Department of Rehabilitation, Nursing Science and Sport, Rudolf Magnus Institute, University Medical Center Utrecht, Utrecht, The Netherlands Clinical Health Sciences, Faculty of Medicine, Utrecht University, Utrecht, The Netherlands The Research Centre for Innovations in Health-Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands.
The Research Centre for Innovations in Health-Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands.
Top Stroke Rehabil. 2014 May-Jun;21(3):197-210. doi: 10.1310/tsr2103-197.
To systematically review and summarize the clinimetric properties, including reliability, validity, and responsiveness, the procedures used, and the meanings of the scores in the Timed Up and Go Test (TUG). The TUG is a performance test that identifies problems with functional mobility in patients with stroke.
MEDLINE and the Cochrane Central Register of Controlled Trials were searched from 1991 to January 2013. Studies were included if (1) the participants were adults with stroke; (2) the research design was cross-sectional, descriptive, or longitudinal and examined the clinimetric properties, including reliability, validity, and sensitivity to change, and procedural differences in the TUG; and (3) the study was published in English from 1991 to January 2013.
Thirteen studies met the inclusion criteria. Of these, 4 showed the TUG to have good convergent validity, as it had significant correlations with various instruments. Three studies that investigated the test-retest reliability showed the TUG to have excellent intrarater and interrater reliability (intraclass correlation coefficient [ICC] ≯ 0.95). The 3 studies that investigated whether the TUG could predict falls after stroke showed inconclusive results. Three studies showed the TUG to be sensitive to change, and 1 study showed the TUG to be responsive in moderate- and fast-walking patients with stroke. However, there were wide variations in the procedures and instructions used.
The TUG can be recommended for measuring basic mobility skills after stroke in patients who are able to walk. However, the procedures and instructions should be described more clearly.
系统评价和总结计时起立行走测试（TUG）的临床测量特性，包括可靠性、有效性和反应度，所使用的程序以及 TUG 评分的含义。TUG 是一种用于识别脑卒中患者功能性移动问题的运动测试。
检索 1991 年 1 月至 2013 年 1 月的 MEDLINE 和 Cochrane 对照试验中心注册库。纳入标准为：（1）参与者为成年脑卒中患者；（2）研究设计为横断面、描述性或纵向研究，评估了 TUG 的临床测量特性，包括可靠性、有效性和对变化的敏感性以及 TUG 的程序差异；（3）研究发表于 1991 年 1 月至 2013 年 1 月的英文文献。
符合纳入标准的研究共有 13 项。其中 4 项研究表明 TUG 具有良好的汇聚效度，因为它与各种仪器具有显著相关性。3 项研究调查了 TUG 的重测信度，结果显示 TUG 具有极好的组内和组间可靠性（组内相关系数[ICC]≥0.95）。3 项研究调查了 TUG 能否预测脑卒中后跌倒，但结果尚无定论。3 项研究表明 TUG 对变化敏感，1 项研究表明 TUG 对中度和快速行走的脑卒中患者具有反应性。然而，这些研究在程序和说明方面存在较大差异。
TUG 可用于评估能行走的脑卒中患者的基本移动技能，但程序和说明应更明确。
