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Author Spotlight: Innovations in iTUG Test for Enhanced Risk Assessment and Cognitive Insights
Published on: October 25, 2024
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Functional Mobility Studies in Younger Adults: Instrumented Timed Up and Go (iTUG) Test Using Inertial Devices.
Mateusz Kowal1, Sławomir Winiarski2, Ewa Morgiel3
1Physiotherapy Research Laboratory, University Centre of Physiotherapy and Rehabilitation, Faculty of Physiotherapy, Wroclaw Medical University, 50-368 Wroclaw, Poland.
Journal of Clinical Medicine
|March 27, 2025
Summary
The instrumented Timed Up and Go test (iTUG) shows low variability in key parameters for healthy adults, indicating reliable and objective functional mobility assessment. This sensor-based approach offers reproducible measurements for establishing normative benchmarks.
Area of Science:
- Biomechanics
- Kinesiology
- Rehabilitation Science
Background:
- Functional Mobility Assessment (FMA) is crucial for evaluating patient health.
- Sensor-based interventions, like the instrumented Timed Up and Go test (iTUG), offer superior assessment compared to traditional clinical tests.
- Understanding the variability of iTUG parameters in healthy populations is essential for establishing reliable benchmarks.
Purpose of the Study:
- To investigate the variability of selected parameters during the instrumented Timed Up and Go test (iTUG) in healthy young adults.
- To assess the reliability and objectivity of sensor-based functional mobility assessments using inertial measurements.
- To determine if iTUG parameters can serve as normative benchmarks for healthy adults.
Main Methods:
- A cohort of 73 healthy young adults (37 female, 36 male) participated.
- The Noraxon MyoMotion Research 18 motion analysis system was utilized to capture spatial data during the iTUG.
- Key gait and kinematic variables were recorded and analyzed for variability.
Main Results:
- The mean total iTUG completion time was 13.1 ± 1.9 seconds, demonstrating low variability (low coefficient of variation).
- Most spatial, temporal, and kinematic parameters exhibited low variability, indicating consistent performance.
- A notable exception was the mean double support ratio, which showed very high variability (CV of 271.5%).
Conclusions:
- The iTUG test provides reliable, objective, and reproducible measurements for functional mobility.
- Low variability in parameters like total time and percentage of posture supports its use as a benchmark.
- The iTUG test, utilizing inertial measurements, is a valuable tool for assessing functional mobility in healthy adults.

