Abstract
Objective
To test the effects of the use of a collapsible, portable chair (chair B), as opposed to a ‘standard’ chair (chair A), on the outcome of the timed “Up and Go” (TUG) test.
Design
Cross-sectional.
Setting
Multipurpose senior centres.
Participants
Mobile older persons (N= 118, mean age 77 years (range 62–99 years)).
Outcome measures
Time to complete the timed “Up and Go” test using chair A and chair B, and inter-rater agreement in the time scores.
Results
Time taken to complete the TUG test did not differ by chair type [median (interquartile range, IQR) = 12.3 (9.53–15.9) and 12.6 (9.7–16.6)] seconds for Chair A and B respectively, p-value=0.87. In multiple regression analyses, factors that impacted on time difference in test performance for the two chairs were use of a walking aid during the test [Odds ratio (OR) = 3.7 95%CI 1.1–11.9, p=0.031], observed difficulty with mobility (OR= 27.7 95%CI 2.6–290, p=0.006), and a history of arthritis in the knees (OR= 2.9 95%CI 1.0–8.7, P=0.05). In an inter-rater agreement analysis, no significant difference was found between time scores recorded by the two raters; median (IQR) = 12.4 (10.9–15.9) and 12.3 (7.2–59.1) seconds for the occupation therapist and for the research assistant, respectively (Wilcoxon matched pairs test, p=0.124, Spearman correlation coefficient = 0.99, p<0.001).
Conclusion
The use of a portable canvas chair with standardised specifications offers an acceptable alternative to the use of a ‘standard’ chair in assessments of fall risk using the TUG test in field settings where field workers are reliant on public transport.
Similar content being viewed by others
References
Podsiadlo D, Richardson S. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39:142–148.
Mathias S, Nayak USL, Isaacs B. Balance in elderly patients: the “Get-Up and Go” test. Arch Phys Med Rehabil. 1986;67:387–389.
Sousa N, Sampaio J. Effects of progressive strength training on the performance of the Functional Reach Test and the Timed Get-Up-and-Go Test in an elderly population from the rural north of Portugal. Am J Hum Biol. 2005;17:746–751.
Carmeli E, Kessel S, Coleman R, Ayalon M. Effects of a treadmill walking program on muscle strength and balance in elderly people with Down syndrome. J Gerontol A Biol Sci Med Sci. 2002;57:M106–M110.
Steffen TM, Hacker TA, Mollinger L. Age-and gender - related test performance in community-dwelling elderly people: Six-minute walk test, Berg balance scale, Timed Up & Go test and Gait speeds. Phys Ther. 2002;82:128–137.
Lin M-R, Hwang H-F, Hu M-H, Wu H-D I, Wang Y-W, Huang F-C. Psychometric comparisons of the timed up and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people. J Am Geriatr Soc. 2004;52:1343–1348.
Simmonds MJ, Olson SL, Jones S, et al. Psychometric characteristics and clinical usefulness of physical performance tests in patients with low back pain. Spine. 1998;23:2412–2421.
Payette H, Hanusaik N, Boutier V, Morais JA, Gay-Donald K. Muscle strength and functional mobility in relation to lean body mass in free-living frail elderly women. Eur J Clin Nutr. 1998;52:45–63.
Bahonnon R and Schaubert K. Long-term reliability of timed Up and Go test among community-dwelling elders. J Phys Ther Sci. 2005;17:93–96.
Lord SR, Sherriton C, Menz HB, editors. Postural stability and falls. In: Falls in older people. Risk factors and strategies for prevention. Cambridge University Press: Cambridge, 2001. p 17–39.
Boulgarides LK, McGinty SM, Willet JA, Barnes CW. Use of clinical and impairment-based tests to predict falls by community-dwelling older adults. Phys Ther. 2003;83(4):328–339.
Bennie S, Bruner K, Dizon A, Fritz H, Goodman B, Peterson S. Measurements of balance: comparison of the Timed “Up and Go” test and Functional Reach test with the Berg Balance Scale. J Phys Ther Sci. 2003;15:93–97.
Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80:890–903.
Okumiya K, Matsubayashi K, Nakamura T, Fujisawa M, Osaki Y, Doi Y, Ozawa T. The timed “up & go” test is a useful predictor of falls in community dwelling older people. J Am Geriatr Soc. 1998;46:928–930.
Whitney JC, Lord SR, Close JC. Streamlining assessment and intervention in a falls clinic using the Timed Up and Go Test and Physiological Profile Assessments. Age Ageing. 2005;34:567–571.
Salgado R, Lord SR, Packer J, Ehrlich F. Factors associated with falling in elderly hospital patients. Gerontology. 1994;40:325–331.
Bischoff HA, Stähelin HB, Monsch AU, Iversen MD, Weyh A, von Deched M, Akos R, Conzelmann M, Dick W, Theiler R. Identifying a cut-off point for normal mobility: a comparison of the timed ‘up and go’ test in community-dwelling and institutionalized elderly women. Age Ageing. 2003;32:315–320.
Nikolaus T, Bach M, Specht-Leible N, Oster P, Schlierf G. Prospective value of selfreport and performance-based tests of functional status for 18-month outcomes in elderly patients. Aging Clin Exp Res. 1996;8:271–276.
Siggeirsdóttir K, Jónsson BY, Jónsson H Jr Iwarsson S. The timed ‘Up & Go’ is dependent on chair type. Clin Rehabil. 2002;16:609–616.
Wall J C, Bell C, Campbell S, Davis J. The timed get-up and go test revisited: Measurement of the component tasks. J Rehabil Res and Dev. 2000;37(1);109–13.
Bohannon RW. Reference values for the timed up and go test: a descriptive metaanalysis. J Geriatr Phys Ther. 2006;29:64–68.
Rogers ME, Rogers LR, Takeshima N, Islam MM. Methods to assess and improve the physical parameters associated with fall risk in older adults. Prev Med. 2003;36:255–264.
Alexander NB, Guire KE, Thelen DG, Ashton-Miller JA, Schultz AB, Grunawalt JC, Giordani B. Self-reported walking ability predicts functional mobility performance in frail older adults. J Am Geriatr Soc. 2000;48(11):1408–1413.
Newton RA. Balance screening of an inner city older adult population. Arch Phys Med Rehabil. 1997;78:587–591.
Lusardi MM, Pellecchia GL, Schulman M. Functional performance in community living older adults. J Geriatr Phys Ther. 2003;26:14–22.
Cesari M, Onder G, Russo A, Zamboni V, Barillaro C, Ferrucci L Pahor M, Bernabei R, Landi F. Comorbidity and physical function: results from the aging and longevity study in the Sirente geographic area (iLSIRENTE study). Gerontology. 2006;52(1);24–32.
Pondal M, del Ser T. Normative data and determinants for the Timed “Up and Go” test in a population-based sample of elderly individuals without gait disturbances. J Geriatr Phys Ther. 2008;31(2):57–63.
McMichael KA, Vander Bilt J, Lavery L, Rodriguez E, Ganguli M. Simple balance and mobility tests can assess falls risk when cognition is impaired. Geriatr Nurs. 2008;29:311–323.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kalula, S.Z., Swingler, G.H., Sayer, A.A. et al. Does chair type influence outcome in the timed “up and go” test in older persons?. J Nutr Health Aging 14, 319–323 (2010). https://doi.org/10.1007/s12603-010-0073-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12603-010-0073-2