Many clinical tests that allow
Physical Therapists and Physical Therapist Assistants to perform tests in order
to report patients’ limitations and restrictions. The article “Timed Up &
Go as a measure for longitudinal change in mobility after stroke – Postural Stroke
Study in Gothenburg (POSTGOT)” explores Timed “Up and Go” (TUG) test. For the
purpose of this research paper we will be analyzing the TUG test in those
patients that have suffered a stroke. We will discuss the impact if any that
the TUG test may have or may not have had on patients who suffered a stroke. I
will also discuss the reliability, validity and statistical significance of the
Timed “Up and Go’ (TUG) test.
article defines the TUG test as a test that “determines fall risk and measures
the progress of balance; sit to stand, and walking”. The article is based on 91
patients who suffered from first-time strokes and were assessed using the TUG method.
The patients who suffered from a stroke were tested the first week, followed by
3, 6 and 12 months after the stroke. Going further we will be able to read how
the study developed and how the TUG test was put into use.
The TUG was
performed as follows: the patients were asked to stand up from a standardized
armchair, walk 3 meters (marked by a tape), turn, and walk back to the chair
and sit down, as quickly and as safely as possible while the time taken to
complete the test was recorded and rounded to whole seconds. In cases where the
patient needed a walking aid, his/her private walking aid was used. No physical
assistance was accepted. (Journal of NeuroEngineering and Rehabilitation, 2014).
The TUG has been
shown to be valid and to identify risk for falls in community-dwelling older
adults as well as in patients with strokes. (Journal of NeuroEngineering and Rehabilitation, 2014). This study
shows the reliability and validity that the TUG test has on the patients who
participated in this study and in various work. Not all patients had changes to
results of the TUG for study were as follows: TUG demonstrates the ability to
detect change in mobility over time in patients with stroke. Thus, the result
justifies the use of TUG in stroke rehabilitation. As expected, there was a
statistically significant improvement in TUG time from the first week to 3
months after the stroke was found, but no statistically significant change
could be detected. The recovery pattern of mobility differed between different
age groups. Patients 80 years or older tended to deteriorate in mobility
between 3 to 12 months after the stroke, while the younger patients did not. (Journal of NeuroEngineering and Rehabilitation, 2014).
concludes that the TUG test is a reliable, valid, and easy-to-administer
clinical tool for assessing advanced functional mobility after a stroke. (Archives of physical medicine and rehabilitation., 2017)