Williams Elizabeth N, Carroll Sara G, Reddihough Dinah S, Phillips Bev A, Galea Mary P
School of Physiotherapy, University of Melbourne, Parkville, Victoria 3010, Australia.
Dev Med Child Neurol. 2005 Aug;47(8):518-24. doi: 10.1017/s0012162205001027.
The timed 'Up & Go' test (TUG) is a test of basic or functional mobility in adults which has rarely been used in children. Functional mobility was defined for this study as an individual's ability to manoeuvre his or her body capably and independently to accomplish everyday tasks. Reliability and validity of TUG scores were examined in 176 children without physical disabilities (94 males, 82 females; mean age 5y 9mo [SD 1y 8mo]; range 3 to 9y) and in 41 young people with physical disabilities due to cerebral palsy or spina bifida (20 males, 21 females; mean age 8y 11mo [SD 4y 3mo], range 3 to 19y). Mean TUG score for children without physical disability was 5.9s (SD 1.3). Reliability of the TUG test was high, with intraclass correlation coefficients (ICC) of 0.89 within session, and 0.83 for test-retest reliability. Mean score of the group aged 3 to 5 years was significantly higher (6.7s SD 1.2) than that of the older group (5.1s, SD 0.8; p=0.001). Scores in the younger group reduced significantly over a 5-month follow-up period (p=0.001), indicating that the TUG was responsive to change. Within-session reliability of the TUG in young people with disabilities was very high (ICC=0.99). There were significant differences in TUG scores between children classified at levels I, II, and III of the Gross Motor Function Classification System (p=0.001). TUG scores showed a moderate negative correlation with scores on the Standing and Walking dimensions of the Gross Motor Function Measure (n=22, rho=-0.52, p=0.012). There was no significant difference in TUG scores between typically developing male and female children. The TUG can be used reliably in children as young as 3 years using the protocol described in this paper. It is a meaningful, quick, and practical objective measure of functional mobility. With further investigation, the TUG is potentially useful as a screening test, an outcome measure in intervention studies for young people with disabilities, a measure of disability, and as a measure of change in functional mobility over time.
定时起立行走测试（TUG）是一项针对成年人基本或功能性活动能力的测试，在儿童中很少使用。本研究将功能性活动能力定义为个体能够独立灵活地移动身体以完成日常任务的能力。对176名无身体残疾的儿童（94名男性，82名女性；平均年龄5岁9个月[标准差1岁8个月]；年龄范围3至9岁）以及41名因脑瘫或脊柱裂导致身体残疾的年轻人（20名男性，21名女性；平均年龄8岁11个月[标准差4岁3个月]，年龄范围3至19岁）的TUG评分的信度和效度进行了检验。无身体残疾儿童的TUG平均得分为5.9秒（标准差1.3）。TUG测试的信度很高，组内相关系数（ICC）在测试过程中为0.89，重测信度为0.83。3至5岁组的平均得分（6.7秒，标准差1.2）显著高于年龄较大组（5.1秒，标准差0.8；p = 0.001）。在5个月的随访期内，较小组的得分显著降低（p = 0.001），表明TUG对变化有反应。残疾年轻人中TUG的测试过程中信度非常高（ICC = 0.99）。在粗大运动功能分类系统I、II和III级分类的儿童中，TUG得分存在显著差异（p = 0.001）。TUG得分与粗大运动功能测量的站立和行走维度得分呈中度负相关（n = 22，rho = -0.52，p = 0.012）。发育正常的男性和女性儿童的TUG得分没有显著差异。使用本文所述方案，TUG可可靠地用于年仅3岁的儿童。它是一种有意义、快速且实用的功能性活动能力客观测量方法。经过进一步研究，TUG有可能作为一种筛查测试、残疾年轻人干预研究的结果测量指标、残疾测量指标以及随时间变化的功能性活动能力测量指标。
