Timed Up and Go (TUG) Test

The Timed Up and Go test times a person standing up from a chair, walking 3 meters, turning, walking back, and sitting down. In older adults, 12 seconds or more flags a risk of falling. Enter a time to see its band, learn how to run and read the test, and record the result with the free template.

  • Enter a result, see its band
  • Recording template to copy
  • Two recorded examples

TUG result template

Free
TIMED UP AND GO RESULT

Date and time: [Date; time of day]
Patient: [Name or ID, age]
Reason: [Annual fall screen, after a fall, physical therapy evaluation, or follow-up]
Tested by: [Name, credentials]

SET-UP
Chair: [Standard armchair with arms; seat height]
Distance: [3 meters or 10 feet, marked on the floor]
Walking aid: [None, cane, walker, or other; same aid as last time, yes or no]
Footwear: [Usual shoes, slippers, bare feet, or other]
Practice walk: [One untimed practice walk, or none]

RESULT
Time: [Seconds, to one decimal place]
Band: [Normal, at risk for falling, limited mobility, or dependent in most mobility]
Cutoff used: [12 seconds per STEADI, or the cutoff your service uses]
Earlier times: [Dates and seconds, with the aid used each time]

WHAT I SAW
Standing up: [One try without arms, pushed up with the arms, several tries, or needed help]
Walking: [Slow tentative pace, short strides, little or no arm swing, shuffling, or none of these]
Balance: [Loss of balance, steadying on walls or furniture, or steady throughout]
Turning: [Number of steps, en bloc turning, pause before the turn, or smooth]
Sitting down: [Controlled, or dropped into the chair]
Walking aid use: [Used correctly, used incorrectly, or not used]

READING THE RESULT
Summary: [What the time and the observations show together]
Falls in the past year: [Number and how they happened, or none]

PLAN
Next step: [Full fall risk assessment, physical therapy, walking aid review, home safety check, or no change]
Repeat TUG: [Date or interval, with the same chair, aid, and footwear]

Score the TUG from your measurement.

Enter the result to see its band. Nothing you enter leaves this page.

Seat the person in a standard armchair, back against the chair, with a line marked 3 meters or 10 feet away. In their usual footwear and with their usual walking aid, they stand up, walk to the line at a normal pace, turn, walk back, and sit down. Time from “Go” until they’re seated again.

Use it for

  • Annual fall screening
  • Falls clinics
  • Physical therapy evaluations
  • Geriatric assessment
  • Tracking rehab progress

What the score means. 0 to 120, seconds to complete the test.

0 to 11.9: Normal

Typical for an older adult living at home. A normal time doesn’t rule out fall risk on its own; weigh it with any falls in the past year and what you saw on the walk.

12 to 19.9: At risk for falling

At or over STEADI’s 12-second flag. Most people here still manage basic transfers on their own. Complete a fall risk assessment and consider strength and balance training or physical therapy.

20 to 29.9: Limited mobility

Mobility varies a lot at this time: many people need a walking aid, or help outdoors and on stairs. Refer to physical therapy, review the walking aid, and check safety at home.

30 to 120: Dependent in most mobility

Usually needs help getting in and out of a chair, the bath, or the shower, and doesn’t go out alone. Plan supervised mobility, therapy, and support at home.
  • Start timing on the word “Go,” not when the person starts to move, and stop when they’re seated again. Record the time to one decimal place, with the walking aid used.
  • The 12-second split comes from the CDC’s STEADI form, which treats 12 seconds or more as a sign of fall risk in older adults. The 20- and 30-second bands come from Podsiadlo and Richardson’s 1991 study of frail older adults: under 20 seconds, most were independent in basic transfers; at 30 seconds or more, most needed help with mobility.
  • Other fall risk cutoffs are in use. One study of community-dwelling older adults found 13.5 seconds or more best told fallers from non-fallers. The 2022 World Falls Guidelines use more than 15 seconds, or a walking speed under 0.8 meters a second, to place someone who has fallen at intermediate risk and in need of strength and balance training.
  • Some conditions have their own cutoffs, such as more than 11.5 seconds in Parkinson’s disease and more than 14 seconds in older adults after a stroke.
  • Average times in healthy adults living at home are about 8 seconds in their 60s, 9 seconds in their 70s, and 10 to 11 seconds in their 80s.
  • On its own, the TUG predicts falls only modestly. Use it with the fall history and the rest of the fall risk assessment, not as the whole screen.
  • A change of less than about 3 to 5 seconds can be measurement noise; the minimal detectable change is in that range in studies of stroke, Parkinson’s disease, and Alzheimer’s disease.

How to give it, score it, and read it.

Setting up

A standard armchair, a clear walkway, a line on the floor 3 meters or 10 feet from the front of the chair, and a stopwatch.

  • A chair with arms and a seat about 46 cm, or 18 inches, high, steadied so it can’t slide
  • A tape line on the floor that the person can see, with room to turn beyond it
  • The person’s usual shoes and usual walking aid, with the aid placed within reach, not in their hands
  • Use the same chair and the same walkway each time you repeat the test

Avoid: A low sofa, an exam table, or a wheeled office chair. A different seat height changes the time.

Giving the instructions

The person sits back in the chair with their arms on the armrests. Then say the instructions the same way each time.

  • The STEADI script: when I say “Go,” stand up from the chair, walk to the line on the floor at your normal pace, turn, walk back to the chair at your normal pace, and sit down again
  • Show the test once, and let the person do one untimed practice walk if your service allows it
  • Stay beside the person throughout, close enough to steady them
  • Note any change, such as walking fast or carrying a cup, because those versions give different times

Avoid: Telling the person to go as fast as they can. STEADI asks for a normal pace, and a rushed time can’t be compared with its cutoff.

Timing

Start the stopwatch on the word “Go” and stop it when the person is seated again.

  • Start on “Go,” even if the person is slow to begin
  • Stop when they’re sitting on the seat again, not as they start to lower themselves
  • Record the time in seconds, to one decimal place
  • If the person stops, needs hands-on help, or can’t finish, record that and the reason instead of a time

Avoid: Starting the watch when the person starts to rise. The delay before standing is part of the test.

Watching the walk

The time tells you how slow; the observations tell you why. STEADI asks you to watch posture, gait, stride length, and sway.

  • Standing up: one try, using the arms, rocking to stand, or several tries
  • Walking: slow tentative pace, short strides, little or no arm swing, or shuffling
  • Balance: loss of balance, or steadying on walls and furniture
  • Turning: the number of steps, a pause, or en bloc turning, where the body turns as one piece
  • Whether the walking aid is used correctly

Avoid: Recording a time with no observations. Shuffling, little arm swing, and en bloc turning can point to a neurological problem, such as parkinsonism, that needs evaluation.

Reading the time

Compare the time with the 12-second cutoff and with the average for the person’s age, then weigh it with their falls and what you saw.

  • Under 12 seconds is normal for an older adult living at home; 12 seconds or more flags fall risk
  • Over 20 seconds, look at how the person manages transfers, stairs, and going out at home
  • Ask about falls in the past year, unsteadiness, and fear of falling
  • For a positive result, go on to the full fall risk assessment: strength, balance, standing blood pressure, medications, vision, feet, and home

Avoid: Calling a person safe because the time is under 12 seconds. Someone with two falls this year needs the full assessment whatever their time.

Repeating it

The TUG is quick to repeat, which makes it a good measure of progress in therapy or after a change in medication.

  • Keep the chair, distance, walking aid, footwear, and instructions the same
  • Record each time with its date and aid, so the trend is clear
  • Treat a change of less than about 3 seconds with caution; it may be measurement noise

Two recorded results. Every part, filled in.

Each one follows the recording template. Use them to judge how much to write.

TUG result: 16.4 seconds with an unsteady turn

Falls clinic, new referral after a fall, tested in the clinic hallway

Set-up

Standard armchair with arms, seat 46 cm, against the wall. Line taped at 3 meters. No walking aid; he doesn’t own one. His usual lace-up walking shoes. One untimed practice walk.

Result

Time 16.4 seconds. At risk for falling on the 12-second STEADI cutoff, and over the 15-second mark the World Falls Guidelines use for intermediate risk after a fall. First TUG on record.

What I saw

Stood on the second try, pushing on both armrests. Slow tentative pace and short strides on the way out; arm swing normal, no shuffling. Paused at the line, turned in 5 steps, and put his left hand on the wall. Dropped the last few centimeters into the chair.

Reading the result

78-year-old man. A slow time with an arm-assisted rise and an unsteady turn points to leg weakness and poor balance when turning. Normal arm swing and no shuffling or en bloc turn: no signs of parkinsonism. Falls in the past year: one, in September, while turning at the kitchen counter; no injury; got up alone. Since then he has felt unsteady when he turns.

Plan

Physical therapy referral for leg strength, balance, and turning practice, twice a week for 8 weeks, then a home program. Therapist to assess whether a cane helps. Rest of the fall risk assessment done today and recorded separately: standing blood pressure, medications, vision, and home. Repeat TUG in 8 weeks with the same chair and shoes.

Common mistakes, and how to avoid them.

Starting the stopwatch late

The clock starts on “Go,” not when the person begins to move. Hesitation and a slow rise are part of what the test measures.

Changing the set-up between tests

A lower chair, a new walker, slippers instead of shoes, or a shorter walkway can change the time by seconds. Record the set-up and keep it the same.

Recording only the time

Two people at 15 seconds can need very different care. Note how they stood, walked, turned, and sat, and whether they reached for the wall.

Using it as the whole fall screen

The TUG predicts falls only modestly. Ask about falls in the past year, and go on to the full assessment when either is positive.

Asking the person to hurry

STEADI’s cutoff is for a normal pace. A rushed walk is a different test, and it adds risk for someone unsteady.

Where it comes from, and how you may use it.

Who holds it

Published by Diane Podsiadlo and Sandra Richardson in 1991, as a timed version of the Get-Up and Go test of Mathias, Nayak, and Isaacs. The STEADI form and video are from the CDC.

How you may use it

The TUG is a published test procedure, free to use without permission or fees. The CDC’s STEADI form, with the instructions and the observation checklist, is a free public resource to print and use.

Call out the time. Review the note.

Vero Scribe records the TUG result in your template from the visit, with the patient’s consent, or from your dictation: the time, the walking aid, what you saw on the walk and the turn, and the plan. You review and edit every line, then copy it into your record. Vero works in 60+ languages.

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Frequently asked questions.

What is the Timed Up and Go test?

The TUG is a quick test of mobility and fall risk. The person stands up from a chair, walks 3 meters or 10 feet, turns, walks back, and sits down, and you time it in seconds. It was published by Podsiadlo and Richardson in 1991, and the CDC uses it in its STEADI fall prevention toolkit.

How do you do the TUG test?

Mark a line 3 meters or 10 feet from a standard armchair. The person sits back in the chair in their usual shoes, with their usual walking aid nearby. On “Go,” they stand, walk to the line at a normal pace, turn, walk back, and sit down. Start timing on “Go,” stop when they’re seated, and stay beside them throughout.

What is a normal TUG score?

Under 12 seconds is normal for an older adult living at home. Healthy adults average about 8 seconds in their 60s, 9 seconds in their 70s, and 10 to 11 seconds in their 80s. Younger, healthy adults usually finish in well under 10 seconds.

What TUG score means a risk of falling?

The CDC’s STEADI form uses 12 seconds or more. Other cutoffs are in use: 13.5 seconds or more in one study of older adults living at home, and more than 15 seconds in the 2022 World Falls Guidelines. Whatever the cutoff, the TUG alone predicts falls only modestly, so weigh it with the person’s fall history.

What does a TUG over 20 or 30 seconds mean?

In the 1991 study, people who took under 20 seconds were mostly independent in basic transfers, such as getting in and out of a chair. Between 20 and 30 seconds, mobility varied a lot. People who took 30 seconds or more mostly needed help with mobility, including the bath or shower, and didn’t go out alone.

How is the TUG different from the Morse Fall Scale and the chair stand test?

The TUG is a timed performance test of standing, walking, and turning. The Morse Fall Scale is a nursing score of fall risk in hospital, from history and observation, with no timing. The 30-second chair stand counts how many times a person can stand up without using their arms, a measure of leg strength. STEADI uses the TUG, the chair stand, and the 4-stage balance test together.

Who can give the TUG test?

Physicians, nurses, physical and occupational therapists, medical assistants, and other trained staff. It needs no special equipment beyond a chair, tape, and a stopwatch, and takes under 3 minutes. Whoever gives it should stay close enough to steady the person.

Is the TUG test free to use?

Yes. It’s a published test procedure, free to use without permission or fees. The CDC’s STEADI form and instruction video are free to print and use, and the recording template on this page is free to copy or download.

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