0.61) and predictive ability for safe outdoor mobility.
Conclusions:
- The timed
- Up & Go
- Test is a reliable and valid tool for quantifying functional mobility in geriatric patients.
- The test effectively correlates with balance, gait speed, and activities of daily living.
- This rapid, equipment-free assessment can aid in clinical evaluations and monitoring functional changes over time.