Physical Performance Assessment

Timed UP and GO (TUG test) 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
Importance of Walking Speed