Timed Up and Go (TUG)

Timed Up and Go (TUG) Evaluation Summary

What does the tool measure? Basic mobility and balance in frail elderly patients
What types of clients can the tool be used for? Elderly patients (60-90 years old), patients with stroke
Is this a screening or assessment tool? Screening
Time to administer 1-2 minutes
Versions TUG Cognitive, TUG Manual
Other Languages Can be completed in any language
Measurement Properties
Reliability – No studies have examined the internal consistency of the TUG.

– Out of 7 studies examining the test-retest reliability.

-Out of 5 studies examining the inter-rater reliability inter-rater, and 1 reported no significant difference in scoring between two raters, suggesting high inter-rater reliability.

– Out of 2 studies examining the intra-rater reliability intra-rater reliability.

Validity Content: Not available.
Criterion: No gold standard exists.
Construct: Excellent correlations between the TUG and the Older Americans Resources and Services Instrumental Activities of Daily Living Scale (OARS IADL), OARS Activities of Daily Living (OARS ADL), Frailty Scale, Berg Balance Scale, Tinetti Balance Scale, measures of gait speed (one study reported adequate correlation), and 6-Minute Walk Test (6MWT). Adequate correlations with the Barthel Index, Functional Independence Measure, Groningen Activity Restriction Scale, Sickness Impact Profile.
Known groups. The TUG can distinguish between elderly patients using different ambulatory aids, the presence of cognitive impairment, patients with Parkinson’s disease who were on the medication levodopa and those patients who were not on levodopa, and healthy elderly individuals from patients with stroke.
Predictive. TUG has been found to predict nursing home placement and risk of falling.

Does the tool detect change in patients? In one study, 35.5% of frail elderly individuals with cognitive impairment were unable to physically perform the test, which may be indicative of a large floor effect.
Although the TUG has been developed as a screening ability to detect change. Another study reported that out of a number of gait speed measures, the TUG was the most able to detect change.
Acceptability TUG is a short and simple measure that takes only a few minutes to complete and requires only a few basic movements. The TUG has been found to have less reliability among patients with cognitive impairment.
Feasibility TUG requires no specialized equipment. Although only minimal training is required, the assessor must be aware of safety issues during mobility in individuals with stroke.
How to obtain the tool? The TUG can be obtained by contacting the developer, Diane Podsiadlo, CLSC NDG, 2525 Boulevard Cavendish, Bureau 110, Montreal, QC, H4B 2Y4. Fax: 514-485-6406