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Journal ArticleDOI

The Timed “Up & Go”: A Test of Basic Functional Mobility for Frail Elderly Persons

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TLDR
This study evaluated a modified, timed version of the “Get‐Up and Go” Test (Mathias et al, 1986) in 60 patients referred to a Geriatric Day Hospital and suggested that the timed “Up & Go’ test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time.
Abstract
This study evaluated a modified, timed version of the "Get-Up and Go" Test (Mathias et al, 1986) in 60 patients referred to a Geriatric Day Hospital (mean age 79.5 years). The patient is observed and timed while he rises from an arm chair, walks 3 meters, turns, walks back, and sits down again. The results indicate that the time score is (1) reliable (inter-rater and intra-rater); (2) correlates well with log-transformed scores on the Berg Balance Scale (r = -0.81), gait speed (r = -0.61) and Barthel Index of ADL (r = -0.78); and (3) appears to predict the patient's ability to go outside alone safely. These data suggest that the timed "Up & Go" test is a reliable and valid test for quantifying functional mobility that may also be useful in following clinical change over time. The test is quick, requires no special equipment or training, and is easily included as part of the routine medical examination.

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Citations
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A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission.

TL;DR: Evidence is presented that performance measures can validly characterize older persons across a broad spectrum of lower extremity function and that performance and self-report measures may complement each other in providing useful information about functional status.
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Frailty in elderly people

TL;DR: Developing more efficient methods to detect frailty and measure its severity in routine clinical practice would greatly inform the appropriate selection of elderly people for invasive procedures or drug treatments and would be the basis for a shift in the care of frail elderly people towards more appropriate goal-directed care.
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Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test.

TL;DR: The TUG is a sensitive and specific measure for identifying community-dwelling adults who are at risk for falls and the ability to predict falls is not enhanced by adding a secondary task when performing the TUG.
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Sensitivity and false alarm rate of a fall sensor in long-term fall detection in the elderly

TL;DR: Evaluating the long-term fall detection sensitivity and false alarm rate of a fall detection prototype in real-life use suggests that automatic accelerometric fall detection systems might offer a tool for improving safety among older people.
References
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Journal ArticleDOI

Fall risk index for elderly patients based on number of chronic disabilities

TL;DR: The mobility test, the best single predictor of recurrent falling, may be useful clinically because it is simple, recreates fall situations, and provides a dynamic, integrated assessment of mobility.
Journal Article

Balance in elderly patients : The "get-up and go" test

TL;DR: The get-up and go test proved to be a satisfactory clinical measure of balance in elderly people and had good correlation with laboratory tests.
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National Institutes of Health Consensus Development Conference Statement: Geriatric Assessment Methods for Clinical Decision‐making

TL;DR: To deal with the exceedingly difficult health care issues posed by frail elderly persons, health professionals need to collect, organize, and use a vast array of clinically relevant information.
Journal Article

The prevention of falls in later life, A report of the Kellogg International Work Group on the prevention of falls by the elderly

TL;DR: An overview of the elderly population at risk of falling and suffering serious injury, some of the reasons older people fall, and the methods to prevent falls which have been developed in both community and institutional settings is provided.
Journal ArticleDOI

Physical performance measures in aging research.

TL;DR: It is suggested that more widespread use be made of physical performance assessments and that they be evaluated as measures of functioning in cross-national studies, as indicators of change in functioning over time, as endpoints in intervention studies, and as tools for identifying persons functioning at high levels.
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