Balance Assessment: Get-up & Go Test Cheat Sheet by Davidpol
Determining a person risk for falling
test assessment balance healthcare get-up
The Get-up and Go Test is a brief assessment of gait and balance in older patients that has been used in the clinical setting. The patient is asked to stand up from a chair, walk a short distance, turn around, return to the chair, and sit down again. The patient's performance is then scored on a five-point scale, with a higher score indicating greater gait and balance problems as well as an increased risk of falling.
Test & Scoring
1. Sit comfortably in a straight-backed chair.
2. Rise from the chair.
3. Stand still momentarily.
4. Walk a short distance (approximately 3 meters).
5. Turn around.
6. Walk back to the chair.
7. Turn around.
8. Sit down in the chair.
Instructions: Ask the patient to perform the above series of maneuvers
Scoring: Observe the patient's movements for any deviation from a confident, normal performance. Use the following scale to score:
1 = Normal
2 = Very slightly abnormal
3 = Mildly abnormal
4 = Moderately abnormal
5 = Severely abnormal
Interpreting the Score
"Normal" indicates that the patient gave no evidence of being at risk of falling during the test or at any other time. "Severely abnormal" indicates that the patient appeared at risk of falling during the test. Intermediate grades reflect the presence of any of the following as indicators of the possibility of falling: undue slowness, hesitancy, abnormal movements of the trunk or upper limbs, staggering, stumbling.
A patient with a score of 3 or more on the Get-up and Go Test is at risk of falling.
Source: Mathias S, Nayak USL, Isaacs B. Balance in elderly patients
Arch Phys Med Rehabilitation. 1986;67:387-389.
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