Basics – Physical Performance Assessment

Timed UP and GO (TUG test) (Lusardi, 2004) Patients are timed (in seconds) when performing the TUG - 3 conditions: 1. TUG alone-from sitting in a chair, stand up, walk 3 meters, turn around, walk back, and sit down. 2. TUG Cognitive-complete the task while counting backwards from a randomly selected number between 20 and 100. 3. TUG Manual-complete the task while carrying a full cup of water. The more time taken, the more dependent in activities of daily living). The cutoff levels: - TUG: 13.5 seconds or longer with an overall correct prediction rate of 90%; - TUG Manual is 14.5 seconds or longer with a 90% correct prediction rate; - TUG Cognitive is 15.0 seconds or longer with an overall correct prediction rate of 87%. - TUG Scoring Interpretation: Older adults who take longer than 13.5 seconds to complete the TUG have a high risk for falls.
Gait Speed GAIT SPEED & Clinical Importance: Slow gait speed predicts: - Future health status; Functional decline - Hospitalization; Potential for rehabilitation - Falls and fear of falling; Mortality - It has been reported to be the single best predictor of functional decline & disability Gait Speed Research Values: - A difference of 0.1m/s is considered a meaningful change in gait speed in hip fracture patients. (Palombaro, KM, 2006) - <1.8 ft./sec (0.55m/sec)= risk for recurrent falls: Sensitivity 72%, Specificity 74% (Van Swearingon, JM, 1998)
Floor Transfer Test Assesses the person’s ability to transfer themselves from standing to lying supine on the floor without assistance. Interpretation: The inability to get up from the floor could be an indication of failing health and predicts serious fall-related injuries: 30% of women who could not get off the floor would experience a serious fall-related injury in the next year.10

About Floor Transfer Test

Encourage your client to do the transfer in a spine sparing way by lying down sideways and rolling like a log onto their back. We will talk about this more in the live webinar.

Importance of Walking Speed

Bergland A, Laake K. Concurrent and predictive validity of &quot;getting up from lying on the floor. Aging Clin Exp Res. 2005;17(3):181-185. Accessed August 11, 2018.

Lundlin-Olsson, L., Nyberg, L., Gustafson, Y. (1998). Attention, frailty, and falls: the effect of a manual task on basic mobility. Journal of the American Geriatrics Society, 46, 758-761.

Palombaro KM, Craik RL, Mangione KK, Tomlinson JD. Determining meaningful changes in gait speed after hip fracture. Phys Ther. 2006 Jun;86(6):809-16. PMID: 16737406.

VanSwearingen, J. M., Paschal, K. A., Bonino, P., & Chen, T. W. (1998). Assessing recurrent fall risk of community-dwelling, frail older veterans using specific tests of mobility and the physical performance test of function. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 53(6), M457-M464.