Usefulness of the instrumented timed up and go test for walking assessment in older adults
References
- Ivanenko, Y.P., Poppele, R.E., Lacquaniti, F., Five basic muscle activation patterns account for muscle activity during human locomotion, J. Physiol., 2004, 556: 267–282. 10.1113/jphysiol.2003.057174.
- Fagerström, C., Borglin, G., Mobility, functional ability and health-related quality of life among people of 60 years or older, Aging Clin. Exp. Res., 2010, 22: 387–394. 10.1007/BF03324941.
- La Grow, S., Yeung, P., Towers, A., Alpass, F., Stephens, C., The impact of mobility on quality of life among older persons, J. Aging Health, 2013, 25: 723–736. 10.1177/0898264313490198/ASSET/D7278C99-AAF0-485C-8BB9-68ECEE7D32BE/ASSETS/IMAGES/LARGE/10.1177_0898264313490198-FIG2.JPG.
- Studenski, S., Perera, S., Patel, K., Rosano, C., Faulkner, K., Inzitari, M., et al., Gait Speed and Survival in Older Adults, JAMA, 2011, 305: 50–58. 10.1001/JAMA.2010.1923.
- Parihar, R., Mahoney, J.R., Verghese, J., Relationship of gait and cognition in the elderly, Curr. Transl. Geriatr. Exp. Gerontol. Rep., 2013, 2: 167–173. 10.1007/s13670-013-0052-7.
- Trombetti, A., Reid, K.F., Hars, M., Herrmann , F.R., Pasha, E., Phillips , E.M., et al., Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life, Osteoporos. Int., 2016, 27: 463–471. 10.1007/s00198-015-3236-5.
- Gadelha, A.B., Neri, S.G.R., Oliveira, R.J. de, Bottaro, M., David, A.C. de Vainshelboim, B., et al., Severity of sarcopenia is associated with postural balance and risk of falls in community-dwelling older women, Exp. Aging Res., 2018, 44: 258–269. 10.1080/0361073X.2018.1449591.
- Doi, T., Nakakubo, S., Tsutsumimoto, K., Kim, M.J., Kurita, S., Ishii, H., et al., Spatio-temporal gait variables predicted incident disability, J. Neuroeng. Rehabil., 2020, 17: 1–7. 10.1186/S12984-020-0643-4/FIGURES/1.
- Del Din, S., Godfrey, A., Mazzà, C., Lord, S., Rochester, L., Free‐living monitoring of Parkinson’s disease: Lessons from the field, Mov. Disord., 2016, 31: 1293–1313. 10.1002/mds.26718.
- Mundt, M., Thomsen, W., David, S., Dupré, T., Bamer, F., Potthast, W., et al., Assessment of the measurement accuracy of inertial sensors during different tasks of daily living, J. Biomech., 2019, 84: 81–86. 10.1016/j.jbiomech.2018.12.023.
- Park, S., Yoon, S., Validity Evaluation of an Inertial Measurement Unit (IMU) in Gait Analysis Using Statistical Parametric Mapping (SPM)., Sensors (Basel)., 2021, 21: 3667. 10.3390/s21113667.
- Podsiadlo, D., Richardson, S., The timed “Up & Go”: A test of basic functional mobility for frail elderly persons, J. Am. Geriatr. Soc., 1991, 39: 142–148. 10.1111/j.1532-5415.1991.tb01616.x.
- Kowal, M., Winiarski, S., Morgiel, E., Madej, M., Proc , K., Madziarski, M., et al., Functional mobility studies in younger adults: Instrumented Timed Up and Go (iTUG) test using inertial devices, J. Clin. Med. 2025, 14: 1944. 10.3390/jcm14061944.
- Salarian, A., Horak, F.B., Zampieri, C., Carlson-Kuhta, P., Nutt, J.G., Aminian, K., iTUG, a sensitive and reliable measure of mobility, IEEE Trans. Neural Syst. Rehabil. Eng., 2010, 18: 303–310. 10.1109/TNSRE.2010.2047606.
- Szaflik, P., Kaczmarczyk, A., Zadoń, H., Szefler-Derela, J., Wasiuk-Zowada, D., Nowakowska-Lipiec, K., et al., Instrumented timed up and go test as a tool to early detection of gait and functional mobility impairments in multiple sclerosis, J. Clin. Med., 2026, 15: 679. 10.3390/jcm15020679.
- Nicolini-Panisson, R.D., Donadio, M.V.F., Timed “Up & Go” test in children and adolescents, Rev. Paul. Pediatr., 2013, 31: 377–83. 10.1590/S0103-05822013000300016.
- Zarzeczny, R., Nawrat-Szołtysik, A., Polak, A., Maliszewski, J., Kiełtyka, A., Matyja, B., et al., Aging effect on the instrumented Timed-Up-and-Go test variables in nursing home women aged 80–93 years, Biogerontology, 2017, 18: 651. 10.1007/s10522-017-9717-5.
- Mulas, I., Putzu, V., Asoni, G., Viale, D., Mameli, I., Pau, M., Clinical assessment of gait and functional mobility in Italian healthy and cognitively impaired older persons using wearable inertial sensors, Aging Clin. Exp. Res., 2020, 33: 1853. 10.1007/s40520-020-01715-9.
- Porta, M., Pilloni, G., Corona, F., Fastame, M.C., Hitchott, P.K., Penna, M.P., et al., Relationships between objectively assessed functional mobility and handgrip strength in healthy older adults, Eur. Geriatr. Med. 2018 92, 2018, 9: 201–209. 10.1007/s41999-018-0025-7.
- Roberts, M., Mongeon, D., Prince, F., Biomechanical parameters for gait analysis: a systematic review of healthy human gait, Phys. Ther. Rehabil., 2017, 4: 6. 10.7243/2055-2386-4-6.
- Studenski, S., Gait Speed and Survival in Older Adults, JAMA, 2011, 305: 50. 10.1001/jama.2010.1923.
- Fan, Y., Zhang, B., Huang, G., Zhang, G., Ding, Z., Li, Z., et al., Sarcopenia: Body composition and gait analysis, Front. Aging Neurosci., 2022, 14: 909551. 10.3389/fnagi.2022.909551.
- Moon, Y., Sung, J., An, R., Hernandez, M.E., Sosnoff, J.J., Gait variability in people with neurological disorders: A systematic review and meta-analysis, Hum. Mov. Sci., 2016, 47: 197–208. 10.1016/j.humov.2016.03.010.
- Kyrdalen, I.L., Thingstad, P., Sandvik, L., Ormstad, H., Associations between gait speed and well‐known fall risk factors among community‐dwelling older adults, Physiother. Res. Int., 2019, 24: 1743. 10.1002/pri.1743.
- Brown, J.C., Harhay, M.O., Harhay, M.N., Walking cadence and mortality among community-dwelling older adults, J. Gen. Intern. Med., 2014, 29: 1263–1269. 10.1007/s11606-014-2926-6.
- Walz, I.D., Waibel, S., Kuhner, A., Gollhofer, A., Maurer, C., Age-related changes in mobility assessments correlate with repetitive goal-directed arm-movement performance, BMC Geriatr., 2023, 23: 487. 10.1186/s12877-023-04150-3.
- Tudor-Locke, C., Mora-Gonzalez, J., Ducharme, S.W., Aguiar, E.J., Schuna, J.M., Barreira, T. V., et al., Walking cadence (steps/min) and intensity in 61–85-year-old adults: the CADENCE-Adults study, Int. J. Behav. Nutr. Phys. Act., 2021, 18: 129. 10.1186/s12966-021-01199-4.
- Beauchet, O., Fantino, B., Allali, G., Muir, S.W., Montero-Odasso, M., Annweiler, C., Timed up and go test and risk of falls in older adults: A systematic review, J. Nutr. Heal. Aging, 2011, 15: 933–938. 10.1007/s12603-011-0062-0.
- Howard, C., Wallace, C., Stokic, D.S., Stride length–cadence relationship is disrupted in below-knee prosthesis users, Gait Posture, 2013, 38: 883–887. 10.1016/J.GAITPOST.2013.04.008.
- Hollman, J.H., McDade , E.M., Petersen, R.C., Normative spatiotemporal gait parameters in older adults., Gait Posture, 2011, 34: 111–8. 10.1016/j.gaitpost.2011.03.024.
- Agathos, C.P., Velisar, A., Shanidze, N.M., A comparison of walking behavior during the instrumented TUG and Habitual Gait, Sensors, 2023, 23: 7261. 10.3390/s23167261.
- Letournel, A., Marques, M., Vigário, R., Quintão, C., Quaresma, C., Biomechanical characterisation of gait in older adults: A cross-sectional study using inertial sensor-based motion capture., Bioeng. (Basel, Switzerland), 2025, 12: 12080889. 10.3390/bioengineering12080889.
- Vachranukunkiet, T., Esquenazi, A., Pathophysiology of gait disturbance in neurologic disorders and clinical presentations, Phys. Med. Rehabil. Clin. N. Am., 2013, 24: 233–246. 10.1016/j.pmr.2012.11.010.
- Hurd, W.J., Snyder‐Mackler, L., Knee instability after acute ACL rupture affects movement patterns during the mid‐stance phase of gait, J. Orthop. Res., 2007, 25: 1369–1377. 10.1002/jor.20440.
- Kataoka, Y., Saito, Y., Takeda, R., Ishida , T., Tadano, S., Suzuki, T., et al., Evaluation of lower-limb kinematics during timed up and go (TUG) test in subjects with Locomotive Syndrome (LS) using wearable gait sensors (H-Gait System), Sensors, 2023, 23: 687. 10.3390/s23020687.
Language: English
Page range: 51 - 62
Submitted on: Apr 1, 2026
Accepted on: Jun 9, 2026
Published on: Sep 23, 2026
Published by: Wroclaw University of Science and Technology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
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© 2026 Piotr Szaflik, Katarzyna Nowakowska-Lipiec, Hanna Zadoń, Robert Michnik, published by Wroclaw University of Science and Technology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.