This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Freter, S. H Articles by Fruchter, N. Search for Related Content PubMed PubMed Citation Articles by Freter, S. H Articles by Fruchter, N. Social Bookmarking                   What's this?

Relationship between timed ‘up and go’ and gait time in an elderly orthopaedic rehabilitation population

Division of Geriatric Medicine, McGill University, Montreal, Quebec, Canada

Nadine Fruchter

Jewish Rehabilitation Hospital, Laval, Quebec, Canada

Objective: To analyse the relationship between the timed ‘up and go’ (TUG) and gait time in an elderly orthopaedic population, in order to determine whether additional useful information is obtained by measuring both.

Design: Observational study.

Setting: Jewish Rehabilitation Hospital, Laval, Quebec.

Subjects: Seventy-nine consecutive inpatients in the orthopaedic programme with a primary admitting diagnosis of either total hip replacement (THR), total knee replacement (TKR), or hip fracture repair.

Outcome measures: Timed ‘up and go’ and time to walk 10 metres.

Results: The admission correlation between gait time and TUG was r = 0.745. The correlation at discharge (r = 0.816) was higher than that seen on admission. The relationship between gait time and TUG was linear both at admission and discharge. The correlation between gait time and TUG was strong for patients with TKR at admission (r = 0.868) and discharge (r = 0.878), and for patients with THR, both at admission (r = 0.809) and discharge (r = 0.879). However, the correlation on admission was weaker for patients with hip fracture (r = 0.497). For slow walkers (people with a gait speed below 0.5 m/s) on admission, the correlation was moderate (r = 0.649). However, for those with gait speeds faster than or equal to 0.5 m/s, the correlation was weaker (r = 0.484). This discrepancy was no longer evident on discharge. Likewise, for patients with a fast TUG score (< 30 seconds) on admission, there was virtually no relationship between TUG and gait time (r = 0.084), although a good correlation was present for those with ‘up and go’ times longer than 30 seconds (r = 0.634). As with gait speed, this difference disappeared by discharge.

Conclusions: The relationship between gait time and TUG in an elderly orthopaedic rehabilitation population is good, and its strength varies by specific diagnosis, mobility, and time point in the course of therapy. The two measures are not redundant in this population.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				K. M Palombaro, R. L Craik, K. K Mangione, and J. D Tomlinson Determining Meaningful Changes in Gait Speed After Hip Fracture Physical Therapy, June 1, 2006; 86(6): 809 - 816. [Abstract] [Full Text] [PDF]

				E. Nordin, E. Rosendahl, and L. Lundin-Olsson Timed "Up & Go" Test: Reliability in Older People Dependent in Activities of Daily Living-- Focus on Cognitive State Physical Therapy, May 1, 2006; 86(5): 646 - 655. [Abstract] [Full Text] [PDF]

				K Siggeirsdottir, B Y Jonsson, H Jonsson Jr, and S Iwarsson The timed 'Up & Go' is dependent on chair type Clinical Rehabilitation, June 1, 2002; 16(6): 609 - 616. [Abstract] [PDF]