Are you worried about your balance and concerned you may be at risk for falls? If so, would you be interested in a quick and easy test that could tell you if you were indeed at risk for falls? If you answered yes to both of these questions, this post is for you.
Caution:
Before delving further, it’s crucial to note that this test should only be performed with clearance from a medical professional such as a Physical Therapist. Additionally, never attempt the test without a helper present—someone who is generally healthy, able-bodied, and mentally alert. This precaution ensures maximum safety during the test. Though the test is generally safe, being extra prepared is always a good idea.
Now, let’s delve into the details of this test.
The Test: Timed Up and Go (TUG) Test
Think of this test as a screening tool—a simple yet effective way to assess if someone is at risk for falls. However, it only indicates if there’s a risk or not; for specifics on why there might be an increased fall risk, further testing by a Physical Therapist is required.
Who is Safe to Perform this Test?
Those who can walk at least 25 feet (with or without a walking device), stand up from a chair without assistance, follow simple commands, have an able-bodied helper, and have no medical restrictions inhibiting walking short distances and standing.
Who Should Not Complete this Test?
If you cannot meet all the above requirements, you should not perform this test unless in the presence of a Physical Therapist or a similarly trained medical professional.
TUG Test Preparation:
Items you will need:
- A sturdy chair with armrests
- A straight walkways of at least 10 feet
- A stopwatch
- A walking device if you use one regularly
- Appropriate and safe footwear
- A noticeable object or tape as a visual object
Testing Setup:
- Place a sturdy chair with armrests at the beginning of a clear and uncluttered walkway.
- Measure 10 feet from the chair and place a target object or tape a line on the floor.
- The person assisting with the test has a stopwatch ready.
- Have the person being tested sit in the chair ready for instructions.
- If they use a walking device, have this with them, ready to be used.
Instructions Given to the Person Being Tested:
“When I say ‘Go,’ I want you to stand up from the chair, walk to the line on the floor at your normal pace. Once you reach the line or mark, turn and walk back to the chair at your normal pace. Then you sit down again.”
Additional Notes about the Test:
When the tester says “Go”, the timer begins while the patient is still sitting in the chair. Even if it takes them a few tries to stand up, the timer keeps going as standing up from the chair is part of the test. As they begin walking forward, walk next or behind them without obstructing their performance to maximize safety.
The timer does not stop when they reach the chair but rather when their bottom contacts the chair seat.
Performing the Test:
- Complete one practice run
- Rest
- Complete 2 timed trials with rest in between
- Take the average of the 2 timed trials. This is your score!
So, I Got My Score. What Does it Mean?
The TUG test has been standardized over the years, with cutoff scores providing information on a person’s fall risk. If you are above the cutoff threshold of 12 seconds, you are considered at increased risk for falls.
How to Use This Information:
While this test doesn’t provide a comprehensive picture of someone’s fall risk, it offers insight for individuals concerned about their fall risk. Tracking and monitoring your fall risk with regular tests can be a good way to stay vigilant. If you notice a significant change, bring this information to your primary care physician, who can refer you to a Physical Therapist for a more comprehensive fall risk assessment.
Should I Seek a Comprehensive Fall Risk Evaluation?
Consider getting your fall risk assessed if you’ve had a recent fall, experience near falls, have a fear of falling, or face increased difficulty walking and standing. If you’re in Ohio, virtual fall risk assessments are available via video call with me. Request a PT referral from your doctor for an in-person assessment if travel is not an issue.
Don’t hesitate; take steps to improve your balance and reduce your fall risk. A fall could have serious consequences. If you have any questions, reach out. Stay strong and keep moving!
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